As announced during Open Enrollment, beginning Jan. 1, 2024, CVS Caremark will offer the PrudentRx specialty drug copay program to employees and their covered family members enrolled in a Regence BlueShield medical plan (King Care PPO or KingCare Select). PrudentRx participants pay nothing out-of-pocket for their eligible specialty drugs.

Employees and covered family members who use a specialty medication that’s covered under the program should have received a letter through the U.S. mail from PrudentRx in early December. The letter contains information about the program and provides instructions to help you enroll. Please be aware of the following PrudentRx logo:

If you or a covered family member received a letter, you should call PrudentRx at 800-578-4403 to sign up for the program. PrudentRx will also attempt to reach you by phone.

PrudentRx program participants have a $0 copay for specialty drug prescriptions. Important: Beginning in 2024, individuals who do not enroll in PrudentRx will pay 30% coinsurance for specialty medications covered under the program.

There is no cost to join the program. The PrudentRx program does not apply to all specialty drugs, and most drugs are not classified as specialty. If you did not receive a letter or phone call from PrudentRx, no action is required by you.

For more information about the program, please contact PrudentRx at 800-578-4403. For general prescription drug coverage questions contact CVS Caremark at 844-380-8838.

If you have questions, please contact the Benefits team at kc.benefits@kingcounty.gov or 206-684-1556.