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CVS Caremark Prescription Benefit FAQs

What are 90-day refills

You can fill prescriptions for the medications you take regularly (also called “long-term” or “maintenance” medications) in 90-day supplies. These are medications you take for chronic conditions such as high blood pressure, asthma, diabetes and high cholesterol.

When should I use a retail pharmacy instead of CVS Caremark Mail Service Pharmacy?

Use any participating retail pharmacy for your short-term medication needs, and use CVS Pharmacy or CVS Caremark Mail Service Pharmacy for your long-term medication needs.

How do I obtain my long-term medications in 90-day supplies?

You can choose the most convenient option – pick-up at a nearby CVS Pharmacy or home delivery through CVS Caremark Mail Service– when filling 90-day prescriptions for your maintenance medications.

How do I transition my current maintenance medications to a 90-day supply?

If you already receive your long-term medications from CVS Pharmacy, we will contact your doctor about changing to a 90-day prescription if necessary. Beginning January 1, 2021, use Caremark.com or call us at 1-833-741-1361. We will contact you when you have your last allowable fill and work with your doctor to get a 90-day prescription based on your choice of CVS Pharmacy pick-up or mail service. If you previously filled your maintenance prescription at a participating network pharmacy other than a CVS Pharmacy store, CVS Caremark will send you a reminder letter to contact your prescriber for a 90-day prescription. There are four ways that you can start filling in 90-day supplies beginning January 1, 2021

  1. Bring your new 90-day prescription to a local CVS Pharmacy store location; OR
  2.  Refill your prescription at Caremark.com. CVS Caremark will then contact your prescriber for your prescription information; OR  
  3. Call CVS Caremark Customer Care at 1-833-741-1361; OR   
  4. Fill out and send in a mail service order form. This order form will be included in the Welcome Kit that you will receive from CVS Caremark in December.

 

Can I fill a 90-day prescription at a retail pharmacy?

CVS Pharmacy is the only retail pharmacy that can provide you with a 90-day supply. You can get you 90-day supply at CVS Pharmacy for the same cost as mail service.

If I use CVS Caremark Mail Service Pharmacy, how long will it take for my prescription to arrive?

You can expect to receive your prescription 7 to 10 days from the time your order is placed. Remember, you may experience a delay in receiving your prescription if you submit a request for a refill on a transferred prescription before January 1, 2021.

How do I check the status of my mail service order?

Beginning January 1, 2021, you can check the status of your mail service refill at www.Caremark.com or by calling Customer Care.

How can I find a CVS Pharmacy?

To locate a CVS Pharmacy near you click here, visit www.Caremark.com and use the store locator, or call Customer Care.

What is my copay* for a 90-day supply at a CVS Pharmacy or through CVS Caremark Mail Service?

Your copay for a 90-day supply depends on several factors, including whether the medication is a brand-name or generic product. To find out your copay, beginning on January 1, 2021, click here or log on to www.Caremark.com, click “Understand My Plan and Benefits” and then select “Check Drug Coverage and Cost,” or call Customer Care.

How do I download the CVS Caremark Mobile App?

 

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Mail Service Pharmacy

Why should I use the CVS Caremark Mail Service Pharmacy for my prescriptions?

CVS Caremark Mail Service Pharmacy is a convenient and cost-effective way for you to order up to a 90-day supply of maintenance or long-term medication. You can have your long-term medication delivered to your home, office or a location of your choice with free standard shipping. By using mail service, you minimize trips to the pharmacy while saving money on your prescriptions.

What should I do if I have existing refills?

Existing mail order refills: CVS Caremark will acquire your existing mail order refills and specialty mail order refills starting the first week of January. What you need to do:    

  • If you want to use mail service but your prescription does not have any remaining refills, is a controlled substance or is a covered compound medication, contact your doctor to write a new prescription for up to a 90-day supply. You will be able to submit these prescriptions for mail order beginning January 1, 2021.
  • If you need to fill a mail order medication on or before December 31, 2020, please reach out to Express Scripts. 

Existing prior authorizations: CVS Caremark will acquire your existing prior authorizations starting the first week of January 2021. What you need to do:

  • To avoid any disruptions, if you have an existing prior authorization that will expire in December 2020 or January 2021, ask your doctor to call CVS Caremark at 1-800-294-5979 to request prior authorization before you refill this medication.

How do I request a refill for a prescription that was transferred to CVS Caremark?

There are three ways you can request a refill for a transferred prescription beginning January 1, 2021:

  • Online: Register at Caremark.com to order refills and check the status of your order at any time. Have your pharmacy benefit ID card ready; OR
  • By phone: Call us at 1-833-741-1361 for automated refill service. Have your pharmacy benefit ID number ready.

Are there any medications that cannot be transferred to CVS Caremark?

Some medications cannot be transferred to CVS Caremark Mail Service Pharmacy, such as controlled substances and compound medications. Even if you have existing refills for these types of medications you must get a new prescription from your doctor and mail it to CVS Caremark with a mail service order form.
Please note: You also will need to get a new prescription for any expired prescriptions, or for prescriptions that have no refills remaining.

Where do I send my prescription order for prescriptions that cannot be transferred?

New prescription orders and requests for refills of transferred prescriptions must be submitted to CVS Caremark beginning January 1, 2021. Send your order and copayment to the address on the mail service order form, which will be available in your Welcome Kit and on Caremark.com. You also will receive a new mail service order form with each prescription order. Once CVS has your prescription on Caremark.com you can refill you medication by phone (1- 844-257-5126), at Caremark.com or by using the CVS Caremark mobile app.

How do I get a new mail service prescription filled through CVS Caremark?

Existing mail order refills: CVS Caremark will acquire your existing mail order refills and specialty mail order refills starting the first week of January.

What you need to do: If you want to use mail service but your prescription does not have any remaining refills, is a controlled substance or is a covered compound medication, contact your doctor to write a new prescription for up to a 90-day supply. You will be able to submit these prescriptions for mail order beginning January 1, 2021.


 

CVS Caremark Retail Network

Can I receive additional prescription cards?

Yes. Beginning January 1, 2021, you can request additional prescription ID cards by calling a Customer Care representative at 1-844-257-5126. Your welcome kit will include a set of two cards for you, listing each of your covered dependents.

Can I use my prescription ID card for my covered dependents?

Yes. Beginning January 1, 2021, you and your covered dependents will be able to fill prescriptions using your CVS Caremark prescription ID card.

May I fill my medication at a non-CVS pharmacy?

Starting January 1, 2021, you will need to go to CVS Specialty, CVS Caremark Mail Service Pharmacy or CVS Pharmacy for maintenance medications. For all other medications you can use any in-network pharmacy. When filling short-term prescriptions, such as antibiotics, you will be able to use more than 68,000 in-network pharmacies, not just CVS Pharmacy locations.

What you need to do: If your refill is at an out-of-network pharmacy, have your prescriptions transferred to an in-network pharmacy. For assistance, contact the CVS Caremark Customer Care team at (833) 741-1361. Not sure if your current pharmacy is in network? Check HERE.

How do I change my prescription from a non-participating retail pharmacy to a participating retail pharmacy?

Go to a participating retail pharmacy and tell the pharmacist where your prescription is currently on file. The pharmacist will contact the pharmacy and make the transfer for you. To find a local CVS Caremark participating retail pharmacy beginning January 1, 2021, click here.

When should I use a retail pharmacy instead of the CVS Caremark Mail Service Pharmacy?

You should use the retail pharmacy for your immediate and short-term medication needs. Use mail service for your long-term maintenance medication needs.


 

CVS Caremark Drug List 

What is a drug list?

It is a list of preferred prescription medications that have been chosen because of their clinical effectiveness and safety. This list is typically updated every three months. The drug list promotes the use of preferred brand-name medications and generic medications whenever possible. Generic medications have the same active ingredients as brand-name medications and are approved by the U.S. Food and Drug Administration (FDA) for safety and effectiveness. Generally, generic medications cost less than brand-name medications. Beginning January 1, 2021, you can get a copy of the CVS Caremark Drug List by visiting Caremark.com or calling Customer Care at 1-(833) 741-1361.

How do I change to a generic or preferred drug?

To save money, have your doctor or other prescriber choose a generic or preferred brand name medication from the CVS Caremark Drug List, if appropriate. You may want to take the list with you when you visit your doctor or other prescriber.

 

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