Prescription Drug

All of Sysco’s prescription drug benefits are administered through Aetna/CVS. Each of the medical plans offer the same prescription drug benefit with one exception: the HSA plan requires you to meet your deductible before the plan pays a portion of your costs.

The prescription drug coverage that is included in your Sysco-sponsored medical plan will be provided by CVS, an Aetna preferred carrier. These are the covered prescription drugs as of January 1, 2024.

• Aetna Formulary – drugs covered under your  Sysco-sponsored national medical plan
• Aetna Value Drug List – medications, supplements and products that are covered at no cost to you
• Aetna Exclusive Specialty Drug List – certain specialty drugs offered at $0 copays for those who enroll in PrudentRx

If you have any questions about a specific drug for yourself or your dependents, reach out to Aetna’s Healthcare Advocate at 1-888-792-3862.

You can find the Aetna formulary here, which includes the drugs covered under your Sysco-sponsored national medical plan.

The medications on the Aetna Value Drug list are covered under your plan from day one, even if you haven’t met your deductible. They include certain medications, supplements, or products to:

• Manage certain health conditions, like high blood pressure, diabetes, or high cholesterol
• Help you quit smoking or stop using tobacco
• Help you prepare for certain health screenings for adults

If you (as a plan participant) receive a brand name drug in place of a generic in either of the situations below, you will pay the brand copay plus the cost difference between the generic drug and the brand name drug:

• The doctor writes a prescription for a brand name drug and indicates the patient (plan participant) should not be switched to the generic.
• The patient (plan participant) tells the pharmacist that they are only to have the brand name drug and that they do not want to be switched to a generic.

Specialty prescriptions are uncommon but if you need one, you must enroll in PrudentRx. PrudentRx works with manufacturers to get copay assistance for specialty medications. If you are eligible, you will receive a mailing to your home.

Once you enroll, you’ll pay nothing for any medication on the plan’s Exclusive Specialty Drug List. If you don’t enroll for PrudentRx, you’ll be responsible for 30% of the cost of your specialty medication.

Specialty prescriptions must be filled through CVS or by mail order.

The Exclusive Specialty Drug List shows specialty drugs offered at $0 for those enrolled in PrudentRx.