- Excluded Glumetza (Metformin ER modified-release tablets), Fortament (Metformin ER osmotic tablets), and their respective generic formulations effective January 1, 2021.
- Updated the coordination of benefits for members who have EUTF coverage as secondary coverage effective January 1, 2022. Copays may be subject to change and may increase or decrease depending upon primary coverage.
CVS/SSI Retiree Benefits
What’s New?
CVS plan changes for EUTF non-Medicare retirees:
For EUTF Members
| CVS/SSI Plans | January 1 - December 31, 2021 | January 1 - December 31, 2020 |
|---|---|---|
| EUTF SSI Prescription Drug Plan (Medicare) | Summary of Benefits Evidence of Coverage | Summary of Benefits |
| EUTF CVS Prescription Drug Plan (Non-Medicare) | Benefits at a Glance | Benefits at a Glance |
For HSTA VB Members
| CVS/SSI Plan | January 1 - December 31, 2021 | January 1 - December 31, 2020 |
|---|---|---|
| HSTA VB SSI Prescription Drug Plan (Medicare) | Summary of Benefits Evidence of Coverage | Summary of Benefits |
| HSTA VB CVS Prescription Drug Plan (Non-Medicare) | Benefits at a Glance | Benefits at a Glance |