Members get their drug benefits through CVS Caremark and can look up covered medicines using the online formulary and drug search tool below. Members can fill prescriptions at any in-network pharmacy. We can mail many long-term medicines to you. Members can order by mail, by calling the FastStart number (800) 875-0867, or by having your doctor send in the prescription.
Your drug list, also called a formulary, is the list of medicines covered by your plan. Use the drug search tool below to search by name and see any notes, like if a drug needs approval or has limits.
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 drug list can change each year on January 1. Changes are shown on a special grid. You can find the full drug list and any annual changes on the forms and documents page.
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 at (866) 472-9484.
How the drug list works
CVS Caremark provides drug benefits for your health plan. To see if your drug is covered use the drug search tool below or view your state’s drug list.
To start mail-order service, here’s what you need to do:
If you need Specialty medications
Specialty medications can be drugs with limited distribution, require special handling or can only be prescribed to you if you get complex counseling or monitoring from your doctor. These medications are placed in the Specialty Tier on the drug list. To start specialty medication service, please contact the CVS Pharmacy Help Desk at (888) 407-6425 or CVSSpecialty.com.
Your plan’s network also has a specialty pharmacy options that are not connected to CVS. You can contact these vendors to ask about your specialty drug needs: