Prescription Drug Plan

The Diocese of Raleigh prescription drug plan is provided by CVS Caremark in conjunction with the medical benefits offered by the Reta Trust. Employees and covered dependents must be enrolled in the diocesan medical plan in order to participate in the Prescription Drug Plan. Prescriptions can be obtained through a local pharmacy for short term prescriptions and through Mail-Order for on-going maintenance prescriptions.

Retail co-pay (up to 30-day supply)

Generic - $10

Preferred (formulary) - $30

Non-preferred (non-formulary) - $50

Mail-Order co-pay (90-day supply)

Generic - $20

Preferred (formulary) - $60

Non preferred (non-formulary) - $100

CVS Caremark - Prescriptions

  • CVS Caremark Customer Care: 1-800-844-0719 (24/7)
  • The Blue Shield Medical ID card is combined with CVS. The pharmacy will need the Member ID, RxGroup, RxBin, RxPCN listed on the Blue Shield ID card in order to process prescriptions.
  • Processing information needed along with member REA  ID# (on medical ID card)
    • RxGroup: RX21AE
    • RxBIN: 004336
    • RxPCN: ADV

How do I know if my Rx is covered or my pharmacy is in Network under Reta benefits?

Specialty Prescriptions

If you take a specialty medication, you will need to fill your Rx through the CVS Specialty Pharmacy, with the exception of limited distribution drugs that are not available at CVS Specialty.

  • Visit CVSSpecialty.com or call CVS Specialty Customer care at 1-800-237-2767
  • For all plans, except High-Deductible Health Plans, PrudentRx Specialty Copay program will help you save on your Specialty Copay, and pay $0.
  • On or after your eligibility effective date contact PrudentRx at 1-800-578-4403 to enroll in the program
  • PrudentRx will review opportunities for Copay assistance:
  • If there is no copay assistance available for their drug, no additional steps are needed. Once enrolled in the PrudentRx Program, they will receive a $0 copay for their specialty medication.
  • If there is copay assistance available for your drug, PrudentRx will help you get enrolled in the copay assistance program. Once complete, you will receive a $0 copay for their specialty medication.