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National CooperativeRx

CVS Caremark Formulary Changes: Effective 7/1/2024

Core Formularies

(Lower List/Lower Rebate)

Advanced Control Formulary

Standard Control Formulary

Standard Formulary Opt-Out

Advanced Control Specialty Formulary

Value Formulary

Choice Formularies

(Higher List/Higher Rebate)

Advanced Control Choice Formulary

Standard Control Choice Formulary

Advanced Control Specialty Choice Formulary

Preventive Drug Lists

Please note: The provided preventive drug lists may not be formulary and/or plan specific.

Your specific prescription benefit plan design may not cover certain products or categories, regardless of their appearance on these documents.

Change Summary Report Legend
• Additions: Item newly added to the preferred drug list
• Deletions: Item that has changed tiers
• Removals: Item that will no longer be covered