CVS Caremark - Appeals Department 2025

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Denial letters are generated and faxed to the physician and mailed to the member. Denial letters include directions on how to appeal the denial. CVS Caremark standard is to complete the review within 72 hours from receipt of all necessary information.
CVS Health Corporation is an American healthcare company that owns CVS Pharmacy, a retail pharmacy chain; CVS Caremark, a pharmacy benefits manager; and Aetna, a health insurance provider, among many other brands. The company is the worlds second largest healthcare company, behind UnitedHealth Group.
Call us. Call the Customer Care number on your ID card. If you dont have an ID card, call 1-800-552-8159 (TTY: 711).
Complaint forms are found at .pharmacy.ca.gov. The form may be filled out and submitted electroni- cally, or the form can be printed and filled out by hand. The completed form must be sent to the California State Board of Pharmacy, 2720 Gateway Oaks Drive., Suite 100, Sacramento, CA 95833.
PLEASE FAX COMPLETED FORM TO 1-888-836-0730. I further attest that the information provided is accurate and true, and that documentation supporting this information is available for review if requested by CVS Caremark, the health plan sponsor, or, if applicable, a state or federal regulatory agency.
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How to fill out the CVS Caremark Appeal Process Guide? Gather the necessary personal and medical information. Request a letter of medical necessity from your prescriber. Fill out the appeal form with accurate details. Review your submission for completeness. Send the appeal to CVS Caremark by the specified method.

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