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Pharmacy Benefits

For CVS Caremark customer service, call 1-877-522-TNRX (8679).

Pharmacy Benefits Manager

CVS Caremark is the pharmacy benefits manager for all plan members, regardless of which healthcare option you are in. CVS Caremark will mail a welcome packet to all new members with prescription cards for yourself and one for each covered dependent. You need to carry this card in addition to your current medical ID card.

A Summary of Your Prescription Drug Benefits

The State’s prescription drug plans require a co-pay or co-insurance. How much you pay depends on how the prescription is filled.

You’ll pay the lowest amount for a generic (Tier One) drug. A generic medicine is FDA approved and equal to the brand name product in safety, effectiveness, quality and performance.

You’ll pay a higher amount for a preferred brand (Tier Two) drug. Preferred brands are included on the drug list.

You’ll pay the highest amount for a non-preferred brand (Tier Three) drug. These belong to the most expensive group of drugs. These drugs are not included on the drug list.

Finding a CVS Caremark Network Pharmacy

More than 1,600 independent and chain pharmacies in Tennessee are available through the pharmacy benefits manager. All offer 30-day prescriptions. If you take a maintenance medication, some of the “mail at retail” pharmacies also fill 90-day prescriptions; mail service is also available.

You can find a 30-day or 90-day network pharmacy through the Caremark website at www.caremark.com. You will need to register to search for a pharmacy. Click the link to “Register Now.” You will need to enter your participant ID, found on the front of your prescription card.

You can also call CVS Caremark customer service at 1-877-522-TNRX (8679) to find a network pharmacy near you.

Flu and Pneumococcal Vaccine Coverage

View the 2011-2012 flu and pneumococcal vaccine coverage information sheet on how to access this free benefit.

Tobacco Quit Aids

The state's prescription drug coverage provides free tobacco quit aids to members who want to stop using tobacco products.

The following quit aids are FREE under the pharmacy benefit:

Members may receive up to two, 12-week courses of treatment per calendar year (up to 168 days of treatment) with no lifetime maximum.

For members to obtain over-the-counter products at no cost, a prescription from their doctor is required.

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