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Prescription Drugs & Vaccinations

Prescription Drugs

The prescription drug portion of the National Medical plans is administered by CVS/Caremark. You will receive a separate CVS/Caremark ID card for your prescription drug coverage. Through CVS/Caremark you can obtain prescription drugs through a national network of participating pharmacies through retail pharmacies or by mail. All Affordable Care preventive Drugs are covered at 10%. To see the coverage specifications for the National Medical plans, read the Pearson Benefits Medical & RX flyer (PDF, 179 MB).

The participating pharmacies in CVS/Caremark’s network flyer (PDF, 85K)lists major chain pharmacies and affiliated groups of independent community pharmacies that accept your prescription benefit ID card.

The CDHP Preventive Drug List (PDF, 280 KB) (separate from the Affordable Care Act preventive drug list) is covered at the applicable coinsurance level – meaning the deductible does not have to be met before the plan begins to pay its applicable portion. Federal regulations employ safe harbor coverage for these qualifying preventive medications, which allow them to be exempt from the deductible with high deductible plans. As a result, This drug list applies to the $1,850 and $3,300 deductible plans only.

If you are enrolled in one of the location-based medical plans, the prescription drug coverage is administered by those medical plans.

For more information on prescription drugs and preventive care, visit HealthCare.gov’s Health Benefits & Coverage page. Information about your medical per-paycheck contributions (which includes prescription drug costs) can be found on the Aptia365 website.

Participating Pharmacies

CVS/Caremark’s pharmacy network contains many national pharmacy chains such as Walgreens, Krogers, Rite Aid, Giant, Costco and more. For a full list of major retail participating pharmacies (PDF, 83.2 KB).

Vaccines

Flu shots and the following non-seasonal vaccines are covered through participating CVS/Caremark pharmacies at no cost:

  • Shingles
  • Pneumonia
  • Preventive care vaccines for children and adults (such as Measles, Tetanus, Diphtheria)