Prescription medications. These are medicines you get from a pharmacy only with a prescription (a written order from a health care provider). Ask your child's provider to refer to the health plan's list of covered medications when writing prescriptions. This may affect the amount of your copayment (also called "co-pay," which is the amount you pay) for medications.
Over-the-counter medications. These are medicines you can buy on your own at a pharmacy without a prescription (such as aspirin or cold medicines).
Vitamins and Dietary Supplements. These are nutritional products that may be needed for your child's diet and health. You can usually buy them on your own at a pharmacy or health food store.
A co-payment may be required for all prescription medications. Some health plans may pay for certain over-the-counter medications, vitamins, and dietary supplements when prescribed by a provider. Check the benefits handbook or call a Member Services Representative to learn more about medication coverage by your child's health plan.
Questions to ask a health care provider or pharmacist when a medication is prescribed:
What is the name of this medication?
What does this medication do?
How much medication (what dose) will my child take?
How many times a day will my child take this medication?
Are there any special instructions for taking this medication?
How long will my child take this medication?
What are the side effects?
Can this medication be taken with other medications my child already takes?
(Adapted from Prescription for Success. Massachusetts Family Voices)
This information is provided by the Division for Children & Youth with Special Health Needs within the Department of Public Health.