Prescription Drug Coverage

What to Know

You’re automatically enrolled in prescription drug coverage when you enroll in a DuPont Medical Plan. Fill prescriptions for most drugs at any CVS Caremark network pharmacy. Get specialty medications — drugs that require sensitive care or are used to treat chronic conditions — through PrudentRx.

About Your Prescription Drug Coverage

You’re automatically enrolled in prescription drug coverage when you enroll in a DuPont Medical Plan. Your prescription drug costs vary based on whether you purchase them at retail (for example, going to a CVS pharmacy) or through mail order. The costs also are determined by your use of an in-network or out-of-network pharmacy, and the category of the drug on the CVS Caremark and PrudentRx formularies.

While you can fill prescriptions for most drugs at any CVS Caremark network pharmacy, you will have to manage specialty drugs — those that are prescribed for complex or ongoing medical conditions, such as multiple sclerosis or rheumatoid arthritis — through PrudentRx. In these cases, PrudentRx will contact you directly with additional information. Your prescription drug contact information is through Aetna One Advisor (A1A) and can be found on the back of your CVS Caremark prescription drug card, which you will receive when enrolling in a DuPont Medical Plan.

Coverage Comparison

This chart compares the in-network prescription drug coverage available through CVS Caremark.

Information on the CVS Caremark formulary, how to view prescription drug pricing, and how to find an in-network CVS pharmacy near you is available on the CVS Caremark website.

Type of Prescription Drug through CVS Caremark*
Core Option
Premium Saver Option
Traditional Copay PPO Option
Generic
$10 per prescription fill at retail and $30 for a 90-day supply through mail order, after the deductible
$10 per prescription fill at retail and $30 for a 90-day supply through mail order, after the deductible
$10 per prescription fill at retail and $30 for a 90-day supply through mail order, after the deductible
Brand Formulary
You pay 25% after the deductible, up to a $125 maximum
You pay 25% after the deductible, up to a $125 maximum
You pay 25% after the deductible, up to a $125 maximum
Brand Non-Formulary
You pay 45% after the deductible, up to a $250 maximum
You pay 45% after the deductible, up to a $250 maximum
You pay 45% after the deductible, up to a $250 maximum
Maintenance Medications**
You pay 45% after the deductible, no maximum
You pay 45% after the deductible, no maximum
You pay 45% after the deductible, no maximum
Specialty Medications
(through PrudentRx)
You pay 25% after the deductible, up to a $125 maximum
You pay 25% after the deductible, up to a $125 maximum
You pay 25% after the deductible, up to a $125 maximum

*Applies to retail — up to two fills — and mail order
**If filled more than two times at a retail pharmacy other than CVS

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CVS Caremark

1-844-212-8696
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Aetna One Advisor (A1A)

1-866-603-9957
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