Covered Drugs for CCA Senior Care Options Members
MassHealth Coverage Update: Anti-Obesity Drugs
Get the Medications You Need
CCA Senior Care Options Drug Search
Use the digital drug list to search by drug name or type.
2027 CCA Senior Care Options (HMO D-SNP) – List of Covered Drugs/Formulary
2026 CCA Senior Care Options (HMO D-SNP) – List of Covered Drugs/Formulary
2027 CCA Senior Care Options (HMO D-SNP) – List of Covered Drugs/Formulary – Large Print
2026 CCA Senior Care Options (HMO D-SNP) – List of Covered Drugs/Formulary – Large Print
2027 CCA Senior Care Options (HMO D-SNP) – Prior Authorization Criteria
2026 CCA Senior Care Options (HMO D-SNP) – Prior Authorization Criteria
2027 CCA Senior Care Options (HMO D-SNP) – Step Therapy Criteria
2026 CCA Senior Care Options (HMO D-SNP) – Step Therapy Criteria
Additional Covered Drug Member Information
Learn more about your covered drug benefits that help you with your daily living.
CCA covers diabetes supplies from Abbott’s FreeStyle and Roche’s Accu-Chek. Some restrictions may apply.
Meters, Test Strips and Lancets:
- FreeStyle Precision Neo ® System Kit
- FreeStyle Precision Neo ® Test Strips
- FreeStyle Precision Xtra ® Blood Glucose Meter Kit
- FreeStyle Precision Xtra ® Test Strips
- FreeStyle Precision Xtra ® Blood Ketone Test Strips
- FreeStyle Lite ® Blood Glucose Meter Kit
- FreeStyle Lite ® Test Strips
- FreeStyle Freedom Lite ® Blood Glucose Meter Kit
- FreeStyle InsuLinx ® Blood Glucose Meter Kit
- FreeStyle InsuLinx ® Test Strips
- Accu-Chek Aviva Plus In Vitro Strip
- Accu-Chek SmartView In Vitro Strip
- Accu-Chek Guide In Vitro Strip
- Accu-Chek Me Care
- Accu-Chek Guide Care
Continuous Glucose Monitors (CGMs) – PA required:
- Dexcom G6 ® Transmitter, Receiver and Sensor
- Dexcom G7 ® Receiver and Sensor
- Freestyle Libre ® Reader, Receiver and Sensor
- Freestyle Libre 2 ® Plus Reader, Receiver and Sensor
- Freestyle Libre 3 ® Plus Reader, Receiver and Sensor
- Freestyle Libre 3 ® Kit Plus Sensor
If you or your doctor think you need a different diabetes supply, you may ask for an exception through the prior authorization process. Click here to learn more about prior authorizations.
If we remove a drug you take or change how it is covered, we will notify you at least 60 days before the change takes effect.
If the Food and Drug Administration (FDA) finds that a drug on our list is unsafe, or if the manufacturer removes it from the market, we will remove the drug from our List of Covered Drugs right away and notify you. Learn more about drug recalls.
You can view the latest updates to our list of covered drugs below:
Plan Year 2026:
English PDF | Effective 10/01/2026
Spanish PDF | Effective 10/01/2026
Plan Year 2027:
English PDF | Effective 10/15/2026
Spanish PDF | Effective 10/15/2026
If your drug is not on the List of Covered Drugs, first call Member Services and make sure it is not covered. If your drug is not covered, you have two options:
- Ask Member Services for a list of similar covered drugs. Show the list to your doctor. Ask if one of the covered drugs will work for you.
- Ask for an exception to cover your drug. Click here to learn how to file a pharmacy appeal.
In some cases, we can offer a temporary supply. This can give you time to talk with your doctor about what to do.
Rules for temporary supplies vary based on your member status. Call Member Services to see if you qualify.
Visit our Pharmacy Information page to learn more about your pharmacy benefits.
As a new or current member, you may take drugs that are not on our drug list. You may also take a drug on our list that has coverage limits. For example, you may need prior authorization before filling a prescription.
Talk with your doctor about whether a covered drug may work for you. You can also ask for an exception so we can cover the drug you are already taking.
While you review your options with your doctor, we may cover your drug during your first 90 days as a member.
For each drug that is not on our drug list or has coverage limits, we will cover a temporary 31-day supply. If your prescription is written for fewer than 31 days, we will allow refills until you have up to a 31-day supply.
After the first 31-day supply, we will not cover these drugs. This applies even if you have been a member for less than 90 days.
If you live in a long-term care facility and are past your first 90 days as a member, we will cover a 31-day emergency supply.
If your level of care changes, we will provide an emergency supply of up to 31 days. This applies to drugs not on our drug list, including drugs needed step therapy or prior authorization.
A change in level of care may include:
- Moving into a long-term care facility
- Leaving a long-term care facility
- Being admitted to a hospital
- Leaving a hospital
- A change in skilled nursing facility care
Medicare Part D Exclusion Drug List
Some drugs and drug types are not covered by Medicare Part D. If you have both Medicare Part D and MassHealth (Medicaid), MassHealth (Medicaid) may cover some of these drugs. Some drugs may require prior authorization. See the MassHealth (Medicaid) Drug List for more information.
Most OTC drugs are not covered by Medicare Part D. Insulin and supplies used to inject insulin are exceptions. OTC drugs covered by MassHealth (Medicaid) are listed on the MassHealth (Medicaid) OTC Drug List.
Most prescription vitamins and minerals are not covered by Medicare Part D.
Prenatal vitamins, fluoride products, and some prescription vitamins are exceptions.
Prescription vitamins covered by MassHealth (Medicaid) are listed on the MassHealth (Medicaid) Drug List.
Some drugs used for weight gain may not be covered by Medicare Part D. This includes dronabinol, megestrol, and somatropin. MassHealth may cover these drugs if Medicare Part D denies coverage. See the MassHealth (Medicaid) Drug List for prior authorization requirements.
Coverage under Medicare Part B has not changed. Products covered by Medicare Part B before January 1, 2006, are still covered under Part B. Part B prior authorization criteria are based on Medicare and state Medicaid requirements.
This page lists the non-drug products covered by MassHealth (Medicaid) through the Pharmacy Online Processing System (POPS). Products that require prior authorization are marked with “PA.” Payment is based on Executive Office of Health and Human Service’s regulations at 114.3 CMR 22.00: Durable Medical Equipment and 101 CMR 317.00: Medicine.
