Prescription Drugs


Carnegie Mellon's prescription drug coverage is provided through CVS/Caremark (formerly known as PharmaCare) for all medical plans, except the Highmark HMO (which has prescription coverage provided through Merck-Medco.)

Prescription Drug Participant Copays/Coinsurance

Caremark
(PharmaCare)
Option A
Caremark
(PharmaCare)
Option B
Highmark HMO
Prescription
In-Network Retail
(Up to 30-day supply)

(Up to 34-day supply)

Generic (automatic substitution)
$10
$5
$10
Brand Name - on the Formulary
     - No generic available
     - Generic available

$15
$25

35% ($100 maximum)

$15
Brand Name - Non-formulary

$40*

Not Covered* (unless
medically necessary
)

$30

Mail Order (Up to 90-day supply)
Generic (automatic substitution)
$20
$10
$20
Brand Name - on the Formulary
     - No generic available
     - Generic available

$30
$50

35% ($200 maximum)

$30
Brand Name - Non-formulary
$80*
Not Covered* (unless
medically necessary
)
$60
Annual Out-of-Pocket Max
(separate from medical plan OOP maximum)
None
$1,500 indiv / $3,000 family
(retail & mail order combined)
None

* - Medical Necessity Waivers: Non-formulary medications will be covered at the formulary level if they are deemed medically necessary. Your doctor must submit a medical necessity waiver form in advance that demonstrates why the formulary medicine can not be used (and/or why a non-formulary medication must be used).


2008 Prescription Drug Monthly Rates for Full-Time Faculty and Staff

Plan Level
Caremark (PharmaCare)
Option A
Caremark (PharmaCare)
Option B
Highmark
HMO
Individual Employee
$ 23
$ 7
$ 28
Employee and Child
$ 56
$ 28
$ 62
Employee and Children
$ 65
$ 34
$ 72
Employee and Spouse/DP
$ 75
$ 40
$ 82
Family (Employee, Spouse/DP, and Child[ren])
$ 112
$ 64
$ 122

Prescription Drug Monthly Rates for Part-Time Faculty and Staff

Plan Level
Caremark (PharmaCare)
Option A
Caremark (PharmaCare)
Option B
Highmark
HMO
Individual Employee
$ 53.00
$ 37.00
$ 57.50
Employee and Child
$ 98.00
$ 71.00
$ 105.00
Employee and Children
$ 111.00
$ 80.50
$ 118.50
Employee and Spouse/DP
$ 124.00
$ 90.50
$ 132.50
Family (Employee, Spouse/DP, and Child[ren])
$ 175.50
$ 129.00
$ 187.00

For more information: