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Prescription Drug Program for Medical Mutual PPO Plans
HAVE MEDICAL COVERAGE ELSEWHERE?
You may choose to waive participation in the medical plans offered by the College. If you waive coverage, you will receive $186 annually in medical waive credits, which will be reflected in your bi-weekly paycheck.
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CVS CaremarkTM is the prescription provider for the Medial Mutual Preferred Choice PPO plan. You will receive a separate CVS Caremark ID card when enrolling for the first time. The program provides a retail card for purchasing acute, immediate prescriptions and a mandatory mail-order program for long-term prescriptions. After receiving two maintenance medication fills at a retail pharmacy for a 30-day supply, the next refill will need to be at the 90-day supply, which can be mailed to your home or picked up at CVS® or Target® pharmacies.
The table below outlines your copays for prescription drugs under all three tiers, using in-network retail pharmacies or mail-order fulfillment.
RETAIL (UP TO A 30-DAY SUPPLY) MAIL ORDER (UP TO A 90-DAY SUPPLY)
Tier
Generic
Copay 20% (minimum $5) $15 Formulary brand 20% (minimum $10) $45 Non-formulary brand with formulary alternative 20% (minimum $20) $70
You pay 100% of the CVS Caremark discounted cost for your prescriptions. These out-of-pocket expenses will count toward your annual deductible. Once your deductible is met, you will pay only 10% of the CVS Caremark discounted cost.
