
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 |
Transform Diabetes
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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
Forms
Prescription Reimbursement Claim Form
Documents
January 2021 Performance Drug List - Standard Control
October 2020 Advanced Control Specialty Formulary (Drug List)
Medications Requiring Prior Authorization for Medical Necessity
Medicare Prescription Drug Notice
Digital Prescription Savings Guide
VENDOR INFORMATION
CVS Health Prescription Plan
Phone - 1-866-409-8522
https://www.caremark.com/wps/portal
Notices
Related Services

