-
Drugs for cosmetic use — not covered unless authorized as medically necessary by a professional provider
-
Drugs for family planning — oral contraceptives and contraceptive patch covered; Depo-Provera (injectable contraceptive) covered after a three-month copayment. Drugs for infertility treatment are not covered
-
Drugs for sexual dysfunction — covered if due to illness, injury or other organic cause. Limited to six tablets/applications per month
-
Drugs requiring preauthorization — certain drugs require preauthorization by the prescribing physician before a prescription can be filled. The pharmacist will advise you when preauthorization is necessary and will contact CVS Caremark on your behalf or ask you to contact CVS Caremark to obtain the required preauthorization. If preauthorization is not obtained, the drugs are not covered
-
Herbal and naturopathic medications — covered only if FDA-approved, NDC code available and purchased at a licensed pharmacy
-
Medications purchased outside the United States — generally not covered, but may be reimbursed if urgent medical need exists while outside the U.S.
-
New drugs on the market — covered after review by CVS Caremark and if in a covered class on the Trust Prescription Drug Plan
-
Over-the-counter medications — not covered even if prescribed, if the same strength is available without a prescription
-
Smoking cessation products — prescription medication covered; over-the-counter patches not covered.
