Generations Advantage Part D Prescription Drug coverage includes access to a large network of pharmacies with preferred cost sharing, as well as standard cost options. Members also have access to the CVS Caremark mail-order pharmacy.
The Pharmacy Search Tool can help you find all qualifying pharmacies in your local area.
In addition to prescription drug coverage, all Generations Advantage plans also include our CVS Over-the-Counter Benefit, where members receive a quarterly amount to purchase from over 1,000 CVS-brand, over-the-counter products.
Through CVS Caremark, we currently have over 67,000 pharmacies in our nationwide network.
You can go to any of our network pharmacies at any time.
There are two types of retail pharmacy:
For some drugs, your copays will be lower when you get them from a pharmacy with "preferred cost sharing."
We will cover prescriptions filled at out-of-network pharmacies under certain circumstances. More details on this coverage can be found below.
Use the search tool to see if it is part of the Martin's Point network, or to see a list of qualifying pharmacies in your neighborhood.
For 2024, Community Pharmacies, Fairfield Pharmacy, Unity Pharmacy, Oakland Pharmacy, Nathan's Wellness Pharmacy & Apothecary, and Wilson's Drug Store in Maine have been added to our preferred pharmacy network for Generations Advantage Members!
NOTE: The Caremark Medicare Part D Network meets access requirements in all regions and in all states. In addition, Caremark has not received any deficiency notices from CMS regarding the Caremark Medicare Part D Network.
Generally, we only cover drugs filled at an out-of-network pharmacy in limited, non-routine circumstances when a network pharmacy is not available. Below are some situations where we would cover prescriptions filled at an out-of-network pharmacy.
If you are trying to fill a covered prescription drug that is not regularly stocked at an eligible network retail or mail-order pharmacy (these drugs include "orphan drugs," which are pharmaceutical products that have been developed specifically to treat a rare medical condition, or other specialty pharmaceuticals).
If you are unable to get a covered drug in a timely manner within our service area because there are no network pharmacies within a reasonable driving distance that provide 24-hour service.
If you are traveling outside of the U.S. and your prescription is associated with an emergency or urgent care visit. As with traveling within the U.S., you may ask us to reimburse you for our share of the cost by submitting a claim form.
Martin's Point Generations Advantage is happy to offer a network of pharmacies with preferred cost sharing—including Hannaford Pharmacies, CVS Pharmacies and Martin's Point Health Care Center Pharmacies in Portland, ME and Portsmouth, NH.
In the network of pharmacies with preferred cost sharing, Generations Advantage members receive medications in all tiers of the Generations Advantage formulary (or drug list) at lower copays than at pharmacies with standard cost sharing.
View your plan's Part D Pharmacy Deductibles & Cost-Sharing here.
Information and FAQs on the mail-order pharmacy service from CVS Caremark.
Need to order a prescription? To get more information about filling your prescriptions by mail, contact CVS Caremark for mail-order service by calling 1-888-296-6961.
The mail-order request form can be downloaded here:
CVS Caremark
PO Box 94467
Palatine, IL 60094-4467
When you order prescription drugs through CVS Caremark mail-order, you must order at least a one-day supply and no more than a 90-day supply.
Register for the CVS Caremark portal for faster service:
Generally, it takes 10-14 days to process your order and ship it to you, however, sometimes delays occur. You can order up to 3 weeks in advance.
Use Caremark.com to access the portal login for managing your prescriptions.
If your mail-order shipment is delayed and you need your prescription immediately, the mail-order service will work with you to ensure that you receive your prescription. The mail-order prescription service will either expedite your order or have it filled locally.
If your medication must be taken immediately, ask your physician to issue two prescriptions—one for a short supply to be filled at one of our in-network local pharmacies, and a second for an extended supply to be mailed to the mail-order prescription drug service.
Note: After the initial setup, you don't need to fill out the entire form for refills, unless there are changes in your details or new medications to add.
For medication refills, you have the option to sign up for an automatic refill program called ReadyFill at Mail®.
Under this program we will start to process your next refill automatically when our records show you should be close to running out of your drug.
The pharmacy will contact you prior to shipping each refill to make sure you are in need of more medication, and you can cancel scheduled refills if you have enough of your medication or if your medication has changed.
If you choose not to use our auto-refill program, please contact your pharmacy 15 days before you think the drugs you have on hand will run out to make sure your next order is shipped to you in time.
So the pharmacy can reach you to confirm your order before shipping, please make sure to let the pharmacy know the best ways to contact you.
For options regarding automatic refill preferences, please contact CVS Mail Order Customer Care at: 1-888-296-6961.
To opt out of our program that automatically prepares mail order refills, please contact CVS Customer Care at: 1-888-296-6961.
IMPORTANT NOTE: Please note that you must use the mail-order service operated by CVS Caremark. Prescription drugs that you get through any other mail-order service are not covered.
Members receive a quarterly amount to purchase from over 1,000 CVS-brand, over-the-counter products. Each quarter, you can make qualifying purchases in person at participating CVS retail locations, by phone, or online up to your plan's quarterly allowed amount.
Multiple transactions may be made throughout the quarter until the quarterly maximum amount is reached. Purchases may not exceed quarterly amounts. Unused benefit amounts do not carry over to the next quarter. All items must be for the member’s use only.
Eligible items include these CVS-brand items and more:
To explore all available items in PDF format, download the Over-the-Counter Catalog here:
To explore all available items online, view the Martin's Point OTC Benefit dashboard:
The quarterly amount for each Generations Advantage plan is as follows:
The "purchase year" begins in January. You can make multiple purchases throughout each quarter (three-month period) up to your quarterly maximum. Amounts do not roll over into the next quarter. Quarterly benefit periods are distributed as follows:
Members can order CVS over-the-counter products online, by phone, or in person at participating local CVS Pharmacies.
The fastest and easiest way to order 24/7 is to visit: MartinsPoint.org/OrderOTC.
If you have questions about your plan, you can talk to a Member Service Representative by calling 1-866-544-7504.
Our representatives are available from 8am-8pm, Monday to Friday.