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Effective July 1, 2022, UNM transitioned prescription drug benefits from Express Scripts to CVS Caremark®. All active benefits eligible employees, pre-65 retirees, and their dependents who are enrolled in a UNM medical plan are automatically enrolled in UNM’s prescription drug plan provided by CVS.
Our prescription drug plan ensures you have access to high-quality, cost-effective mediations through a network of retail pharmacies and by offering convenient home delivery of those medications you take on a regular basis.
See the Formulary document below for a list of the most commonly prescribed drugs, or contact CVS Caremark® Member Services to obtain specific copay and coinsurance information for covered medications. The CVS Caremark® website also allows participants to enter a specific drug and related regimen information to receive cost information, including mail order prices.
Prescription Drug ID Cards will be created for and mailed to the primary member by CVS Caremark®. All plan participants must use the card with the primary member’s name since dependents do not receive their own cards.
Provide your ID card to your pharmacist when ordering or picking up prescriptions.
No, you can go to any of the 68,000 pharmacies nationally that are in-network, including Walgreens, Smiths, and UNM Pharmacies. Use the CVS Caremark® Pharmacy Locator to check for your pharmacy, or call the dedicated UNM customer service line at 877.745.4394 to speak with a CVS Caremark® Customer Care Representative.
There were no changes to UNM’s current prescription drug benefits, such as copays or coinsurance, with the transition to CVS. However, the CVS Caremark® formulary may differ slightly from the previous Express Scripts formulary, which means your medication could be at a different tier on CVS Caremark’s formulary. An online cost calculator is available for you to check the formulary status and cost of your prescriptions.
The CVS Caremark® Customer Care dedicated toll-free customer service number for UNM is 877.745.4394. CVS Caremark® Customer Care is accessible 24 hours a day, 365 days a year.
UNM’s plan uses the CVS Caremark® Standard Formulary with Advanced Control Specialty. CVS Caremark updates the Standard Formulary quarterly. An online cost calculator tool is available to provide you with real-time cost estimates at different pharmacies by zip code.
Yes. Prior to July 1, CVS Caremark will have sent you a notification letter if your medication covered by Express Scripts will be a higher tier or excluded from the Standard Formulary. The notification will include alternative medications that are on a lower tier on the formulary to help you save money.
After July 1, CVS Caremark will mail a notification letter to you if your drug changes tier status and results in a higher co-pay/coinsurance cost to you at any point during the plan year.
Existing prior authorizations with Express Scripts were transferred, effective July 1. Beginning July 1, you may have your physician contact CVS Caremark and request a medical review or prior authorization for your new prescriptions. Your physician can contact CVS Caremark via phone at 800-294-5979 or find additional information under the prior authorization section of www.caremark.com.
No immediate action is needed. Your current prescription will transfer directly to the CVS Specialty Pharmacy as of 7/1/2022 for fulfillment. You should have received a notification letter from CVS Caremark® with contact information and next steps prior to 7/1/2022. CVS Specialty can be reached at 800-237-2767 or online at https://www.cvsspecialty.com.
Yes, you are required to utilize the CVS Specialty Pharmacy for all applicable specialty medications. Your prescriptions can be sent directly to you or you can elect to arrange pickup through a retail CVS location near you. There are exceptions for individuals who may be taking a specialty medication that is only available at certain pharmacies.
See HR Contact List for direct links to your designated Sr HR Technician