Prescription Drug Coverage
IU-sponsored medical plans include prescription drug coverage through CVS Caremark for retail and mail order prescriptions, and through Archimedes for specialty prescriptions.
The CVS Caremark pharmacy network includes most retail chain pharmacies, such as CVS, Walmart, Target, and most supermarket pharmacy chains. Some independent pharmacies are included as well. However, Walgreens pharmacy is NOT in-network.
Resources
Plan Basics
2025 Cost Shares
Review the copay/coinsurance amounts for each plan below. Create an account at Caremark.com to view personalized drug prices based on your plan’s copay/coinsurance structure and your remaining deductible.
IU medical plans feature the Caremark Cost Saver Program, providing members with automatic access to GoodRx pricing on select generic medications. No signup needed—just show your Anthem ID card at any network pharmacy. The program will compare the standard price with the GoodRx price and charge the lower amount, which also counts towards your deductible and out-of-pocket maximum.
Retail and Mail Order
Up to a 90-day supply of your medications can be filled at any network retail pharmacy, or through mail order for a 90-day supply. To set up mail order, create an account at Caremark.com or use the Caremark app to set up your shipping preferences and billing information. Refills can be requested through your online account, by calling CVS Caremark, or by using the Caremark app to scan the bar codes or QR codes on your prescriptions.
You’re encouraged to set up an account on Caremark.com or the Caremark app to manage your retail and mail order prescriptions. You can use your account to:
- Locate a participating pharmacy
- Check drug prices and generic alternatives
- View the drug formulary and preventive drug list
- Request mail order refills quickly and conveniently
- View prescription history
- Check drug interactions
- Contact a pharmacist
Specialty Medications
Specialty medications are drugs that are used to treat complex conditions, such as cancer, growth hormone deficiency, hemophilia, hepatitis C, immune deficiency, multiple sclerosis, and rheumatoid arthritis. These medications are often very high cost, require proper use and administration to be effective, and often require prior authorization to be dispensed.
Specialty medications are managed through Archimedes, a specialty drug management company that offers a high-touch pharmacy program designed for the unique needs of members taking these medications. The program includes:
- Medication Delivery: Home delivery service through Acaria Health.
- Clinical Support: Access to pharmacists with training and expertise in specialty drugs and the conditions that they treat.
- Member Services: Telephone access to representatives and clinicians who are available to assist members 24 hours a day, 7 days a week.
- Savings Opportunities: Copay assistance programs to help members with their out-of-pocket costs.
Many specialty medications have copay assistance programs where a drug manufacturer pays for all or part of the drug’s cost to make it more affordable. If a copay assistance program is available to you, but you’re not currently enrolled, Archimedes will assist you with enrollment. It’s important to note that If you use a manufacturer copay assistance program to reduce your out-of-pocket cost, only the actual amount you pay will count towards your deductible and/or out-of-pocket maximum.
For questions about your specialty medications, including prior authorization questions, contact Archimedes at 888-330-8248 or iuconcierge@archimedesrx.com. Paper prior authorization forms are also available at archimedesrx.com/resources.
No-Cost Preventive Prescriptions
IU-sponsored medical plans cover 100% of the cost of medications defined by the Affordable Care Act (ACA) as preventive. Download the No-Cost Preventive Drug List for a list of these medications and any eligibility criteria for coverage.
Frequently Asked Questions
Below are answers to the most frequently asked questions regarding the Prescription program.
Customer Service Contacts
Retail/Mail Order Prescriptions – CVS Caremark
Member Services: 866-234-6952
Mail Order Services: 866-234-6952
caremark.com
Specialty Prescriptions – Archimedes
Member Services: 888-330-8248
Email:
iuconcierge@archimedesrx.com
archimedesrx.com
IU Human Resources
Customer Care: 812-856-1234
Email:
askhr@iu.edu
Resources & Forms
- 2025 IU Prescription Plan Booklet (coming soon)
- 2024 IU Prescription Plan Booklet
- Covered Prescription Drug List (Formulary)
- No-Cost Preventive Drug List