Prescription medications and pharmacy

Fallon Health Weinberg-HMO SNP covers Medicare Part D prescription drugs.

Prescriptions

Fallon Health Weinberg-HMO SNP covers both brand name drugs and generic drugs. They are listed on a Formulary/List of Covered Drugs. These drugs are chosen by doctors and pharmacists because they are effective and safe. 
Learn more about prescriptions ►

Find a pharmacy

You can fill your prescriptions at thousands of chain and independent pharmacies nationwide including: CVS, Rite Aid, Walgreens, Target and more. 
Learn more about pharmacies ►

Drug transition policy

As a new member, you may be taking a drug that is not on our list of covered drugs. We may cover your drug in some cases during the first 90 days. This will give you and your doctor enough time to look for another option on our list while you keep taking your medication. 
Learn more about drug transition ►

Medication Therapy Management Program

The Medication Therapy Management Program, offered at no extra cost for qualified members, helps you stay healthy when you are taking multiple drugs. 
Learn more about medication therapy management ►

Prescription drug Q & A

Answers to your questions about prescription drugs. 
See the prescription Q & A ►

Medicare Part D forms

Find forms for drug authorizations and appeals. 
See all Medicare Part D forms ►

 

Fallon Health Weinberg is an HMO plan with a Medicare contract and a coordination of benefits agreement with the New York State Department of Health. Enrollment in Fallon Health Weinberg depends on contract renewal. Fallon Health Weinberg-HMO SNP is available to anyone age 21 and older who has Medicare Parts A & B, full Medicaid benefits and lives in the service area. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits may change on January 1 of each year. The Formulary and/or pharmacy network may change at any time. You will receive notice when necessary.

H2470_W_2017_7 Approved 10182016
The information on this page was last updated on 10/1/2017.

Find a doctor

Looking for a doctor? Need to see if your current doctor is in our network?

Search online

Download the Provider and Pharmacy Directory (H2470_W_2017_26_r1_NM, pdf)

Contact us

Information before enrolling:
1-855-561-7248 (TTY 711)
8 a.m.–8 p.m., Monday–Friday
(Oct. 1–Feb. 14, seven days a week)

Customer Service:
1-855-561-7247 (TTY 711)
8 a.m.–8 p.m., Monday–Friday
(Oct. 1–Feb. 14, seven days a week)

Member information

2017 Summary of Benefits (H2470_W_2017_6_r1 Accepted 10152016) ►

2017 Evidence of Coverage (H2470_W_2017_1 Accepted 09122016, pdf) ►

About the Medication Therapy Management Program

Covered medications

Find a doctor