Prescriptions

Have questions about your prescription coverage?

Learn about your benefits, costs, formulary lists and any coverage restrictions by contacting your Pharmacy Benefit Manager (PBM) listed below.

If you prefer talking with a HealthEZ representative, call 1-800-948-3253

Filling prescriptions.

CVS/Caremark is your pharmacy benefit manager (PBM). Please use the member number on your health plan ID card to register. Once you do, you’ll be able to fill prescriptions, find and pharmacy and handle many other prescription related needs.

You’ll also be able to get information about:

  • CVS/Caremark services
  • Drug interactions
  • Patient education about specific drugs

 

To speak to a CVS/Caremark Customer Care Representative, please call 1-800-552-8159 between 7:30am-9:00pm CST.

Prescription Drug Coverage
 
Retail
30 Day Suppy
Mail Order
90 Day Supply
Copay Plan
Generic $15 Copay $30 Copay
Preferred Brand $60 Copay $120 Copay
Non-Preferred Brand $90 Copay $180 Copay
Specialty 30% Coinsurance Not Available
HSA $2,300
Preventive per PBM List No Charge No Charge
Generic 0%* 0%*
Preferred Brand 0%* 0%*
Non-Preferred Brand 0%* 0%*
Specialty 0%* Not Available
NOTE: *After Deductible
HSA $5,500
Preventive per PBM List No charge No charge
Generic 10% Coinsurance* 10% Coinsurance*
Preferred Brand 10% Coinsurance* 10% Coinsurance*
Non-Preferred Brand 10% Coinsurance* 10% Coinsurance*
Specialty 30% Coinsurance* Not Available
NOTE: *After Deductible

Did You Know?

Did you know there are coupon and price comparison sites for prescriptions?

Check out these sites and see if you are paying too much.