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 and specialty pharmacy services, access to helpful online tools and unique savings programs, MVP’s prescription benefits make it easy to find and manage your prescriptions.
- Find a Pharmacy (Medicaid and HARP members)—Search for retail pharmacies (including all major pharmacy chains), mail order and specialty pharmacy services, and more.
See the full list of generic and name brand drugs covered by MVP Health Care plans that offer prescription drug coverage.*
(Effective 10/1/2021) NYS Department of Health Single Statewide Medication Assisted Treatment Formulary
- 2022 MVP Medicaid Formulary (PDF) — Applies to Medicaid plans.
*This information relates to the Prescription Drug Formularies generally, and may not describe your particular coverage. Check your Certificate of Coverage or Summary Plan Description for specific benefits, limitations and exclusions.
Manage Your Prescriptions
Members can sign in to manage prescriptions, check drug cost and coverage, 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 your pharmacy benefits, the CVS Caremark Customer Care team can help explain your prescription coverage, 24 hours a day, 7 days a week.
- Medicaid: 1-866-832-8077
- TTY: 1-800-231-4403
Pharmacy Safety Alerts
Find information on drug recalls and updates.
Frequently Asked Questions
What is a generic drug?
A generic drug is a copy that is the same as a brand-name drug in dosage, safety, strength, how it is taken, quality, performance and intended use. For example, ibuprofen is the generic for both Motrin® and Advil®.
Are there any additional requirements on prescription drugs?
For certain prescription drugs, MVP Health Care has additional requirements for coverage or limits on our coverage. These requirements and limits ensure that our members use these drugs in the most effective way and also help us control drug plan costs. A team of doctors and pharmacists developed these requirements and limits for our health plans to help us provide quality coverage to our members. Certain drugs may need prior authorization, have a formulary exception, or require step therapy. Quantity limits may also apply.
If you have questions on additional drug requirements, call 1-866-832-8077.
How do I obtain specialty drugs?
Some prescription drugs must be obtained through CVS Specialty or another pharmacy in the Medicaid Specialty pharmacy network. CVS Specialty handles high-touch, high-cost for unique and complex medical conditions. To find out if your drug is one of the drugs required to be obtained through a specialty pharmacy, please review the formulary for your prescription plan type.
Note: MVP Medicaid Members may use CVS Specialty to obtain high-cost specialty drugs by mail. If you would prefer to obtain your specialty drugs at a local retail pharmacy, please call the pharmacy information number on the back of your ID card to get a listing of pharmacies in the MVP specialty network. Please note that prior authorization must be obtained, if required, prior to filling the specialty prescription at a network retail pharmacy or CVS Specialty.