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Network Health

Members who don't have to pay co-payments

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You do not need to pay a co-payment for your prescription drugs if you:

  • Are under 19 years old
  • Are enrolled in MassHealth because you were in the care and custody of the Department of Children and Families (DCF) when you turned 18, and you continue to have MassHealth
  • Are pregnant, or your pregnancy ended fewer than 60 days ago
  • Are a patient in a nursing facility; chronic-disease, acute, or rehabilitation hospital; or intermediate-care facility for the developmentally delayed
  • Get hospice care
  • Are an American Indian or an Alaskan Native from federally recognized tribes
  • Have already met the co-payment cap for the current year (unless your eligibility changes)

Be sure to tell the pharmacist if you don't need to pay a co-payment when you drop off your prescription.


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