Prescription Drugs Coverage
CVS Caremark is Newell Brands’ pharmacy benefits administrator. All three medical plans cover the same prescription drugs. How you’ll pay for prescriptions depends on the medical plan option you enroll in. You have access to thousands of retail pharmacies, including national chains like, CVS, Walgreens, Costco, Walmart and many local pharmacies.
Getting to Know Your Prescription Benefits CVS Caremark (720p).mp4
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Consumer Plan and Consumer Plus Plan |
Consumer Value Plan |
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ACA Mandated Preventaive Medications and Generic Anti-Depressants |
You pay $0 |
You pay $0 |
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HDHP Preventative Medications Generic & Formulary Non-formulary Specialty Specialty with PrudentRx |
You pay 20% You pay 40% You pay 20% up to $250 You pay 100% until deductible has been met and then 30% if you opt out of PrudentRx |
You pay 20% You pay 40% You pay 20% up to $250 You pay 100% until deductible has been met and then 30% if you opt out of PrudentRx |
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All other medication Generic & Formulary Non-formulary Specialty Specialty with PrudentyRx |
You pay 100% until reaching the deductible and then pay coinsurance as shown above |
You pay 100% until reaching the deductible/out-of-pocket maximum and then pay $0 |
CVS Drug Pricing Tool
To review the drug formulary and costs of your prescription drugs, visit caremark.com and create a member account. Enter the name of the drug you are looking for and you will see your cost under your current plan.
Not Registered Yet?
A generic link for pricing medications before and after the deductible is available below:
- Before Deductible - Price you would pay before you reach the plan deductible
- After Deductible - Price you would pay after your deductible has been met
If the medication is a mandatory preventive drug, then the cost will display as zero. If the medication is an HDHP preventive drug, then the price displayed before the deductible will already be displayed with the correct co-insurance applied.
Preventive Prescriptions
All plans give you access to a set of preventative medications that are not subject to the deductible, meaning you pay a coinsurance amount immediately. A few examples of these include blood thinners, heart medications, blood pressure medications and diabetes medications. These medications are subject to period review and may change.
To find a complete list of covered medications, visit caremark.com.
Home Delivery (Mail Order) and the Maintenance Choice 90-Day Retail Program
Ready to Start a Home Delivery Order?
Contact CVS using one of the following methods:
- Visit Caremark.com/Rxdelivery
- Download the CVS Health/Caremark app
- Mail in the home delivery form and prescription included in the Welcome packet
- EPresribe is the fastest way to start home delivery. Your doctor can send in an electronic prescription to CVS Health
Save with 90-Day Supplies
Fill your medications in 90-day supplies at a select participating pharmacy. Ask your Provider to send a new 90-day prescription to the pharmacy or pickup or delivery.
Support for Complex Conditions
If you're dealing with a complex condition, you don't have to go through it alone. CVS AccordantCare can provide you one-on-one support from specialized nurses, trusted information, proactive monitoring to help you stay on track, and a care team that's there when you need them. Best of all, this service is available as part of your medical plan, at no extra cost to you.
Save Money on Specialty Prescriptions
The PrudentRx program through CVS offers employees taking certain specialty medications with an opportunity to reduce their out-of-pocket expense through coordination of copay assistance cards. Eligible employees will be contacted directly. Learn more.
GoodRx Pricing
GoodRx pricing will automatically be honored when filling your prescriptions.