Cvs caremark specialty pharmacy prescription fax form 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Patient Information section. Enter the patient's name, date of birth, address, phone number, city, state, ZIP code, and CVS Caremark Member ID. Ensure all fields are completed accurately for smooth processing.
3. Next, move to the Prescription Information section. Here, list up to four medications by entering the drug name, strength, directions for use, quantity (90 days or 1 year), and refills needed. Double-check this information for accuracy.
4. Proceed to the Physician Information Required section. Fill in the prescriber's name, phone number, address, fax number, city, state, ZIP code, NPI number, and DEA number if applicable. This ensures that your prescription is validated correctly.
5. Finally, review all entered information for completeness and accuracy before faxing the form toll-free to 1-800-378-0323 using our platform's built-in features.

Start using our editor today to streamline your prescription faxing process effortlessly!