Prescription Drug Coverage
Prescription drug coverage is part of your medical coverage. How much you pay for prescription drugs depends on which plan option you’re in and the type of drug you purchase. Be sure to use a network pharmacy since out-of-network prescription expenses are not covered.
|Fill a 30-day prescription at your local CVS/Caremark network pharmacy and pay:|
|Generic||You pay 50% (up to $8maximum per Rx)||Per IRS:
All prescription expenses apply towards the deductible. 20% coinsurance applies (based on negotiated prescription cost), up to a $200 maximum limit per prescription.
|Brand||You pay 50% (up to $100 maximum per Rx)|
|Specialty drugs||You pay 50% (up to $200 maximum per Rx)|
|Fill a 90-day prescription* at your local CVS Pharmacy or through Mail Order and pay:|
|Generic||You pay 50% (up to $24 maximum per Rx)||Per IRS:
All prescription expenses apply towards the deductible. 20% coinsurance applies (based on negotiated prescription cost), up to a $600 maximum limit per prescription.
|Brand||You pay 50% (up to $300 maximum per Rx)|
*Maintenance Choice means you can fill your long-term, maintenance medication prescriptions at either your local retail CVS Pharmacy or through the Mail Order service, and pay the same price.
Note: In the Blue Plan, prescription drug expenses count toward the medical plan deductible; however, for both plans, expenses count toward the out-of-pocket maximum.
Manage your prescription drug costs by visiting www.caremark.com. Medication prices may change due to several factors, one of which is manufacturer increases/decreases. The amount provided by the Cost Calculator tool reflects your current deductible, out-of-pocket, and/or cap balance. Because your prescription cost on future refills may change, please use this tool to price your refills.
To take advantage of all www.caremark.com has to offer, take a moment to register today. Be sure to have your member ID and a recent prescription number handy.