EviCore by Evernorth (Care Continuum) handles Part B / medical specialty drug administration authorizations for CCA; electronic requests at EviCore.com.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
pharmacy prior auth
Commonwealth Care Alliance (MA) Part D pharmacy prior authorization and redeterminations — CVS Caremark
Official page read
Phone
No phone listed for this route
Fax
855-633-7673
Part D prior authorization / redetermination requests.
Published hours
Not published in this record
Product, plan and location
medicare part d Massachusetts
Mailing addressCVS Caremark
Attn: Part D Appeals and Exceptions
P.O. Box 52000, MC109
Phoenix, AZ 85072-2000
Part D appeals and exceptions.
CVS Caremark handles Part D coverage determinations and redeterminations (submit within 65 days of denial). The guide lists two different phone numbers across its columns (1-855-344-0930 and 1-833-251-9739), so only the fax and mailing address are given here.
CareSource (OH) MyCare Ohio pharmacy prior authorization and Part D exception fax
Official page read
Phone
No phone listed for this route
Fax
877-251-5896
MyCare Ohio (HMO D-SNP) pharmacy PA fax
Published hours
Not published in this record
Product, plan and location
dsnp · medicare part d Ohio
Mailing address
Not researched for this route
MyCare Ohio pharmacy PA fax 877-251-5896; the Medicare Part D formulary exception/prior authorization form fax listed on the same flier is 877-328-9660.
Pharmacy benefit (Express Scripts) PA fax; PA phone 844-607-2831. Source: IHCP Quick Reference Guide v14.1 (state agency list of MCE contacts), not the plan's own page.
CareSource (IN) physician-administered drugs PA fax
Search or secondary source
Phone
No phone listed for this route
Fax
888-399-0271
Published hours
Not published in this record
Product, plan and location
medicaid Indiana
Mailing address
Not researched for this route
Medical-benefit (physician-administered) drug PA fax. Source: IHCP Quick Reference Guide v14.1 (state agency list of MCE contacts), not the plan's own page.
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Call preparation · editorial guide
Make the call count.
Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.
Have ready in your secure workspace
PBM name and the pharmacy identifiers on the card
Drug, formulation and prescription information
Prescriber details and previous review reference
Questions to resolve
Is this processed under the medical or pharmacy benefit?
What is the correct review and submission channel?
Is there a separate specialty pharmacy or appeal team?
This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.
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