Effective April 1, 2024, MassHealth members, including those in managed care plans, do not have to pay copayments for prescription drugs. The Massachusetts MassHealth Pharmacy Poster includes a list of plans whose members do not have to pay copayments. The poster also provides the MassHealth Customer Service Center contact information for individuals that may have questions about their copayment policy.
Posting Requirement
As required in MassHealth’s regulations (130 CMR 450.130(F)), pharmacies must post a notice about copayments in areas where copayments are collected. The notice must be visible to the public and easily readable, specify the exclusions from the copayment requirement listed in 130 CMR 450.130(D) and (E), and instruct members to inform providers if members believe they are excluded from the copayment requirement.