Select your network pharmacy link below.
- Commercial Large Group, Grandfathered and Transitional Pharmacy Directory
- Commercial Small Group and Individual ACA Pharmacy Directory
Prescription Drug Search
Select a formulary list below.
- Commercial Large Group Formulary
- Commercial Small Group and Individual ACA Formulary
- Commercial Grandfathered and Transitional Formulary
Use the information below to learn more about your prescription coverage.
Getting the most of your prescription benefits
Starting January 1, 2019 CVS will be working with CommunityCare to administer the prescription benefit portion of your health plan.
Caremark.com is an easy way to make the most of your prescription benefits:
- Find network pharmacies
- Refill medication and check order status
- Check drug costs
- See your prescription history
- View formulary alternatives
Register at Caremark.com/startnow to get started.
Mail Order Prescription Drug Program
CommunityCare is pleased to provide quality pharmacy services to its members, including a mail order pharmacy program.
Members have two options for ordering mail order prescriptions. Please click on the links below for more information.
Large Group $0 Copay Program
Helping members save money on prescription drugs while improving health outcomes. Our zero copay program was developed to lower out-of-pocket costs for certain prescription drugs and promote compliance with prescribed drug therapy. Essentially, this program reduces the copayment for select formulary generic drugs to $0!
Prescriptions filled at a participating pharmacy (retail or mail order) for any of the generic drugs listed on the information sheet will be filled for a $0 copay!
Small Group ACA Preventive
Below are CommunityCare's coverage of preventive services without cost-sharing requirements.
Specialty Pharmacy Program
Save money on specialty medications with the Specialty Pharmacy Program. Specialty medications typically cost more than common prescriptions plus usually require additional clinical support for optimal health outcomes. This specialty pharmacy program helps make these medications accessible and cost effective for our members.
CommunityCare is pleased to provide quality pharmacy services to its members, including a specialty pharmacy program. Members have two options for ordering specialty prescriptions. Please click on the links below for more information.
Prescription Drug Coverage Determination
A prescription drug coverage determination is used to request a drug formulary exception for medications that are not on CommunityCare's formulary list or drugs that are on CommunityCare's formulary list but require a utilization management decision (prior authorization, quantity limit or step therapy).