National CooperativeRx and CVS Caremark
Pharmacy Benefit Manager
CVS Caremark is our Pharmacy Benefit Manager (PBM) that provides access to a network of retail and mail order pharmacies, as well as processes and pays prescription drug claims.
IMPORTANT: In order for claims to be processed appropriately, they must be sent to CVS Caremark. Information for CVS Caremark is located on the back of your medical ID card.
Mail Order
If you are taking a maintenance medication the CVS Caremark Postal Prescription Services is for you. Take advantage of paying one less copay, a 90-day supply and getting your prescriptions sent directly to your home. Learn more at Caremark.com/Rxdelivery for more details on how to get started.
CVS Caremark Maintenance Choice
8×8 offers Maintenance Choice, a CVS Caremark program that allows you to fill long-term maintenance medications for chronic conditions such as high blood pressure, asthma, diabetes and high cholesterol through mail order and by obtaining a 90-day supply only at CVS Pharmacy, Costco or Kroger. For prescriptions to treat acute conditions, such as those that are 30 days or less, you can visit any participating network pharmacy. To find a pharmacy near you, visit Caremark.com.
Covered Medications
Many preventive medication and preventive maintenance medications are available at no cost to you, even if you are enrolled in the 8×8 PPO Plan with HSA. Please see the list of zero cost medications HERE.
Have questions regarding covered medications, including specialty medications? Please call our dedicated Customer Service Team at 1-866-818-6911 or visit Caremark.com.
PrudentRx
This program is available under the 8×8 program in an effort to significantly reduce costs on eligible specialty and brand medications. If you are taking an eligible medication, you will receive an enrollment letter and a phone call to enroll in the program. PrudentRx coordinates with manufactures to obtain prescriptions for your medications through using copay assistance cards. Note: members enrolled in the PPO with HSA plan must meet the deductible first. copay assistance card payments do not count towards your deductible and/or out-of-pocket maximum.
Prior Authorization
You may notice some new protocols as it relates to prior authorization when it comes to certain classes of medications. These authorizations are intended to ensure clinical appropriateness of their intended use.
Contact CVS Caremark
Group Number: RX22WJ
Bin Number: 004336
PCN: ADV
PBM: CVS Caremark
Member Services
Rx Customer Care: 866-818-6911
Pharmacy Help Desk: 800-364-6331 or caremark.com
Resources
PrudentRx Member Flyer
CVS Caremark Member Flyer
CVS Caremark Mail Order Flyer
No Cost Preventive Services List
No Cost Preventive Drugs for the PPO with HSA Plan
Preventative Care Benefits
Don’t forget to download the app!
CVS Caremark Mobile App
CVS Caremark Digital Tools