All the national medical plan options include prescription drug coverage administered by CVS Caremark, and some HMOs administer their own prescription drug coverage. Depending on your plan, how you fill your prescription and the type of medication you use, you will either pay a copay or a portion of the cost.
| SureSAVER | HealthSAVER | ExclusiveCARE | |
|---|---|---|---|
| Deductible Employee Only Family | Part of medical deductible Part of medical deductible | Part of medical deductible Part of medical deductible | $100 (waived for generics) $300 (waived for generics) |
| Out-of-Pocket Maximum Employee Only Family | Part of medical out-of-pocket maximum Part of medical out-of-pocket maximum | Part of medical out-of-pocket maximum Part of medical out-of-pocket maximum | $1,750 $1,750 per person, up to $5,250 |
| Preventive Care | $0 no deductible | $0 no deductible | Follows plan design for other prescription drugs |
| Generic | 25% after deductible | 15% after deductible | $15 ($40 mail order) |
| Formulary/Brand | 25% after deductible | 15% after deductible | 25% ($25 min retail; $65 min mail order) |
| Non-Formulary | 25% after deductible | 15% after deductible | 40% ($40 min retail; $95 min mail order) |
A 30-day supply of a maintenance medication may be filled up to two times at a retail pharmacy. After the second fill, you’ll have to request a prescription for a 90-day supply from your doctor. You can fill the 90-day supply at your local CVS pharmacy, Target or through the convenience of mail order.
Under the SureSAVER and HealthSAVER plans, the prescription drug out-of-pocket maximum includes your prescription drug copays and coinsurance. Additional charges you pay for filling a prescription with a brand-name drug when a generic equivalent is available (the cost difference) do not count toward the out-of-pocket maximum. If you meet the maximum, you will continue to be responsible for paying the cost difference for any prescription that is filled with a brand-name drug that has a generic equivalent.
Your prescription drug costs count toward your medical deductible and out-of-pocket maximum. Once you meet your deductible, you and Nestlé will share the cost of your prescription drugs. Remember, eligible preventive prescriptions are 100% covered even before you meet your deductible.
Find your medication cost under SureSAVER or HealthSAVER (assuming you’ve met the deductible).
Your prescription drug deductible is separate from your medical deductible. Once you meet your deductible, you will pay either a copay or a portion of the cost.
Find your medication cost under ExclusiveCARE (assuming you’ve met the deductible).
Refill your prescriptions, check the cost of prescription drugs, track an order and view your order history with the CVS Caremark app. Open the App Store or Google Play on your smartphone or tablet and download the app for free today!
