Pharmacy

Choose the pharmacy coverage for you

Pharmacy coverage is provided through CVS Caremark. You are automatically enrolled when you enroll in any of the Boston Children’s Medical Plans.

Pharmacy Coverage Overview

Category

Blue Basic
HMO

Blue Plus
HMO

Blue Premium
PPO

Blue Essentials HDHP + HSA

On-Site Pharmacy Mail Order
(90-day supply)

$10 Tier 1

$60 Tier 2

$135 Tier 3

10% coinsurance after deductible

On-Site Pharmacy (30-day supply)

$5 Tier 1

$25 Tier 2

$45 Tier3

10% coinsurance after deductible

Retail/Mail Order
(90-day supply)

$25 Tier 1

$75 Tier 2

$150 Tier 3

20% coinsurance after deductible

Retail
(30-day supply)

$10 Tier 1

$30 Tier 2

$50 Tier 3

20% coinsurance after deductible

Mail Order Program

If you use long-term medication or are on a maintenance prescription that needs to be refilled regularly, you must refill for three months at a time. You can do this either at a CVS, through Caremark’s (retail) mail order pharmacy, or at the on-site pharmacy.

Use the On-Site BCH Pharmacy

The Boston Children’s Hospital Pharmacy is available to fill your prescriptions — including adult prescriptions for maintenance and acute medications. The pharmacy is conveniently located at 283 Longwood Avenue, Boston, and open from 8 a.m. to 11 p.m. seven days a week. You can receive free home delivery if you live in New England or New York!