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Neighborhood Health Plan of Rhode Island

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Neighborhood Health Plan of Rhode Island
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        • Neighborhood has been helping Rhode Island families stay healthy for almost 30 years by providing access to excellent health care.

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        • Welcome to Neighborhood’s Commercial Member plan section. If you purchased a health plan through HealthSource RI or have a plan through your small employer, find information about your benefits here.

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        • Welcome! We are happy to offer a health and drug plan for Rhode Islanders eligible for both Medicare and Medicaid — Neighborhood INTEGRITY (Medicare-Medicaid Plan).

Formularies

Click here to get back to the main Pharmacy page.

Medicaid
Commercial
INTEGRITY (MMP)
Medicaid

2023 Formularies

    • Medicaid Formulary Searchable | PDF
    • 2023 Formulary Foreword – Medicaid
    • Medicaid Formulary Changes May 2023
    • Medicaid and Commercial Medical Benefit Step Therapy

EFP Formulary

    • EFP Pharmacy Benefit
    • EFP Medical Benefit

Medicaid Resources

    • 90 Day Supply Medications
    • Non-Formulary Quantity Limits
Commercial

2023 Formularies

    • Commercial Formulary Searchable | PDF
    • 2023 Commercial Formulary Foreword
    • Medicaid and Commercial Medical Benefit Step Therapy
    • Commercial Formulary Changes May 2023

2022 Formularies

    • Commercial Formulary Searchable | PDF
    • 2022 Commercial Formulary Foreword

To view the Check Drug Cost Tool, go to our Member page and select the specific Commercial Plan you need, or view the Searchable PDF. *co-pays may vary.

INTEGRITY (MMP)

2023 Formularies

    • INTEGRITY (MMP) Formulary Searchable | PDF
    • Medicare Part B Medications Requiring Step Therapy
    • INTEGRITY Formulary Changes May 2023
    • 2023 MMP ADD File Covered NDC’s
    • List of Durable Medical Equipment Available at a Pharmacy
    • Step Therapy Criteria
    • Prior Authorization List

2022 Formularies

    • INTEGRITY (MMP) Formulary Searchable | PDF
    • 2022 MMP ADD File Covered NDC’s

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

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We comply with applicable civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We also provide language assistance. Read our notice here.

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