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Prescription

All of American’s medical options come with prescription benefits administered by CVS Caremark. Find an in-network pharmacy, set up mail order, and find out how to save money on your prescriptions at caremark.com.

Filling prescriptions

Short-term Medications

You can fill short-term prescriptions at any pharmacy in the CVS Caremark network, which includes not only CVS pharmacies but also Walgreens, Wal-Mart and many others. You can find your nearest in-network pharmacies caremark.com.

Long-term Medications

If you need to fill a long-term prescription (90-day supply), you can typically get these filled for a lower cost through CVS’s Maintenance Choice program at a designated pharmacy or through mail order. You can fill your 90-day prescriptions through CVS Caremark at caremark.com or at one of these locations:

  • Any CVS (freestanding or located in Target).
  • Safeway-owned pharmacies — including any at Safeway-owned chains, such as Tom Thumb, Randalls and Vons.
  • Baylor Scott & White Health pharmacies (in DFW).

4 easy ways to save

  1. Choose generics. You generally pay less for generic prescriptions than for brand-name prescriptions. Talk with your doctor about whether there’s a lower-cost option available for your medication
  2. Use in-network retail pharmacies. You’ll pay less for prescriptions when you fill them at pharmacies in the CVS Caremark network, which includes both CVS pharmacies and other retailers such as Walgreens, Wal-Mart and many more. Visit caremark.com to find in-network pharmacies near you.Contact your Accolade health assistant through the member portal or by calling 833-FIND-WAY (833-346-3929) if you are in Core, Standard, Plus, High Cost Coverage, PPO 80 or PPO 90.
  3. Use the CVS Maintenance Choice program.  You can fill your maintenance medications (up to a 90-day supply) at a designated pharmacy or through mail order.  See Long-Term Medications for details.
  4. Enroll in StayWell Rx. StayWell Rx is a program that fills 90-day supplies of eligible generic prescriptions for free and eligible brand-name prescriptions for only $30. You can save on eligible diabetes, high blood pressure and asthma medications, as well as test strips and inhalers. To enroll:
    • Contact your Accolade health assistant through the member portal or by calling 833-FIND-WAY (833-346-3929) if you are enrolled in Core, Standard, Plus, High Cost Coverage, PPO 80 or PPO 90.
    • Call the DFW ConnectedCare Center at 800-784-5473 if you are in the DFW ConnectedCare plan.

View costs

Your prescription coverage is dependent on your medical option. Select yours below to view your in-network costs. You can find all the details regarding your prescription benefits on the Plan Guides page.

Keep in mind

  • Medications are not subject to the deductible in the Standard, Plus and High Cost Coverage options.
  • Only preventive medications are not subject to the deductible for the Core option.
  • Copays for the PPO 80 and PPO 90 medical options do not count toward your deductible.
  • Copays for the DFW ConnectedCare count toward the out-of-pocket maximum.
DFW ConnectedCare
Retail Pharmacy (up to 30-day supply)CVS Maintenance Choice or Mail Order (up to 90-day supply)
Generic $20 $40
Preferred brand $50 $100
Non-preferred brand$100 $200
Core
Retail Pharmacy (up to 30-day supply)CVS Maintenance Choice or Mail Order (up to 90-day supply)
Generic20% coinsurance (after deductible)20% coinsurance (after deductible)
Preferred20% coinsurance (after deductible)20% coinsurance (after deductible)
Non-preferred20% coinsurance (after deductible)20% coinsurance (after deductible)

Coverage for out-of-network prescriptions is 40% coinsurance (after deductible)

Keep in Mind

Preventive medication is not subject to your deductible.

If you select a brand when a generic medication is available, you pay the generic coinsurance plus the price difference between the generic and the brand price.

 

Standard
Retail Pharmacy (up to 30-day supply)CVS Maintenance Choice or Mail Order (up to 90-day supply)
Generic20% coinsurance ($10 min/$40 max)20% coinsurance ($5 min/$80 max)
Preferred30% coinsurance ($30 min/$100 max)30% coinsurance ($60 min/$200 max)
Non-preferred50% coinsurance ($45 min/$150 max)50% coinsurance ($90 min/$300 max)

Keep in Mind

If you select a brand when a generic medication is available, you pay the generic coinsurance plus the price difference between the generic and the brand price.

Plus
Retail Pharmacy (up to 30-day supply)CVS Maintenance Choice or Mail Order (up to 90-day supply)
Generic20% coinsurance ($10 min/$40 max)20% coinsurance ($5 min/$80 max)
Preferred30% coinsurance ($30 min/$100 max)30% coinsurance ($60 min/$200 max)
Non-preferred50% coinsurance ($45 min/$150 max)50% coinsurance ($90 min/$300 max)
High Cost Coverage
Retail Pharmacy (up to 30-day supply)CVS Maintenance Choice or Mail Order (up to 90-day supply)
Generic20% coinsurance ($10 min/$40 max)20% coinsurance ($5 min/$80 max)
Preferred30% coinsurance ($20 min/$75 max)30% coinsurance ($40 min/$150 max)
Non-preferred50% coinsurance ($35 min/$90 max)50% coinsurance ($70 min/$180 max)
PPO 80 and PPO 90
Retail Pharmacy (up to 30-day supply)CVS Maintenance Choice or Mail Order (up to 90-day supply)
Generic$15$30
Preferred$30$60
Non-preferred$50$100

Keep in Mind

Preventive medication is not subject to your deductible.

Copays do not count toward your deductible.

Some generic drugs are available through mail order for a $10 copay for up to a 90-day supply.

 

Information on out-of-network Prescription coverage can be found in the Summary Plan Descriptions on the Plan Guides page.

Connect with CVS Caremark

Compare medication costs, manage your individual prescriptions, activate reminders and alerts, and much more at caremark.com.

Download the Mobile App

If you have any questions, call your CVS Customer Care team at 844-758-0767.

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