Drug pricing through Caremark
When you enroll in a Blue Shield plan that offers pharmacy benefits, it's easy to find pricing information.
Coverage through an employer or group plan
The Caremark tool helps you calculate an estimated drug price and locate a pharmacy near you. It also shows you how much you could save if your employer group chooses the Rx Spectrum pharmacy network.
Rx Spectrum pharmacy network
This network offers preferred member cost sharing at select participating retail pharmacies. Retail pharmacies with preferred cost sharing will be noted as “preferred” in the drug pricing tool. These pharmacies include:
- CVS
- CVS Pharmacy at Target
- Costco
- Safeway
- Vons
Calculating the price estimate
This price estimate is based on a common plan design using the Blue Shield Plus Drug Formulary and the Rx Spectrum pharmacy network, which is available for Large Group and select Small Business employers.
Personal or small business coverage
If you have coverage on your own (through an Individual & Family Plan, including Covered California) or coverage through the small business you work for, you can get estimated drug pricing information and locate an in-network pharmacy.
Rx Ultra network
This estimate is based on a common plan design using the Blue Shield Standard Drug Formulary, and the Rx Ultra pharmacy network, which is available for Individual and Family Plans (including Covered California), and Small Business employers.
Refer to your Summary of Benefits
Caremark estimates drug costs based on Blue Shield’s most popular plans. Your actual costs may differ depending on your plan and drug tier. Refer to your Summary of Benefits for co-pays and more. It's located under the “My plan” tab on your dashboard at the bottom of the page.
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This information is not a complete description of benefits.
Specialty medications and opioids are limited to a 30-day supply.
The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
The company complies with applicable state laws and federal civil rights laws and does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, ethnic group identification, medical condition, genetic information, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, mental disability, or physical disability. La compañía cumple con las leyes de derechos civiles federales y estatales aplicables, y no discrimina, ni excluye ni trata de manera diferente a las personas por su raza, color, país de origen, identificación con determinado grupo étnico, condición médica, información genética, ascendencia, religión, sexo, estado civil, género, identidad de género, orientación sexual, edad, ni discapacidad física ni mental. 本公司遵守適用的州法律和聯邦民權法律，並且不會以種族、膚色、原國籍、族群認同、醫療狀況、遺傳資訊、血統、宗教、性別、婚姻狀況、性別認同、性取向、年齡、精神殘疾或身體殘疾而進行歧視、排斥或區別對待他人。
Nondiscrimination information.
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