Prescription Drug Coverage
Caremark Prescription Drug Coverage
Telephone: 800-776-1355
Plan Group Code: CCCRX
Co-Pay Structure
Retail Prescription Card Plan
The CVS Caremark card is accepted at participating nationwide pharmacies and independent community pharmacies. The retail pharmacy card should be used for short-term medications such as antibiotics.
|
Retail (up to 30 day supply) |
|
|
Type of Medication |
Co-pay |
|
Generic |
20% (Minimum $5) |
|
Formulary Brand |
20% (Minimum $10) |
|
Non-Formulary Brand with Formulary Alternative |
20% (Minimum $20) |
Mail Order Prescription Plan
The mail order program provides an inexpensive way to purchase maintenance or long-term medications such as insulin, blood pressure medication, etc. This program is available for prescription medications written for a 90 day supply or more.
|
Mail Order (up to 90 day supply) |
|
|
Type of Medication |
Co-pay |
|
Generic |
$15 |
|
Formulary Brand |
$45 |
|
Non-Formulary Brand with Formulary Alternative |
$70 |