Pharmacy and Prescription Resources 2022
2022 Formulary (List of Covered Drugs)
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.
Our Preferred Pharmacies
Martin's Point Generations Advantage is happy to offer a network of pharmacies with preferred cost sharing. These include:
- Hannaford Pharmacies
- CVS Pharmacies
We also have a network of local pharmacies with preferred cost sharing. These include:
Maine
- Community Pharmacies
- Herbert Rexall Pharmacy, Van Buren
- Miller Drug, State Street, Riverside, and Westgate, Bangor, Brewer
- St. John Valley Pharmacy, Fort Kent
- Unity Pharmacy
- Western Maine Pharmacy, Kingfield
- Wilson’s Drug Store, Bath
New Hampshire
- The Medicine Store, Concord
- Roberts Scarlett Pharmacy, New London
Generations Advantage members receive most medications at lower copays than at pharmacies with standard cost sharing. For full details, visit our Pharmacy and Out-of-Network Coverage Page.
CVS Over-the-Counter (OTC) Products
Download the OTC catalog (PDF)
Search and buy products online
Search OTC Benefit Pharmacy Locations Online
Members receive a quarterly amount to purchase from over 350 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.
Additional Prescription Information
Coverage Determination and Exceptions Process
Coverage Limits and Extra Help
Medicare Part D Prescription Drug Coverage