Request a Provider and Pharmacy Directory, Formulary (List of Covered Drugs) and Over-the-Counter (OTC) Drug List, or Evidence of Coverage (including the Dental Addendum)


To get a NaviCare Provider and Pharmacy Directory, Formulary and OTC Drug List, or an Evidence of Coverage (including the Dental Addendum) mailed to you, please complete the form below. You can submit the form multiple times to request more than one document.

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Fallon Health is an HMO plan with a Medicare contract and a contract with the Massachusetts Medicaid program. Enrollment in Fallon Health depends on contract renewal. NaviCare is a voluntary program in association with MassHealth/EOHHS and CMS. 

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The information on this page was last updated on 10/1/2018.