Pharmacy Insurance
CVS Caremark is the pharmacy benefits manager for all plan members, regardless of which healthcare option you select. CVS Caremark will mail welcome packets and prescription cards to all members. You must carry this (pharmacy) card in addition to your current (medical) ID card. If you have questions or have not received your pharmacy cards, please contact CVS Caremark customer service at 1-877-522-TNRX (8679) or visit info.caremark.com/stateoftn.
A Summary of Your Prescription Drug Benefits
- Generic (tier one) drug: You'll pay the lowest amount for a generic (Tier One) drug. A generic medicine is FDA approved and equal to the brand name product in safety, effectiveness, quality and performance.
- Preferred brand (tier two) drug: You'll pay a higher amount. Many popular and highly used preferred brands are included on the preferred drug list (PDL).
- Non-preferred brand (tier three) drug: You'll pay the highest amount. These belong to the most expensive group of drugs. These drugs are not included on the PDL.
You can save money by filling medications you take regularly in a 90-day supply instead of a 30-day supply. For the Premier PPO, Standard PPO and CDHP , examples of maintenance drugs include those for high blood pressure, coronary artery disease, congestive heart failure, diabetes (insulins, oral medications and other injectables, needles, test strips and lancets), depression, high cholesterol, asthma/chronic obstructive pulmonary disease and some osteoporosis medications (specialty drugs are not included). The maintenance medication benefit allows members to receive a 90-day supply at a reduced copay, instead of paying three 30-day copays.
Members enrolled in the CDHP have a similar benefit that uses this HDHP/HSA Preventive Drug list from CVS Caremark: https://www.caremark.com/portal/asset/preventive_dl.pdf, and your drug will bypass the plan's deductible, which means your plan will pay its share of your covered services starting at the beginning of the year. You can conveniently fill these prescriptions either through CVS Caremark Mail Service Pharmacy® or at any Retail-90 pharmacy nationwide.
What does Retail-90 pharmacy mean? A Retail-90 pharmacy is one that has agreed to lower costs for their medications and their dispensing fees for providing your medication. You will save money when you get a 90-day supply of your medications. You will make fewer trips to the pharmacy, and you’ll only need to make one payment every three months. If you choose to use the Retail-90 option, you have several ways to get a 90-day supply of the drugs you take regularly for ongoing conditions. You can conveniently fill those prescriptions either through the CVS Caremark Mail Service Pharmacy® or at any Retail-90 pharmacy nationwide. To check which pharmacies are in-network for a 90-day supply, use the online Pharmacy Locator tool: info.caremark.com/stateoftn
Eligible members can receive these medications in-network at zero cost share. These medications are primarily used to treat high cholesterol. No high-dose or brand name statins are included. Applies to members ages 40 through 75 years old.
The only covered meters, test strips and supplies are those from Accu-Chek and True Metrix. Members will have a lower copay using supplies from these preferred brands.
Enrolled members with diabetes may be eligible for an Accu-Chek blood glucose meter at no charge from the manufacturer. For more information on how to get a free blood glucose meter, call 877.418.4746 or visit https://info.caremark.com/dig/managing diabetes.
Learn more about Flu, Pneumococcal, RSV and Covid Vaccine Coverage.
Members who want to stop using tobacco can get free tobacco quit aids.
- Log onto caremark.com (or register if have not already done so)
- Click on “Plan & Benefits”
- Click on the submenu “Print Member ID Card”
- Choose either
- the red button “Print Member ID Card” or
- the carrot “Request a new Member ID card” and fill in the information needed
- Click “Submit”
Certain medications under the Affordable Care Act, such as contraceptives and tobacco cessation products, are available at no cost to you. A full list of available medications is available online at the following link: NoCost_Preventive_List.pdf.