Page 29 - 2021 Team Member Benefit Guide - English

Enrollment in the pharmacy benefit plan occurs automatically when
you enroll in one of the Company medical plans. You will receive a
Caremark ID card to use when filling prescriptions.

Comparison of 90-Day Supply Choices
Advantages of Caremark Mail Order Advantages of CVS Drug Store
Pick up your medications directly from the CVS
Convenient home delivery store when it is convenient for you

Confidential, tamper-resistant packaging Same-day prescription availability

Talk to a pharmacist by phone Talk face to face with a pharmacist

Provisions That Apply ONLY to the Provisions that Apply Only to the
Consumer Plan (HDHP) Standard PPO Plan
The Consumer Plan combines the deductible Annual Deductible under the Standard PPO
for both medical and prescription drug Plan
expenses. When you enroll in the Consumer You will pay the first $100 of the discounted cost
Plan, CVS Caremark will administer your for prescription drugs for each member of your
prescription drug coverage. Non-preventive family (limited to $200 for employee plus one
prescription drug expenses will apply toward dependent, and limited to $300 for Employee
your medical plan deductible and out-of- plus two or more dependents). The annual
pocket maximum deductible applies to non-maintenance generic
and brand-name drugs.
The Consumer Plan offers the same Preferred
Drug List or Formulary as the Standard Plan. Tiered Copays
When you fill a non-preventative prescription, Covered prescriptions have tiered copays.
you will pay the full discounted cost of the These tiers are broken out for:
medication until you have met your deductible.
Once you meet the deductible, you will pay 20 • Generic Drugs
percent of the medication through coinsurance • Brand Name Formulary (preferred brand
and the plan will pay 80 percent, until you have names)
met your out-of-pocket maximum. • Brand Name Non-Formulary (non-preferred
brand names)
Preventive Therapy Drug List • Specialty Prescriptions
Under the Consumer Plan, IRS regulations
require that medications must be subject to
the deductible with the exception of specific
preventive medications. As a result, if you are
enrolled in the Consumer Plan and taking a
medication that is on the Preventive Therapy
Drug List, you will only pay 20 percent of the
discounted cost of the drug; the deductible
will NOT apply for these medications. CVS
Caremark periodically updates the Preventive
Therapy Drug List and is available on the
Company intranet.

Note: A 90-day supply of FREE generic
maintenance medications is NOT available on
the Consumer Plan, except as required by law,
such as women’s contraceptives.
Breanne Fetters, Sales Support Rep
28
Bend, OR 28