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.
| Tier | Co-Insurance | 30-Day Retail Minimum | 30-Day Retail Maximum |
|---|---|---|---|
| Zero | 0% | $0 | $0 |
| 1 | 10% | $10 | $25 |
| 2 | 20% | $20 | $75 |
| 3 | 30% | $60 | $120 |
| 4 | 40% | $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 five ways:
- Through CVS/caremark’s mail-order service;
- At a CVS retail pharmacy location (at the mail-service cost);
- At a Target retail pharmacy location (at the mail-service cost);
- At an Emory pharmacy (at the mail-service cost); or
- At a Costco, Kroger, and several independent pharmacies (effective April 1, 2024).
If you attempt to fill a maintenance drug at a pharmacy other than the above options, you will be charged the full retail cost.
View list of Maintenance DrugsTier 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.
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.
Contact Information
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