Prescription Drug Benefits


Members and Non-Medicare Retirees
Members and non-Medicare retirees with a Preferred Provider (PPB) Plans are covered by the following prescription drug benefits:CVS(Caremark)

Preferred Drug List effective (1/1/17)
Full Formulary Listing
Full Formulary Tier Changes (1/1/17)
Prior Authorization and Special Limitations Drug List
Common Specialty Drug List
Maintenance Drug List
Preventative Drug List

Prescription Drug Claim Form


Medicare Retirees
Medicare retirees receive prescription drug benefits through one of two plans:

Medicare Advantage Plan (Humana)
Special Medicare Plan (PEIA)