BeHealthy Partnership and Pharmacy Drug Authorizations
Posted on March 8, 2023
With Health New England’s continued participation in the Accountable Care Partnership Plan, otherwise known as the BeHealthy Partnership, there are some important reminders beginning April 1, 2023, due to changes with medication management with our pharmacy benefit managers.
When researching coverage details of a pharmacy drug, please remember to go https://healthnewengland.org/pharmacy/find-drug and click on MassHealth/BeHealthy Partnership. Some drugs currently reviewed by Health New England will be changing to one of our pharmacy benefit managers. With this change, the authorization request needs to be submitted to the appropriate pharmacy benefit manager listed near the drug name under coverage details.
In addition, we will also be providing a link to the MassHealth online drug formulary on our page. This will help you reach the prior authorization form quicker as well as allow you to review the criteria directly from their site.
For more information, please do not hesitate to call your Provider Relations Representative at (800) 842-4464, extension 5000, or send an email to providerrelations@hne.com.