We know how important pharmacy benefits are to you—with your plan, you have:
Nationwide access to CVS/caremark network pharmaciesCoverage for most FDA-approved drugs
- Nationwide access to CVS/caremark network pharmacies
- Coverage for most FDA-approved drugs
- Benefits for CVS/caremark mail order and CVS retail pharmacies —get up to a 90 day supply of a maintenance medication at either setting
- Access to savings on everyday health-care related items through the CVS/caremark ExtraCare® Health Card Program
- A $200/person retail-only calendar year prescription drug deductible. This deductible is separate from the Plan’s calendar year deductible. It applies only to prescriptions that you buy at any network or out-of-network retail drugstore or pharmacy. Note: The $200 deductible for prescriptions purchased at a network retail pharmacy does not apply when you have Medicare Parts A and B as primary coverage.
RCBP knows how important pharmacy benefits are to you—with your plan, you have:
Non-specialty Pharmacy |
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|---|---|---|---|
| Pharmacy | Tier I (Generic) | Tier II (Brand Name on primary drug list) | Tier III (Brand Name not on primary drug list) |
| Network Retail Pharmacy (up to a 34-day supply) | 30% of cost*; maximum $7.50 per prescription | 30% of cost*; maximum $200 per prescription | 30% of cost*; maximum $200 per prescription |
| Network Retail Pharmacy, Medicare Part B primary (up to a 34-day supply) | 30% of cost (No deductible); maximum $7.50 per prescription | 30% of cost (No deductible); maximum $200 per prescription | 30% of cost (No deductible); maximum $200 per prescription |
| Out-of-Network Retail Pharmacy (up to a 34-day supply) | 30% of cost* | 30% of cost* | 30% of cost* |
| Out-of-Network Retail Pharmacy, Medicare Part B primary (up to a 34-day supply) | 30% of cost (No deductible) | 30% of cost (No deductible) | 30% of cost (No deductible) |
| CVS Retail Pharmacy or CVS Caremark mail service (up to 90-day supply) | $10 (No deductible) | $50 (No deductible) | $80 (No deductible) |
| CVS Retail Pharmacy or CVS Caremark mail service, Medicare Part B primary (up to 90-day supply) | $10 (No deductible) | $40 (No deductible) | $70 (No deductible) |
Specialty PharmacySpecialty drugs are used to treat chronic complex conditions and require special handling and close monitoring and must be obtained from CVS Specialty Pharmacy. Note: Preauthorization is required. Call CVS Specialty Pharmacy at 866-814-5506. |
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| Pharmacy | Tier IV ( Specialty generic drugs) | Tier V (Specialty preferred brand drugs) | Tier IV (Specialty non-preferred brand drugs) |
| CVS Caremark Specialty Pharmacy 30-day supply (includes when Medicare Part B coverage) | $70 (No deductible) | $90 (No deductible) | $120 (No deductible) |
| CVS Caremark Specialty Pharmacy, 90-day supply (includes when Medicare Part B coverage) | $100 (No deductible) | $125 (No deductible) | $250 (No deductible) |
* A generic equivalent will be dispensed if it is available, unless your physician specifically requires a brand name drug.
** Specialty Drugs
RCBP Pharmacy Resources
Drug Guides
- Prescription Drug Guide – Specialty
- Prescription Drug Guide/Formulary
- Medications Requiring Prior Authorization
Rx Drug Calculator
To find a participating network pharmacy you will need to register for or login to your Aetna member website.