Prescription Drug

All four Ingram Medical Plans include prescription drug coverage through CVS/Caremark. Cost differences for each Medical Plan are outlined in the chart.
View the Plan Comparison Chart

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Eligible Pharmacies

You can fill your 30-day and 90-day prescriptions at any Target, Kroger, Costco, or CVS pharmacy.

Prescription Delivery

If you live within 50 miles of a CVS pharmacy, CVS will ship a 90-day supply of maintenance medications, short-term antibiotics, and medical supplies to your home within 1–2 days.

If you live within 10 miles of a CVS pharmacy, your order can be delivered within four hours.

Shipping costs may vary. Contact your local pharmacy for details.

CVS/Caremark Maintenance Choice

Do you take maintenance medications for chronic, long-term conditions like high blood pressure or diabetes? Maintenance prescriptions must be filled as a 90-day supply through an eligible pharmacy or through mail order. CVS/Caremark will reach out if your medications fall into this category.

Specialty Medications

Specialty medications are only dispensed through CVS/Caremark's specialty pharmacy. Your physician should send your specialty prescriptions directly to the specialty pharmacy. For convenience, you can pick up your prescriptions from a local CVS pharmacy.

PrudentRx Program

This program helps those enrolled in the Signature or Surest Plans save on specialty drug costs. PrudentRx will contact you directly to sign up. Enrolled members pay $0 out of pocket for most CVS/Caremark specialty medications.

Tobacco Cessation

Trying to quit tobacco? Get help through CVS/Caremark. For two 12-week cycles each year, your prescription coverage takes care of all over-the-counter products and prescription drugs related to quitting tobacco.

Smart Prescription Spending

  • Savings Advisor through CVS/Caremark: Create an account at caremark.com to automatically get emails about opportunities to save on your medications.
  • Using generics: Whenever possible, ask your doctor to prescribe generic drugs. These are functionally identical to brand-name drugs but often much cheaper.
  • Preventive Therapy Drug List: CVS Caremark's Preventive Therapy Drug List includes medications that may be covered at low or no cost under the Choice + HSA or Value + HSA Plan. Certain products or categories may not be covered, regardless of their appearance in this document.

CVS/Caremark

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Surest Plan Signature Plan Choice + HSA Plan Value + HSA Plan
30-Day Supply 90-Day Supply 30-Day Supply 90-Day Supply
Annual Deductible $0 $0 $0 $0 Medical deductible applies. In-network: $1,700 individual / $3,400 family** Medical deductible applies. In-network: $3,400 individual / $6,800 family
Some preventive medications are not subject to the deductible — see the list at IngramBenefits.com/prescription-drug.
Generics $8$20 $8$20 Pay the full cost of the medicine up to the deductible, then 20% of cost
Formulary Brand 30% of cost30% of cost
Minimum $25$62.50 $25$62.50
Maximum $100$250 $100$250
Non-Formulary Brand 40% of cost40% of cost
Minimum $60$150 $60$150
Maximum $150$375 $150$375
Specialty 30% of costN/A
$0 out-of-pocket if participating in the PrudentRx program* $0 out-of-pocket if participating in the PrudentRx program*
Annual Out-of-Pocket Maximum Medical out-of-pocket maximum applies. In-network: $4,000 individual / $8,000 family $2,500 Medical out-of-pocket maximum applies. In-network: $3,500 individual / $7,000 family — ($3,500 per individual) Medical out-of-pocket maximum applies. In-network: $5,000 individual / $10,000 family — ($5,000 per individual)

* PrudentRx program participation required for $0 specialty out-of-pocket.  ** Family deductible applies to non-individual coverage tiers.

Surest Plan
Annual Deductible
$0
Generics
30-day$8
90-day$20
Formulary Brand
30-dayMin $25 · Max $100
90-dayMin $62.50 · Max $250
Non-Formulary Brand
30-dayMin $60 · Max $150
90-dayMin $150 · Max $375
Specialty
$0 out-of-pocket with PrudentRx program*
Annual Out-of-Pocket Max
In-network: $4,000 individual / $8,000 family
Signature Plan
Annual Deductible
$0
Generics
30-day$8
90-day$20
Formulary Brand — 30% of cost
30-dayMin $25 · Max $100
90-dayMin $62.50 · Max $250
Non-Formulary Brand — 40% of cost
30-dayMin $60 · Max $150
90-dayMin $150 · Max $375
Specialty
30-day30% of cost
90-dayN/A
$0 out-of-pocket with PrudentRx program*
Annual Out-of-Pocket Max
$2,500
Choice + HSA Plan
Annual Deductible
In-network: $1,700 individual / $3,400 family.** Some preventive medications aren’t subject to the deductible.
Generics, Brand & Specialty
Pay full cost up to the deductible, then 20% of cost
Annual Out-of-Pocket Max
In-network: $3,500 individual / $7,000 family ($3,500 per individual)
Value + HSA Plan
Annual Deductible
In-network: $3,400 individual / $6,800 family. Some preventive medications aren’t subject to the deductible.
Generics, Brand & Specialty
Pay full cost up to the deductible, then 20% of cost
Annual Out-of-Pocket Max
In-network: $5,000 individual / $10,000 family ($5,000 per individual)

* PrudentRx program participation required for $0 specialty out-of-pocket.  ** Family deductible applies to non-individual coverage tiers.