Specialty Medication Notes

If your medication appears on the Comprehensive Specialty Pharmacy Drug list, please call CVS Caremark Specialty Customer Care toll-free at (800) 237-2767 for pricing information. If you proceed with the Check Drug Cost options below, specialty pricing accuracy is not guaranteed. Click here for the specialty drug list.

  • IMPORTANT PLAN INFORMATION – PLEASE READ

    Please make sure to scroll to the bottom of the Coverage and Cost Results page to see “Plan Notes” which outline important plan information that may impact your coverage in 2018.

    Examples could include the following items that may be shown at the bottom of the page under “Plan Notes”

    • PRIOR APPROVAL is REQUIRED – Medications that require Prior Approval and/or Specialty pricing & network
    • Plan Limitations Exceeded. Examples could include quantity or days supply – Medications that have quantity or other limits
    • NOT COVERED OR MAY NOT BE THE APPROPRIATE REGIMEN as defined by your plan – Medications not covered by the plan
  • Check Drug Costs

    How much will you pay? Find a drug cost based on your benefit plan and prescription dosage.

    Your estimated cost share for Specialty medications is listed under the Retail Pharmacy column, on the Coverage and Cost Results page, since the day supply is limited to a 30-day supply. Specialty medications may also display costs under the Mail Service column. However, the 90-day supply pricing is not applicable.

    2018

    HDHP Plan

    High Option Medicare

    High Option Non Medicare

    Standard Option

    2017

    Standard Option (Non-Medicare & Medicare)

    High Option Non-Medicare

    High Option Medicare

    Health Savings Advantage HDHP

     

    Please note: Specialty medications are dispensed from CVS/specialty Pharmacy.

  • Find a Pharmacy in Your Area

    Discover which pharmacies will accept your coverage with our Pharmacy Locator.

    Find a Local Pharmacy

Customer Care

  • Call CVS/caremark at (844) 4-GEHARX or (844) 443-4279

    We are available 24/7 to help you with your needs.