GEHA Prescription Drug Plan (PDP) Important Pharmacy Benefit Plan Information

If you are a current GEHA member, please find drug cost for your specific benefit by logging into your Caremark.com account. Prescription claim history and specific plan design is considered when your drug costs are estimated.

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.

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

Pricing for medications with age- or gender-specific benefits won't necessarily provide accurate estimates.

Medications that consider prescription fill history for co-pay or coinsurance calculations may not provide accurate estimates.