member refers to plan member, an individual eligible for prescription drug benefits under a plan....

“Member” refers to plan member, an individual eligible for prescription drug benefits under a plan. ©2010 Caremark. All rights reserved. This presentation contains confidential and proprietary information of CVS Caremark and cannot be reproduced, distributed or printed without written permission from CVS Caremark.

Anne Arundel County Public Schools

2011 Caremark Prescription Plan Summary

November 2011

©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.

3-Tier Prescription Plan new for AACPS

• A new 3-Tier Co-pay Structure is Effective January 1, 2012

• A 3-Tier plan design means there will be three co-pay levels based upon whether your prescription is a generic drug, preferred brand drug, or non-preferred brand drug

– A Preferred Brand is a drug listed on the CVS Caremark Primary / Preferred Drug List

– A Non-Preferred Brand is a drug not listed on the CVS Caremark Primary / Preferred Drug List

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What is a 3-Tier Rx Plan?

• It is the most common structure in employer prescription plans

• It permits employees to pay less when they take medications that also cost AACPS less

• It is an approach to contain the growth in prescription expense in the future.

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©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.©2010 Caremark. All rights reserved. CVS Caremark proprietary and confidential information. Not for distribution without written permission from CVS Caremark.4

What Are Your Co-pays for 2012?

• Generic medications now cost you less, whether retail or mail order!

• You still have the ability to fill your 90-day supply of maintenance medications at either Caremark Mail Service OR a CVS/pharmacy retail location of your choice. You will pay the same co-pay at CVS/pharmacy as you would at Caremark Mail Service for these maintenance medications.

Tier Medication Type Retail (up to 30-day

supply)

CVS/Caremark Mail Order or CVS/pharmacy (up to

90-day supply)

1 Generic $5.00 $10.00

2 Preferred Brand $15.00 $20.00

3 Non-Preferred Brand $25.00 $40.00


How is the CVS/Caremark Drug Formulary Developed and Managed?

• All FDA approved drugs are reviewed quarterly by the CVS Caremark National Pharmacy and Therapeutics (P&T) Committee.

• The drug review process consists of a review of • scientific evidence,

• standards of practice,

• peer-reviewed medical literature,

• accepted clinical practice guidelines

• Other appropriate information such as pharmacoeconomic studies

• The Committee consists of nationally recognized, practicing physicians, pharmacists and a medical ethicist.

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CVS Caremark National Pharmacy and Therapeutics Committee Membership

• 3 pharmacists, including– 1 academic pharmacist Allergy Hematology/oncology

– 1 hospital pharmacist Cardiology Internal medicine

– 1 geriatric pharmacist Clinical pharmacology Infectious disease

• 1 medical ethicist• 14 physicians, representing

– Allergy - Cardiology

– Endocrinology Pediatrics - Infectious Disease

– Clinical Pharmacology -Family practice

– Pharmacoeconomics -Hematology/oncology

– Gastroenterology Pharmacology -Internal Medicine

– Gerontology Psychiatry-adult and pediatric/adolescent

• The regular voting members on the Committee are not employees of CVS Caremark.

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Formulary Drug Selection

• The drug selection process includes the following considerations:

– Drug safety relative to other drugs with the same indication and therapeutic action

– Drug effectiveness for all FDA-approved indications and relative to other drugs with the same indication and therapeutic action

– Available dosage forms of drug and dosing interval for each available indication

– Potential for participant disruption in comparison to other drugs with the same indications or therapeutic actions

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How You Can Save $$$

• Use Generics– You may be eligible to receive a free first fill for a generic alternative

for a brand medicine you are currently taking. • Yes, you may receive a 90-day supply at no cost!

– Your doctor is best qualified to decide whether a generic alternative is right for you. Obtain a copy of CVS Caremark’s Primary/Preferred Drug List from www.caremark.com and discuss generic alternatives with your physician.

• Remember– If you request a brand-name medicine when a generic alternative medicine

is available, your total out-of-pocket costs for your prescription are higher. You pay the brand co-pay plus the difference in cost between the brand-name medicine and the generic medicine.


How to Save Money (cont’d)

• Preferred Brand Drugs– If a Generic medication is not available, obtain a copy of CVS Caremark’s

Primary/Preferred Drug List from www.caremark.com and discuss Preferred Brand alternatives with your physician.

• Those taking Non-Preferred brand medications will receive a letter identifying Preferred Brand and Generic alternatives. Take this letter to your physician to discuss your options.

• CVS ExtraCare Health Card– Provides a 20% discount at CVS/pharmacy retail locations for CVS brand

over-the-counter products


Caremark.com


What You Can Do on Caremark.com

• View savings options, based on prescription history• Access family claims and savings opportunities• Identify savings for mail service, generics, preferred drugs


CVS Caremark App

• The CVS Caremark App can be used on iPhones, iPads and the iTouch.

• Allows CVS Caremark plan members the ability to log-in and securely manage their prescriptions online:

– Refill a Prescription

– Check Order Status

– View Prescription History

– Initiate a new or renewal prescription

– Check Drug Cost

– Find a Pharmacy

– Access Drug Info


CVS Caremark WAP Site

• Caremark.com is also “WAP” enabled allowing access from any mobile device.

• With a fast, easy-to-use format, mobile users can– Refill Prescriptions– Request a New Prescription (FastStart)– View Prescription History– Check Order Status– Check Drug Cost– Find A Pharmacy


CVS Caremark eMessaging

• Through Caremark.com, Members with Smart Phones can opt-in for:– Text Messages– eMails– Inbound Automated Calls– eNewsletters

• These messages engage the Members and help you Save Money, Save Time and Stay Healthy.

member refers to plan member, an individual eligible for prescription drug benefits under a plan....

Documents

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