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CVS Caremark

Meeting All Your Prescription Needs

About CVS Caremark

CVS Caremark works with your benefits plan sponsor to provide convenient and flexible options for the prescription drugs you and your family may need. We are here to guide you through the open enrollment process and to help you understand your plan so that you can save time and money when you use your benefits.

Plan Options

Review a summary of your prescription drug plan.

EUTF

For EUTF actives and non-Medicare retirees, prescriptions for new maintenance medications are limited to one initial fill plus two refills before a 90-day supply is required.

HSTA VB

      Formulary

      The formulary (or preferred drug list) indicates whether a drug falls under the generic, preferred brand-name or non-preferred brand name drug tier. A generic medication (indicated in lower case letters) has the same active ingredients, strength and dosage as its brand name equal, is just as safe and effective, and is the best option to help you save money. A preferred brand-name medication (indicated in caps) is chosen based on several factors, including clinical effectiveness, safety, and cost, and is the best option when a generic is not available. A non-preferred brand name medication (not included in the preferred drug list) is the highest cost option. A non-covered medication (or excluded drug) is included on the Exclusion List, which takes precedence over the preferred drug list. If a medication is on both the preferred drug list and excluded list, it is not covered. Use the Check Drug Cost tool on Caremark.com or the CVS Caremark mobile app to see how your medication is covered in real time.

      EUTF

      The EUTF actives and non-Medicare retirees share the same non-specialty formulary, the Basic Control Formulary, and specialty formulary, the Advanced Control Specialty Formulary.

      HSTA VB

      The HSTA VB actives and non-Medicare retirees share the same non-specialty formulary, the Standard Opt Out Formulary, and does not have a separate specialty formulary.

      Pharmacy Network

      The CVS Caremark Pharmacy Network features more than 200 pharmacies statewide and more the 68,000 pharmacies nationwide.  The network consists of CVS and non-CVS, retail and mail, specialty and non-specialty pharmacies.  Discover which pharmacies will accept your coverage Pharmacy Locator.

      Retail Pharmacies

      You are not limited to using Longs Drugs or CVS pharmacies. Other participating pharmacies include Costco, Safeway, Sam’s Club, Times, Walgreens, Walmart, Pharmacare, KTA pharmacies on the Big Island, Lihue pharmacies on Kauai, and Rainbow pharmacies in Maui County.

      EUTF actives and non-Medicare retirees can save even more when filling a maintenance prescription at a Retail 90 pharmacy, where a member pays two times the 30-day copay for a 90-day supply. Retail 90 pharmacies include but are not limited to CVS, Costco, Safeway, Sam’s Club, Times, Walgreens, and Walmart pharmacies.

      CVS Caremark Mail Pharmacy

      The CVS Caremark Mail Pharmacy is located on Oahu and is a convenient way for you to order your maintenance prescriptions. MEUTF members can get a 90-day fill forpay two times the 30-day co-pay for a 90-day supply.

      Prescriptions are mailed directly to you within 2-3 days, with no shipping fees. This differs from home delivery from a retail pharmacy where delivery fees may apply. If you are enrolled in more than one insurance plan that offers prescription drug coverage, there is no coordination of benefits at CVS Caremark Mail Pharmacy.

      Specialty Pharmacies

      A specialty pharmacy provides specialized medications that help manage complex chronic conditions like cancer, multiple sclerosis, and rheumatoid arthritis, or those requiring injections or infusions.

      Out-of-Network Pharmacies

      If you fill your prescription at an out-of-network pharmacy, you are responsible for the full cost of the drug at the time of purchase, and reimbursement will be limited to the eligible charge less the out-of-network member cost share. Paper claims must be submitted to CVS Caremark within one year from the date of purchase.

      Questions?

      Read the Frequently Asked Questions or contact Customer Care toll-free at 1-855-801-8263 24 hours a day, seven days a week.