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CVS Caremark

Providing All Your Prescription Needs

About CVS Caremark

Working with your benefits plan sponsor, CVS Caremark provides 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 you can save time and money when your benefits plan starts.

Check Drug Costs – New York Individual and Small Group Plans

How much will you pay? Use the search tool below to view the amount paid per prescription for a sample Individual or Small Group plan sold directly from MVP Health Care or through the New York State of Health Marketplace™.

2021

NY Individual & Small Group - Before Deductible

NY Individual & Small Group - After Deductible


2020

NY Individual & Small Group - Before Deductible

NY Individual & Small Group - After Deductible

This search of a sample plan returns the amount paid per prescription with the co-pay tier structure, deductibles and out-of-pocket maximums described below.

  • $15 Tier 1 (generics)
  • $40 Tier 2 (formulary brands and some generics
  • $70 Tier 3 (non-formulary brands)
  • $40 Diabetic drugs and supplies
  • Deductible is $2,645 Individual or $5,290 family
  • Out-of-Pocket Maximum, is $6,350 for individual or $12,700 family

The plan you choose may have prescription drug coverage with different co-pays/co-insurance, deductibles and out-of-pocket maximums.

If you need additional help determining cost sharing information for your medication list please call (800) 378 9295.

Find a Pharmacy in Your Area

Discover which pharmacies will accept your coverage with our Pharmacy Locator. To find a pharmacy near you, follow the directions provided with the Pharmacy Locator

Covered Drug List (Formulary)

2021 Marketplace Formulary  

2020 Marketplace Formulary  

Disclaimer: The formulary is subject to change at any time. Refer to your Plan documents for coverage and exclusions. The results of the drug cost check is accurate as of the date checked.

 

Contact Customer Care

Call us toll free at 1-866-284-7134
Monday thru Friday 06:30am - 9:00pm CST
Saturday 08:00am thru 8:00pm CST
Sunday 08:00am thru 4:30pm CST