Barnes Group’s prescription drug coverage is administered by CVS Caremark. You will automatically receive prescription drug coverage if you enroll in one of the three Aetna medical plan options.
Each of our four medical plan options provides the same prescription drug coverage benefits. Your prescription drug costs will depend on whether you purchase at a retail pharmacy or through mail order, and the type of prescription drugs you buy (such as, generic or brand name). The plan also provides enhanced coverage for specific medications used to treat hypertension, high cholesterol, asthma and diabetes to help members control costs and ensure greater medication compliance.
When you are enrolled in a Barnes Group medical plan, your coverage will include prescription drug coverage through CVS Caremark. The CVS Caremark website makes it easy to order prescription refills, review the plan’s formulary, get drug cost estimates, identify ways to reduce your medication costs and manage your prescription coverage and benefits.
|Pharmacy retail (30-day supply)||
CVS Caremark network pharmacy:
Generic preventive medications
|Pharmacy mail services (up to 90-day supply)||
CVS Caremark network pharmacy:
Generic preventive medications
CVS Caremark requires prior authorization, quantity limits and/or specialty guideline management for selected medications and these requirements may change from time to time.
Barnes Group offers a unique Preventive Generics Medication Program designed to promote medication compliance by offering free generic medications included on the CVS Caremark Preventive Generic Formulary covering more than 14 different diagnostic condition categories and more than 270 generic medications.
For a complete list of current medications available under this program, please review the Preventative Generic Medication List.
Specialty drugs are prescriptions that are used for the treatment of complex, chronic conditions such as hepatitis, hemophilia, and cancer.
CVS Caremark offers a program for specialty injectable and oral drugs that can provide you with greater convenience, including express delivery, follow-up care calls, expert counseling and superior service and lets you stay in control and on track with flexible, medication pick up or delivery service. Just pick up your medication at any of the 7,600 nationwide CVS pharmacies or have it delivered to your home or work. The choice is yours.
The pharmacy drug list (formulary) is updated regularly. You can access it at CVS Caremark Formulary. If you currently take prescription drugs or need prescription drugs during the year, it is important that you review this formulary list with your doctor. If your prescribed drug is not on the list, discuss with your doctor whether your treatment plan can include a generic alternative or, if not available or tolerated, a high-quality, preferred name-brand drug included in the Advanced Control Drug Formulary.
Please note: CVS Caremark updates its formulary throughout the year (no more than four times annually), so be sure to check your medications regularly against the most current formulary list.
Due to the lack of U.S. Food and Drug Administration (FDA) approval for many ingredients included in compounds and the high cost of these compounded medications, they may not be covered by your prescription plan or may require prior authorization from CVS Caremark. If the compound ingredients are not covered, you will be responsible for the full cost of those ingredients. In situations where the compound ingredients are covered through prior authorization, you will pay the share of the cost specified by your prescription benefits.
Prescription drugs that have an over-the-counter (OTC) equivalent are not covered by the Barnes Group plans.
Our Step Therapy program helps ensure that you receive appropriate, safe and cost-effective drug therapy. Step Therapy encourages the use of medications you must try first before other treatments are covered, based on clinical practice guidelines and cost-effectiveness.
If your doctor prescribes a brand-name drug for the treatment of an ongoing condition, you will be required to try a medically equivalent but lower-cost alternative to the drug first. You will be contacted before implementation of Step Therapy with a list of the alternative drugs available. After you review the list, you or your pharmacist may contact your doctor to approve the change. If your doctor does not authorize the switch to the preferred drug, the request will be clinically reviewed and you will be informed of the outcome.
Sometimes, your doctor may determine that it is medically necessary for you to take the brand-name version of a drug, even if a generic version is available. If so, your doctor would write "DAW" at the bottom of the prescription. This means that your prescription must be filled with the brand-name version of the medication.
If you use a DAW prescription and receive a drug's brand-name version, you will be required to pay the brand copayment or coinsurance plus the cost difference between the brand and generic drug. If you are unable to take a generic equivalent drug for clinical reasons (for example, you are allergic to the generic filler), your physician can appeal. If your appeal is approved, you can take the brand-name drug without paying the differential.
With the Plan Summary Tool available on the CVS/Caremark website you can more easily track expenses against your plan to see how close you are to meeting your deductible and max out-of-pocket.
Find out what percentage you'll pay for your medications using the CVS Caremark Mail Service Pharmacy and/or participating retail pharmacies table.
Transform Diabetes Care
A personalized, connected approach to reduce complexity, improve outcomes, and help you manage your diabetes.
Testing and tracking your blood glucose levels is critical to successfully managing your diabetes, but it can be a time-consuming, manual process.
Now, there’s a better way. We’d like to introduce you to the Livongo connected meter - with this connected meter, every time you test your blood glucose levels, your numbers will be automatically sent to a secure online account.*
With Livongo, you can easily:
- Track your levels, see trends, and share your data with whomever you choose**
- Get unlimited test strips and lancets delivered to your door with no out-of-pocket cost.
- Get personalized tips in real-time to help you stay on track and make informed choices.
Get Started Today
To be eligible to enroll in this free voluntary program, you must be a Barnes Group Inc employee or family member that is enrolled in one of our medical plans and who is diagnosed with diabetes or pre-diabetes.
Visit Start.Livongo.com or call your dedicated Livongo Team at 1-800-945-4355. You’ll need to provide your registration code, "barnesgroup".
Additional Program Benefits Include:
- Diabetes monitoring visits at any MinuteClinic® location.
Get two monitoring visits per year at no out-of-pocket cost to you. These visits are designed to help prevent diabetes-related conditions and include:
- A1c testing, foot exams, body mass index (BMI) assessment, diet consultation, and blood pressure and cholesterol checks.
No appointment is necessary, just bring the program voucher with you to any MinuteClinic location.
- Personalized, one-on-one coaching with a pharmacist.
Need help managing your diabetes medications? If you pick up at a CVS Pharmacy®, stop in and speak to a pharmacist. If you get delivery by mail, call the number on your member ID card to speak with a CVS Caremark® pharmacist.
*Barnes Group offers this program at no cost to you. Program availability is subject to change. You will be notified if the program is no longer available. This program is not a substitute for medical care provided by your doctor and is not a replacement for the advice or treatment you may be receiving from your doctor for your diabetes. In the event of a medical emergency, contact 9-1-1.
**By participating in this program, you are consenting to Livongo sharing your personal information, including health information such as your glucose readings, with CVS Caremark to help you manage your diabetes. Information shared with CVS Caremark is protected by HIPAA and may result in a CVS Caremark pharmacist reaching out to you. CVS Caremark may also coordinate with your health care provider.