Pharmacy Benefits

CVS Caremark is the pharmacy benefits manager for all plan members, regardless of which healthcare option you select. CVS Caremark will mail welcome packets and prescription cards to all members. You must carry this (pharmacy) card in addition to your current (medical) ID card. If you have questions or have not received your pharmacy cards, please contact CVS Caremark customer service at 1-877-522-TNRX (8679).

A Summary of Your Prescription Drug Benefits

  • The State's prescription drug plans require a co-pay or co-insurance. How much you pay depends on how the prescription is filled.

  • You'll pay the lowest amount for a generic (Tier One) drug. A generic medicine is FDA approved and equal to the brand name product in safety, effectiveness, quality and performance.

  • You'll pay a higher amount for a preferred brand (Tier Two) drug. Preferred brands are included on the drug list. 

  • You'll pay the highest amount for a non-preferred brand (Tier Three) drug. These belong to the most expensive group of drugs. These drugs are not included on the drug list.

Finding a CVS Caremark Pharmacy

More than 1,600 independent and chain pharmacies in Tennessee are available through the pharmacy benefits manager. All offer 30-day prescriptions. If you take a maintenance medication, some of the “mail at retail” pharmacies also fill 90-day prescriptions; mail service is also available.

You can find a 30-day or 90-day network pharmacy through the Caremark website at info.caremark.com/stateoftn. You will need to register to search for a pharmacy. Click the link to “Register Now.” You will need to enter your participant ID, found on the front of your prescription card.

You can also call CVS Caremark customer service at 1-877-522-TNRX (8679) to find a network pharmacy near you.

Maintenance Drugs

Copays are lower for certain medications from the special, less costly 90-day network. As an incentive to use pharmacies that cost the plan less, there are lower copays on a large group of maintenance drugs. The maintenance tier medication list includes: certain anti-hypertensives (used to treat high blood pressure), statins (certain medications used to treat high cholesterol), coronary artery disease, congestive heart failure, depression, asthma/chronic obstructive pulmonary disease (COPD), and diabetes (oral medications, insulins, needles, test strips, and lancets).

View the maintenance drug list, visit caremark.com or call Caremark to determine if your medication is on the list.

New in 2017- Copay Installment Program for Maintenance Medications

Members can spread the cost of 90-day mail order prescriptions over a three-month period — at no additional cost. You would enroll online at info.caremark.com/stateoftn > register and log in, or by calling CVS/caremark customer care at 877.522.8679. This benefit only applies to 90-day mail order prescriptions provided by CVS/Caremark mail order, and not to specialty medications.

Flu and Pneumococcal Vaccine Coverage

View the 2016-2017 flu and pneumococcal vaccine coverage information sheet  on how to access this free benefit.

© 2017 State of Tennessee