Pharmacy
When you enroll in one of the Publicis medical plans, you automatically receive prescription drug benefits through CVS Caremark. You'll find a recap of prescription benefit information on this page. You can find more information here or by calling CVS Caremark Customer Service at 1-866-212-4752.
Drug Tiers
The cost of your prescription drugs depends on the tier of the medication:
Generic — Same active ingredients as brand-name equivalents, meets the same federal safety standards and costs significantly less.
Brand formulary — Drugs favored by the plan based on drug effectiveness and cost.
Brand non-formulary — Not on the plan's favored list. May still be covered, but may require prior authorization and cost more.
Get Your Medications Delivered by Mail
Order a 90-day supply through CVS Caremark Mail Service Pharmacy, and get your medications delivered right to your home—with no-cost shipping.
Save Money with Generic Medications
Generic medications are generally just as effective as brand-name, and you could save up to 80%. Ask your doctor if generic options are right for you.
Coverage
Retail prescriptions (your cost for a 30-day supply):
Drug Tiers | Medical HSA Plan | Standard PPO Plan and Premier PPO Plan |
|---|---|---|
Generic | You pay 100% of prescription drug expenses until plan deductible is met; you pay 20% coinsurance | You pay 20% after deductible Minimum: $10 Maximum: $50 |
Brand Formulary | You pay 100% of prescription drug expenses until plan deductible is met; you pay 20% coinsurance | You pay 20% after deductible Minimum: $35 Maximum: $100 |
Brand Non-formulary | You pay 100% of prescription drug expenses until plan deductible is met; you pay 20% coinsurance | You pay 20% after deductible Minimum: $55 Maximum: $200 |
Mail order prescriptions (your cost for a 90-day supply):
Drug Tiers | Medical HSA Plan | Standard PPO Plan and Premier PPO Plan |
|---|---|---|
Generic | You pay 100% of prescription drug expenses until plan deductible is met; you pay 20% coinsurance | You pay 20% Minimum: $25 Maximum: $125 |
Brand Formulary | You pay 100% of prescription drug expenses until plan deductible is met; you pay 20% coinsurance | You pay 20% Minimum: $75 Maximum: $250 |
Brand Non-formulary | You pay 100% of prescription drug expenses until plan deductible is met; you pay 20% coinsurance | You pay 20% Minimum: $137.50 Maximum: $500 |
NOTE: CVS Caremark requires prior authorization, quantity limits, and/or specialty guideline management for selected medications, and these requirements may change from time to time. For more information about these medications, contact CVS Caremark.
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Using Your CVS Caremark Benefit
With CVS Caremark, you'll have access to more than 7,800 CVS Pharmacy stores nationwide. You’ll save more at CVS locations (including CVS at Target), but you can fill at any participating non-CVS pharmacy such as Walgreens, Rite Aid, and more.
Register at caremark.com to manage prescriptions. You can also download the CVS Caremark mobile app from the app store. Features include:
Mail service for new prescriptions and refills
Expedited mail orders with Fast Start
Prescription history
Check Drug Costs & Coverage and Pharmacy Locator
Printable member ID cards
Tools to find lowest-price options
Ask-a-Pharmacist and Customer Care
Drug interaction information for medications, vitamins, and foods
Condition-specific health information through Self-Care Centers
Learn more about how to get the most from your prescription plan.
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Mandatory Maintenance Choice Program
A maintenance medication is one taken regularly to treat or manage a chronic condition or for long-term therapy. Through Maintenance Choice, you fill 90-day supply prescriptions of your long-term maintenance medications at lower copays at a CVS retail pharmacy location (including Target) or through CVS Mail Service Pharmacy—and can realize significant savings over time.
Note: 90-day supplies of maintenance medications cannot be filled at non-CVS network pharmacies.
Grace fills: The plan allows for two (2) 30- or 34-day grace fills per medication at any network pharmacy, including CVS and non-CVS locations such as Walgreens, Rite Aid, and Duane Reade. The two grace fills do not have to be consecutive, and if you take more than one medication, the two-fill limit applies to each one separately. After the second grace fill, you must switch to a 90-day supply at either a CVS Pharmacy or through CVS Mail Service Pharmacy. If you attempt after exhausting your grace fills without a new 90-day-supply prescription, the plan will deny the claim and you will be responsible for the full cost.
Dispense as written charges: If you request brand medication when a generic equivalent is available, you will pay the applicable copay, plus the cost difference.
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$0 Copay to Specialty Medications
At Publicis Groupe, we know specialty medications can be costly. That's why we are collaborating with CVS Caremark and PrudentRx to make sure you pay $0 out-of-pocket for any medications on your Specialty Drug List when you fill at CVS Specialty.
Specialty medications treat complex, chronic conditions, such as hepatitis, hemophilia, and cancer. CVS Caremark’s specialty program includes express delivery, follow-up care calls, expert counseling and superior service.
Specialty drug prescriptions can be filled at CVS retail pharmacies. And CVS Pharmacies with a MinuteClinic can also provide education about your specialty medication.
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CVS MinuteClinic
If you are enrolled in a Publicis medical plan, you’ll receive a discount on standard fees when you present your CVS ID card at one of more than 1,000 MinuteClinic Centers nationwide. These walk-in medical clinics are staffed by nurse practitioners and physician assistants specializing in family care for members 18 months and older.
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Step Therapy Program
Step Therapy program helps ensure that you receive appropriate, safe, and cost-effective drug therapy. Step Therapy encourages the use of therapies that should be tried first, before other treatments are covered, based on clinical practice guidelines and cost-effectiveness. If your doctor prescribes a brand-name drug for an ongoing condition, you first need to try a medically equivalent but lower-cost alternative. You'll receive a list of the alternative drugs available before Step Therapy takes effect. You or your pharmacist can contact your doctor to approve the change. If your doctor does not authorize the switch to the preferred drug, the request will be reviewed clinically and you will be informed of the outcome.
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Diabetes Management Program (Featuring Transform Diabetes Care®)
We're making your and your family members' Transform Diabetes Care® experience even better, helping you meet your personal goals so you can live your best life. Transform Diabetes Care® expands beyond blood glucose testing so that, based on your needs, you may receive help managing and staying on track with your medications, reminders about important health screenings and tests, and guidance on healthy nutrition and lifestyle habits.
The Transform Diabetes Care® program provides the following at no cost:
A digital meter, which automatically sends your blood glucose readings straight to your online account—no log books or sync cables needed. It also provides real-time health tips based on your current reading.
Phone support from certified diabetes educators if your level is out of range or you need assistance.
Unlimited test strips and lancets delivered right to your door.
Receive timely notices about medication refills.
Message with a health coach and personalized support from a Certified Diabetes Care Nurse.
Two available vouchers for comprehensive diabetes visits at MinuteClinic locations at no out-of-pocket cost, including A1C checks. MinuteClinic can be reached at 1-866-389-2727.
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Preventive Drug List (Medical HSA Plan)
If you are enrolled in the Medical HSA Plan, you will pay only the copay and coinsurance for drugs on the CVS Caremark Preventive Drug list–even before you meet your annual deductible. The list includes select prescriptions that help prevent chronic health conditions when taken regularly.
NOTE: You may be required to use mail-order services for any maintenance medications you take to prevent chronic conditions.
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Standard and Advanced Control Formularies
The Standard and Advanced Control Specialty Formularies are in place to ensure access to clinically appropriate and cost-effective drug therapies. CVS Caremark reviews the formularies on an ongoing basis, adding drugs with better clinical efficacy or more convenient dosage and removing products that have more side effects or higher costs relative to available alternatives. If a medication you are taking is affected by a formulary change, CVS Caremark will contact you.
Find drugs on the formulary and see your prescription costs — CVS Caremark
Contacts:
CVS Caremark
Transform Diabetes Care® MinuteClinic
CVS Mail Service Pharmacy
https://www.caremark.com/mailservice
Documents & Resources: