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Published July 9, 2021

Effective July 1, the Health Plan completed its transition to CVS Caremark as its prescription drug benefit manager. All existing prescriptions and coverage were automatically transferred to CVS Caremark during the transition.

By now, you should have received your CVS Caremark Welcome Kit, which includes your new prescription card. You should begin using the card to fill your prescriptions. If you have not received your Welcome Kit, you can request one by calling CVS Caremark at (855) 271-6601. You can also register on caremark.com or the CVS Caremark mobile app to access a copy of your prescription card and make managing your prescriptions easier. Registration takes just a few minutes, can be completed with or without your prescription card, and provides access to an assortment of tools to make managing your prescriptions easier.

While the transition to CVS Caremark will be seamless for the majority of Health Plan participants, if you meet any of the following criteria, you may need to take additional steps to ensure continuous access to your prescriptions:

  • If you had mail order prescriptions with refills remaining before the transition to CVS Caremark, you will need to login to caremark.com or call (855) 271-6601 to provide your mail order payment information. For your security, this information was not included in the transfer of information.
  • If you take a specialty medication and you have not already spoken to CVS Specialty, you should contact CVS Specialty at (800) 237-2767, Monday through Friday, 6:30 a.m. to 8:00 p.m. Central Time to complete your account set up.
  • If you take a medication that is not covered under CVS’ formulary, your medication will continue to be covered until October 1. This will allow you time to contact your doctor and discuss covered alternatives. At the end of July, CVS Caremark will send you a letter notifying you if your drug is not covered and ask that you discuss the change with your doctor. After October 1, if you continue to fill prescriptions for the same drug, you will have to pay the entire cost of the medication.
  • If you have in place prior authorizations that extend beyond July 1, CVS Caremark will honor the prior authorizations through the original expiration date.

New Prescription Drug Benefits Coming September 1

In addition, CVS Caremark brings three new programs to the Health Plan’s prescription drug benefit, starting September 1. PrudentRx, AccordantCare and Health Advisor will offer eligible participants significant savings on certain prescription drug costs and will provide personalized support for managing complex and rare conditions…at no additional cost. Eligibility requirements and enrollment procedures for each program are described on the new program page.