MVP and CVS Caremark
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, access to helpful online tools and unique savings programs, MVP’s prescription benefits make it easy to find and manage prescriptions. MVP Members can also save 20% on more than 2,200 CVS Pharmacy® brand health-related items.
Helpful Resources
- Preventive Drugs—List of covered preventive drugs as of March 2022; applies to New York and Vermont.
- No-Cost Drugs for Preventive Care (PDF) List of current covered preventive drugs; applies to New York and Vermont.
- Vermont Value Based Insurance Drug (VBID) List (PDF)—List of affordable maintenance medications, with a small co-pay of $1 or $3, available to VT Plus Plan members with chronic conditions.
- Find a Pharmacy—Search more than 69,000 retail pharmacies, including all major pharmacy chains, mail order and specialty pharmacy services, and more.
Rx/Drug Search Tools
New York Plans
- NY Rx/Drug Search (Individual & Small Group)—For individual health plans purchased from the New York State Marketplace or directly from MVP Health Care. Also applies to NY small group (100 employees or less) plans.
- NY Rx/Drug Search (Large Group)—For NY large group (101 employees or more) plans.
Vermont Plans
- VT Rx/Drug Search (Individual & Small Group) —For Individual and small group plans sold through Vermont Health Connect (VHC).
- VT Rx/Drug Search (Large Group) —For VT large group (101 employees or more) plans.
Manage Prescriptions
Members can sign into their Member online account 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.
If you have questions about pharmacy benefits, the CVS Caremark Customer Care team can help explain prescription coverage, 24 hours a day, 7 days a week. Find the appropriate phone number below.
- Commercial/Select Care: 1-866-284-7134
- Exchange: 1-800-378-9295
- Medicaid: 1-866-832-8077
- Medicare: 1-866-494-8829 (TTY 711)
- TTY: 1-800-231-4403
Pharmacy News
Find information on drug recalls and updates on our Pharmacy News page.
MVP Formularies
See the full list of generic and name brand drugs covered by MVP Health Care plans that offer prescription drug coverage.*
-
2023 Formularies
2023 MVP Commercial/Child Health Plus Formulary (PDF) — Applies to large groups; plans offered by employers with greater than 100 employees, MVP Child Health Plus, and Administrative Services Only plans.
2023 MVP Marketplace Formulary (PDF) — Applies to individuals who purchase their health plan on their own from NY State of Health, The Official Health Plan Marketplace—including the Essential Plan—or Vermont Health Connect or who purchase the plan directly from MVP. Also applies to small group employers with 100 employees or less, and to students enrolled in a student health plan through their college or university.
2023 Formulary Updates for Commercial and Marketplace Formularies (PDF)
2023 MVP Medicare Part D Plan Formulary (PDF) — Applies to individual members enrolled in a MVP Medicare Advantage plan not tied to a former employer or union, and members enrolled in a MVP DualAccess plan.
2023 UVM Health Advantage Part D Plan Formulary (PDF) — Applies to individuals enrolled in a UVM Health Advantage plan.
2023 MVP Medicare Part D Employer-Based Plan Formulary (PDF) — Applies to individuals whose Medicare plan coverage is offered through a former employer or union group.
Learn More about Prescription Benefits
Visit our Member Prescription Benefits page for more detailed information.
Need Help?
Our Broker Customer Service team can help.