2021 Formulary (List of Covered Drugs)
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Generations Advantage Prime (HMO POS), Select (LPPO), Focus DC (HMO SNP), Value Plus (HMO) and Flex (RPPO) plans have Part D Prescription Drug coverage built right into the plan. Your prescription coverage is included in your premium. Below you will find links to the formulary (list of covered drugs) for each plan.
- Prime Plan
- For Prime, there are no deductibles to meet. With your very first prescription, you only pay a small copayment or coinsurance. The copayment/coinsurance is determined by what type of drug you are receiving as well as which pharmacy you use.
- Flex Plan
- Flex has a $275 deductible for Tiers 3, 4, and 5 medications. There is no deductible for Tiers 1 and 2 medications; you only pay a small copayment or coinsurance. The copayment/coinsurance is determined by what type of drug you are receiving as well as which pharmacy you use. For Tiers 3, 4 and 5, you pay the full cost of the drug until you reach your deductible.
- Select Plan
- For Select, there are no deductibles to meet. With your very first prescription, you only pay a small copayment or coinsurance. The copayment/coinsurance is determined by what type of drug you are receiving as well as which pharmacy you use.
- Value Plus Plan
- Value Plus has a $275 deductible for Tiers 3, 4 and 5 medications. There is no deductible for Tiers 1 and 2 medications; you only pay a small copayment or coinsurance. The copayment/coinsurance is determined by what type of drug you are receiving as well as which pharmacy you use. For Tiers 3, 4 and 5, you pay the full cost of the drug until you reach your deductible.
- Focus DC Plan
- For Focus DC, there are no deductibles to meet. With your very first prescription, you only pay a small copayment or coinsurance. The copayment/coinsurance is determined by what type of drug you are receiving as well as which pharmacy you use.
CVS Over-the-Counter (OTC) Products
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Search OTC Benefit Pharmacy Locations Online
Members receive a quarterly amount to purchase from over 300 CVS brand, over-the-counter products, including:
- Smoking cessation: Nicotine replacement patches
- Oral health: Toothpaste, toothbrushes, floss
- Pain relief: Ibuprofen, acetaminophen
- Allergy: Allergy relief tablets
- Cold remedies: Cough drops, daytime/nighttime cold medicine
- Digestive health: Heartburn relief tablets, daily fiber
- First aid: Bandages
- Incontinence: Bladder control products
The benefit refreshes quarterly. You can make multiple transactions per quarter up to the quarterly maximum. Remaining balances do not carry over to the next quarter.
Download the OTC catalog (PDF)
Over-the-Counter CVS Pharmacy Locations (PDF)
Additional Prescription Information
Coverage Determination and Exceptions Process
Coverage Limits and Extra Help
Medicare Part D Prescription Drug Coverage
Medication Therapy Management
Medication Transition Process
Pharmacies and Out-of-Network Coverage
Prescription Utilization Management