Prescription Benefit for GNY–New Jersey Members
Change to CVS Caremark
CVS Caremark has replaced Express Scripts as our Pharmacy Benefit Manager. Login or create an account on the 1199SEIU CVS Caremark member portal at Caremark.com.
Members and their eligible family members receive prescription coverage with a $10 co-pay for generic drugs and $15 co-pay for preferred brand name drugs at the Fund’s participating pharmacies.
Prescriptions for chronic conditions must be filled through The 90-Day Rx Solution.
Prior approval required for certain medications.
For more information, call (646) 473-9200.
Who Is Eligible?
Eligibility Class I, II and III members receive all the benefits listed below; a weekly $15 premium is required for spousal coverage, and a weekly $10 premium is required for eligible children coverage, no matter the number of children you cover.
Call (646) 473-9200 for questions about your benefits.
Additional Resources:
- Summary Plan Description (SPD)
- Overview
- Prescription Drug Reimbursement Form (Direct Claim Form)
- Summary of Benefits and Coverage (SBC)
- Pharmacist Authority to Administer Vaccines by State New
Reimbursement for Drugs Purchased on or Before June 30, 2024
Use the Express Scripts Direct Claim Reimbursement Form for drugs purchased on or before June 30, 2024. For purchases on or after July 1, 2024, use the related CVS Caremark form above.