Caremark’s Cialis coverage depends heavily on your specific plan. Check your formulary–this document lists covered medications and their cost-sharing details. Your plan may require prior authorization before covering Cialis, meaning you’ll need your doctor to submit a request for approval.
Tiered formularies are common. Cialis might reside in a higher tier, leading to higher co-pays or coinsurance than generics or preferred medications. Generic tadalafil, the active ingredient in Cialis, is often more affordable. Explore this option with your doctor.
Your out-of-pocket costs will also vary depending on your deductible and the plan’s cost-sharing structure. High deductible plans typically shift more costs to the member. Review your Summary of Benefits and Coverage (SBC) for precise details regarding your cost-sharing responsibilities.
Caremark’s customer service can clarify your coverage. Contact them directly with your plan information for personalized guidance. They can confirm Cialis’s tier, any prior authorization requirements, and explain your expected costs.
Consider exploring other treatment options with your doctor if the cost of Cialis under your Caremark plan proves prohibitive. They can discuss alternative medications or treatment strategies that better suit your budget.
