Prescription Benefits
Plan Choices
Your benefits plan includes a shared out-of-pocket max between your health and prescription plans. That means all your prescription medications will now count towards your medical plan’s annual out-of-pocket max.
Please refer to the plan details and documents below for more information on what is covered with your chosen medical plan.
Option 1
Essential PPO Plan
Plan Details
GENERIC (retail/mail)
$15 / $30 Copay
Brand Pref (Retail / Mail)
30% ($150 / $3000 Max)
Brand Non (Retail / Mail)
40% ($200 / $400 Max)
Specialty
30%, No Deductible
Option 2
Protect PPO Plan
Plan Details
GENERIC (retail/mail)
$15 / $30 Copay
Brand Pref (Retail / Mail)
20% ($150 / $300 Max)
Brand Non (Retail / Mail)
30% ($200/ $400 Max)
Specialty
20%, No Deductible
Option 3
Advantage HSA Plan
Plan Details
GENERIC (retail/mail)
15% After Deductible
Brand Pref (Retail / Mail)
15% After Deductible
Brand Non (Retail / Mail)
15% After Deductible
Specialty
15% After Deductible
Your Cost of Care
Prescription drug coverage is included in your medical plan premiums.
Apps
CVS Caremark
The CVS/caremark™ app lets you refill mail service prescriptions, track order status, view prescription history and more. You must have CVS/caremark prescription benefits to use the app: If you’re not sure, check your health insurance plan information to confirm.
Learn More
Documents
07-2026 CVS Caremark Advanced Control Specialty Formulary Drug List
07-2026 CVS Caremark Performance Drug List
A guide to the covered drugs in your prescription plan.
2026 BCBSTN Medical Summary Plan Description (SPD)
2026 BCBSTN Medical Summary Plan Description (SPD) – San Francisco
2027 Medicare Part D Creditable Coverage Notice (US)
Aviso de cobertura acreditable de Medicare Parte D 2027 (español)
CVS Caremark No-Cost Preventive Services List
Genesco LGBTQ Benefits Guide
