PrudentRx Specialty Medication Savings Program

Reduce out-of-pocket costs on your specialty medications We’re introducing an innovative way to help you save Your specialty prescription benefit plan may look a little different next year. Here’s what’s new CVS Caremark® has collaborated with PrudentRx exclusively for a program that may help save you money when you fill eligible specialty medications.* How it works A PrudentRx trained member advocate will be able to assist you through a high-touch, proactive engagement process to facilitate enrollment and help you obtain non-need based manufacturer assistance where applicable.** Participating members will have a $0 out-of-pocket cost on eligible specialty medications!† How to get started Your enrollment in the program will begin automatically, but additional steps may be needed.†† You can choose to opt-out at any time.‡ *Due to limitations that exist within various external pharmacy systems, implementing the PrudentRx solution on high-deductible health plans (HDHPs) with health savings accounts (HSAs) will be limited to only those medications included on the client’s specialty drug list and dispensed by CVS Specialty® and will not include limited distribution drugs. **Not all specialty prescriptions offer manufacturer assistance. Eligibility for third-party copay assistance program is dependent on the applicable terms and conditions required by that particular program and are subject to change. Copay assistance program may not be used with any Federal health care program. †Participating members enrolled in an HDHP with HSA must fully satisfy their deductible before they are eligible for a final $0 out-of-pocket cost, unless the member has been prescribed a medication that qualifies as “preventive care” under the Internal Revenue Code, which is administered and enforced by the Internal Revenue Service. ††Some manufacturers require you to sign up to obtain copay assistance that they provide for their medications – in that case, you must call PrudentRx to participate in the copay assistance for that medication. PrudentRx will also contact you if you are required to enroll in the copay assistance for any medication that you take. ‡If you choose to opt out of the program or if you do not affirmatively enroll in any copay assistance as required by a manufacturer, you will be responsible for 30 percent of the cost of your specialty medications. ©2025 PrudentRx. All rights reserved. 106-54021A 100322