WHAT IS COVERED

Covered Medications

A prescription medication means any medication that may be legally dispensed only when you have a written prescription from a physician or other licensed medical provider. The physician may also call in a prescription directly to your local pharmacy or the Caremark® mail service pharmacy. Insulin and other supplies for diabetes, such as syringes, needles and testing materials, are also covered.

When you get a prescription, the pharmacist will fill it with a generic medication unless no generic drug exists for that brand or the prescribing physician has specified “Dispense As Written” (DAW). If there is no generic equivalent for a brand name drug, the brand name will be provided as ordered and covered under the Plan. If there is a generic equivalent, the cost of the prescription will be subject to the $500 deductible.