Prescription drug :: Review features Rx

Review features

Prescription drug coverage is included with each Anthem medical plan option through CVS Caremark or through the Kaiser HMO (California only). Prescriptions are covered based on whether they are generic, brand-name formulary or brand-name non-formulary. Log in to CVS Caremark and review the CVS Caremark formulary to see if your prescription drugs are listed. Learn how the Kaiser HMO formulary works here.

Click on each plan name to view features.

With the HSA 5000 and HSA 2000 plans, you must first meet the medical plan deductible before the plan shares the cost with you for most medications. However, you do not need to meet the deductible for preventive medications (as defined by CVS Caremark) before the plan shares the cost with you. Review the preventive drug list from CVS Caremark to see if your prescription drugs are listed.

Prescription coverage is the same for the PPO 1500 and PPO 750: You pay set copays and don’t have to meet a deductible before you and the plan share costs for most medications. Your pharmacy expenses count toward the out-of-pocket maximum as does your share of medical expenses. Once you meet the out-of-pocket maximum, your medical services and prescription drug expenses will be 100% covered.

With the Kaiser HMO, you pay set copays and don’t have to meet a deductible before you and the plan share costs for most medications. Your pharmacy expenses count toward the out-of-pocket maximum as does your share of medical expenses. Once you meet the out-of-pocket maximum, your medical services and prescription drug expenses will be 100% covered.

CVS Caremark features

Maintenance medications can be filled via mail order or at a retail pharmacy. Maintenance medications are taken on a regular basis for chronic, long-term conditions, such as high blood pressure, high cholesterol and diabetes. Visit the CVS Caremark website to learn how to enroll in the mail-order program. For most prescriptions, CVS Caremark will contact your doctor on your behalf to request a 90-day supply of your medication.

We want getting your medicine to be easy for you! Visit the CVS Caremark website to learn about all of their services.

Transform Diabetes Care

Through its Transform Diabetes Care program, CVS Caremark is our diabetes management provider. Learn more here.

Preventive drugs

Looking for which drugs are considered preventive? Click to view the CVS Caremark  list of preventive generic drugs:

Good terms to know

Not sure what we mean? Here are some good terms to know.

Frequently asked questions

Review the FAQs for answers to commonly asked questions about benefits.

Rx Savings Solutions

Rx Savings Solutions can help lower your prescription drug costs. Because it’s linked to your Anthem medical plan, everything it does is personalized according to your medications and coverage. It provides savings that helps you and your doctor make smart health care decisions, such as generic forms of brand-name medications, better prices at different pharmacies or mail order and equally effective medications that treat the same condition.

Check out the Prescription Drug FAQs.

Contacts

CVS Caremark

Administrator for prescription drugs under Anthem medical options

Transform Diabetes Care

Provider for diabetes management

Kaiser Permanente
(California only)

Provider for Kaiser HMO

RX Savings Solutions

Prescription drug savings