Your Prescription Benefits

(All other CVS Caremark medical plans)
To check drug cost please utilize the link under Drug Cost. Check drug cost tool does not include Value Based Formulary exclusions.

This year, you will have two choices for prescription drug coverage:

  • The Standard Formulary covers a broader range of generic, preferred and non-preferred brand drugs, but encourages the use of generics whenever possible to get the best value.

  • The Value Formulary covers a more limited range of the most effective prescription drugs for all conditions in return for lower paycheck contributions. It focuses mainly on generics and doesn’t cover certain lifestyle drugs.
  • For more information about your medical and prescription benefits, please refer to myBenefits Spotlight: From myHR, select the link to myBenefits Spotlight.

    CVS/Pharmacy or Longs Drugs for immediate medications
    (Up to a 30 day supply)
  • $7.50 copayment for generic medication
  • 20% coinsurance for a preferred brand-name**medication
  • 35% coinsurance for a non-preferred brands (are not covered under Value Based Formulary)
  • $75.00 for a 30 day supply of a Specialty medication
  • CVS/Pharmacy or CVS Caremark Mail Service Pharmacy for long-term* medications
    (31-90 day supply)
  • $9.99 copayment for generic medications
  • $41.50 copayment for a preferred brand-name medication
  • $91.00 copayment for a non-preferred brands (are not covered under Value Based Formulary)
  • $75.00 for a 30 day supply of a Speciality medication
  • Customer Care#
  • 1-866-284-9226
  • Quantity Limit and Prior Authorization
  • Utilize the check drug cost option available on this page or call Customer Care to find out if your medicine has a quantity limit or requires prior authorization. If you are testing a medication that rejects for a quantity limit or prior authorization please call customer care at 1-866-284-9226 to receive a cost estimate.
  • * A long-term medication is taken regularly for chronic conditions or long-term therapy. A few examples include medications for managing high blood pressure, asthma, diabetes, or high cholesterol.

    ** When a generic is available, but the pharmacy dispenses the brand-name medication for any reason, you will pay the difference between the brand-name medication and the generic plus the brand copayment.

    *** Not all medications on the primary/preferred drug list are covered under the Value Based Formulary option. Please review the Value Based Formulary Drug List to determine which medications are covered.

    Drug Cost

    Helpful Documents:

    Download a copy of your Value Formulary Drug List

    Download a copy of your Current CVS Caremark Formulary vs. Value Formulary

    Download a copy of your Primary Preferred Drug List***

    Download a copy of your CVS Caremark Maintenance Drug List

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