Prescription Drug Plan | CookCountyIL.gov

118 N. Clark Street

Room 1072

Chicago, IL 60602

Phone Number

(312) 603-6385

Email

risk.mgmt@cookcountyil.gov

More details

COVID-19 Member Communication

Beginning immediately, CVS will institute quantity limits on medications that potentially treat COVID-19 that are also used by members for other conditions.

Albuterol Meter Dose Inhalers:

A quantity limit will be added to albuterol inhalers, limiting them to two per 30 days (200 inhalations per device) at retail or six per 90 days at mail
These changes apply only to inhalers and not nebulizer solutions or oral tablets

Chloroquine, hydroxychloroquine, Kaletra and azithromycin:

A quantity limit will be added to limit the supply dispensed of these drugs:

Chloroquine, hydroxychloroquine: 10-day supply, limit of one fill per 60 days
Kaletra: 14-day supply, limit of one fill per 60 days
Azithromycin 250 mg tablets, limit of 6 tablets or one blister pack of 6 tablets per five days; limit of one fill per 60 days
Members are limited to one fill of each product per 60 days

For members currently taking these medications for conditions such as HIV or Lupus, CVS is implementing adjudication logic to identify diagnosis and previous utilization to bypass these limits.

Prescription Drug Benefit

When you enroll in a medical plan, you automatically receive prescription drug coverage through CVS/Caremark. Prescriptions can be purchased through your local pharmacy or through mail order. CVS/Caremark pharmacy is now included in all Target stores that offer pharmacy services. Prescription co-pays range from $10.00 - $40.00 depending on your prescription and/or plan.

You will save money by purchasing generic drugs rather than brand-name drugs.


	30-day supply at retail	90-day supply*
Generic	$10	$20
Formulary brand on the drug list	$25	$50
Non-formulary brand not on the drug list	$40	$80

Effective December 1, 2018

Non-union employees and union employees with contracts approved by the Board of Commissioners will have the following prescription drug co-payments.

	30-day supply at retail	90-day supply*
Generic	$15	$30
Formulary brand on the drug list	$30	$60
Non-formulary brand not on the drug list	$50	$100

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More information on Transform Diabetes

Maintenance Choice Program

The Maintenance Choice Program is now mandatory. After two fills, all maintenance medications must be filled in a 90 day supply through mail order or at a CVS Pharmacy.

*If you choose to buy a formulary brand (on the drug list) or non-formulary brand (not on the drug list) when a generic substitute is available, you will pay the generic copay, plus the difference in cost between the generic and the full retail formulary brand or nonformulary brand drug cost.

You should ask your doctor to write a 90-day supply prescription and get it filled at your CVS pharmacy.

More information on the Maintenance Choice Program

Generic Step Therapy

The Generic Step Therapy program requires members to use up to two generic alternatives in certain drug classes before a brand will be covered. This program helps you and your doctor choose a lower-cost, generic medicine as the FIRST STEP in treating your health condition. Just because a medicine costs more doesn’t mean it works better. Some health conditions have many treatment options that vary in cost. Generic Step Therapy helps make sure the medicines that are effective and priced right are used first. Remember to talk to your doctor about generic medications as opposed to brand-name products to save even more money. A grace period may be provided for existing prescriptions.

More information on Generic Step Therapy