Understanding your prescription benefits
State Health Plan coverage includes prescription benefits at no extra cost. Prescription drugs are covered at network pharmacies only, and Caremark is the pharmacy benefits manager. Explore the information below to learn more about your prescription benefits.
If you have questions about State Health Plan prescription drug benefits, call Caremark at 833.291.3646. For questions about SilverScript, the Plan's Medicare prescription drug program, call 833.293.4859.
Find covered drugs
PEBA uses Caremark’s Advanced Control Specialty Formulary; however, the State Health Plan might not cover certain medications regardless of their appearance on the document linked below. Members can create Caremark accounts to search for a network pharmacy and medications covered by the Plan.
Plan Downloadables
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Plan summary-Standard Plan
Learn about your prescription benefits under the Standard Plan.
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Plan summary-Savings Plan
Learn about your prescription benefits under the Savings Plan.
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Plan summary-MUSC Health Plan
Learn about your prescription benefits under the MUSC Health Plan.
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Prescription benefits
Learn about your State Health Plan prescription benefits.
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Digital tools
Register for an online account.
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Mobile app
Manage your prescriptions on your own time.
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Generic medications
Receive the same quality at a better price.
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Your prescriptions
Get the most from your medication.
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Pharmacy benefits manager
Learn about Caremark.
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Prescriptions by mail
Get your drugs delivered to your door.
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Opioids
Learn about opioid prescriptions and other options.
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Specialty medications
Receive medications and support from CVS Specialty.