Retiree Prescription Plans
Administrator: CVS Caremark
Website: https://caremarkrxplaninfo.com/MontgomeryCountyGovernment
Phone: 1-866-240-4926
Mobile App: HERE
With the exception of the Kaiser Permanente option, which provides prescription coverage, the medical plans do not provide prescription drug coverage. However, you have the option to elect prescription drug coverage under a separate “stand alone” prescription plan offered through Caremark. Any claims for services must be submitted within one year following the date of service.
Caremark Prescription Plan
- Caremark Standard Option $10/ $20/ $35 Prescription Plan
Resources
- Brand Medications Requiring Use of Generic(s) First - January 2025
- Brand Medications Requiring Use of Generic(s) First - October 2024
- Advanced Control Formulary - January 2025
- Advanced Control Formulary - October 2024
- Prescription Claim Form
- Prescription Rx Mail Service Program
- Compounded Medications
Administrator: CVS Caremark
Website: www.caremark.com
Phone: 1-866-249-6167
Medicare-eligible Montgomery County Government retirees and their Medicare-eligible dependents who have coverage through either the Indemnity medical plan or one of the County’s Caremark prescription plans (High or Standard Option) will have their prescription drug coverage provided by Caremark’s Medicare Part D subsidiary, SilverScript. These individuals will receive prescription drug coverage through a Medicare Part D Employer Group Waiver Plan (EGWP). This plan will have a “wraparound” feature (Wrap) to ensure coverage will continue at current levels. (Note: This change will not affect Kaiser members.) This change of administrator will be automatic and seamless, and will not reduce current prescription drug coverage.
Plan Materials
- Summary of Benefits - Silver Script Rx Standard Option
- Summary of Benefits - Carefirst Indemnity Plan *
- Evidence of Coverage - Silver Script Rx Standard Option
- Evidence of Coverage - Carefirst Indemnity Plan *
- Silver Script Rx Standard Option Formulary
- Carefirst Indemnity Plan Formulary *
Prior Authorization Form (Authorizations must be renewed on an annual basis)