Beginning July 1, 2022, UNM will be changing from Express Scripts to CVS Caremark for Prescription Drug Plan services, resulting from a competitive procurement process. This means that CVS Caremark will start managing the prescription drug benefits for employees and their dependents enrolled in UNM medical plan benefits through UNM LoboHealth (administered by BCBSNM) or Presbyterian Health Plan.
Benefits & Employee Wellness is working with CVS Caremark to finalize additional information and online resources, which will be available by April 20, the first day of Open Enrollment.
While we continue finalizing these details, see a few initial Frequently Asked Questions below to prepare you for this transition.
- Will I be required to use only CVS Caremark pharmacies?
No, you can go to any of the 68,000 pharmacies nationally that are in-network. Links to the CVS Caremark national network will be available on the HR web site on April 20. CVS Caremark will also provide a dedicated UNM customer service line by 8:00 am on April 20 so you can speak with a CVS Caremark Customer Care Representative.
- How will the change to CVS Caremark affect my prescription benefits?
UNM’s current prescription drug benefits, such as copays or coinsurance, are not changing. However, the CVS Caremark formulary may differ slightly from the current Express Scripts formulary, which means your medication could be at a different tier on CVS Caremark’s formulary. An online cost calculator will be available by UNM’s open enrollment period for you to check the formulary status and cost of your prescriptions.
- When will I be able to contact CVS Caremark customer service?
CVS Caremark is setting up a dedicated UNM toll-free customer service number that will be available beginning at 8:00 am on April 20. Once live, CVS Caremark Customer Care will be accessible 24 hours a day, 365 days a year.
- Where can I access the CVS Caremark formulary?
UNM’s plan will use the CVS Caremark Standard Formulary with Advanced Control Specialty. CVS Caremark updates the Standard Formulary quarterly.
Benefits & Employee Wellness will continue to provide details about the transition during Open Enrollment and ongoing through the July 1 effective date.
Please carefully review any communications you receive from Benefits & Employee Wellness and/or CVS Caremark to ensure a seamless transition for you and your family.
