Administrator: CVS Caremark
Website: https://caremarkrxplaninfo.com/MontgomeryCountyGovernment
Phone: 1-866-240-4926
Mobile App: HERE
With the exception of the Kaiser Permanente option, which provides prescription coverage, the medical plans do not provide prescription drug coverage. However, you have the option to elect prescription drug coverage under a separate “stand alone” prescription plan offered through Caremark. Any claims for services must be submitted within one year following the date of service.
Caremark Prescription Plans
There are two Caremark prescription plan options:
- Caremark High Option $5 / $10 Prescription Plan
- Caremark Standard Option $10/ $20/ $35 Prescription Plan
Plan Materials
- Prescription Rx Summary (Standard & High Option Plans)
- Prescription Rx FAQs (Standard & High Option Plans)
- High Option Summary of Benefits Coverage
- Standard Option Summary of Benefits Coverage
Resources
- Brand Medications Requiring Use of Generic(s) First - January 2023
- Brand Medications Requiring Use of Generic(s) First - April 2023
- Advanced Control Formulary - April 2023
- Advanced Control Formulary - July 2023
- Prescription Claim Form
- Caremark Rx Plan Selection Estimator
- Prescription Rx Drug Presentation
- Prescription Rx Mail Service Program
- Compounded Medications
- Step Therapy MCMD
Administrator: CVS Caremark
Website: www.caremark.com
Phone: 1-866-249-6167
Medicare-eligible Montgomery County Government retirees and their Medicare-eligible dependents who have coverage through either the Indemnity medical plan or one of the County’s Caremark prescription plans (High or Standard Option) will have their prescription drug coverage provided by Caremark’s Medicare Part D subsidiary, SilverScript. These individuals will receive prescription drug coverage through a Medicare Part D Employer Group Waiver Plan (EGWP). This plan will have a “wraparound” feature (Wrap) to ensure coverage will continue at current levels. (Note: This change will not affect Kaiser members.) This change of administrator will be automatic and seamless, and will not reduce current prescription drug coverage.
Plan Materials
- Summary of Benefits - Silver Script Rx High Option (2023)
- Summary of Benefits - Silver Script Rx Standard Option (2023)
- Summary of Benefits - Carefirst Indemnity Plan (2023)*
- Evidence of Coverage - Silver Script Rx High Option (2023)
- Evidence of Coverage - Silver Script Rx Standard Option (2023)
- Evidence of Coverage - Carefirst Indemnity Plan (2023)*
- Silver Script Rx High Option Formulary (April 2023)
- Silver Script Rx Standard Option Formulary (April 2023)
- Carefirst Indemnity Plan Formulary (April 2023)*
- * Grandfathered Plan - close to new members
Prior Authorization Form (Authorizations must be renewed on an annual basis)
- FAQs About SilverScript's Medicare Part D Prescription Plan
- Medicare Part D Prescription Presentation from MCREA's Annual Meeting (6/04/2014)
- Prescription Plan Changes for Retirees & Covered Family Members Who Are Medicare Eligible (mailed via MCREA's March 2014 Newsletter)
- Reminders Regarding SilverScript & the Medicare Part D Prescription Plan
- Common Acronyms & Terms List