Originally Posted by: GWPDA 
"Is that the case when I'm using Caremark for Rx drug from health insurance that I get best price at CVS for drugs?"
I have GEHA/Caremark as well, but only use Caremark for meds that can benefit from the 90 day and delivery allowance - in that case the cost seems to be quite competitive. However, one of my prescriptions requires refrigeration and thus, in Arizona really can't be delivered into my mailbox - that one I buy at my local Safeway and for it as well I use a pharmaceutical discount certificate which brings down the Caremark price from $500 for 90 days to $50 for 90 days. I tried to fill it thru CVS but CVS was unable to understand that GEHA is NOT "government insurance" and would not accept the discount certificate (which does not cover "government insurance" submissions - presumably Medicare and Medicaid). Some of my Caremark meds are generic but one is not, but that one is still competitively priced. Simply put, since you're not mandated to obtain GEHA prescriptions thru Caremark, determine for yourself where to file the prescriptions and instruct your prescriber accordingly.
Good post! The FEHB is considered a Government plan or so I was told at multiple retailers, the fine print is clear on the coupon. I made a few thousand dollars before I was effectively banned nationwide at CVS, they changed my name ( long story, found out a couple of years later). All the coupons say the same thing, "Coupon offers are not valid and must not be honored for prescriptions paid for in whole or in part by state and or federal health care programs. These programs include Medicare, Medicaid and TriCare. Coupons also are void where prohibited by law.
OPM says this:
As an FEHB Program enrollee, am I allowed to participate in pharmacy sponsored incentive programs such as prescription discount copay cards or store rewards cards?
Yes. OPM does not prohibit FEHB members from participating in pharmacy-sponsored incentive or pharmaceutical company co-pay reimbursement programs, and we are unaware of any Federal laws restricting participation. Enrollees in other Federal Programs such as Medicare and Medicaid are statutorily prohibited from participating in pharmacy incentive programs under section 1320a-7b of title 42, United States Code (the Anti-Kickback Act). However, the FEHB Program is exempt from the application of this provision.
OPM does not have authority over promotional incentive programs retail pharmacies choose to offer its customers, and OPM cannot direct retail pharmacies to provide the incentives to FEHB Program members. We are working with FEHB Program plans to remove any restrictions.
Edited by user Wednesday, March 23, 2022 1:20:26 AM(UTC)
| Reason: Not specified