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  2. Pharmacy Help Desk - CVS Caremark

    www.caremark.com/wps/portal/FOR_HEALTH_PROS_HELP_DESK

    Contact Information. Send inquiries, grievances and requested changes about the information communicated in the CVS Caremark Provider Manual and/or CVS Caremark documents, or any other questions to: CVS Caremark. Attn: Network Management MC 080. 9501 East Shea Boulevard.

  3. You can always contact us - CVS Caremark

    www.caremark.com/about-us/contact-us.html

    Call the Customer Care number on your ID card. If you don’t have an ID card, call 1-800-552-8159 (TTY: 711).

  4. Prior Authorization Information - CVS Caremark

    www.caremark.com/wps/portal/HEALTH_PRO_PRIOR_AUTH_CONTACT_INFO

    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.

  5. Formulary Exception/Prior Authorization Request Form - CVS...

    www.caremark.com/portal/asset/Global_Prior_Authorization_Form.pdf

    Our employees are trained regarding the appropriate way to handle members’ private health information. This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical manufacturers not affiliated with CVS Caremark. 1.

  6. AdvancePCS VERSION 5 PAYER SHEET - CVS Caremark

    www.caremark.com/portal/asset/PayerSheet_D-0.pdf

    The following is a summary of our new requirements. The items highlighted in the payer sheet illustrate the updated processing rules. NOTE: To prevent point of service disruption, the RxGroup must be submitted on all claims and reversals. This payer sheet refers to Primary Commercial Billing.

  7. Cimzia - CVS Caremark

    www.caremark.com/portal/asset/HMSAFaxForm_Cimzia.pdf

    regarding the prior authorization, please contact CVS Caremark at 1-808-254-4414. For inquiries or questions related to the patient’s eligibility, drug copay or medication delivery; please contact the Specialty Customer Care Team: CaremarkConnect® 1-800-237-2767.

  8. Informed Consent Required for Psychotherapeutic Medications for...

    www.caremark.com/portal/asset/Florida_Informed_Consent_Form.pdf

    • Contact the Pharmacy Help Desk (1-800-364-6331) to request an appropriate override • Enter the Prior Authorization (PA) override code in the Number field for the claim to be paid NCPDP Field # Data Element Value

  9. Reject Codes Provider Manual Appendix B - CVS Caremark

    www.caremark.com/portal/asset/CVSCaremarkPayerSheetRejectCodes.pdf

    FEP 610239 1-800-364-6331 : LegacyCRK * 610029 1-800-421-2342 : ProAct 021007 1-877-635-9545 LegacyPHC ; 610468, 006144 004245, 610449 610474, 603604 1-800-777-1023 LegacyAmeRx; 610473, 601475 ... Prior Authorization Type Codeis not used for this Transaction Code 461‐EU

  10. Dear Empire Plan Enrollee - CVS Caremark

    www.caremark.com/portal/asset/NYSHIP_TempID_Empire.pdf

    Pharmacy Help Desk for Pharmacists: 1-800-364-6331. Submit paper claims to: CVS/caremark Claims Department P.O. Box 52136, Phoenix, AZ 85072-2136. For questions or concerns, please call toll-free at 1-877-7-NYSHIP (1-877-769-7447) to speak to a Customer Care representative 24 hours a day, seven days a week.

  11. CVS CAREMARK PAYER SHEET

    www.caremark.com/portal/asset/D0PayerSheetCOM.pdf

    Legacy ADV *004336 1-8ØØ-364-6331 Legacy PCS *610415 1-8ØØ-345-5413 FEP 610239 1-8ØØ-364-6331 Aetna 610502 1-8ØØ-238-6279 CarelonRx 020099 020123 1-833-296-5038 ... 461-EU Prior Authorization Type Code RW Required for specific overrides or when requested by processor 462-EV Prior Authorization Number ...