Prescription drug coverage is provided through CVS Caremark. You are automatically enrolled when you enroll in any of the Boston Children’s Medical Plans.
|
Category |
Blue Basic |
Blue Plus |
Blue Premium |
Blue Essentials HDHP + HSA |
|---|---|---|---|---|
|
Boston Children’s On-Site Pharmacy Mail Order |
$10 Tier 1 $60 Tier 2 $135 Tier 3 |
10% coinsurance after deductible |
||
|
Boston Children’s On-Site Pharmacy (30-day supply) |
$5 Tier 1 $25 Tier 2 $45 Tier3 |
10% coinsurance after deductible |
||
|
Retail/Mail Order |
$25 Tier 1 $75 Tier 2 $150 Tier 3 |
20% coinsurance after deductible |
||
|
Retail |
$10 Tier 1 $30 Tier 2 $50 Tier 3 |
20% coinsurance after deductible |
||
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.
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!
CVS Weight Management program for GLP-1
Boston Children’s continues to cover GLP-1 medications under CVS Caremark’s formulary in 2026. As part of that covered benefit, the CVS Weight Management program will partner with you to help you reach your goals using various tools to address overall health and wellbeing. Watch for a home mailing from CVS Caremark, which includes details for registration information for this new program to ensure you don’t miss out and continue to receive the covered rate for your GLP-1. View this FAQ for details.