CVS Caremark Pharmacy Resource Center CVS Caremark Pharmacy Resource Center CVS Caremark is the State Health Plan’s Pharmacy Benefit Manager for the 70/30 Plan, the 80/20 Plan and the High Deductible Health Plan. Find the answers to all of your questions using the resources below. CVS Caremark is the State Health Plan’s Pharmacy Benefit Manager for the 70/30 Plan, the 80/20 Plan and the High Deductible Health Plan. Members should note that this does NOT mean members have to go to a CVS pharmacy location for their prescriptions. CVS Caremark has a broad pharmacy network. Under both health plans, the formulary, or drug list, for prescription drugs is a closed formulary. Under a closed formulary, certain drugs are not covered. Please note that there is an exception process available to providers who believe that, based on medical necessity, it is in the member’s best interest to remain on a non-covered drug(s). Use the tools below to find a participating pharmacy near you. In addition, members have access to the drug lookup tools below to compare costs for various drugs covered under the plan. Please note: If a drug is not covered, the following advisory will appear under Plan Notes in the Drug Lookup Tool: “Not covered: Ask your doctor about alternatives.” CVS Caremark Customer Service can be reached by calling 888-321-3124. Drug Lookup Tools 2021 70/30 Drug Cost Lookup & Pharmacy Locator Tool Click here to access the 70/30 Plan Drug Lookup & Pharmacy Locator Tool. 2021 80/20 Drug Cost Lookup & Pharmacy Locator Tool Click here to access the 80/20 Plan Drug Lookup & Pharmacy Locator Tool. High Deductible Health Plan Drug Cost Lookup & Pharmacy Locator Tool Click here to access the High Deductible Health Plan Drug Cost Lookup & Pharmacy Locator Tool. Pharmacy Drug Lists 2021 Comprehensive Formulary Click here to view the 2021 Comprehensive Formulary. 2021 Preferred Drug List Click here to view the 2021 Preferred Drug List. 2021 Preventive Drug List Click here to view the 2021 Preventive Drug List. 2021 Specialty Drug List Click here to view the 2021 Specialty Drug List. 2021 Specialty Quantity Limit Drug List Click here to view the 2021 Specialty Quantity Limit Drug List. Pharmacy Forms and Processes Mail Order Request Form Use this form to get started with CVS Caremark mail order program to have your prescriptions delivered right to your home. Formulary Exclusion Exceptions Process Click here to learn more about the Exclusion Exception Process. Prescription Drug Claim Form Use this form to request reimbursement for prescription drugs, such as those not purchased from a pharmacy contracted with the State Health Plan. Your reimbursement will be the Plan's maximum allowable amount, not the charge for the prescription drug.
CVS Caremark Pharmacy Resource Center CVS Caremark Pharmacy Resource Center CVS Caremark is the State Health Plan’s Pharmacy Benefit Manager for the 70/30 Plan, the 80/20 Plan and the High Deductible Health Plan. Find the answers to all of your questions using the resources below. CVS Caremark is the State Health Plan’s Pharmacy Benefit Manager for the 70/30 Plan, the 80/20 Plan and the High Deductible Health Plan. Members should note that this does NOT mean members have to go to a CVS pharmacy location for their prescriptions. CVS Caremark has a broad pharmacy network. Under both health plans, the formulary, or drug list, for prescription drugs is a closed formulary. Under a closed formulary, certain drugs are not covered. Please note that there is an exception process available to providers who believe that, based on medical necessity, it is in the member’s best interest to remain on a non-covered drug(s). Use the tools below to find a participating pharmacy near you. In addition, members have access to the drug lookup tools below to compare costs for various drugs covered under the plan. Please note: If a drug is not covered, the following advisory will appear under Plan Notes in the Drug Lookup Tool: “Not covered: Ask your doctor about alternatives.” CVS Caremark Customer Service can be reached by calling 888-321-3124. Drug Lookup Tools 2021 70/30 Drug Cost Lookup & Pharmacy Locator Tool Click here to access the 70/30 Plan Drug Lookup & Pharmacy Locator Tool. 2021 80/20 Drug Cost Lookup & Pharmacy Locator Tool Click here to access the 80/20 Plan Drug Lookup & Pharmacy Locator Tool. High Deductible Health Plan Drug Cost Lookup & Pharmacy Locator Tool Click here to access the High Deductible Health Plan Drug Cost Lookup & Pharmacy Locator Tool. Pharmacy Drug Lists 2021 Comprehensive Formulary Click here to view the 2021 Comprehensive Formulary. 2021 Preferred Drug List Click here to view the 2021 Preferred Drug List. 2021 Preventive Drug List Click here to view the 2021 Preventive Drug List. 2021 Specialty Drug List Click here to view the 2021 Specialty Drug List. 2021 Specialty Quantity Limit Drug List Click here to view the 2021 Specialty Quantity Limit Drug List. Pharmacy Forms and Processes Mail Order Request Form Use this form to get started with CVS Caremark mail order program to have your prescriptions delivered right to your home. Formulary Exclusion Exceptions Process Click here to learn more about the Exclusion Exception Process. Prescription Drug Claim Form Use this form to request reimbursement for prescription drugs, such as those not purchased from a pharmacy contracted with the State Health Plan. Your reimbursement will be the Plan's maximum allowable amount, not the charge for the prescription drug.
