Prescription Program
Change to CVS Caremark
The 1199SEIU Benefit Funds has changed pharmacy benefit managers from Express Scripts to CVS Caremark effective July 1, 2024.
Your 1199SEIU patients have few or no out-of-pocket costs as long as they use the Fund’s prescription programs. Help your patients by prescribing only generic and preferred brand-name drugs on the Fund's Preferred Drug List.
For long-term medications, members must use The 90-Day Rx Solution. Make sure to write the prescription for a three-month supply with three refills (a year’s supply in total). Then your 1199SEIU patient can fill it through CVS Caremark Mail Service Pharmacy, or order and pick up the prescription at any CVS, Rite Aid, Walgreens or Duane Reade Pharmacy nationwide. For short-term prescriptions, members can use any participating pharmacy.
Useful Resources
- CareContinuum Medical Drug Benefit Management Program
- The 90-Day Rx Solution
- Preferred Drug List
- eviCore Medical Oncology Drug List
- CVS Specialty Drug List
- Prescription Claims Reimbursement Form
- Prescription Request for Authorization
- Utilization Management Master Drug List
- Pharmacist Authority to Administer Vaccines by State
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.