Frequently Asked Questions

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BENEFITS TOPICS



 PRESCRIPTION DRUGS 2015: CVS/caremark


  • What is changing from last year?

For 2015, Emory’s prescription drug administrator will change from Express Scripts to CVS/caremark. You will receive a Welcome Kit in the mail from CVS/caremark after the first of the year. Another important change is that if you currently have a prescription for a maintenance drug, as of Jan. 1, 2015, you will need to have a prescription for a 90-day supply (not a 30-day supply) AND you will need to fill your prescription in one of three ways: 1. Through CVS/caremark’s mail-order service; 2. At a CVS retail pharmacy location (at the mail-service cost); or 3. At an Emory pharmacy (at the mail-service cost).

  • What is a maintenance drug?

A maintenance drug is one that is commonly used to treat a chronic or long-term condition and requires regular, daily use. Examples include drugs used to treat high blood pressure, heart disease, asthma and diabetes. Birth control is also considered a maintenance drug. For a complete list of maintenance drugs, click here.

  • What will happen if I don't use a 90-day prescription and attempt to get my 30-day prescription filled at another retail pharmacy?

If you don’t use a 90-day prescription and try to get a 30-day prescription filled at a retail pharmacy other than CVS, an Emory Pharmacy, or CVS mail order, you will be charged the full retail cost (not the co-pay amount) on your third attempt to refill.

  • Why are mail order, CVS and the Emory pharmacy the only places to get maintenance medications?

Implementing this change was one way to help control the overall cost of the plan without reducing benefits available. It will save Emory over $1 million in 2015. Also, 90-day prescriptions for maintenance medications lead to better adherence which leads to improved health outcomes.

  • How can I determine if my medicines will be/are covered?

To make sure your current medicine is covered under CVS/caremark and to check your drug tier level and cost, visit the Prescription Drug Resources webpage. You can also call CVS/caremark at 866-601-6935.

  • I currently use mail order through Express Scripts. Will my prescription transfer over to CVS/caremark mail order, or do I have to get a new one?

Express Scripts will send CVS/caremark a file with information about your refill history and any remaining refills. You will only need a new prescription for new medications and for prescriptions with no refills.

  • How do I set up mail-order with CVS/caremark?

If you currently use mail-order with Express Scripts, any remaining refills will be transferred to CVS/caremark automatically. If you have not used mail-order previously, at the beginning of 2015 you will receive a Welcome Kit with instructions and the necessary forms to set up and enjoy the convenience of mail-order.

  • Do I have to go to CVS for all of my prescriptions?

No. Only if you are filling a 90-day maintenance prescription are you required to use CVS/caremark’s mail-order, CVS Retail, or an Emory Pharmacy. Limited use medications (non-maintenance) may be filled at any in-network retail pharmacy.

  • How can I save money on my prescriptions?

By using mail-order for your maintenance medications, using generic drugs where possible, and by participating in the Healthcare FSA (if you are enrolled in the POS Plan), using pre-tax dollars to reimburse yourself for the cost of your medications.