Prescription Drug Benefits


90 Day Mandatory Maintenance Drug Refill beginning July 1, 2017 

PEIA is making a policy change beginning July 1, 2017, that will require ALL maintenance medications to be filled in a 90-day supply at one of our Retail Maintenance Network pharmacies or through the CVS Caremark mail service program. 

Retail Maintenance Network (RMN) of pharmacies that can fill the 90 day mandatory maintenance drugs In West Virginia is listed here in PDF
To view it in excel format, click here.

The list for the Retail Maintenance Network of pharmacies outside of West Virginia can not be opened on a mobile app.  It is only available in an Excel spreadsheet version.


Members and Non-Medicare Retirees
 Members and non-Medicare retirees with a Preferred Provider (PPB) Plans are covered by the following prescription drug benefits:CVS(Caremark)

Preferred Drug List 
Full Formulary Listing
Prior Authorization and Special Limitations Drug List
Common Specialty Drug List
Maintenance Drug List
Preventative Drug List

Prescription Drug Claim Form


Medicare Retirees
Medicare retirees receive prescription drug benefits through one of two plans:

Medicare Advantage Plan (Humana)
Special Medicare Plan (PEIA)