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North Carolina State Health Plan Secures Cost-Saving Deal with CVS Caremark for 750,000 Beneficiaries

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Published on October 08, 2025
North Carolina State Health Plan Secures Cost-Saving Deal with CVS Caremark for 750,000 BeneficiariesSource: Facebook/NC Department of State Treasurer

In a noteworthy move for state employees and their dependents, the North Carolina Department of State Treasurer has struck a deal with CVS Caremark that's promising to maintain wallet-friendly prescription drug costs for over 750,000 people. As per the official announcement, the agreement not only guarantees more transparent pharmacy pricing and payments but also gives the State Health Plan a stronger bargaining chip to potentially reinstate coverage for weight-loss medications.

According to the North Carolina Department of State Treasurer, Brad Briner was vocal about the significance of this agreement, stating, "The commitments we were able to secure from Caremark represent a monumental win for the members of the State Health Plan." The contractual peace does come after a tense standoff, where both parties having navigated choppy waters, reached calmer shores that allowed the Plan increased oversight into the allocation of state tax dollars.

This newfound clarity in pharmacy benefit management isn't just about maintaining the status quo; it's an evolution towards a model that favors direct negotiation strategies with drug manufacturers that could see coverage for certain medications, like GLP-1s, restored. The Plan, under this agreement, remains in command of its formulary, which - in the long run - is expected to favor both cost effectiveness and improved health outcomes for its members.

Playing the role of the appreciative business partner, Ed DeVaney, President of CVS Caremark, acknowledged their commitment, "We are grateful to the state for their partnership and are honored to continue working on behalf of North Carolina’s teachers and public employees to lower their prescription drug costs. We remain laser focused on lowering drug costs, delivering value, driving innovation and providing transparency across our customers’ pharmacy benefit." Their statement aligns with the aims of the State Health Plan, which is to connect its members to economical medication and services, without disruption in the foreseeable future, as per the North Carolina Department of State Treasurer.

Recognizing the collaborations and efforts that led to this settlement, the release also mentioned former treasurer Dale Folwell, Attorney General Jeff Jackson, and Auditor Dave Boliek, whose cooperation was indispensable. And, for those keeping an eye on their premiums, Thomas Friedman, Plan Executive Administrator, promises that this agreement will not tip that scale in the coming year - a relief to many, no doubt, as the Plan had already anticipated this settlement back in August when setting the premiums.