Starting June 1, 2016, coverage for Nexium® 24HR over-the-counter (OTC), a Pfizer Consumer Healthcare product, is available under Pfizer’s prescription drug program. If you are enrolled in a Pfizer Retiree Medical Plan option, including the Post-65 Prescription Drug-Only option, you can obtain Nexium® 24HR (OTC) at no cost when purchasing this product with a prescription at a CVS Caremark network pharmacy.
While Nexium will now be covered as both a prescription product and an OTC product (if purchased using a prescription, as described below), there are some differences in their indications for use:
|Nexium® 24HR (OTC)||Prescription NEXIUM® or Generic Esomeprazole|
Speak with your provider to determine if Nexium® 24HR (OTC) is right for you. For more information on Nexium® 24HR (OTC) visit www.nexium24hr.com.
To take advantage of receiving Nexium® 24HR (OTC) at no cost:
Note: If you purchase Nexium® 24HR (OTC) in any other manner, including at the “regular” front-of-store checkout, at a newsstand, or through a Pfizer company store, it will not be covered under the prescription drug program so you will pay the full cost. To be eligible for coverage under Pfizer’s prescription drug program, a valid prescription must be presented at the pharmacy counter. Coverage for Nexium® 24HR (OTC) is also available through CVS Caremark Mail Service. If the CVS Caremark Mail Service Pharmacy is used, due to packaging limitations, it will require that your physician write the prescription for an 84-day supply.
Prescription brand and generic Nexium (20mg and 40mg strengths) will continue to be covered under Pfizer’s prescription drug program, subject to the applicable coinsurance amount.
Questions about Your Prescription Drug Coverage or Locating a Participating Pharmacy?
For more information, visit the pharmacist at a CVS Caremark participating pharmacy, call CVS Caremark at 1-866-804-5881, or visit www.caremark.com. To locate a nearby CVS Caremark participating pharmacy, log into www.caremark.com and click on Pharmacy Locator under the Plan & Benefits menu.
Nexium® 24HR (OTC) is being covered under Pfizer’s prescription benefits because the 20mg dose form is available as both a prescription and an OTC medication.