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Prescription Drug Benefits

Prescription drugs are subject to the copay which is applicable to the type of drug indicated in the MILA Medicare Wrap-Around Plan chart. If you have a prescription for a brand drug for which there is a generic equivalent drug, the generic drug will be issued unless the prescribing physician has indicated that substitution may not occur. In that case, the cost of the prescription will first be subject to the $500 deductible per family each calendar year. Click here for more information on the prescription drug deductible and generic drug substitution.

If your physician prescribes a Specialty medication, you must fill that prescription through the CVS Caremark Specialty Pharmacy in order for that prescription to be covered under the MILA Plan.

If you use an Out-of-Network pharmacy, you may incur additional expenses because MILA will reimburse you for no more than it would have paid the highly discounted In-Network pharmacies for each drug. Click here for more information.

If you are covered by another prescription drug program in addition to the MILA Plan, notify MILA of your other coverage in order that benefits might be coordinated to provide you with the best coverage in either Plan.

The CVS Caremark network of pharmacies includes all the retail pharmacies with which CVS Caremark has a contract. For example, CVS Caremark has contracted with many Walgreen, Walmart and Rite Aid Pharmacies and many other drug stores. If the CVS Caremark logo is displayed, the retail pharmacy is available to MILA Members. CVS Caremark offers MILA participants mail order services exclusively through the CVS Caremark mail order system. As an alternative, CVS Caremark offers the Maintenance Choice program which enables mail order prescriptions up to 90 days to be filled only at CVS Caremark retail pharmacies.