Prescriptions
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Clovis Unified School District is contracted with CVS Health, Inc. for prescription coverage with many pharmacies to choose from in the Clovis/Fresno area as well as across the United States.The CUSD prescription plan covers a range of medications from generic to specialty.
30 Day Supply Copays 90-100 Day Supply Copays
$15 Generic $37.50 Generic
$40 Preferred Brand $100 Preferred Brand
$50 Brand Name $125 Brand Name
$0 – No Cost for Specialty Prescription Copay (30 or 90-100 day supplies)
To seach for a CVS Network Pharmacy call (800)966-5772 or click the link below:
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CUSD has partnered with PrudentRx through CVS Caremark to provide specialty medications at no cost to covered employees & dependents. In order to fill specialty prescriptions not otherwise covered by the Advanced Control Formulary, members must sign up for the PrudentRx program (at no additional cost).
To enroll, please call PrudentRx toll-free at 1-800-578-4403 Monday through Friday, 8AM to 5PM ET.
See our PrudentRx Specialty Medication Formulary for a list of covered specialty medications under the PrudentRx program using the link below.
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An Advanced Control Formulary is a list managed by CVS Caremark that details medications covered under the Health Plan and provides alternatives to medications that are not covered. CVS Caremark updates & releases a new formulary every quarter during the months of January, April, July, and October. Use the link below to view the most current Advanded Control Formulary drug list:
Advanced Control Formulary 10/2026
WHAT IF MY MEDICATION IS EXCLUDED ON THE FORMULARY?
When CVS excludes a medication from the formulary, at least two alternatives are provided. In certain instances, a patient may be unable to tolerate those alternatives. Their doctor can request a pre-authorization to utilize the non-formulary medication. Requests for pre-authorizations must include documentation of the patient attempting to use the alternatives & having an inadequate treatment response and/or intolerance to the required number of formulary alternatives.
To get a pre-authorization for a non-formulary medication, have your doctor utilize the numbers below.
Please note: these are physician-only numbers & cannot be utilized by patients.
CVS Pre-authorization Physician-Only Number: 866-443-1183
CVS Pre-authorization Phyisican-Only Fax: 866-689-3092
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For those that prefer a local option to fill prescriptions, the Maintenance Choice Program allows members to fill certain 84+ day supplies of maintenance medications at select participating pharmacies, now including Costco.
- Employees & their covered dependents who routinely take maintenance medication can utilize the Mail Order Program to obtain their 84+ day prescriptions for the price of a 60-day supply (see co-payment fee schedule above).
- Mail Order prescriptions can be filled by completing the Mail Order Prescription Claim Form & mailing it with your prescription(s) to the Mail Order Program in San Antonio, Texas.
Mail Service Order Form Mail order claim forms & prescriptions should be mailed to the address noted on form.
For more information regarding the Mail Order Program, contact CVS Health at 800.966.5772.
**Please note that provisions or exclusions may apply in Florida, Minnesota, Oklahoma, Tennessee, and West Virginia.