GEHA Postal Service Health Benefits (PSHB) 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.
Check Drug Costs
How much will you pay? Find a drug cost based on your benefit plan and prescription dosage.
2025
- PSHB Elevate
- PSHB Elevate Plus
- PSHB Standard
- PSHB High Deductible Health Plan
High Deductible Health Plan coinsurance reflects the amount after the annual deductible has been met. - PSHB High
High and High Medicare (for members with Medicare A and B): The 3rd fill of maintenance medications at retail will increase to 50% coinsurance. Members are able to fill 90-day supplies of maintenance medications at mail order or retail CVS pharmacies and pay the mail order co-pay or coinsurance. - PSHB High Medicare (for members with Medicare A and B)
High and High Medicare (for members with Medicare A and B): The 3rd fill of maintenance medications at retail will increase to 50% coinsurance. Members are able to fill 90-day supplies of maintenance medications at mail order or retail CVS pharmacies and pay the mail order co-pay or coinsurance.
Specialty Drug Lists
If your medication appears on the Comprehensive Specialty Drug List, please call CVS Caremark Specialty Customer Care at 800-237-2767 to ensure the most accurate and up to date pricing information. CVS Specialty Pharmacy is GEHA’s exclusive Specialty Pharmacy and most Specialty medications are limited to a 30 day supply.
Find a Pharmacy in Your Area
Discover which pharmacies will accept your coverage with our Pharmacy Locator. Please note: Specialty medications are dispensed from CVS Specialty Pharmacy.
Customer Care
Call CVS Caremark at (844) 4-GEHARX or (844) 443-4279. We are available 24/7 to help you with your needs.
