CHRISTUS Elite

Pharmacy Coverage

CHRISTUS Elite Pharmacy Coverage Overview

CVS Caremark® Prescription Benefits

CHRISTUS Elite prescription benefits are administered through CVS Caremark®, giving members access to:

  • A large national retail pharmacy network
  • Mail order and home delivery options
  • Online tools to manage prescriptions and refills
  • Customer support for prescription questions and transfers

Cost-Sharing Tiers for Drugs on the Formulary

Every drug on our plan’s formulary is in a cost-sharing tier. In general, the higher the tier, the higher your cost for the drug.

CHRISTUS Elite Plan Drug Tiering
Cost Level Cost‑Sharing Tier Drugs Included in Cost‑Sharing Tier
Lowest Cost‑Sharing Tier 1 Preferred Generic Drugs
2 Non‑Preferred Generic Drugs
3 Preferred Brand Drugs
4 Non‑Preferred Brand Drugs
Highest Cost‑Sharing Tier 5 Specialty Drugs

CHRISTUS Elite Formulary

A formulary is a list of medications covered under CHRISTUS Elite plans, reviewed by physicians and pharmacists to ensure safety and effectiveness.

View CHRISTUS Elite Small Employer Group Formulary (PDF)

Ver Formulario en Español (PDF)

Formularies are reviewed and updated regularly to reflect current clinical guidelines and treatment standards.

Managing Your Prescriptions Online

Through the CHRISTUS Health Plan Member Portal, CHRISTUS Elite members can:

  • Review pharmacy benefits and drug tiers
  • Manage refills, medication history, and CVS Caremark® prescription tools
  • Locate in network pharmacies
  • Set up home delivery for eligible maintenance medications

Need Assistance

Questions about CHRISTUS Elite pharmacy benefits or drug tiering?

Contact Member Services, Monday–Friday, 8:00 AM–5:00 PM CST.