There are lower out-of-pocket costs on a large group of maintenance medications. Under the maintenance medication benefit, you can get a 90-day supply of certain drugs from a Retail-90 or mail-order pharmacy at a reduced cost. If you fill a 30-day supply, your regular copayment or coinsurance applies and for Consumer-driven Health Plan members, the deductible is not bypassed.
For 2023, CDHP members may click here to see a list of eligible medications that will bypass the deductible and be eligible for lower coinsurance when filled in a 90-day supply through mail order or at a participating Retail-90 pharmacy. This benefit does not include any medication considered a specialty medication by the pharmacy benefits manager. The CDHP preventive list is all-inclusive, meaning it applies to all CVS Caremark clients. Just because a drug is listed there does not mean our plan covers it. You should still consult the formulary/preferred drug list on the Caremark splash page to determine coverage: info.caremark.com/stateoftn
PPO plan members may click here to see a list of eligible medications that have a lower copayment when filled in a 90-day supply through mail order or at a Retail-90 pharmacy.