Your drug coverage

How your coverage works

Members get their medicine from any in-network pharmacy. Use the Pharmacy Location to find a location in your service area. 

You can look up covered medicine using the online drug formulary and drug search tool below.

Use the drug look up tool to search by name and see any notes, like if a drug needs approval or has limits. We can mail many long-term medicines to members that usually arrive within 10 days. Members can order by mail, by calling the FastStart number, or by having your doctor send in the prescription. 

Covered drugs are grouped by cost tiers. Generic drugs usually cost less than brand or specialty drugs. Your copay, or coinsurance, depends on the tier.

The formulary can change each year. Updates that start on January 1. They are shown on the formulary changes grid. You can also find the full drug list below.

Prescriptions are covered at in-network pharmacies. Out-of-network coverage may be limited to emergencies or urgent needs. If you have trouble at the pharmacy, please do not pay for the prescription. Contact us for help.

How the drug list works

• Your cost depends on the drug and your plan benefits
• Most long-term drugs can be mail-ordered. Approved orders arrive within 10 days.
• A 90-day supply may cost 3 times your one month copay or coinsurance.
• Outside your service area, drugs are covered for emergencies only.

To start mail-order service, here’s what you need to do:

1. Call CVS Caremark FastStart at (800) 875-0867 and provide your member ID number, prescription name, your doctor’s name and phone number and your mailing address.
2. Ask your doctor to send an electronic prescription or call (800) 378-5697 with your member ID number, date of birth and mailing address.
3. Complete and send the mail service order form