Prescription Coverage

CVS Caremark

Over-The-Counter COVID-19 Test Coverage

On January 10, the Biden Administration finalized guidance for commercial insurance coverage of over-the-counter (OTC) COVID-19 tests without a prescription at a $0 member cost share, effective January 15, 2022. As of January 15, OTC COVID-19 tests will be covered in the following ways:

  • Direct Member Reimbursement: If you paid out-of-pocket for an OTC COVID-19 test on or after January 15, 2022, you can upload a copy of your receipt via www.caremark.com to submit for reimbursement. A paper claim form can also be submitted to CVS Caremark. You will be reimbursed the lesser of the full retail price of the test or $12 per test.
  • Direct Coverage: The cost of the OTC COVID-19 test will be covered at the pharmacy point-of-service. When purchasing the tests at the pharmacy, present your medical ID card which has the CVS Caremark information on the back. The claims process will be instant and you will have no upfront out-of-pocket costs.

*Reimbursements are limited to $12 per test.There is a quantity limit of 8 tests per 30 days.

Caremark is the prescription provider for the Standard PPO and High Deductible Health Plan PPO plans. Locate participating retail pharmacies near you, see what you will pay for a specific drug, learn how to have your prescriptions delivered to your home, check your benefit coverage, and verify coverage for eligible dependents. 

CVS/Caremark Customer Service: (888) 549-5789

Group ID: GVSUN
Rx Bin: 610029
Rx PCN: CRK

OR

Group ID: RX7352
Rx Bin: 004336
Rx PCN: ADV

Retiree Cash Card: Group #1834  

CVS Caremark

Resources

Caremark Formulary Drug List April 2022

This guide lists preferred drugs within select specialty therapeutic classes to help identify products that are clinically appropriate and cost effective.

Performance Drug List April 2022

This guide lists preferred drugs within select non-specialty therapeutic categories to help identify products that are clinically appropriate and cost effective.

Prescription pricing tools

Shop for high quality, low cost prescriptions. You can compare drug prices, use coupons, and find free or discounted generic drugs.

CVS

The CVS Caremark Mobile App

Download to help manage your medication.


New Pharmacy Copayment for High Deductible PPO Plan

In 2018 GVSU introduced a pharmacy copayment on each prescription that you fill after you have met your annual deductible of $2,000 for single coverage or $4,000 for dual/family coverage. The copayment per prescription will be as follows

  • Generic - $4.00
  • Preferred Brand Name - $20.00
  • Non-Preferred Brand Name - $40.00

The pharmacy copayment has an annual limit, so the most you could pay for the year, after you have met your deductible, is $250 for single and $500 for dual/family



Page last modified April 18, 2022