On-staff Navigators, $600 Well-Being reimbursement, virtual care and more!
On-staff Navigators, $600 Well-Being reimbursement, virtual care and more!
MVP’s prescription drug coverage is provided through CVS Caremark®, MVP’s Pharmacy Benefit Manager.
With thousands of participating pharmacies, including all major pharmacy chains, mail order, and specialty pharmacy services, and access to helpful online tools and unique savings programs, MVP’s prescription benefits make it easy to find and manage prescriptions.
For individual health plans purchased from NY State of Health, The Official Health Plan Marketplace, or directly from MVP Health Care. Also applies to NY small group (100 employees or less) plans.
For NY large group (101 employees or more) plans.
For Individual and small group plans sold through Vermont Health Connect (VHC)
For VT large group (101 employees or more) plans
List of covered preventive drugs as of July 2025; applies to New York and Vermont.
List of current covered preventive drugs; applies to New York and Vermont.
List of affordable maintenance medications, with a small co-pay of $1 or $3, available to VT Plus Plan members with chronic conditions.
The list of drugs covered by the member’s plan, referred to as the Formulary, could change throughout the year. For select New York State Small Group, Individual & Family Plan, Vermont Small Group, Individual & Family, New York State Large Group Plan, Vermont Large Group Plan, Child Health Plus and Essential Plan Members, changes made to remove drugs from the Formulary or add new clinical requirements will take effect on their Pharmacy "Plan Year" start date. To find their Pharmacy "Plan Year" start date, Members can sign in to their MVP Member Online Account and select My Plan, then My Benefits. For a list of changes, please see the Formulary Changes listed under the specific plan Formulary.
The list of drugs covered by the member’s plan, referred to as the Formulary, could change throughout the year. For select Commercial, Child Health Plus and Marketplace members (including Essential Plan Members), changes made to remove drugs from the Formulary or to add new clinical requirements will take effect on their Pharmacy “Plan Year” start date. To find their Pharmacy “Plan Year” start date, members can sign into Gia® and select My Plan, then My Benefits.
Members can sign into Gia® to manage prescriptions, check drug cost and coverage, view or refill mail order prescriptions, get tips on how to save money, and more. MVP members can also sign in to take advantage of CVS Caremark’s full suite of helpful tools.
The CVS Caremark Customer Care team can help explain prescription coverage to members 24 hours a day, 7 days a week.
Find information on drug recalls and updates on our Pharmacy News page.
Search more than 69,000 retail pharmacies, including all major pharmacy chains, mail order and specialty pharmacy services, and more. Find a Pharmacy
Visit our Member Prescription Benefits page for more detailed information.
Our Broker Customer Service team can help.
