Save Time and Money
“Is my medication covered and how much will it cost?”
This is one of the most common questions – find the answer quickly with the helpful tools below.
Rx Benefit Summary
Check Drug Cost and Coverage
Prescription Savings Opportunities
Pharmacy Locator
Prior Authorizations
Please see the Summary Plan Description for more information on coordinating your prescription drug benefit
Your Rx Benefit Summary
Under your Maintenance Choice Plan, prescriptions for long-term medications (used to treat conditions like diabetes, asthma, or high blood pressure) must be filled in 90-day supplies at CVS Pharmacy or by mail.
After two fills if you fill these prescriptions in 30-day supplies or at any other pharmacy, your medications won't be covered and you'll have to pay the entire cost.
Specialty medications must be filled at CVS Specialty pharmacy from the initial fill. Prescriptions for short-term medications (like antibiotics) can be filled at any retail pharmacy in network.
For more information on CVS Specialty and the cost saving program PrudentRX, click here to learn more.
CVS Caremark Rx Claim Form
Get reimbursed for prescription drug claims. This includes submitting prescription receipts for secondary coverage to CVS Caremark.
RX Benefit Summary |
||
|---|---|---|
| Prescription Drugs | CVS Caremark Participating Retail Pharmacy | CVS Caremark Home Delivery (includes Specialty) |
| - Calendar Year Deductible | ||
|
Plan I $75 person/$150 family; |
Plan I $75 person/$150 family; |
|
| - Supply Per Prescription or Refill | ||
|
Up to 30 days |
Up to 90 days |
|
|
Generic Medication Best option to help you save money |
$10 or 10% (Higher of) |
$20 or 10% (Higher of); |
|
Preferred Brand-Name Medications Best option when a generic isn't available |
$25 or 25% (Higher of) |
$50 or 25% (Higher of); |
|
Non-Preferred Brand Name Highest cost option |
$40 or 40% (Higher of) |
$100 or 40% (Higher of); |
|
|
|
| - Specialty Medications | ||
|
Enrolled in PrudentRX |
$0 Copay |
0 Copay |
|
Generic (not enrolled in PrudentRX) |
30% |
30% |
|
Preferred Brand (not enrolled in PrudentRX) |
30% |
30% |
|
Non-Preferred Brand (not enrolled in PrudentRX) |
30% |
30% |
Check Drug Cost and Coverage
Enter the drug name, choose your prescribed amount and search. You'll be able to see how much your medication costs, as well as any other options your plan covers, like a generic.
Plan 1
Plan 2
Rx tools to help you save
Keeping your medication affordable is important. One way we can help is by showing you ways to save on your Rx. Sign in or register to see your personalized savings options.
Know what's covered
Find alternatives that are covered under your plan to save
Next quarter's performance drug list (PDF)
Check for Savings
Click the savings icon to review a list of personalized savings – just for you. We’ll even send an email alert every time a new savings opportunity comes up.
Pharmacy Locator
$0 for Specialty Medication
As part of your prescription plan, you will be automatically enrolled in the PrudentRx Copay Program, which allows you to pay $0 out of pocket for any specialty medications on the Specialty Drug List when you fill at CVS Specialty.
Existing Prior Authorizations
CVS Caremark will transfer your existing prior authorizations starting the first week of January 2021.
- What you need to do: To avoid any disruptions, if you have an existing prior authorization that will expire in December 2020 or January 2021, ask your doctor to call CVS Caremark at (800) 294-5979 to request prior authorization before you refill this medication.