Caremark Prescription Drug Coverage

The prescription drug component of the medical plan is administered by CVS Caremark, a pharmacy benefit management specialist. This program offers you two convenient methods to fill your medication needs… in person at a participating CVS Caremark retail network pharmacy or by mail order. Each covered person is required to establish an annual $50 prescription drug deductible for brand-name drugs. Once the deductible is met, the applicable prescription drug copay must be paid. Copays for the prescription drug program are based on CVS Caremark's formulary/Primary Drug List, which is a list of preferred brand name drugs. Listed below are the amounts you pay for each prescription purchased through a CVS Caremark retail network pharmacy or the mail order drug program.

It is important that you use the CVS Caremark prescription drug program in order to receive the best price and greatest savings. If you purchase a drug outside of the CVS Caremark prescription drug program, you must pay 100 percent of the prescription price to the pharmacy. Paying cash rather than using the CVS Caremark prescription drug program can impact you financially. The CVS Caremark prescription drug program allows the university to obtain drug manufacturer discounts which helps keep your medical premium as low as possible. These discounts are lost when the prescription drug program is not used. Prescriptions purchased through a government program (Medicaid and state aid), nursing home, and internationally, etc. should continue to be processed per the appropriate agency's guidelines. If you have any problems using the CVS Caremark prescription drug program, contact your Campus Benefits Office.

Prescription drug purchases may not be submitted to the Blue Cross Blue Shield medical plan.

If you and/or your dependents become eligible for Medicare in the next 12 months, a federal law provides you prescription drug coverage alternatives.

You may view CVS Caremark's Nebraska PPO retail network directory and the CVS Caremark Primary Drug List on the University of Nebraska benefits site. PPO participation information may also be obtained by calling CVS Caremark at (800) 841-5550 or (888) 202-1654.

CVS Caremark Retail 90 Program

CVS Caremark's Retail 90 program provides insureds the opporntunity to fill a 90-day supply of a long-term, maintenance medication at select participating retail pharmacies. Although there is no initial savings to the insured, this enhancement helps reduce the overall cost to the university's prescription drug plan. To utilize the benefit of the Retail 90 Program, present a 90-day prescription (3 30-day prescriptions do not qualify) to the retail pharmacist and begin enjoying the convenience of filling maintenance medication right at the store. Many area pharmacies participate in the Retail 90 program including CVS, Target, Hy-Vee, Walmart, Kmart, Nebraska Medical Center Clinic Pharmacy, Bakers, etc.

A list of participating pharmacies can be found at nebraska.edu