Prescription 2022

All of the medical plan options include prescription drug coverage, which is provided through CVS/Caremark, Inc. With this coverage, you can receive periodic prescriptions through your local retail pharmacy for up to three refills. Maintenance prescriptions (prescriptions that are taken on a regular basis for an extended period of time) over 90 days should not be filled at a retail pharmacy. They must be filled at a CVS/Caremark pharmacy or by using the CVS/Caremark mail order option. If you choose mail order, forms can be found in the HR Forms Library or by visiting http://www.caremark.com.

Enrollment in any healthcare plan option automatically includes prescription drug coverage through CVS Caremark. 

Did you know? 

Did you know that CVS/Caremark has a cell phone app that provides you access to your prescription information at your fingertips? With the CVS/Caremark app, you can save time, get organized, and stay on budget. Features include:

  • Check drug costs and savings

  • Refill prescriptions

  • Order delivery and view order status

  • Access personal medical lists

  • and more...

How do I determine how much my prescriptions will cost me?

Prescription out-of-pocket costs vary in relation to the type of medicines you are taking and which medical plan you are enrolled in. You can call the CVS/Caremark Customer Care team at 1-888-202-1654 to get pricing for prescriptions under the 85/60 PPO plan and the HDHP plan. Or, better yet, register at caremark.com to use their tools and resources to find your prescription drug costs.

Prescription co-insurance for the 85/60 PPO medical plan:  

  • 10% coinsurance for generic medications with a maximum of $80;

  • 20% coinsurance for brand-name medications with a maximum of $80, and

  • 40% coinsurance for a brand medication when a generic medication is available with a maximum of $100.

Prescription co-insurance for the HDHP medical plan:

If you elect an HDHP medical plan, you pay the cost of prescription drugs, at the negotiated price, until your annual deductible is met (unless it is a preventive drug). The cost of these prescriptions will go towards meeting your annual deductible.  Once your annual deductible is met, your prescription co-insurance will apply (see below) and the maximum you would pay for your prescription will be $60. In the case of preventive drugs, you may receive your prescriptions at little or no out of pocket costs. If a prescription is on the Preventive Drug List, your prescription will bypass the deductible and your coinsurance amounts apply.  The costs of these prescriptions will go towards meeting your combined medical/prescription maximum out-of-pocket deductible.

  • 10% coinsurance for generic medications with a maximum of $60;

  • 20% coinsurance for brand-name medications with a maximum of $60, and

  • 40% coinsurance for a brand medication when a generic medication is available with a maximum of $100.

www.caremark.com