National CooperativeRx
CVS Caremark Formulary Changes: Effective 4/1/2025
Core Formularies
(Lower List/Lower Rebate)
Advanced Control Formulary
Standard Control Formulary
Standard Opt-Out Formulary
Advanced Control Specialty Formulary
Value Formulary
Choice Formularies
(Higher List/Higher Rebate)
Advanced Control Choice Formulary
Standard Control Choice Formulary
Advanced Control Specialty Choice Formulary
Preventive Drug Lists
Please note: The provided preventive drug lists are not formulary and/or plan specific.
Your specific prescription benefit plan design may not cover certain products or categories, regardless of their appearance on these documents.
Change Summary Report Legend
• Additions: Item newly added to the preferred drug list
• Deletions: Item that has changed tiers
• Removals: Item that will no longer be covered