Prescription Drug Coverage

When you enroll in one of the medical plan options, you are automatically provided with prescription drug coverage through CVS/Caremark. You have access to prescription medications through both retail pharmacies and a mail-order program.

Maintenance Choice Prescription Program with CVS:
If you have a condition that requires ongoing prescription medication, you will receive the lowest total copay possible by requesting that your doctor provide a prescription for a 90 day supply of your medication. You will have the option to fill this 90-day prescription at any CVS Pharmacy or through CVS Caremark mail order, helping you save time and money! If you wish to fill your maintenance prescription at a retail store other than a CVS Pharmacy you will pay a higher copay after your third 30 day fill. Click Here for additional details

Understanding the Prescription Drug Formulary
A drug formulary is a list of medications published by CVS/Caremark. Medications on the list fall into one of the following three categories:

Generic Drugs:
This is the least expensive category of medications.

Preferred Brand Drugs:
If a generic medication is not available for your condition, your doctor may prescribe a brand-name medication. Preferred Brand Drugs have been evaluated by physicians and pharmacists at CVS/Caremark and are deemed
to be the most cost-effective way to treat a specific condition. These are covered at a slightly higher cost to you than generic drugs but at a lesser cost than the Non-Preferred Brand Drug.

Non-Preferred Brand Drugs:
In the event you require a prescription medication that is neither generic nor on the Preferred Brand Drug list, you will pay the highest out-of-pocket cost for a Non-Preferred Brand Drug.

Any time you receive a prescription, ask your doctor if a generic drug is available, and whether it’s right for your condition. Doing so can save you hundreds of dollars.

Click Here to review Infertility Benefits
Click Here to review the Primary/Preferred Drug List
Click Here to review GW Prescription Copayment Structure
Click Here Maintenance Choice Prescription Program Overview
Click Here Maintenance Choice Prescription Program FAQs

Useful Resources:
Click Here to View Forms
Click Here to View Vendor Contact Information
Click Here to View FAQs

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