Members who don't have to pay co-payments
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.