Pharmacy Services
PfISD's pharmacy benefit services are provided by CVS Caremark and administered by RxBenefits. There are more than 60,000 pharmacies in the CVS Caremark network.
Employees are not issued a separate pharmacy ID card for filling prescriptions. Pharmacy information will appear on your medical ID card. If you have any questions please contact RxBenefits at 1-800-334-8134.
Click on the link below to find a participating pharmacy, drug look-up, and list of exclusions and alternatives.
Some drugs listed on the formulary may not be covered even if listed under the preferred alternative due to the plan exclusions. Exclusions include:
- Biological, blood products, serums, and Non-ACA immunization agents
- Cosmetic agents: Anti-wrinkle agents, Pigmenting & De-Pigmenting, Hair growth stimulants and hair removal products
- Compounded prescriptions
- Nutritional Supplements
- Infertility Medications
- Impotency Medications
- Prescription Vitamins unless listed above
- Anabolic Steroids
- Androgens/Testosterone
- Anti-obesity/Appetite Suppression Medications
- Formulary Exclusion List
- OTC (over-the-counter) Products unless noted above
- Therapeutic devices or appliances unless listed as a covered product.
- New-to-market drugs, including line extensions and new strengths until clinically reviewed
- Medication that is to be taken by or administered to an individual, in whole or in part, while he or she is a patient in a physician’s office, licensed hospital, rest home, sanitarium, extended care facility, convalescent hospital, nursing home or similar institution which operates on its premises, or allows to be operated on its premises, a facility for dispensing pharmaceuticals.
- Patient assistance programs may not apply to deductible and out-of-pocket accumulations.
Registering online at www.caremark.com provides access to a useful tool for reducing prescription costs and saving time. For assistance, the member services department can be contacted at 1-800-334-8134 or via email at RxHelp@rxbenefits.com during business hours from 7:00 am – 6:00 pm CST, Monday through Friday.
Client Services: 1-866-769-5987 or email at clientservies@rxbenefits.com