Prescription benefits overview
Prescription and pharmacy benefits information
Your medication is important
MHBP provides comprehensive prescription drug coverage, along with tools and guidance to help you find covered medications and understand your costs.
This means you can get nationwide access to network pharmacies, low copays for generic medications and mail-order pharmacy services. Our prescription drug plans offer tools and guidance to help you find covered medication and understand your costs.
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Make the best choices for your health and budget
- Nationwide access to network pharmacies
- Low co-payments for covered generic medications at network pharmacies for up to a 30-day supply
- 90-day supply at CVS Caremark® Mail Service Pharmacy or CVS Pharmacy®
- International Prescription Drug Coverage
Mail order and retail pharmacy
Receive up to a 90-day supply of eligible maintenance medications delivered directly to your home. These medications may also be available at the same cost share through participating CVS retail pharmacies.
You may order your prescriptions by mail, internet or phone.
Prescription benefits
MHBP includes comprehensive prescription drug coverage.
Tips for using your prescription benefits:
- Ask your doctor to consider prescribing medications from your Prescription Drug Guide/Formulary drug list when medically appropriate. To help save you money, ask if a generic medication is available.
- Fill your prescriptions at a network pharmacy.
- Renew prescriptions before you run out of your medication, or ask us about our Auto Refill or Renewal Programs.
- Provide your MHBP ID card at the pharmacy.
- Use Vaccine Network pharmacies to get your flu shot and other covered immunizations — you’ll pay nothing*.
Remember: Certain medications require preauthorization. List of medications requiring preauthorization are available through the Prescription Drug Guide/Formulary links below. Refer to Section 5(f) of the official Plan brochure for more details on your prescription drug coverage.
*Please note: MHBP offers a Vaccine Network Pharmacy Program that covers seasonal and non-season vaccines, please refer to Section 5(f) of the official Plan brochure for more details.
Talk to a nurse anytime
Nurses are available to answer general medication questions at no cost to you anytime at 1-800-556-1555 (TTY: 711).
2027 Standard Option Rx benefits (No deductible applies)
| Generic – You Pay | Preferred Brand** – You Pay | Non-Preferred Brand** – You Pay | Generic/Preferred Brand Specialty Medication† – You Pay | Anti-obesity medication** - You Pay | |
|---|---|---|---|---|---|
| Up to 30-day supply from a network pharmacy | $5 copay | 30% of the Plan’s allowance, limited to $200 per prescription | 50% of the Plan’s allowance | 30% of the Plan’s allowance, limited to $300 per prescription | 50% of the Plan's allowance |
| Up to 90-day supply through mail order or CVS Specialty® Pharmacy | $10 copay | 30% of the Plan's allowance, limited to $400 per prescription | 50% of the Plan's allowance | 30% of the Plan’s allowance, limited to $600 per prescription | 50% of the Plan's allowance |
**You will pay the copayment or coinsurance amount and the difference in cost between our allowance for the generic and brand name medication when a generic is available, unless a brand exception is obtained.
2026 Consumer Option Rx benefits (Deductible applies)
| Generic** – You Pay | Preferred Brand Name (Formulary)** – You Pay | Non-Preferred Brand Name (non-formulary) ** – You Pay | Generic/Preferred Brand Specialty Drugs†** – You Pay | |
|---|---|---|---|---|
| Up to 30-day supply from a network pharmacy | $10 copayment* | 30% of the Plan’s allowance, limited to $200 per prescription* | 50% of the Plan’s allowance, limited to $200 per prescription.* | 30% of the Plan’s allowance, limited to $225 per prescription* |
| Up to 90-day supply through mail order or CVS Specialty® Pharmacy | $20 copayment* | $80 copayment per prescription* | $120 copayment per prescription* | 30% of the Plan’s allowance, limited to $425 per prescription* |
2026 Value Plan Rx benefits (No deductible applies)
| Generic – You Pay | Preferred Brand* – You Pay | Non-Preferred Brand* – You Pay | |
|---|---|---|---|
| Up to 30-day supply from a network pharmacy | $10 copay | 45% of the Plan’s allowance, limited to $300 per prescription | 75% of the Plan’s allowance, limited to $500 per prescription |
| Up to 90-day supply through mail order | $30 copay | 45% of the Plan’s allowance, limited to $500 per prescription | 75% of the Plan’s allowance, limited to $700 per prescription |
Prescription drug coverage resources
- For help with any of these prescription drug resources, please call CVS Caremark® Customer Care at 1-866-623-1441 (TTY: 711).
Have questions? We’re here.
Call 1-800-410-7778 (TTY: 711)
Get Live Help
Have questions or need help selecting a plan? We offer multiple ways to get live help. Don’t wait, our friendly representatives are here for you.