CVS/caremark is the Prescription Drug administrator for all plans. CVS/caremark is a market leader in mail order, retail, and specialty pharmacy services.
No. You are not required to make a separate election for prescription drug coverage. Your prescription drug coverage is part of your Medical Plan. When you select a Medical Plan option, you will also be enrolled for prescription drug coverage.
You will receive a CVS/caremark ID card only if you add Medical coverage for 2020. You should continue to use your most recent CVS/caremark ID card in 2020 if you re-enroll for coverage. If you need a new ID card, just log in to your account at caremark.com, click on “My Account” and select “Print My Prescription Benefit Card” or contact CVS/caremark at 1-800-837-4092.
Yes. Make sure to show your ID card to your local retail pharmacist the first time you fill a prescription after receiving the card.
You will need the CVS/caremark ID card you receive in the mail. Go to caremark.com and look for the “Register Now” link. Registering only takes a few minutes and you will have a username and password to access all of your prescription information. If you need help, call 1-800-837-4092.
No. You are not required to fill your prescriptions at a CVS retail store. The CVS/caremark network includes more than 67,000 pharmacies, including Walgreens, Wal-Mart, Target, and others. To find an in-network pharmacy in your area, call 1-800-837-4092 or visit caremark.com.
Choosing how to fill your prescription depends on whether you are ordering a short-term or long-term medication:
No. With the CVS/caremark Maintenance Choice feature, you can fill up to a 90-day supply of your long-term medications at a local CVS retail store.
Maintenance Choice is a program that gives you flexibility in how and where you get your long-term maintenance medications. With Maintenance Choice, you can use the CVS/caremark Mail Service Pharmacy to have your medication sent directly to your home, or you have the convenience of getting your long-term medication at a CVS/caremark pharmacy at the mail-order cost.
There are three ways to start using CVS/caremark Mail Service Pharmacy:
Certain preventive medications you take on an ongoing basis are covered at 100% before the deductible is met. When filling all other prescriptions, depending on which Medical Plan option you choose and the type of prescription drug you are purchasing, you will either pay:
Yes. If you choose to purchase a brand-name drug instead of a generic alternative, you will be responsible for the difference in cost between the brand-name and the generic, in addition to the coinsurance. So generic drugs will cost less!
Login to your individual account at caremark.com to view the most up-to-date drug list and check the cost of your drug.
Pharmacies will generally give you a generic drug, unless your doctor has asked for a specific brand-name drug. If your doctor has prescribed a brand-name drug (either preferred or non-preferred) when a generic is available, you will pay the difference in cost between the brand-name and generic drug.
To help you save money on prescription costs, ask your doctor if there is a generic alternative that would work for you. If a generic equivalent exists, but you are prescribed a brand-name drug (either preferred or non-preferred), you will have to pay the difference in cost between the brand-name drug and the generic drug.
You may fill maintenance medications up to two times at your local retail pharmacy. However, after the second fill, you’ll pay the entire cost of the drug if you continue filling at your local retail pharmacy instead of switching to the CVS/caremark Mail Service Pharmacy or CVS/caremark retail pharmacy.
The ExtraCare Health Card will provide you with a 20% discount on thousands of CVS/pharmacy brand health-related items, from cold and cough remedies and vitamins to first-aid supplies and nicotine replacement products.
Yes. Please see the Benefits Guide to learn about step therapy, prior authorization and drug quantity management.
These frequently asked questions (FAQs) provide only an overview of benefit changes and clarifications effective January 1, 2020. The respective plan documents and policies govern your rights. You should rely on this information only as a general summary of some of the features of the plans and policies. In the event of any difference between the information contained herein and the plan documents and policies, the plan documents and polices will supersede and control over these FAQs. The Partnership expressly reserves the right at any time and for any reason to amend, modify or terminate one or more of the plans or policies described in these FAQs.
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