Pharmacy

Ways to Order Medication

Explore the ways you and your patients can quickly and easily order medications.

Ways to Order

Exception request

Learn how to submit exception requests for pharmacy drugs that Harvard Pilgrim limits or doesn’t cover.

Exception requests

As of Jan. 1, 2020, Harvard Pilgrim began utilizing OptumRx as our pharmacy benefit manager. Providers must obtain pharmacy prior authorizations through OptumRx and submit mail service prescriptions to OptumRx Home Delivery. Harvard Pilgrim manages our own drug formularies, the development of utilization management criteria, and appeals. Harvard Pilgrim uses CVS Specialty as our specialty pharmacy vendor, and Village Fertility Pharmacy and Freedom Fertility Pharmacy as our fertility pharmacy vendors.