Pharmacy

2023 Pharmacy Resources

 

Medicaid and Commercial Limited Specialty Pharmacy Network

Starting January 1, 2023, Neighborhood’s Specialty Pharmacy Network for our Medicaid and Commercial members will be the following three Specialty Pharmacies:

  • Care New England Specialty Pharmacy
  • CVS Specialty Pharmacy
  • Lifespan Specialty Pharmacy

Limited Distribution Drugs not available at Care New England Specialty Pharmacy, CVS Specialty Pharmacy, and/or Lifespan Specialty Pharmacy can continue to be filled at the member’s current Specialty Pharmacy.

Medications within Neighborhood’s Specialty Pharmacy Network and available at each Specialty Pharmacy (excel document).* (12/6/2022)

Medications within Neighborhood’s Specialty Pharmacy Network and available at each Specialty Pharmacy (searchable)*

*Medication availability at network Specialty Pharmacies does not guarantee drug coverage.

New Century Health – Oncology/Hematology Requests

Searchable Formularies

*To link your EHR to Neighborhood formularies, have your EHR Vendor contact Surescripts®

Downloadable Formularies

Medicaid Formulary

 

2023 Commercial Formulary

2022 Commercial Formulary

2021 Commercial Formulary

 

 

2022 INTEGRITY (MMP) Formulary

2023 INTEGRITY (MMP) Formulary

Prior Authorization Information

For the quickest way to request a Prior Authorization (PA), please use CoverMyMeds and complete the request form. It is free and easy to get started:

1.  Register for a free account.
2. Select and complete any PA request.
3. Press “Send to Plan” and receive a determination.

Please note that some PA requests may receive an automated response while others may require additional clinical information from the prescriber. Please check CoverMyMeds to view the status of your PA request and/or provide additional information required to complete the request.

For more information about Neighborhood’s Formulary/Pharmaceutical Management Procedures, or any other Pharmacy documents, contact Neighborhood Member Services at 1-800-459-6019.

Helpful Links

24-hour Pharmacies in Neighborhood’s network