CVS Updates Its List of Covered Medications Effective January 1, 2026

Effective January 1, 2026, CVS Caremark is updating its list of covered medications, referred to as its formulary. Changes to the formulary determine which medications are covered by the Health Plan and what your out-of-pocket costs for prescription medications may be.

If you are currently taking a medication that will be excluded from the updated formulary, CVS Caremark should have already mailed you a letter with information on alternatives. It is good practice for all covered Health Plan participants to review the updated CVS Caremark formulary for any status changes (e.g., step therapy requirements) or exclusions to your current medications.

The complete list of excluded medications along with preferred alternatives is available at www.dgaplans.org/formulary. To learn more about how to best use the formulary, read “CVS Caremark Formulary 101: What is a Formulary?”.