CVS/CareMark Formulary Tier Level Changes

Each quarter CVS conducts a clinical review of its covered drug list in conjunction with FDA guidelines. The purpose of the quarterly review is to ensure current covered drugs have continued to maintain their effectiveness and to identify newly eligible alternative drug options.

Effective October 1, 2015, an updated CVS Caremark covered drug list has been posted to the USG pharmacy benefits webpage as a resource (http://www.usg.edu/hr/benefits/pharmacy).

For example, if the member is taking a prescription drug that will be moving from preferred brand drug to non-preferred brand drug, there may be a difference it the copay amount to fill that prescription drug. The prescription drugs copay amounts can be found in the 2015 USG Comparison guide, which is available on the USG Benefits website (http://www.usg.edu/hr/benefits).

USG members who may be impacted by the updated drug list will be notified directly by CVS Caremark and provided with additional instructions on next steps. A copy of the communication they will receive is also attached.

CVS Formulary Change Notification Ltr

October 2015 CVS Prescription Drug Tier Change – USG Impact