CVS Caremark Advanced Control Specialty Formulary Guide

This document provides an overview of the CVS Caremark Advanced Control Specialty Formulary, outlining prescription coverage guidelines and emphasizing the prioritization of generic medications where applicable.

1 January 2026 Advanced Control Specialty Formulary® The CVS Caremark® Advanced Control Specialty Formulary® is a guide within select therapeutic categories for clients, plan members and health care providers. Generics should be considered the first line of prescribing. If there is no generic available, there may be more than one brand-name medicine to treat a condition. These preferred brand-name medicines are listed to help identify products that are clinically appropriate and cost-effective. Generics listed in therapeutic categories are for representational purposes only. This is not an all-inclusive list and does not guarantee coverage. This list represents brand products in CAPS, branded generics in upper- and lowercase Italics, and generic products in lowercase italics. PLAN MEMBER Your benefit plan provides you with prescription drug coverage that is administered by CVS Caremark. Ask your doctor to consider prescribing, when medically appropriate, a preferred medicine from this list. Take this list the next time you or a covered family member sees a doctor. • Your specific prescription benefit plan design may not cover certain medications, products or categories, regardless of their appearance in this document. Medications and products recently approved by the U.S. Food and Drug Administration (FDA) may not be covered immediately upon release to the market. • Your prescription benefit plan design may alter coverage of certain products or vary cost sharing amounts based on the condition being treated. • You may be responsible for the full cost of medications and products that are removed from coverage. • For specific information regarding your prescription benefit coverage and cost sharing, or if you have additional questions, please sign in or register on Caremark.com and click Plan Summary on the Plan & Benefits menu. • When a generic medication that is equivalent to a brand-name drug is released to the market, in most instances, that brand-name drug will be designated as a non-preferred option. HEALTH CARE PROVIDER Your patient is covered under a prescription benefit plan administered by CVS Caremark. As a way to help manage health care costs, authorize generic substitution whenever possible. If you believe a brand-name product is medically necessary, consider prescribing a brand name on this list. • The member's prescription benefit plan design may alter coverage of certain products or vary cost sharing amounts based on the condition being treated. • This drug list represents a summary of prescription coverage. The member’s specific prescription benefit plan design may not cover certain products or categories, regardless of their appearance in this document. Products recently approved by the FDA may not be covered immediately upon release to the market. • The member's prescription benefit plan may have different cost sharing for specific products on the list. • Unless specifically indicated, drug list products will include all dosage forms.

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