CalPERS Basic Pharmacy Benefits 2021
90-Day Supply Fills at Retail Pharmacies
Effective January 1, 2021, Basic members will have greater access to 90-day supplies of maintenance medications at retail pharmacies. Major pharmacy chains, including CVS, Rite Aid, Safeway, Costco and others which were previously limited to a 30-day supply, will now be able to fill 90-days of maintenance medications.
- Will I be able to get my maintenance medications at any pharmacy?
Not all retail pharmacies are contracted to fill 90-day supplies. You will only be able to receive a 90-day supply of your maintenance medications at pharmacies that are contracted with OptumRx to dispense 90-day supplies.
- How will I know if my pharmacy can fill 90 days of my maintenance medication(s)?
Ask your pharmacy if they can fill your medication for 90-days, or you can use the "Locate a Network Pharmacy" tool on the member portal at optumrx.com/calpers, click on "View Details" under the name of the pharmacy. The "90-day retail" will be displayed for pharmacies contracted to fill 90-days.
- Can I continue to fill 30 days of my maintenance medication?
Your plan allows two grace fills of up to a 30-day supply, then you will need to fill a 90-day supply. If you continue to fill a 30-day supply, you may pay more for your medication(s).
- What is the copay for 90-day supplies of maintenance medications?
Maintenance medications for long-term or chronic conditions may be obtained for two 30-day copayments up to a 90-day supply.
- Will I still get the 90-day supply for two 30-day copays?
Yes, you will continue to receive a preferred copay for maintenance medications filled at a Select90 Saver Program Pharmacy. There are no changes to the Select90 Saver Program or OptumRx Home Delivery