Pharmacy
It’s important to NH Healthy Families that our members receive drug therapy that is appropriate, high quality and cost effective. We work hard to ensure you have access to safe and effective medications that are medically proven to help you get and stay healthy.
Members have the option to receive a 90-day supply of their maintenance medications at in-network pharmacies.
NH Healthy Families also has in network mail-order pharmacies available to our membership to ensure timely delivery of medications. For additional information please reach out to NH Healthy Families at 866-769-3085, Monday through Friday 8 a.m. to 5 p.m.
NH Healthy Families covers certain prescription drugs and over-the-counter drugs when prescribed by a NH Healthy Families provider. The pharmacy program does not cover all drugs. Some require prior authorization. Some drugs have limitations on age, dosage or maximum quantities.
The Preferred Drug List (PDF) (PDL) is the list of drugs covered by NH Healthy Families.
NH Healthy Families works with providers and pharmacists to ensure that medications used to treat a variety of conditions and diseases are covered. The PDL applies to drugs you receive at retail pharmacies. The NH Healthy Families PDL is continually evaluated by the Pharmacy and Therapeutics Committee to promote the appropriate and cost-effective use of medications.
View the Preferred Drug List (PDF).
Machine-Readable File (JSON)
- NH Healthy Families Preferred Drug List Machine Readable File (JSON)
In accordance with the CMS Transparency in Coverage Final Rule (84 FR 65524), NH Healthy Families has made public the preferred drug list in a machine-readable file format (MRF).
You can have your prescriptions filled at a network pharmacy. At the pharmacy, you will need to give the pharmacist your prescription and your NH Healthy Families ID Card. To find a pharmacy that is in the NH Healthy Families network, you can use the Find a Provider tool. Type in your city or zip code. Then click Update. Choose Other and type the name of your pharmacy. You can also select the pharmacy type in the Select Specialty area. Only those pharmacies in the NH Healthy Families network are listed.
NH Healthy Families is here to help. If members have questions, call Member Services at 1-866-769-3085 or TDD/TTY at 1-855-742-0123.
Copayments may apply for Prescription Drugs.
All services must be medically necessary. Your Primary Care Provider will work with you to make sure you get the services you need. These services must be given by your Primary Care Provider or by another provider that your Primary Care Provider refers you to. Members can self-refer for family planning.
As a member of NH Healthy Families you are eligible for a Comprehensive Medication Review at no cost to you. The goal of the program is to help you improve how you take your medications. One of our pharmacists is available to discuss the medications you take and create a plan to help your medications work better for you, reduce your side effects, and possibly save you money.
If you would like to complete a review of your prescription and non-prescription medications, you can call (866) 339-2787, Monday through Friday from 8:00 a.m. to 8:00 p.m. and speak with our pharmacy team.