Non-Medicare Prescription Plan - CVS Caremark

Maintenance Medication Program

The Maintenance Medication Program provides prescription cost savings by allowing members to fill 90-day prescriptions at reduced copays. All 90-day prescriptions for non-specialty maintenance medications can be filled at any participating retail pharmacy or through CVS Caremark® Mail Service Pharmacy.

Maintenance medications are generally used to control conditions or diseases that are chronic or last for an extended time, such as diabetes, high blood pressure (hypertension), high cholesterol, and asthma. Medications used to treat short term conditions, such as bronchitis, bacterial infections or pain following minor surgery are not eligible under the program.

What if eligible maintenance medications are not filled for a 90-day supply?

A copay penalty will be applied beginning with the fourth 30-day fill on eligible maintenance medications that are not filled for a 90-day supply. The member must pay the 90-day copay for that medication. Members may have their treating physician write a 30-day prescription and a 90-day prescription, fill the 30-day prescription filled first to ensure its effectiveness; and then have the 90-day prescription filled.

Questions may be directed to CVS Caremark at 1-833-458-0835 or Statewide Benefits Office at 1-800-489-8933.