Details About Maintenance Choice®

The Maintenance Choice® program provides discounted pricing for 90-day supplies of long-term maintenance drugs. Some examples of long-term maintenance drugs are those taken for:

Asthma;

Diabetes;

High blood pressure; and

High cholesterol.

To see a list of maintenance drugs and to compare pricing for using Maintenance Choice® vs. purchasing the drug at a non-CVS retail network pharmacy, visit CVS Caremark's website.

With Maintenance Choice®, a 90-day supply of maintenance medicine can be delivered by mail to your home, or you can fill your 90-day prescription at any CVS retail pharmacy, where the same discounts are available.

You may also "opt out" of Maintenance Choice® and obtain a 90-day supply (or a 30-day supply) at any participating network pharmacy (see "Opting Out of Maintenance Choice®").

Before filling a long-term prescription through Maintenance Choice®, you can obtain two 30-day supplies at a network pharmacy by paying retail pharmacy rates. This "trial period" gives you and your doctor the ability to confirm that the medication and dosage is right for you. After that, you will need to use Maintenance Choice® to obtain the most advantageous pricing (or you may opt out of the program, but you may pay more).

A CVS Caremark Mail Order Form is available on the CVS Caremark site. Mail your prescriptions with your completed order form to the address noted on the form.

Opting Out of Maintenance Choice®

You will generally pay the lowest price for maintenance medications if you use Maintenance Choice® to obtain a 90-day supply by mail or at a CVS retail pharmacy. However, you may "opt out" of Maintenance Choice® and obtain a 90-day supply (or a 30-day supply) at any participating network pharmacy, but you may pay more, as shown in the following table.


Comparing Per-prescription Maximums Under Maintenance Choice® to Opting Out of Maintenance Choice®
	Option 1 Maximum per-prescription charge		Option 2 Maximum per-prescription charge
	Maintenance Choice® (obtain through mail or at a CVS retail pharmacy)	Opt Out (obtain prescription at a non-CVS retail in-network pharmacy*)	Maintenance Choice® (obtain through mail or at a CVS retail pharmacy)	Opt Out (obtain prescription at a non-CVS retail in-network pharmacy*)
Non-preventive Traditional Generic 90-day supply	$20	$30	$30	$45
Traditional Preferred brand-name 90-day supply	$150	$225	$250	$375
Traditional Non-preferred brand-name 90-day supply	$300	$450	$500	$750

* Or picking up three 30-day supply prescriptions at a CVS retail pharmacy.

To compare pricing for using Maintenance Choice® vs. purchasing the drug at a non-CVS retail in-network pharmacy, visit CVS Caremark's website.

To continue to fill your maintenance medication prescription at a non-CVS retail in-network pharmacy after your two 30 days' supplies at a network pharmacy, you must opt out of Maintenance Choice® by calling CVS Caremark. If you order maintenance medications through a non-CVS retail in-network pharmacy without calling CVS Caremark first, your claim will be rejected and you will pay the full cost of the medication. Please Note: Your "opt out" status will apply to all maintenance medications that you fill through the Plan.