If you are required to use mail order for a maintenance medication, OptumRx members have a new option to pick up your 90-day supply at your local participating CVS or Target pharmacy – at the same, lower cost. Cigna Pharmacy members will continue to have the option to pick up their maintenance medications at participating pharmacies through the Cigna 90 Now program.
As a reminder, employees and their families are required to receive maintenance medications through the OptumRx Mail Service Saver Plus program, Cigna Home Delivery Pharmacy mail order program, Cigna 90 Now program, or the new CVS 90-day pick-up program. Until you enroll in one of the maintenance medication programs, you will have three 30-day grace fills, per medication, at any retail pharmacy. If you have not enrolled by the fourth fill at a retail pharmacy, you will pay 100% of the cost of the medication. These out-of-pocket costs will not be counted toward meeting your deductible or out-of-pocket maximum.
Maintenance medications are those you take on an ongoing basis for conditions such as diabetes, high blood pressure and high cholesterol, as well as birth control and certain behavioral health medications.