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Caremark Prescription Drug Benefits for Plan A and Plan B
Tier Type of Prescription Medication You Pay Your Coinsurance Maximum
Tier 1 Generic drugs 20% coinsurance There is a combined coinsurance maximum of $2,580 per person/year that applies to Tiers 1, 2 and 3.
Tier 2 Preferred brand name drugs 35% coinsurance
Tier 3 Special case medications
(Very high-cost medications used to treat conditions that are generally life threatening)
$75 copay per standard fill or 30-day supply
Tier 4 Non preferred brand name drugs 60% coinsurance n/a
(unless an override has been granted by Caremark)
Tier 5 Lifestyle medications
(Medications used primarily to enhance lifestyle rather than treat an illness or condition)
100% of discounted price n/a