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We care about your health and want you to be healthy! One of the ways to help manage your health is by using the medication that your doctor prescribes. Click on the navigation sidebar to learn about which drugs and products we cover, updates, drug costs, and authorizations. You can also access the CVS Member Portal.
CareFirst Community Health Plan Maryland (CareFirst CHPMD) members are required to pay $0 for generic medications and $3 for brand/non-formulary medications. Certain Drugs are covered by the Maryland Medicaid program, and co-pays may apply to those drugs.
CareFirst CHPMD wants to make it easier to take your medications every day by offering some easy and NO COST options
90 day prescription fills
Available for most medications taken for chronic conditions and prenatal care. Medications must be generic (unless otherwise noted) and listed on our drug list (formulary). QVAR, Arnuity Ellipta, and generic AirDuo, maintenance inhaler for asthma, have all been added to the 90 day list. Some medications are excluded. Ask your provider if a 90 day fill is right for you! Click here for the 90 day list.
Effective 02/01/2019, members can use mail-order pharmacy for most chronic, non-opioid medications, including medications listed on our 90-day prescription fill list. These medications can be delivered directly to your home as long as you have a working phone number and an updated home address.
Members can contact CVS Caremark at 1-855-566-8397 to enroll in the mail-order benefit or for any for questions about the mail-order benefit.
Multi-dose Pack Service
Available to members taking six (6) or more medications every day, including over the counter (OTC) drugs. This service provides members with a 30-day supply of eligible daily medications that will be filled at a CVS Pharmacy, sorted into convenient packs—labeled by date and time—at no additional fee to members. The Multi-dose Packs can:
- Make it easier to take your medications
- Eliminate the need to sort pills into pillboxes or dispensers
- Reduce the number of trips to the pharmacy
How it works:
- The CVS Pharmacy Multi-dose Team packages a member’s eligible daily medications into packs.
- These packs are custom-filled and labeled according to morning, midday, evening, and bedtime.
- The packs are then stored in an easy-to-use dispenser box and mailed to a member’s home or mailed to a local CVS Pharmacy of member’s choice for pick up.
Enrollment is EASY & there’s NO COST:
- The CVS Pharmacy Multi-dose Team will make all the arrangements with the member’s doctor(s).
- Members can call 1-844-650-1637 to enroll, Monday through Friday 8 a.m. to 6 p.m.
To save time, please have the following available when you call:
- Your list of medications with prescriber information
- The location(s) of where you currently fill your prescriptions
- Your insurance information
“SYNC” Your Medications
Available to members taking multiple medications every day or members who are not interested in the Multi-dose Pack service at CVS Pharmacy. Did you know you can schedule your prescriptions that you take every day to all be refilled together? That means you can pick them all up, once a month, and make less trips to the pharmacy.
How it works:
- Ask your local retail pharmacist if they offer this service and which of your medications can be included. Your pharmacist will work with your doctor(s) to make the arrangements for you. At a CVS Pharmacy, this service is called ScriptSync.
12 Month fill of Prescription Contraceptives
Beginning 07/01/2018, a new law goes into effect that requires Prescription Contraceptives are only to be covered for up to a twelve (12)-month supply at a time.
- The only exception is for medications filled for the first time. Initially, these can only be filled for up to a two (2) months supply.
For your safety, the number of opioid drug(s) to treat your pain will be limited based on recommendations from the U.S. Centers for Disease Control and Prevention (CDC). You may see a reduced quantity of your opioid prescription(s) when you get them filled at a network pharmacy. The quantity you receive will vary based on the opioid drug your provider has prescribed.
Any opioid prescriptions for larger quantities greater than recommended by the CDC will require a prior authorization. There are additional limitations depending on whether you have used an opioid drug previously or whether you are using the opioid drug for short-term or long-term use for pain relief.
- Effective 01/01/2020, HIV medications will no longer be processed by the Maryland Department of Health.
- HIV medications will now be covered under the pharmacy benefit for CareFirst CHPMD.
- CareFirst CHPMD will require a copay of $0 for generic medications and $3 for brand medications.
- A six-month grace period will be implemented to allow a continuation of current treatment regimens (01/01/2020-06/30/2020).
- Formulary restrictions will be implemented on 07/01/2020. Members 21 years of age or younger will not be subject to formulary restrictions in the antiretroviral class.
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