- The EUTF 80/20 PPO maximum out-of-pocket (MOOP) will be reduced from $4,350/$8,700 (single/family) to $3,150/$6,300. The MOOP will continue to accumulate by calendar year.
- Added coverage of continuous glucose monitors and disposable insulin pumps at the existing diabetic supply cost share under the EUTF and HSTA VB active plans. Prior authorization required. Coverage is provided under the HMSA medical plan if received from a durable medical equipment provider and under the CVS drug plan if received from a pharmacy. There is no coordination of benefits between the EUTF HMSA and CVS plans.
- Added a 30-day initial fill limit on antidiabetic and weight loss GLP-1 medications under the EUTF active plans effective January 1, 2026. Antidiabetic GLP-1s include Ozempic, Mounjaro, Rybelsus, Trulicity, and Victoza. Weight loss GLP-1s include Wegovy and Zepbound.
- Added prior authorization criteria for Eohilia, Journavx, Veozah, Voquezna, and Xdemvy under the EUTF active plans effective January 1, 2026. Existing members using these products were grandfathered and did not need to obtain prior authorization.
CVS Active Benefits
What’s New?
Effective July 1, 2026 (unless otherwise specified):
For EUTF Members
| CVS Plan | July 1, 2026 - June 30, 2027 | July 1, 2025 - June 30, 2026 |
|---|---|---|
| EUTF CVS 75/25 PPO Plan | Summary of Benefits and Coverage CVS Benefits at a Glance | Summary of Benefits and Coverage CVS Benefits at a Glance |
| EUTF CVS 80/20 PPO Plan | Summary of Benefits and Coverage CVS Benefits at a Glance | Summary of Benefits and Coverage CVS Benefits at a Glance |
| EUTF CVS 90/10 PPO Plan1 | Summary of Benefits and Coverage CVS Benefits at a Glance | Summary of Benefits and Coverage CVS Benefits at a Glance |
| EUTF CVS HMO Plan1 | Summary of Benefits and Coverage CVS Benefits at a Glance | Summary of Benefits and Coverage CVS Benefits at a Glance |
| 1 These prescription drug plans are bundled with the HMSA 90/10 PPO and HMO medical plans. See the HMSA Active Benefits page regarding enrollment closure of these plans. | ||
For HSTA VB Members
| CVS Plan | July 1, 2026 - June 30, 2027 | July 1, 2025 - June 30, 2026 |
|---|---|---|
| HSTA VB CVS 80/20 PPO Plan | Summary of Benefits and Coverage CVS Benefits at a Glance | Summary of Benefits and Coverage CVS Benefits at a Glance |
| HSTA VB CVS 90/10 PPO Plan | Summary of Benefits and Coverage CVS Benefits at a Glance | Summary of Benefits and Coverage CVS Benefits at a Glance |
