Pharmacy
You can go to any pharmacy in the CVS/Caremark network. Some of your network pharmacies are:
Visit www.caremark.com or call 866-818-6911 to find a pharmacy near you. See the chart below to see how much you will pay for medicine.
Your pharmacy costs
| Preventive prescriptions or supplies | |
|---|---|
| Gold | No charge |
| Silver | No charge |
| Bronze | No charge |
| Prescriptions at a retail pharmacy | |
| Gold | 30% coinsurance ($5 minimum) |
| Silver | 40% coinsurance ($5 minimum) |
| Bronze | 50% coinsurance ($5 minimum) |
| Diabetic oral medicine, insulin and supplies | |
| Gold | $5 copay at a retail pharmacy. $10 copay by mail order. |
| Silver | $5 copay at a retail pharmacy. $10 copay by mail order. |
| Bronze | $5 copay at a retail pharmacy. $10 copay by mail order. |
| Prescriptions by mail | |
| Gold | 30% coinsurance ($10 minimum) |
| Silver | 40% coinsurance ($10 minimum) |
| Bronze | 50% coinsurance ($10 minimum) |
| Out-of-pocket maximum | |
| Gold | $2,350 per person. $4,700 per family. |
| Silver | $2,350 per person. $4,700 per family. |
| Bronze | $2,350 per person. $4,700 per family. |
Prior authorization
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Specialty Medications
National Cooperative Rx: 608-416-8702
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Non-Specialty Medications
CVS Caremark: 800-294-5979
Important: If you get a brand-name drug when a generic drug is available, you will have to pay the full cost of the difference between the brand-name drug and generic drug.