Medicaid and Commercial Limited Specialty Pharmacy Network
Starting January 1, 2023, Neighborhood’s Specialty Pharmacy Network for our Medicaid and Commercial members will be the following three Specialty Pharmacies:
- Care New England Specialty Pharmacy
- CVS Specialty Pharmacy
- Lifespan Specialty Pharmacy
Limited Distribution Drugs not available at Care New England Specialty Pharmacy, CVS Specialty Pharmacy, and/or Lifespan Specialty Pharmacy can continue to be filled at the member’s current Specialty Pharmacy.
New Century Health – Oncology/Hematology Requests
- New Century Health Portal
- New Century Health Fax: 877-624-8602
- New Century Health Phone: 888-999-7713
Searchable Formularies
- 2022 INTEGRITY (MMP) Searchable Formulary
- 2023 INTEGRITY (MMP) Searchable Formulary
- Medical Pharmacy Benefit Searchable HCPCS Listing
- To view the Check Drug Cost Tool, go to our Member page and select the specific Commercial Plan you need, or view the Searchable PDF below. *co-pays may vary.
*To link your EHR to Neighborhood formularies, have your EHR Vendor contact Surescripts®
Downloadable Formularies
2022 Formulary Foreword – Medicaid
2023 Formulary Foreword – Medicaid
2022 Formulary Foreword – Commercial
2023 Formulary Foreword – Commercial
Commercial Notice of Change December
Prior Authorization Information
For the quickest way to request a Prior Authorization (PA), please use CoverMyMeds and complete the request form. It is free and easy to get started:
1. Register for a free account.
2. Select and complete any PA request.
3. Press “Send to Plan” and receive a determination.
Please note that some PA requests may receive an automated response while others may require additional clinical information from the prescriber. Please check CoverMyMeds to view the status of your PA request and/or provide additional information required to complete the request.
- For more information about Neighborhood’s Formulary/Pharmaceutical Management Procedures, or any other Pharmacy documents, contact Neighborhood Member Services at 1-800-459-6019.
Helpful Links
24-hour Pharmacies in Neighborhood’s network