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
- Actives (effective 7/1/2025)
- Actives (effective 7/1/2024)
- Pre-65 Retirees (effective 1/1/2025)
- Medicare Retirees
HSTA VB
- Actives (effective 7/1/2025)
- Actives (effective 7/1/2024)
- Pre-65 Retirees (effective 1/1/2025)
- Medicare Retirees
Formulary
The formulary (or preferred drug list) determines under which tier a drug falls (generic, preferred brand or non-preferred brand). Preferred brand drugs are chosen based on several factors, including clinical effectiveness, safety, and cost. Generic medications are just as safe and effective as their brand name counterparts and are often much less expensive, which is why most fall under the lowest generic co-pay tier.
EUTF
EUTF plans have two formularies, a non-specialty formulary called the Standard Opt Out Formulary (moving to Basic Control Formulary effective 7/1/2025) and a specialty formulary called the Advanced Control Specialty Formulary. Some medications are excluded from coverage altogether and are on the Exclusion List. Use the Check Drug Cost Tool to see how your medication is covered in real time. A list of preferred medications and exclusions are also included below. The exclusion list takes precedence over the preferred drug list, which means if a medication is on the preferred list and the excluded list, it is considered excluded.
- Standard Opt Out Formulary
- Basic Control Formulary (effective 7/1/25)
- Advanced Control Specialty Formulary
- Exclusion List
- Drug Cost Coverage Tool Video
HSTA VB
HSTA VB plans use the Standard Opt Out Formulary and do not use a preferred drug list for specialty medications. Use the Check Drug Cost Tool to see, in real time, how your medication is covered. There is also a list of preferred medications and exclusions. The exclusion list takes precedence over the preferred drug lists, which means if a medication is on the preferred list and the excluded list, it is considered excluded.
Pharmacy Network
The CVS Caremark Pharmacy Network features more than 200 pharmacies statewide and more than 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 with our Pharmacy Locator.
Maintenance medications are prescriptions taken for an extended period of time to treat chronic conditions such as high blood pressure, diabetes, heart disease, or high cholesterol. For EUTF members, prescriptions for new maintenance medications are limited to one initial fill plus two refills before a 90-day supply is required. You’ll pay the lowest co-pay for a 90-day supply at a participating Retail 90 or Mail Pharmacy.
Retail 90
EUTF plans have a Retail 90 network where a member can get a 90-day fill for two times the 30-day co-pay. Retail 90 pharmacies include but are not limited to CVS, Costco, Safeway, Sam’s Club, Times, Walgreens, and Walmart pharmacies.
The CVS Caremark Mail Pharmacy is located on Oahu and is a convenient way for you to order your maintenance prescriptions. Members can get a 90-day fill for two times the 30-day co-pay. There is no delivery cost from the CVS Caremark Mail Pharmacy, whereas there may be delivery fees for home delivery of prescriptions from a retail pharmacy.
Specialty
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.
If you fill your prescriptions at an out-of-network pharmacy, you will be responsible for paying 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 co-pay and co-insurance. 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.
