MMC Benefits Handbook
Drugs Administered through Surest (see prescription drugs section for exclusions specific to CVS Caremark®)
- Charges for giving injections that can be self-administered.
- Drugs dispensed by a Physician or Physician's office for outpatient use.
- Investigational or non-FDA-approved drugs.
- Non-prescription supplies.
- Over-the-counter drugs, except as specified in "Prescription Drugs."
- Certain new prescription medications or products and/or new dosage forms until the date as determined by the Claims Administrator or the Claims Administrator's designee, but no later than December 31st of the following calendar year. This exclusion does not apply if you have a life-threatening sickness or condition (one that is likely to cause death within one year of the request for treatment). If you have a life-threatening sickness or condition, under such circumstances, Benefits may be available for the new prescription medications or product.
- Selected drugs or classes of drugs which have shown no benefit regarding efficacy, safety, or side effects.
- Vitamin or dietary supplements, except as specified in "Prescription Drugs."