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Frequently Asked Questions

What is a Caremark PA form?

CVS Caremark Prior Authorization (PA) tools are developed to ensure safe, effective and appropriate use of selected drugs. Prior Authorization can ensure proper patient selection, dosage, drug administration and duration of selected drugs. PA Forms for Physicians

How long does it take to get prior authorization from Caremark?

Your doctor, in turn, may need to contact Caremark to discuss whether the intended use of the drug is allowable on your plan. Please allow additional time for this process: approximately two business days for standard prior authorization and approximately one business day for an urgent prior authorization request. Get this form now!

How do I contact CVS Caremark for prior authorization?

Contact CVS Caremark Prior Authorization Department Medicare Part D. Phone: 1-855-344-0930; Fax: 1-855-633-7673; If you wish to request a Medicare Part Determination (Prior Authorization or Exception request), please see your plan’s website for the appropriate form and instructions on how to submit your request. Medicaid. Phone: 1-877-433-7643

What is EPA with CVS Caremark?

CVS Caremark automatically assesses clinical information and communicates a decision via EHR or online ePA portal. Why should I use ePA when I can just call the plan and obtain a determination?


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