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Prescription Drugs

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When you’re in need of medication, time and money are precious. Fortunately, with prescription coverage, even the toughest prescriptions become more manageable.

Know Your Prescription Benefit

CVS CareMark, a national network of 65+ pharmacies and 24/7 customer support manages your prescription benefit plan. You can pick up your medication at any pharmacy in the network.

Prescription co-pays fall into the following tiers:

Generic. A generic RX has the same active ingredients, strength and dosage as it is brand-name equal. They become available after the brand’s patent expires, allowing manufacturers to produce the medication at lower costs.
Preferred. Brand-name RX are more expensive due to the research & development expenses, patent protection, limited competition, marketing costs, etc. Some patients may require a specific formulation, dosage, or delivery mechanism that is only available in the brand-name version.
Non-Preferred. Specialty medications that may cost thousands of dollars per dose or treatment course. These medications require special handling and administration by a healthcare provider.

Prescription Co-Pays
Generic	$10.00
Preferred	$30.00
Non-Preferred	$65.00

Some medications may be covered at 100%. Examples of $0 medications are products for tobacco cessation, medicine used prior to screenings for certain health conditions in adults, vaccines & immunizations to prevent certain illnesses, contraceptives for women, & more.

Formularies & Prior Authorization

A formulary is a list of commonly covered drugs and a tool to help you and your healthcare provider determine lowest-cost treatment options. Formularies are updated throughout the year as new drugs become available and prices change. Check out this short video for a deeper dive on drug formularies.

Prior Authorization. Some medications may need prior authorization to be covered under the plan and to get the best costs. This short video explains why you might need prior authorization for your RX.

RX Delivery by Mail

Why get your prescriptions by mail? Not only is delivery by mail a convenient and secure way to get medications you take regularly – you save money too!

Mail order pharmacy is essentially, buy 1 get 2 free! Filling your prescriptions with the mail order pharmacy, provides you a 90-day supply of your medications, with only a 30-day supply co-pay!

There are many enrollment options available:

Request a new prescription with mail service from your caremark.com dashboard. CVS will contact your prescriber for the prescription.
Call 1-866-818-6911 and tell customer service you wish to get set up with mail service. They will contact your prescriber for the prescription.
Have your prescriber call 1-800-378-5697 or send an electronic prescription to CVS CareMark. You will still need to contact mail service to set up billing and shipping details.

Watch this short video to learn more about the CVS Mail Order Pharmacy.

A smarter, simpler, more convenient way to take charge of your prescriptions.

CVS Caremark’s digital tools help you find ways to save on medications and manage your prescriptions on your own time.

Check Drug Costs

Determine drug costs and find potentially lower cost options of the same medication on your CVS CareMark member account.
Manage Refills

Schedule refill reminders and automatic refill options, set up mail order, monitor the status of refills and view your RX history.
Member ID

Ditch carrying your pharmacy benefit card. Access it through the mobile app or web.
Support

24/7 customer support via web, app or phone at 1-866-818-6911.

Did you know...

Your prescription co-pays apply to your medical plan out of pocket maximums.

Looking for assistance with your healthcare? We're here for you.

From guidance in choosing the best options for you, what resources are available to understanding how the plans work. The information you need is at your fingertips.