Know what's covered
Find alternatives that are covered under your plan.*
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Frequently Asked Questions
You can view the exact price you will pay for your drugs by logging on to Caremark.com, and select “Check Drug Cost.” Remember—the savings really add up if you are taking a long-term medication for months or years at a time.
Your plan asks CVS Caremark® to monitor your list of covered medications and make changes when lower-cost, clinically appropriate options become available. This helps save money for both you and your plan throughout the year. CVS Caremark is committed to helping you get the most effective medications at the best price and keeping access to prescription medications affordable.
The U.S. Food and Drug Administration (FDA) has approved more than 10,000 generic options for brand-name prescription drugs, so there is likely to be one available to help you get a lower-cost, effective treatment. Generic medications are available for common conditions such as high cholesterol, blood pressure, allergies, asthma, migraines, stomach acid, osteoporosis and others.
The research, development and marketing of new medicines cost a lot of money. Companies that make generic medicines do not have to develop them from scratch, so it usually costs much less to make. Generic medicine makers then pass the savings on to consumers. Lower cost does not mean lower quality. Companies that make generic medicine have to show that their product performs the same as the brand-name.
Talk to your doctor about which of your options might be best for you. Have this conversation soon, before your current medication is no longer covered.
No. You always have the choice of continuing with your current medication. However, if you choose to continue taking your current medication, you will have to pay 100 percent of the cost. We encourage you to talk to your doctor about whether a covered medication will work for you.
There are often several medications, both generic and brand name, available to treat the same condition. Our pharmacy staff has determined that your medication has safe and effective alternatives available that may help save money for you and your plan.
Your doctor always has the final decision on what medication is right for your condition. Remind your doctor that your benefit plan no longer covers this medication, and you will have to pay full price. If your doctor thinks there is a clinical reason why one of these covered options won’t work for you, your doctor can request a medical necessity exception.
*If your doctor thinks there is a critical reason why one of these covered options won't work for you, your doctor can call us at 1-800-814-5500 to request approval for your current medication(s).