Prescription Plan

Understanding the GW Retiree HSP Prescription Drug Formulary

A drug formulary is a list of medications published by CVS/Caremark. Medications on the list fall into one of the following three categories:

  • Generic Drugs: This is the least expensive category of medications.
  • Preferred Brand Drugs: If a generic medication is not available for your condition, your doctor may prescribe a brand‐name medication. Preferred Brand Drugs have been evaluated by physicians and pharmacists at CVS/Caremark and are deemed to be the most cost‐effective way to treat a specific condition. These are covered at a slightly higher cost to you than generic drugs but at a lesser cost than the Non‐Preferred Brand Drug.
  • Non‐Preferred Brand Drugs: In the event you require a prescription medication that is neither generic nor on the Preferred Brand Drug list, you will pay the highest out‐of‐pocket cost for a Non‐ Preferred Brand Drug.

Please review the list of medications currently considered “Brand, Formulary” as well as generic equivalent or alternative drugs on the formulary. Note: Some medications require prior authorization.

Any time you receive a prescription, ask your doctor if a generic drug is available, and whether it’s right for your condition. Doing so can save you money.

Effective January 20, 2016:  You can fill your 90-day prescriptions at Target Pharmacies.  This means you have an additional 1,672 retail pharmacies across the U.S. where you can fill 90-day supplies of your long-term medicines. Stop by the pharmacy counter at any Target, and speak to the pharmacist about picking up your 90-day supplies at that location.

Using Generic Medications

Generic prescription medications are drugs that meet the same quality standards and are composed of virtually the same chemical formula as their brand‐name equivalents, but generally have a lower copay. For more details about generic prescriptions, visit CVS/Caremark’s “Count on Generics®” web site.