Prescription Drug
If you are an eligible Active Member, Pre-Medicare Retiree, spouse or child, you can get prescription drugs exclusively through CVS Caremark by mail or from a CVS Caremark Network Pharmacy. CVS Caremark includes about 80 percent of the pharmacies in Connecticut and nationwide.
The prescription drug Plan utilizes a three tiered co-pay system, which applies the lowest fees to generic drugs, the next lowest to formulary drugs for which CVS Caremark provides preferential pricing, and the highest for brand name drugs not included in the formulary.
Specialty Drugs: Specialty drugs are specialized drug therapies developed for chronic, complex illnesses that require special handling and are often administered via injection. Such drugs are often prescribed for treatment of cancer and multiple sclerosis and cannot be obtained through our retail pharmacy network. Instead, they must be ordered through CVS Caremark by calling toll free 1-800-237-2767.
Effective 1/1/2025 the Plan is utilizing the following CVS Caremark Programs
To locate a CVS Caremark pharmacy, call toll-free 1-833-269-9410 or visit their Web site at www.caremark.com
Effective 1/1/2025 the Plan is utilizing the following CVS Caremark Programs
To locate a CVS Caremark pharmacy, call toll-free 1-833-269-9410 or visit their Web site at www.caremark.com
| Retail Pharmacy - 30 day supply* | Mail-Order - 90 days (3 months) supply* |
| Generic Co-payment - lesser of drug cost or $15 | Generic Co-payment - lesser of drug cost or $25 |
| Brand (Formulary) Co-payment - lesser of drug cost or $30 | Brand (Formulary) Co-payment - lesser of drug cost or $55 |
| Brand (Non-Formulary) Co-payment - lesser of drug cost or $45 | Brand (Non-Formulary) Co-payment - lesser of drug cost or $85 |
Prescription Drug – Medicare Primary Retirees
If you are an eligible Medicare Primary Retiree, Medicare Primary spouse or Medicare Primary dependent you can get prescription drugs exclusively through Retiree First/Wellpoint. Please contact Retiree First at 1- 855-263-2524 for any questions or to locate a participating Wellpoint pharmacy.