Citi Benefits Handbook
Prescription Drugs
Effective January 1, 2019, CVS Caremark manages the Citigroup Prescription Drug Program (Program) for participants in the ChoicePlan 500 (CP500) and High Deductible Health Plan (HDHP). The Citigroup Prescription Drug Program is a component of the Citigroup Health Benefit Plan.
Prescription drug benefits for HMOs are provided through the HMOs and are not included here. Contact your HMO for information about its prescription drug benefits.
CVS Caremark covers Food and Drug Administration (FDA)-approved (federal legend) medications that require a prescription from your physician. The Program will also cover certain over-the-counter (OTC) products in compliance with the Affordable Care Act. If you have any questions about whether a medication is covered, call CVS Caremark Customer Care at 1 (844) 214-6601.
CVS Caremark offers three ways to purchase prescription drugs:
1. Through a comprehensive national network of nearly 68,000 retail pharmacies nationwide (a variety of chain and independent pharmacies, such as CVS retail stores, including those within a Target retail store), where you can obtain prescription drugs for your immediate short-term needs, such as an antibiotic to treat an infection;
2. Through the CVS Caremark Mail Service or Maintenance Choice® program, where you may save money by having your maintenance and preventive drugs (up to a 90-day supply, plus refills if appropriate) either delivered by mail or picked up at a CVS pharmacy store; and
3. Through the CVS Caremark Specialty Pharmacy, you can fill your first two specialty drug prescriptions at a retail pharmacy or through the CVS Specialty Pharmacy; for the third and future specialty prescription refills, you must use the CVS Specialty Pharmacy.
You will pay a deductible, as shown in "Prescription Drug Benefits at a Glance", for drugs purchased at a retail pharmacy, through Mail Service or Maintenance Choice, or through the CVS Specialty Pharmacy before the Program will pay benefits. You will never pay more than the cost of the drug.