Currently viewing Prescription Drug Coverage in Prescription

Prescription Drugs

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.

Health Icon

COMPARE THE PLANS

 SureSAVERHealthSAVERExclusiveCARE
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 deductibleFollows plan design for other prescription drugs
Generic25% after deductible15% after deductible$15 ($40 mail order)
Formulary/Brand25% after deductible15% after deductible25% ($25 min retail; $65 min mail order)
Non-Formulary 25% after deductible15% after deductible40% ($40 min retail; $95 min mail order)

A Note About Prescription Refills

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.

A Note About the Prescription Drug Out-of-Pocket Maximum

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.

PRESCRIPTION DRUG COVERAGE WITH THE SURESAVER OR HEALTHSAVERTHE PLAN

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).

Media Icon

What's covered?

Review the complete list of covered preventive prescription drugs.

Coverage with the ExclusiveCARE Plan

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).

Media Icon

Get the Rx App

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!