Elderplan (MJHS) and HomeFirst

Pharmacy and drug authorizations

Separate pharmacy-benefit requests from drugs billed under the medical benefit. The PBM and the insurer may use different contacts.

pharmacy prior auth

Part D coverage determinations — CVS Caremark (Elderplan)

Official page read
Phone866-490-2102Fax

855-633-7673

Published hours

24 hours a day, 7 days a week

Product, plan and location

medicare part d · medicare advantage
New York

Mailing address
CVS CAREMARK Coverage Determinations P. O. Box 52000, MC109 Phoenix, AZ 85072-2000

Written Part D coverage determinations.

Elderplan pharmacy benefit manager for Part D prior authorization / coverage determinations. TTY 711.

View source ↗ · Source checked 2026-10-24

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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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