GEHA Documents

CVS Caremark Drug List Information

• FEHB Standard Option, High Option, HDHP Drug List
• FEHB Elevate Drug List
• FEHB Elevate Plus Drug List

• PSHB Standard Option, High Option, HDHP Drug List
• PSHB Elevate Drug List
• PSHB Elevate Plus Drug List

CVS Caremark Drug List Information for Prescribers

The CVS/Caremark Prescribing Guide contains useful information for physicians. This Prescribing Guide is not specific for GEHA participants, however would be helpful information for physicians.

• Prescribing Guide-Standard Option, High Option, HDHP, Elevate Plus-Prescribing Guide
• Elevate Value Formulary List

CVS Caremark Forms

• Mail Order Request Form
• Paper Claim Form (Direct Reimbursement Form)
• Mail: You may submit a paper claim via the CVS Caremark Prescription Drug Reimbursement Form
• Electronically: You may submit for reimbursement online via Caremark web portal (Caremark.com) or the Caremark mobile app (available for Androind and Apple)
• Web: Log into your Caremark.com profile; under Plan and Benefits select Submit a Prescription Claim; completed all required fields and submit.
• Mobile App: Open or Download the Caremark mobile app: under Plan and Benefits select Submit a Prescription Claim; completed all required fields and submit.

Over-the-counter (OTC), at-home COVID-19 tests

If you purchased an at-home COVID-19 test on or after January 15, 2022, you may be eligible for reimbursement. As long as the test is used to diagnose a COVID-19 infection for yourself or a covered family member, you can request reimbursement through your Caremark.com account.

• Request Reimbursement – Paper Claim Form

CVS Caremark Specialty Drug Information

• Pharmacy Specialty Drug List
• Specialty Starter Fill Drug List