Medical

Tools and Resources



PRESCRIPTION DRUGS (MEDICAL HOUSE STAFF)

CVS/caremark is Emory's pharmacy administrator.

REQUIREMENT FOR MAINTENANCE DRUGS

A maintenance drug is one that is commonly used to treat a chronic or long-term condition and requires regular, daily use. Examples include drugs used to treat high blood pressure, heart disease, asthma and diabetes. Birth control is also considered a maintenance drug. For a complete list of maintenance drugs, click here.

If you have a prescription for a maintenance drug, you will need to have a prescription for a 90-day supply (not a 30-day supply) AND you will need to fill your prescription in one of three ways:

IMPORTANT: If you don’t use a 90-day prescription and try to get a 30-day prescription filled at a retail location other than one of the methods above, you will be charged the full retail cost (not the co-pay amount) on your third attempt to refill.



arrow  COST

You pay a percentage of the cost for your prescription drugs though coinsurance. There is also a retail minimum and a retail maximum within a five-tier structure (see chart below). You will pay the co-insurance amount subject to the retail minimum and maximum cost. You do not have to meet your deductible first.

Tier Zero: With Tier Zero, generic prescription medications used to treat chronic health conditions such as congestive heart failure (CHF), diabetes, high blood pressure, high cholesterol, tobacco addiction and more, are covered at 100%. For Tier Zero medications you pay $0 for a 30- or 90-day supply. Click here for a current list of Tier Zero Drugs.

To determine your coverage tier or cost, click here or call CVS/caremark at 866-601-6935.

prescription drug chart
  

arrow  Pharmacy Locator