Retiree Prescription Drug Benefit

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(Non-Medicare only)
(866) 260-4646
(Medicare Eligible only)
(866) 785-5711

CVS Caremark Prescription Plan Highlights (Non-Medicare Plan)
Copayments for generic, preferred and non-preferred brand prescription drugs, are per the following schedule:

Prescription Drug Class

30-Day Supply – Retail
(Any Retail Pharmacy)

90-Day Mail Order
90-Day CVS/Pharmacy  (only)




Preferred brand



Non-preferred brand



  • Maintenance Choice Program – plan participants who take maintenance medications have the choice to purchase their 90-day supply from the mail order program or purchase from a CVS/Pharmacy store and pay the same mail order copayment.
  • Mandatory generics are required when available as well as using the mandatory specialty pharmacy program or specialty prescription drugs.
  • Diabetic Meter Program – plan participants with diabetes may qualify for a free blood glucose meter when diabetic testing supplies are ordered through the mail order program.

CVS uses a formulary list of generics and preferred medications to keep your prescription copays at the lowest cost possible.  To see a complete list of the approved formulary medications, please review under your plan on the appropriate CVS website.

CVS Caremark - Medicare Eligible Plan Highlights