If you have any questions regarding the information in CCA’s provider manual, please email Provider Relations at [email protected].
Section 9: Pharmacy Program
This section outlines Commonwealth Care Alliance’s pharmacy program, including details on our formulary and utilization management programs. Also included is a description of Commonwealth Care Alliance’s Step Therapy, Medication Therapy Management (MTM), and Mail Order Programs.
Commonwealth Care Alliance has contracted with Navitus Health Solutions, a national pharmacy benefits management (PBM) company, to administer the pharmacy benefit on Commonwealth Care Alliance’s behalf. Commonwealth Care Alliance has worked with its primary care partners to identify those community pharmacies in the neighborhoods of the primary care sites with whom Commonwealth Care Alliance’s primary care providers have established relationships and members can access easily. In addition to many smaller independent pharmacies, Commonwealth Care Alliance’s pharmacy network includes CVS, Rite Aid, Walgreen’s, and many others.
For a complete and up-to-date listing of contracted pharmacies, use the link below to access the online directory: