Mondelez (CVS) - General Information

ATTENTION - CVS Group Orgs must be looked up with the "CVS MEMBER LOOKUP" tool and not in the general "Eligible users” section on B2B - see FAQ section below for more details.

Mondelez International, Inc. (MON-də-LEEZ), styled as Mondelēz International, is an American multinational confectionery, food, holding, beverage and snack food company based in Chicago. 

Zendesk Org Tag: Mondelez

Landing Page: https://www.vida.com/member/mdlz/

Programs & Devices Offered

• For full details on programs offered, please review this VP Card
• For full details on devices offered, please review Device Eligibility Google Doc

Prescribing Information

Context for Agents: Marketing materials often state that the Vida program is "free" or "fully covered." While this is true for the program itself, members on High Deductible Health Plans (HDHP) may still incur out-of-pocket costs for clinical services (like doctor visits) until their deductible is met. It is crucial to set accurate expectations so members are not surprised by invoices.

Suggested Script:"If  you are currently enrolled in a High Deductible Health Plan, medical visits have a set cost until your overall insurance deductible is met for the year. This potential cost for medical visits is noted in the eligibility statement on your enrollment communications."

VP Card

Use Case 1 & 2 + Activity Requirements

Is Vida Prescribing?

• For Members taking GLP1 without diabetes Use case 1 - member is required to enroll in Vida and maintain monthly activity in order to continue getting prescription. Vida will send member engagement confirmation file to CVS daily. See Vidapedia for more info on activity guidelines (Note: activity requirements do not include labs/VMP visits so they don't have to do those things if they don't want to.) Vida can also prescribe GLP1s but is not a sole prescriber, therefore members can have prescription prescribed outside of Vida once they have enrolled and are active in the program.

• Continued Issues After Completing Engagement

  • If the member has signed up for Vida and 24 hours have passed, then an engagement file has been sent to CVS to meet the Vida engagement requirement for the member to get their GLP1
  • If the member is still having issues getting their prescription filled you can use the below verbiage to communicate with the member:
  • Macro: "Lincoln/Mondelez Engagement Requirement - Activities Already Complete and Sent"
  • This medication now requires 2 things before it can be filled and covered by your health insurance plan:
    1. Vida engagement activity and
    2. Prior authorization from your prescribing doctor.
    I can confirm you are engaged in Vida. Your engagement status was sent to CVS, the pharmacy benefit manager, 24 hours after enrollment.
    To avoid any delays in getting your medication filled, please reach out to your doctor as soon as possible. Ask them to start the prior authorization process with your health insurance provider. Your doctor can submit the required documentation directly to your insurance.

• Are there engagement requirements?
  • Yes.
    Account Engagement Criteria:
    

    Program	Engagement Requirement	Incentive
    Medical Weight Loss OR Weight Loss+	Schedule a Consult	Members will receive coverage for anti-obesity medications prescribed by a Vida medical provider or external provider, as long as they meet the monthly engagement requirement. Members must complete at least one of the listed engagement requirements monthly.
    	Complete a Consult
    	Log Meal in Food Logger
    	Open Lesson / Content
    	Add / Complete a Habit
    	Send Message to Provider
    	Send Message to Group
    	Log a Metric (Manually or Device Sync)
    	Complete a Survey Tool

• Use https://lookerstudio.google.com/u/0/reporting/5b2d4c34-d805-41a1-93ba-8cf8e5e71a83/page/vtwrE to check if the engagement/activity file has been sent
• It takes >48 business hours for compliance to reflect with CVS/pharmacy.
  • Day 1: Member becomes compliant with engagement criteria
  • Day 2 (2 AM): Vida sends updated file to CVS
  • Day 3: CVS processes the update
• Prescribing UPDATE:
  
  • Any clients who opt for the Mandatory Maintenance Choice program with CVS will include the following UPDATE: future prescriptions for Topiramate after June 1st, 2025 will need to be for a 90 day supply and will need to be through the CVS Caremark prescription mail service to be covered. Questions about the mail service can be directed to CVS
• How often will terminations take place?
  • Monthly [Typically this is the answer]
• Do we offer Phone and/or Email support?
  • Phone + email
• Is VSC outreach involved?
  • YES
• CVS Benefits Change FAQs

• If member has done the above steps, please send to #prodops_support on slack to check that the member was sent over to CVS
   
• Members enrolled in MWL, WL+ will continue to be sent over to CVS on the engagement file provided activities are maintained monthly 
   
• Uploading labs is not a blocker or a requirement for PA engagement requirement but would be a blocker for having Vida prescribe the meds (member can have their outside provider continue to prescribe)
   
• Meeting with a provider is not a blocker so ensure member understands activities are what matters for PA coverage maintenance, if Vida is the prescriber than a provider session would be required once labs/med records uploaded

• IF the Pharmacy tells the member Vida is the issue and we are not the prescriber of record, send to Tier 2
  • Tier 2: Escalate to AM Jennifer Rice with "Account Management (AM) Escalation" completely filled
•  
  • If member is asking who completes the Prior Authorization for the prescription advise it depends on the prescriber if Vida prescribes the prior authorization is not needed
  • If prescribed outside of Vida then Member will need to work with their doctor to obtain Prior authorization after enrollment and program activity started
• For Members on GLP1 to treat Diabetes, enrollment is not required to continue use of GLP1, however if member would like to enroll Vida can be a prescriber but is not a sole prescriber, members can sign up and continue have prescription prescribed outside of Vida
• Vida can prescribe
  • AOM (Anti obesity medications)
  • HTN (Hypertension medications to treat high blood pressure)
  • HLD (Hyperlipidemia medications to treat high cholesterol)
  • CHF (congestive Heart Failure) and COPD (Chronic Obstructive Pulmonary Disease) and
  • Diabetic medication
• Prescribing programs are Whole Health, and Medical Weightloss but are based on individual eligibility, to review all programs available see client Vidapedia link above
• Grandfather (those currently on a AOM): Member will be required to submit Medical Record Verification if they choose Vida as prescriber (application will prompt for doc uploads before being able to meet with Vida Medical Prescriber).
• Drug list: HTN, HLD, AOMs, Diabetes Rx, CHF/COPD
  • Formulary: ​Advanced Control List
  • Contrave: Use generic option
• Grandfathering: Vida Standard - Req'd Medical Record Verification
• Gold-carded: Yes

Population Details

• 14500 members
  • Employees:  8245
  • Spouses/Dep 18+:  6244

HQ in Chicago

Additional Info

• What segment is this org in?
  • Employer
• Are there any Fees at risk (FAR) org?
  • Yes (No support related PGs)
• When did we launch with this org?
  • 1/1/2025
• How is the service being paid for?
  • ee, sp, dep 18+ on their medical plan
• How do members enroll?
  • Vida App, VSC outreach campaign
• Where should non-eligible members be directed?
  • Mondelez International Benefit Center; 
    • 1-800-887-8807 (Option 1 – Benefits; Option 1 – Health & Welfare Benefits)
    • Representatives are available Monday through Friday, 7:00 a.m. to 6:00 p.m. (Central Time)
  • MyBenefitsOnline: https://mondelez.ehr.com/
• Who is eligible?

• Is the org on the eligibility file?
  • YES
    • IMPORTANT:Pay orgs under our CVS partnership - Lincoln Financial, Schnuck’s Markets, RYAM, Morton Salt, OnVida Health, Charter Communications, Ecolab, Mondelez, KeHE Distributors, Blue Compass RV, Henkel - go through a specific eligibility check that verifies against an external file in real time during enrollment. Right now, the “Eligible users” for these orgs in our B2B system reflect only marketing details and cannot be assumed to be accurate for eligibility checks.
      In order to check members eligibility through these orgs,
      • click the “CVS MEMBER LOOKUP” icon on the top right corner of the B2B system.
      • Select the specific org from the drop-down and fill details (best case is to try their Caremark ID - most members should have their Caremark ID available). If using Caremark ID, no other details are needed. If using Name, make sure to include first and last name with proper spelling, birthday, and Zip Code.