CVS Caremark

THP Medicare is Trinity Health Plan. The 2026 BD-13 v1 010126 form is for Drugs Given Incident To Prescriber Services, labelled Coverage Determination. Fax completed signed forms to 855-633-7673; 866-785-5714 is explicitly for questions about the prior authorization process. Current Trinity Health Plan of Michigan and Mount Carmel MediGold provider manuals link this exact form. It does not establish appeal/redetermination intake, a universal Medicare Part D route, or a Part B/Part D classification for every request. Confirm the member plan and applicable form before use. US denotes national telephone scope only, not nationwide plan availability.

Current CVS Caremark PA page publishes this Medicaid-specific phone/fax pair and general PA department hours. For a health care provider or authorized agent requesting PA for a Caremark-administered Medicaid benefit; confirm the patient’s plan and any state-specific form. This is not a help desk for every state Medicaid program.

Current Caremark Non-Medicare PA section publishes 800-294-5979 and ePA, but no generic fax. Its currently linked global form (106-37207A 081826) instructs electronic PA and does not publish 888-836-0730. That prior fax is withheld from this generic national route; this is not evidence of disconnection or cancellation of a plan/state-specific form that explicitly publishes it. Confirm patient benefit and applicable form; no dedicated specialty-PA scope inferred.

Dispensing-pharmacy claim-processing/IVR help desk. Select the correct benefit, system and member-card RxBIN/PCN; not a general member or prescriber clinical number. Commercial sheet lists Legacy ADV 004336, FEP 610239, Molina 025201, Blue Shield of California 026696, ScriptServ 026150, Lucile Packard Children’s Hospital Stanford 027547, Packard Children’s Health Alliance 027555, Children’s Health System of Texas 027570, Texas Children’s Hospital 028512 and OSCAR 028406. Medicare sheet also lists Molina 028272; supplemental sheet lists Legacy ADV 012114. For BIN 610591, Medicare sheet directs users to the plan or ID card rather than this number.

Dispensing-pharmacy claim-processing/IVR help desk. Select the correct benefit, system and member-card RxBIN/PCN; not a general member or prescriber clinical number. Commercial BIN 610415; the supplemental-to-Medicare-Part-D payer sheet lists Legacy PCS BIN 012114. Do not choose solely by the shared supplemental BIN.

Dispensing-pharmacy claim-processing/IVR help desk. Select the correct benefit, system and member-card RxBIN/PCN; not a general member or prescriber clinical number. Only the Legacy CRK system/BIN 012114 row in the Supplemental to Medicare Part D Other Payer Patient Responsibility sheet. This supplemental-processing route is not a general Part D number.

Dispensing-pharmacy claim-processing/IVR help desk. Select the correct benefit, system and member-card RxBIN/PCN; not a general member or prescriber clinical number. Only the Legacy PHC system/BIN 610468 row in the Supplemental to Medicare Part D Other Payer Patient Responsibility sheet. The commercial sheet separately says BIN 610468 is being retired and directs questions to 800-364-6331. Follow the actual benefit/system and ID card; do not treat these as equivalent nationwide routes.

Dispensing-pharmacy claim-processing/IVR help desk. Select the correct benefit, system and member-card RxBIN/PCN; not a general member or prescriber clinical number. Explicit Aetna BIN 610502 row in commercial, Medicare and supplemental payer sheets. This is the Caremark-processed dispensing-pharmacy route, not general Aetna medical claims or prescriber PA.

Dispensing-pharmacy claim-processing/IVR help desk. Select the correct benefit, system and member-card RxBIN/PCN; not a general member or prescriber clinical number. Commercial BINs 020099 and 020123. Medicare and supplemental payer sheets publish a different CarelonRx number. Supplemental processing even shares BIN 020099, so benefit/system information matters.

Dispensing-pharmacy claim-processing/IVR help desk. Select the correct benefit, system and member-card RxBIN/PCN; not a general member or prescriber clinical number. Medicare BINs 020115 and 020388; supplemental-to-Part-D sheet lists BINs 020099 and 020388. The commercial 020099/020123 route is 833-296-5038; do not choose from CarelonRx name alone.

Published Puerto Rico provider footnote attached to starred BIN entries: commercial Legacy ADV 004336/PCS 610415; Medicare Legacy ADV 004336; supplemental Legacy ADV/PCS/CRK 012114. Verify the patient card and applicable sheet. This does not establish a universal Puerto Rico member-service line.

Manual section 6.06.03, printed page 51/PDF page 53. For dispensing-pharmacy corrections to claims already submitted. Include claim identifiers, reason and needed correction; some requests must be electronic. The benefit/system-specific pharmacy help desk supplies the adjustment template or data-submission assistance. No general help-desk number is assigned to this department.

Manual section 6.04, printed page 49/PDF page 51. Submit the Pharmacy MAC List Request from Digital Enrollment Forms to request a MAC list. Paid-claim MAC appeals use the Pharmacy Portal or chain/PSAO process; this email is not labelled as an appeal intake.

Manual section 2.03, printed page 16/PDF page 18. For currently enrolled pharmacies requesting/submitting a non-sterile complex compound application. The manual publishes an application-fee mail destination below; it is not a patient-claim or prescription address. No dedicated compound phone is published; no general help desk is substituted.

Manual section 1.05, printed page 8/PDF page 10. Registration/login troubleshooting only, with NCPDP ID, Portal User ID and contact name. Chains and PSAOs should contact their network account manager. Same mailbox has a separately documented plan-sponsor network application purpose; this record is limited to portal support.

Current official FEP page explicitly restricts this clinical call-center number to physicians requesting prior approval or quantity increases. Members seeking status should use their FEP prior-authorization page; general process questions have a separate Retail Pharmacy Program route. No fax inferred from the fax workflow description.

Manual section 6.06.01, printed page 50/PDF page 52. For providers with questions about testing, creation or receipt of pharmacy ASC X12N 835 files. No direct phone, email or fax is published for this purpose in the reviewed block.

For Mount Carmel MediGold members or their doctors requesting a Part D prescription-drug appeal/redetermination, including expedited appeals. This separately sourced appeal route is distinct from the 2026 prescriber-services coverage-determination form. The current page also lists the same pair for Part D coverage determinations, but a different fax for Part D grievances. US is administrative telephone scope, not nationwide plan coverage. The directly captured page update is September 28, 2026; an earlier search snippet said September 9. The footer carries a 2027 marketing code without a separate effective date for this contact.