Caremark Comp Precertification Request Form 2025

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If the prescriber would like to discuss a prior authorization determination with a clinical peer, please contact the CVS/caremark Prior Authorization Department toll-free at 1-800-294-5979 and we will arrange to make a clinician available for discussion.
If your patients health plan uses CVS Caremark, it means they help manage the medication side of treatment. Sometimes, before a patient can get a certain drug, youll need to get approval first, which is called prior authorization. CVS Caremark uses this to make sure the medication is really needed and not too costly.
Contact CVS Caremark Prior Authorization Department Phone: 1-855-344-0930. Fax: 1-855-633-7673. If you wish to request a Medicare Part Determination (Prior Authorization or Exception request), please see your plans website for the appropriate form and instructions on how to submit your request.
Your doctor, in turn, may need to contact Caremark to discuss whether the intended use of the drug is allowable on your plan. Please allow additional time for this process: approximately two business days for standard prior authorization and approximately one business day for an urgent prior authorization request.
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