Loyola University Chicago

Human Resources

Loyola Prescription (Rx) Plan

FAQs

CVS Caremark will manage your prescription benefits just like your health insurance company manages your medical benefits. Outpatient prescriptions (mail order and specialty) must be filled through CVS Caremark. Retail pharmacy prescriptions can be filled at CVS, Walgreens, Target, Walmart, and many more participating pharmacies.  
Yes. The majority of the current prescription (RX) coverage is staying the same. Those that are affected will receive a letter sent to their homes advising alternative covered prescription. We encourage you to contact your providers and let them know that you are changing prescription managers.
  • NOTE: Effective January 1, 2018, CVS Caremark can provide clients with a 30-day retail supply for contraceptives.
No. You will automatically be enrolled with the prescription drug coverage if you elect either of the medical plans, Loyola Advantage PPO 1 or Loyola Advantage PPO 2 plan.

You will generally pay more for short-term (34 days or fewer) prescriptions that are not filled at a CVS/caremark retail network pharmacy. Fill short-term prescriptions at a network pharmacy.

  1. Ask for generics first. Generic drugs can cost up to 80 percent less than brand-name drugs.

  2. Remember the preferred drug list. If a generic drug isn't available, ask your doctor to prescribe a drug on your plan's preferred drug list, if appropriate. You will pay more for a brand-name medication not on the preferred list.

  3. Order 90-day supplies of long-term medications to save money. Sign up for CVS Caremark Mail Service to enjoy the convenience of having your medication shipped directly to you at no additional cost.

  4. Fill short-term prescriptions at a network pharmacy. You will generally pay more for short-term (34 days or fewer) prescriptions that are not filled at a CVS Caremark retail network pharmacy.

Diabetic OneTouch meters offered through CVS Caremark are compatible with the formulary test strips, and they are available at no charge through the free diabetic meter program. Please see the Diabetic Meter Program flyer for additional information.

Prescription for contraceptives are excluded on the Loyola medical plan. However, there is a program available where by you can obtain certain contraceptive prescriptions at no cost to you, as part of the Affordable Care Act. In order to obtain these you will obtain a separate ID card. You must use this separate contraceptive ID card in order to obtain the prescription at no cost.
  • For a list of covered contraceptives, please refer to the Preventative Care Contraceptive List
  • Contact 1-888-924-8738 to enroll in the Contraceptives Coverage through CVS Caremark and receive your separate ID card. The RX bin # is:  004336 and the Group # is: RX3923

NOTE: Effective January 1, 2018, CVS Caremark can provide clients with a 30-day retail supply for contraceptives.

 

Yes, the coinsurance and prescription deductibles are staying the same for Tier 1 & 2 for the 2018 plan year. New in 2018, Loyola has added a 3rd tier coinsurance structure for Non Preferred Brands and specialty drugs.
  • Retail Non Preferred Brand and specialty drugs are covered at 55% and you will pay 45% to a maximum of $400 per script.
  • Mail order 3rd tier prescriptions are covered at 75% and you will pay 25% to a maximum of $400 per script. Please reference the formulary list as well as the plan
    co-insurance structure.
The formulary drug list is available online: http://info.caremark.com/druglist - (formulary for January for all medications minus the specialty)
Contraception Prescription
For a list of covered contraceptives, please refer to the Preventative Care Contraceptive List.  
CVS Caremark Mail Order Information:
  • Two Easy Ways to Get Started
    • Online – visit caremark.com/mailservice or By Phone - call the number on your CVS Caremark member ID card for live help getting set up. *Be sure to have a prescription bottle in hand, all the information needed to get started is on the label
Why Mail Order? By utilizing the 90-day supplies mail order feature you can find savings on medications you take regularly; such as high blood pressure or diabetes medicine.
 
*NOTE: Effective January 1, 2018, CVS Caremark can provide clients with a 30-day retail supply for contraceptives.