Prescriptions you can afford
$4 generics
Generic prescription
medications are available
for just $4.
Preventive care
Preventive medications are
covered with fixed
or $0 copays.
Network only
With most plans, you’ll pay full price
if you use a pharmacy other than
Walmart or Sam’s Club.
A reminder about filling some prescriptions
Maintenance medications: Must be filled at a Walmart pharmacy, Sam’s Club pharmacy, or through Walmart Home Delivery.
Specialty medications: Available only through Walmart Specialty Pharmacy.
If you’re in the Premier, Contribution, Saver, or a Local plan, you must use a Walmart, Walmart Home Delivery, or Sam's Club pharmacy to get your pharmacy benefit. All other pharmacies are considered out-of-network, and in most cases, you'll pay the full retail price.
Keep in mind that maintenance medications, like those used to treat high blood pressure and diabetes, need to be filled at a Walmart or Sam’s Club pharmacy, or through Walmart Home Delivery. Specialty medications are available only through Walmart Specialty Pharmacy.
- Premier, Contribution, and all Local plans: The benefits shown here are automatically included.
- Saver Plan: Due to IRS rules, you must pay full price for most prescriptions until you meet your annual deductible. After that, you’ll get the benefits shown here. However, you can get some preventive medications for just a copay without meeting your deductible.
- PPO Plan: Prescriptions start at $10 for generic drugs, as shown below. In this plan, you can use any Aetna pharmacy.
- HMO plans: All HMOs include prescription benefits, which typically start at $10 for generic drugs. Ask your People Partner or contact your plan directly for details.
To be eligible, drugs must be on Walmart's formulary list. This list is maintained by OptumRx. It’s reviewed quarterly and often changes. You can also call OptumRx at 844-705-7493 to ask about a particular drug. For the PPO Plan, you'll find the formulary on Aetna's website.
Some brand-name and other prescription drugs aren’t covered because generic, or over-the-counter alternatives have proven to be just as effective. For more information about what is and is not covered, see the “Pharmacy Benefit” section of the Associate Benefits Book.
All specialty drugs under the Premier, Contribution, Saver, and Local plans must be purchased through Walmart Specialty Pharmacy. If a specialty drug is purchased from another network pharmacy, it will not be covered under the plan. You should call Walmart Specialty Pharmacy to ask about the availability of your prescription drugs under the plan.
If you later decide to join a Medicare drug plan, having “creditable coverage” under the Walmart plan will keep you from paying a higher premium under Medicare. For more information, see the Medicare Part D notice (PDF).
Here’s your cost for prescriptions, depending on the plan you choose. Each copay covers up to a 30-day supply.
| Premier Plan, Contribution Plan, Local plans | Saver Plan | PPO Plan | |
| Generic drugs | $4 copay | $4 copay after deductible | $10 |
| Brand-name drugs* | 25% of allowed cost* or $50, whichever is greater | 25% of allowed cost* or $50, whichever is greater, after deductible | $30 |
| Specialty drugs | 20% of allowed cost* or $50, whichever is greater | 20% of allowed cost* or $50, whichever is greater, after deductible | $60 |
*The allowed cost of prescription drugs is determined by OptumRx.
More resources
Need help?
Chat with a People Services Representative at One.Walmart.com/BenefitsChat or by calling 800-421-1362.
See the 2024 Associate Benefits Book for more information about your benefits and eligibility. It will control over any conflicting information on this page.
