Pharmacy Information
Network Pharmacy
A network pharmacy is a pharmacy that has a contract with the plan to provide your
covered prescription drugs. SilverScript contracts with more than 67,000* network
pharmacies nationwide.
Preferred and Non-Preferred Pharmacies
Pharmacies
The SilverScript pharmacy network consists of both preferred pharmacies and non-preferred
pharmacies1. The difference is that SilverScript has negotiated lower
cost-sharing amounts for certain generic drugs at a preferred pharmacy. If you are
a Silverscript Choice or Plus plan member, your cost sharing may be less when you
fill them at a preferred pharmacy. (Preferred pharmacy cost sharing does not apply
to Basic plan.) Cost sharing for all other preferred and non-preferred
drug Tiers are the same whether you fill your prescriptions at a preferred or non-preferred
pharmacy.
CVS Caremark Mail Service Pharmacy
If you prefer to have your prescription drugs delivered, you may enroll in CVS Caremark
Mail Service Pharmacy at no extra cost. CVS Caremark Mail Service Pharmacy is a
preferred pharmacy1, so you will receive the same pharmacy discounts
you get at preferred retail pharmacies.
Find a pharmacy using our Pharmacy Locator
Click on your plan to find a network pharmacy near you, or in a travel location.
You must use a network pharmacy to receive prescription drug coverage on covered
drugs. If you fill a prescription at a pharmacy that is not part of the network,
you may have to pay more. There are certain circumstances for which you can obtain
benefit coverage for a covered drug not filled at a network pharmacy. See the out-of-network section
for more information.
At times, pharmacies listed in a paper directory may no longer participate in the
SilverScript pharmacy network. For updated information, please use the Pharmacy
Locator by clicking on the red Pharmacy Locator button. The online pharmacy directory
is updated weekly, and equals or exceeds CMS requirements for pharmacy access in
your area.
You may use your plan benefit to purchase up to a 90-day supply of a covered prescription
drug (at one time) at most retail pharmacies in our network. However, some pharmacies
may fill up to an 83-day supply only. Network pharmacies that provide 90-day fills
are indicated in our pharmacy directory with the letters "ES". Note: Long-term care
pharmacies can fill up to a 31-day supply only.
If you receive Extra Help from Medicare to help pay for your prescriptions, you
may not see a change in the amount of your cost-sharing at a participating network
pharmacy, because the assistance you receive has already reduced your cost sharing
amount. The pharmacy will receive the correct amount of member cost sharing to apply.