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December 10, 2014

Important Information about your Prescription Drug Coverage

As previously communicated during Annual Benefits Enrollment, CVS/caremark will be the new pharmacy administrator effective January 1, 2015.  This is a big change and there are some important things you need to be aware of. Read the information below to make sure you understand what this change may mean to you. Also, be sure to read the Welcome Kit that you will receive from CVS/caremark in January with lots more information about your pharmacy benefits.

First, ask yourself, does anyone on your medical plan (you, your spouse/partner, or child) currently have a prescription for 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.

If you currently have a prescription for a maintenance drug, as of January 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:

IMPORTANT: If you don’t use a 90-day prescription and try to get a 30-day prescription filled at a retail location other than one of the methods above, you will be charged the full retail cost (not the co-pay amount) on your third attempt to refill.

Here are some tips for a smooth transition:

Please note that all of the above only applies to maintenance drugs. You can use any in-network retail pharmacy for non-maintenance drugs such as antibiotics.

For more information and resources, visit the Prescription Drug Resources webpage. If you have any questions, contact the Benefits Department at 404-727-7613 or