FAQ Item
Question:
How much will my prescription cost?

 

Answer:

Prescription drug costs vary.  View general cost information on the prescription drug copay chart. To check the cost of a specific medication, contact Caremark. Use the Check Drug Cost from the Caremark website for a drug pricing calculator.  All quotes are estimates and drug cost may not reflect actual annual cost* or cost at the pharmacy. Cost can vary based upon any of the following:

  • Maintenance vs. non-maintenance
  • Preferred vs. Non-Preferred
  • Days' supply
  • Quantity
  • Dosage/Strength
  • Manufacture pricing/classification changes
  • Date drug is dispensed

*Calculate Annual Cost estimate by subtracting $50 from the amount shown in the Your Cost Total column, multiply the cost by the appropriate number of refills you are allowed per year, and add your $50 deductible.

 

FAQ Item
Question:
When does the $50 deductible start?

 

Answer:

There is a $50 per person per plan year deductible beginning on September 1.  Until the $50 deductible is met for each person, your out of pocket costs for prescriptions filled after September 1 will increase.

 

FAQ Item
Question:
How do I fill a new prescription?

 

Answer:

You can fill prescriptions at any retail pharmacies in the Caremark network or the Caremark Mail Service. Find a participating pharmacy near you on the Caremark website. Using a retail pharmacy in the Caremark network allows you to receive the highest level of benefits.

 

FAQ Item
Question:
What if I do not use a pharmacy in the Caremark network?

 

Answer:

If you use a pharmacy outside the Caremark network, you will need to pay the total retail price for your prescription and then submit a Prescription Drug Claim Form (found on the Caremark website) along with an original prescription receipt to Caremark for reimbursement of covered expenses.

 

FAQ Item
Question:
Does Caremark have a mail order service?

 

Answer:

Yes. Caremark has a mail service pharmacy. You can get a 90-day supply of maintenance medications through mail service without having to pay a retail maintenance fee.

 

FAQ Item
Question:
Can I use my TexFlex Debit Card to pay for prescriptions?

 

Answer:

Yes. You can pay for your prescription medications through mail service or at your local retail pharmacy with your TexFlex debit card. You cannot use the card to pay for a balance due on the Caremark website.

If you use your TexFlex debit card to pay for your prescriptions, in most instances you will not be asked for a copy of your receipt.