Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.
pharmacy prior auth
Pharmacy prior authorization — CVS Caremark
Official page read
Phone
No phone listed for this route
Fax
866-255-7569
Published hours
Not published in this record
Product, plan and location
medicaid Illinois
Mailing address
Not researched for this route
All pharmacy and specialty pharmacy PA requests: fax the Caremark Medication Request Form or Universal PA Form. Pharmacy help desk number differs between pages (1-833-845-4702 vs 1-800-364-6331) and is omitted.
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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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