Prescription Drugs

Prescription drug coverage is part of your POS medical plan and is administered through CVS Caremark.

About POS Plan Prescription Drug Coverage

With the POS Plan, you pay a percentage of your prescription drug costs though coinsurance. There is also a retail minimum and a retail maximum within a five-tier structure (see chart below). You will pay the coinsurance amount subject to the retail minimum and maximum cost. You do not have to meet your deductible first.

POS Prescriptions
TierCo-Insurance30-Day Retail Minimum30-Day Retail Maximum
Zero0%$0$0
110%$10$25
220%$20$75
330%$60$120
440%$90$150

To determine your coverage tier or cost, call CVS Caremark at 866-601-6935.

Maintenance Drugs

If you take any maintenance prescription medications to treat certain ongoing medical conditions, you will need to fill your 90-day prescriptions in one of three ways:

  1. Through CVS Caremark’s mail order service
  2. At a CVS retail pharmacy location
  3. At an Emory pharmacy

If you attempt to fill a maintenance drug at a pharmacy other than CVS or Emory, you will be charged the full retail cost.

View list of Maintenance Drugs

Tier Zero Drugs

Prescription medications used to prevent and treat chronic health conditions such as congestive heart failure, diabetes, high blood pressure, high cholesterol, tobacco addiction and more, are covered at 100% which means you pay $0 for these drugs

View list of Tier Zero Drugs

Tip: Save Money on Your Prescriptions

One way to save on your prescription costs is to buy generic drugs. Always ask your doctor and/or pharmacist if a generic version is available.