The drug formulary, which includes both generic and brand names, lists prescription medications covered by Fallon Community Health Plan. It is an alphabetical list by both generic and brand names of medications. Next to the medication name is the appropriate tier number, along with any codes. The different codes describe important information such as prior authorization requirements, which means your provider must contact FCHP for approval prior to prescribing certain medications. Please see the legend below for a listing of codes and an explanation of each.

Self-injectable medications used in the home setting are included in this formulary. Injections given by health care professionals in a health care setting are not.

Please note: This list represents the FCHP 3-tier prescription drug formulary used for most of our commercial plans. It is subject to change at any time. Members participating in FCHP MassHealth or our Commonwealth Care type 1 plan should contact our Customer Service Department (1-800-868-5200 or TTY users, please call TRS Relay 711) with questions on prescription drug coverage.