Pharmacy Options for 2018

Category: Insurance

Pharmacy benefits are included when you and your dependents enroll in a health plan. The plan you choose determines the out-of-pocket prescription costs. How much you pay for your drug depends on whether it is a generic, brand or non-preferred brand and the day-supply.

30-Day Supply
Pharmacy* (in-network) Premier PPO Standard PPO CDHP/HSA
Generic $7 $14 20% coinsurance after deductible is met
Brand $40 $50 20% coinsurance after deductible is met
Non-preferred brand $90 $100 20% coinsurance after deductible is met

90-Day Supply (90-day network pharmacy or mail order)
Pharmacy* (in-network) Premier PPO Standard PPO CDHP/HSA
Generic $14 $28 20% coinsurance after deductible is met
Brand $80 $100 20% coinsurance after deductible is met
Non-preferred brand $180 $200 20% coinsurance after deductible is met

90-Day Supply (certain maintenance medications from a Retail-90 network pharmacy or mail order)
Pharmacy* (in-network) Premier PPO Standard PPO CDHP/HSA
Generic $7 $14 10% coinsurance without having to meet deductible
Brand $40 $50 10% coinsurance without having to meet deductible
Non-preferred brand $160 $180 10% coinsurance without having to meet deductible

Specialty Pharmacy**
Pharmacy* (in-network) Premier PPO Standard PPO CDHP/HSA
Coinsurance 10%
(min $50; max $150)
10%
(min $50; max $150)
20% after deductible

*These are the in-network pharmacy benefits. If out of network pharmacy benefits are available, they are di erent and will cost you more.

**Specialty Pharmacy Tier: Specialty drugs must be filled through a Specialty Network Pharmacy and can only be filled every 30 days.

Did you know CVS/Caremark has website tools to help you compare costs for your prescriptions? You also can find out what you have spent in the past. To learn more, go to caremark.com/wps/portal. You must register to view your prescription history and costs.

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