Pharmacy
 
 

Mail Order Pharmacy Benefit

BMC HealthNet Plan members may choose to have maintenance drugs sent to their homes instead of filling prescriptions at a local retail pharmacy. Maintenance drugs are those drugs that are refilled regularly for conditions like diabetes, asthma and high blood pressure. Members may enroll with NMHC Mail Order pharmacy to begin receiving drugs in the mail. Once enrolled, members may refill prescriptions by mail, phone, or online.

Save time and money with mail order
There are many features to the mail order pharmacy benefit:

  • Members save time and effort by not making extra trips to the pharmacy each month.
  • Members will also save money when choosing to receive generic (Tier 1) or preferred brand name (Tier 2) drugs.

Available Drugs
Only maintenance prescription drugs can be obtained through the BMC HealthNet Plan mail order program. Some drugs, such as over-the-counter drugs, restricted drugs and controlled substances cannot be obtained through the mail. Please review the Mail Order Excluded Drug List below for a list of some specific drugs that are not available through the mail order. Call NMHC Mail at (800) 881-1966 to verify if any requested medication is available through the mail order benefit.

Mail Order Copayments
Members can only obtain a three-month supply of their maintenance drug through the mail. The chart below shows the copayments members will pay when ordering drugs through the mail:

Mail Order Copayments
(Three-month supply)

Tier MassHealth Commonwealth Care
I II III
Tier 1 $1 $2 $20 $25
Tier 2 $3 $6 $40 $50
Tier 3 n/a n/a $120 $150

Copayment exemptions that apply to the retail pharmacy also apply to mail order pharmacy.

Benefit Enrollment
Follow the instructions below to enroll with NMHC Mail pharmacy:

  • Step 1: Make sure the prescribed drug is a maintenance drug and does not appear on the Mail Order Excluded Drug List. Please call NMHC Mail at (800) 881-1966 for questions.
  • Step 2: Providers may only write a prescription for a 90 day supply. By law, NMHC Mail can only fill the quantity indicated by the provider. Note: If the drug needs to be filled immediately, providers can write two prescriptions at the same time, one for 30 days that can be filled at a local retail pharmacy and the other for 90 days that can be sent to NMHC Mail for the following month’s supply.
  • Step 3: All members must enroll with NMHC Mail to receive drugs through the mail.
  • Step 4: Mail the signed Enrollment Form, along with the written prescription(s), and check, money order or credit card information for all required copayments to the address below:

NMHC Mail
P.O. Box 407096
Ft. Lauderdale, Fl 33340-7096

Medications will be shipped for free using standard delivery services. Overnight or two-day shipping is also available for a fee.

For more information on the mail order benefit:
Call NMHC Mail at (800) 881-1966 or BMC HealthNet Plan’s Services Call Center at (877) 957-5300.