![]() You'll also be able to see and compare any other options. To find out if your plan covers your medication, use the check drug costs in coverage tool. These helpful tools are waiting for you at Caremark dot com whenever you need them. Let's take a minute to explore your new prescription plan and the digital tools you can use to find out if your medication is covered, what it will cost and where to fill. The one thing we have in common is we're all part of the CVS Health family, and we all work together to help you on your path to better health. You've probably heard of CVS Pharmacy, MinuteClinic or CVS Health Hub. That means we make sure you have access to affordable medication when and where you need it. Hi, we're CVS Caremark and we manage your prescription plan. Prescription coverage & prior authorizations However, if you wish to continue with a medication that is no longer on your plans covered drug list, you will need to pay the full cost. Remember, you should always consult with your doctor about which medication is right for your condition. If no covered option is medically appropriate for you, your doctor may be able to request prior authorization. There may be some instances where the drug you have been prescribed is not on your plans formulary and therefore not covered by your insurance. Once the updates to your covered drug list take effect, you can use our check drug cost tool to see how the cost of your medication may have changed. These are clinically appropriate for the condition and cost effective. There are often several listed medications, both brand name and generic, available to treat the same condition. If you're affected by a formulary change, we'll let you know in advance so you'll have time to discuss your options with your doctor and get a new prescription if you need one. Throughout the year, you're covered, drug list is reviewed and sometimes changes are made. You may have been notified recently about a change in the medication covered under your plan. It's important to review this list with your doctor so they can try to prescribe an effective medication that's also covered by your plan. This list is known as your covered drug list or drug formulary. Your prescription plan provides a list of covered medications used to treat most health conditions. Food & Drug Administration website.Helping you access the medications you need at the lowest possible cost is our priority to help keep costs low. ![]() To find out if a drug you take is being recalled, please check the listings on the U.S. Sometimes, the federal government issues drug recalls. Quantity limits are based on the drug makers’ recommended dosing frequencies. Some drugs have limits on how much can be given to a member at one time. Certain drugs are covered only if step therapy is used. Sometimes, a member must try a medicine on the PDL before a drug that is not on the PDL would be approved by CareSource. ![]() ![]() If a brand-name product is requested when a generic equivalent is available, a prior authorization request will need to be submitted from your provider. Members and health care providers can expect the generic to produce the same effect and have the same safety profile as the brand-name drug. A pharmacy will provide a generic drug if available in place of a brand-name drug. ![]()
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