Please rotate your device for the best user experience.

Prescription benefits

Your Company continues to absorb the majority of rising pharmacy costs. On September 1, all Aetna plan members will transition to the CVS Exclusive Choice Plus Pharmacy Network. This network will include Your Company pharmacies, CVS retail and mail pharmacies, Walmart, and a few other retail pharmacies based on where you live.

Generic, preferred brand, and non-preferred brand categories remain the same. Co-pays for generics and preferred brands will increase, while non-preferred brands will remain $75.

Look up drug costs and learn more about the costs for your current medications.

  Retail Co-pays
(30-day supply)		 Your Company and CVS Mail Order
Co-pays
(90-day supply)
 Generic $12 $24
 Preferred $30 $60
 Non-Preferred $75 $150

Your prescription drug co-pays do not count toward your Medical Plan Deductible or Out-of-Pocket Maximum, but they do apply toward your Pharmacy Out-of-Pocket Maximum ($1,450 for Employee Only and $2,900 for Employee +1 and Family coverage).

New for 2018

  • The Starter Fill program provides you with a two-week supply of certain medications for a co-pay that is half of the standard co-pay. Read more.
  • The Dispense as Written Cost Share is applied when you or your physician requests a non-preferred brand medication when a generic equivalent is available. Read more.

Saving money

  • Automatic coverage

    When you enroll in a Medical Plan, you automatically receive prescription drug coverage.

  • Prior authorization

    Some prescription medications require prior authorization to be covered under the Plan. If you have a medication that requires prior authorization, ask your doctor to call the CVS Caremark Prior Authorization Department at 1-800-000-0000.

  • Your Company retail and CVS retail or mail order pharmacies

    When you use a company retail pharmacy or the CVS retail or mail order pharmacies for your medications, you’ll receive a 90-day supply for a 60-day price. Just ask your doctor for a 90-day prescription with refills for up to one year.

  • Step therapy program

    Step therapy encourages you to choose a generic medication before a non-preferred brand to help lower your out-of-pocket prescription costs.

  • Specialty medication

    Specialty medications are designed for individuals with rare, complex, or genetic conditions. If you or a family member is taking a specialty medication, you can have it filled at a Your Company retail pharmacy, CVS retail pharmacy, or CVS specialty pharmacy.