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All health plan options have prescription drug coverage. CVS/Caremark manages the prescription benefits for KEHP, but you do not have to use a CVS pharmacy. Go to any in-network pharmacy that you choose and get a 30-day or 90-day supply of drugs! If you prefer to have your prescriptions delivered to your door, use the CVS/Caremark retail mail order program
Your drug coverage is limited to drugs on the Value Formulary.
You can view the Value Formulary Quick Reference List here. You can view the 2025 Value Formulary here.
Some drugs are subject to prior authorization. An appeals process is available for drugs not covered under the Value Formulary or for drugs prescribed by a physician where usage or dosage is contrary to FDA approval.
For questions about your prescriptions, contact CVS/Caremark at 866-601-6934. You may want to share the formulary listing with your primary care physician or other providers.
Preventive Therapy Drug Benefit — Bypass Your Deductible (LivingWell CDHP or the LivingWell Basic CDHP Only)
Preventive Therapy Drug Benefit — Bypass Your Deductible (LivingWell CDHP or the LivingWell Basic CDHP Only)
If you have the LivingWell CDHP or the LivingWell Basic CDHP, you only have to pay for the co-insurance amount for medications on the Preventive Therapy Drug Benefit list without having to first meet your deductible.
This list includes medications you need on a regular basis to prevent conditions such as high blood pressure or high cholesterol.
Drug Cost Finders
Drug Cost Finders
Use the Check Drug and Cost Coverage tool at Caremark.com. Log in to Caremark, select Plan &Benefits, and choose Check Drug and Cost Coverage or click the links below:
Value Benefits for Diabetes, COPD, Hypertension, and Asthma.
Value Benefits for Diabetes, COPD, Hypertension, and Asthma.
The Value Benefit for diabetes, COPD, hypertension, and asthma means your costs are reduced if you receive maintenance prescriptions or supplies. Some examples include:
Inhalers
Pressure machines
Infusion pumps
Blood pressure monitoring devices
Cardiac monitors
Supplies and durable medical equipment
You will pay a reduced co-pay and/or co-insurance, and you won’t have a deductible. See the chart below for the cost that you will pay. The maximum you will pay for a 30-day supply of insulin is $30. Most supplies and durable medical equipment related to diabetes, COPD, hypertension, and asthma are covered in full with NO DEDUCTIBLE.
CVS Weight Management Program
CVS Weight Management Program
This program provides the customized nutrition planning and coaching support you need for lasting results.
The program will help you reach you weight loss goals through:
One-on-one support from a team of clinicians, including providers and registered dietitians.
A nutrition plan personalized just for you.
The Weight Coach app with helpful guides, recipes, goal setting, and much more.
A connected bodyweight scale and other devices, as applicable, to support and track your progress.
There is no cost to you to participate in this program, but you will be responsible for your deductible, co-insurance, or co-pay for any drugs and supplies. Participation in the program may be required to have certain weight loss drugs covered.
You can call 800-706-9317 to speak with a clinician to learn more.
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