formulary

CVS Caremark - Formulary

Note: If you received a recent letter in the mail regarding formulary changes to your prescriptions, please contact CVS Caremark Customer Care line at 1-833-741-1361, or visit caremark.com for more information.

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Advanced Formularyformulary image

Advance formulary is a list of prescription medications covered by your prescription benefit plan through CVS Caremark; If a medication is not on the formulary, it isn’t covered and you’ll have to pay the entire cost. 

Caremark.com provides all the information you need on whether a medication is covered, how much it will cost, and any opportunities you may have to save money. Register now to access your formulary information anytime, anywhere.

Advanced Control Formulary (PDF)

Advanced Control Specialty Formulary List (PDF)

 

Understanding your medication options

At CVS Caremark, making sure you have access to medications at the lowest possible cost is their priority. To help keep costs low, your formulary covers a specific list of medications to treat most conditions. It may also require you get a new prescription or take action before certain medications are covered. Because the new CVS Caremark formulary is not exactly the same as the previous formulary with Express Scripts, you’ll need to make some changes before April 1, 2021. The information below will help you understand these changes and what you need to do.

If you need to change to a covered medication

The medications in the letter you received will not be covered under the new formulary with CVS Caremark after April 1, 2021. If you continue to fill prescriptions for them, you will have to pay the entire cost. Ask your doctor for a new prescription for a covered medication.

Change to the brand-name medication: The generic medications in the letter you received will no longer be covered by the formulary with CVS Caremark after April 1, 2021. If you continue to fill prescriptions for them, you will have to pay the entire cost. To avoid this, change to a brand-name medication. These brand-name medications have been found to be a cost-effective alternative to their generic options. The good news is you won’t need a new prescription and your pharmacist will be able to assist you with this change.

Preferred options are available and may help you save money

To help save money, the formulary includes preferred medications. The medications in the in the letter you received are covered, but they are not preferred. You may save money by asking your doctor for a new prescription for a preferred medication. For more information on what your new costs may be, access the Check Drug Cost and Coverage link at Caremark.com.

 

Be sure to take a few minutes to register at Caremark.com. You’ll be able to review your pharmacy plan, find a network pharmacy and cost information, and access tools to help you stay on track with your medications. You can also download the CVS Caremark mobile app for additional ease of access to all these same features.

 

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