Prescription Coverage
RXGroup# RX1896
RXBin# 004336
Benefit Period January 1, 2024 – December 31, 2024
How The Plan Works
The City of Akron currently provides prescription drug benefits though CVS Caremark. Your prescription drug program allows you to obtain medications via mail or at your in-network, local retail pharmacy. All maintenance medications must be filled in 90-day supplies through CVS Mail Order or at a CVS Retail Pharmacy. If you take certain medications on an ongoing basis, you save time and money by having those drugs filled for a 90-day supply through the CVS Caremark Mail Service or your local CVS pharmacy.
Your prescription drug benefits are included with your medical benefit election. Your CVS Caremark ID card should be used at the pharmacy when filling prescriptions. Your prescription copays will accumulate towards your medical out-of-pocket maximum.
Note that there is no prescription drug coverage for any spouse or dependent enrolled in the City of Akron medical benefit as secondary coverage.
RESOURCES
| Benefit | Retail | Retail CVS Pharmacies Only | Mail Order |
| Day Supply | 34 Days | 90 Days*** | 90 Days*** |
| Generic | $10 copay | $20 copay | $20 copay |
| Preferred Brand | $20 copay | $40 copay | $40 copay |
| Non-Preferred Brand | $40 copay | $80 copay | $80 copay |
| Specialty* | $50 copay* | N/A | N/A |
| Non-Preferred ED Drugs | $50 copay | N/A | N/A |
| Prilosec OTC** | $10 copay | N/A | N/A |
| Claritin OTC** | $10 copay | N/A | N/A |
| Nexium | $10 copay | $200 copay | $200 copay |
**In order to be charged the $10 copay for these medications, you must have your doctor write a prescription for the medication and present it to the pharmacy like any other prescription.
*Unless you are covered by a collective bargaining agreement with CSPA, Police or Fire, specialty drugs that are identified by PrudentRx are subject to a $0 copay if you enroll with PrudentRx for that drug and a 30% copay if you do not enroll with PrudentRx for that drug.
**In order to be charged the $10 copay for these medications, you must have your doctor write a prescription for the medication and present it to the pharmacy like any other prescription.
Specialty Medications: Specialty medications are supplied by CVS Specialty pharmacy. See the CVS Specialty document that is available at www.mycityofakronbenefits.com or in the Employee Benefits Office.
Quantity and Duration Limitations: Some medications are only covered up to a certain limit. If your medication has a quantity limit, you, your doctor, or your pharmacist can call CVS Caremark at (888) 202-1654 to begin the review process.
* Effective January 1st, 2024, Costco Pharmacy will be included in the list of pharmacies able to fill 90-day prescriptions.
