CVS/Caremark Prescription Coverage

Group Prescription Insurance (View Summary)

• • The prescription plan is administered by Caremark
  • This program offers prescription services through a retail pharmacy network and a mail service facility
  • Voluntary plan whereby employees must enroll within 35 days from date of hire or during Open Enrollment using Benefitfocus
  • The retail pharmacy network covers up to a 34-day supply
  • The mail order service and maintenance choice programs cover up to a 90-day supply
  • In order to participate in the mail order program you must enroll in prescription coverage and then register at the www.caremark.com
  • PGCPS pays 75% of monthly premium for prescription insurance, the PGCPS share increases to 80% after 8 years of service.  The employee pays the remainder through payroll deduction
  • Premiums are deducted on a pre-tax basis
  • Customer Service at Caremark: 1-888-865-6564 or www.caremark.com

  Members can go to  www.caremark.com and create/sign in to their account.  From the Home page of your account, they can select Understanding My Plan and Benefits tab, and then select Drug Coverage and Cost, and then under Drug Formulary, click the link to See current formulary list.  

About The Plan

• CVS/Caremark webpage
• Prescription Benefits At a Glance 
• Caremark Summary of Coverage
• CVS Caremark App
• Maintenance Choice Information
• Dispense as Written (DAW) Example

Forms

• Caremark Claim Form
• Caremark Mail Order Form