Prescription Drug Plan
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 included in all Target stores that offer pharmacy services. Prescription co-pays range from $15.00 - $50.00 depending on your prescription.
You will save money by purchasing generic drugs rather than brand-name drugs.
| 30-day retail supply | 90-day supply* | |
| Generic | $15 | $30 |
| Formulary brand on the drug list | $30 | $60 |
| Non-formulary brand not on the drug list | $50 | $100 |
Transform Diabetes Care, or TDC, is a program that helps members manage their diabetes and overall health. TDC lets members know about things they can do to improve their health, such as sending medication reminders or possibly advising them of overdue screenings. TDC will give members the right amount of guidance and coaching based on their specific needs—at no cost.
For more information and contact information click on the following link: Transform Diabetes Care
The Maintenance Choice Program is 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 purchase 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 non-formulary 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 Maintenance Choice Program
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
Save on medication you take regularly by getting 90-day supplies from CVS Caremark Mail Service Pharmacy.
Quantities of less than 90-days will be subject to the 90-day co-payment.
October 2024 Performance Drug List - Standard Control
October 2024 Advanced Control Specialty Formulary (Drug List)
Medications Requiring Prior Authorization for Medical Necessity
Medicare Prescription Drug Notice
COVID and Flu Vaccinations Flyer
*This benefit guide is intended for informational purposes only and does not constitute a contract or guarantee of coverage. Benefits may change at any time, and employees should always refer to the official plan documents for the most up-to-date information regarding their eligibility and coverage details.