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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 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 a CVS RX form?

CVS/Caremark Prior (Rx) Authorization Form. The CVS/Caremark prior authorization form is to be used by a medical office when requesting coverage for a CVS/Caremark plan member’s prescription. A physician will need to fill in the form with the patient’s medical information and submit it to CVS/Caremark for assessment.

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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