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Frequently Asked Questions

About the Retail Program:

About the Mail Service Program:

About the Preferred Drug List:

Can I receive additional ID cards?

Additional ID cards may be obtained by contacting Caremark Customer Care toll-free at (888) 886-8490.

May I obtain my medicine from a non-participating pharmacy?

In most instances, you will not need to visit a non-participating pharmacy because there are more than 54,000 participating pharmacies in the Caremark program. When you choose to go to a non-participating pharmacy, you will pay 100 percent of the prescription price. You may then submit a paper claim form, along with the original prescription receipt(s), to Caremark for reimbursement of covered expenses.

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

Go to a Caremark 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 nearby Caremark participating retail pharmacy, call Caremark Customer Care toll-free at (888) 886-8490.

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

You can use a retail pharmacy for up to a 30-day supply of non-maintenance and short-term drugs. If the drug is a maintenance drug, you will pay an extra fee.

When should I use an (EDS) Network Pharmacy?

An EDS Network Pharmacy allows you to purchase a 31-to 90-day supply of maintenance drugs without paying a retail maintenance fee. A 30-day supply of maintenance drugs still carries an extra fee.

Do I need my doctor to write a new prescription for a 31-to 90-day supply of maintenance drugs at an EDS network pharmacy?

Yes, you may have to get a new prescription from your doctor if your current prescription is written for a 30-day or less supply of maintenance or long-term medicine.

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

The Caremark Mail Service Program provides a convenient and cost-effective way for you to order up to a 90-day supply of long-term or maintenance medicine for direct delivery to you with free standard shipping. By using your mail service program, you minimize trips to the pharmacy while saving money on your prescriptions.

How long does it take for my prescriptions to arrive by mail?

You can expect to receive your prescription approximately 14 calendar days after Caremark receives your order.

How do I check on the status of my order?

You can check your refill order status by calling Caremark Customer Care toll-free at (888) 886-8490. You can also check your refill order status online.

How should I ask my doctor to write my prescription to receive the maximum benefit from the Caremark Mail Service Program?

Remind your doctor to write “90-day supply plus refills”, when clinically appropriate, for long-term medicines that are purchased through the Caremark Mail Service Program. Caremark must fill your prescription for the exact quantity of medicine that your doctor prescribes, up to your plan design limit. When you need to take your maintenance medicine right away, ask your doctor for two prescriptions – one for up to a 30-day supply and one for up to a 90-day supply with refills, when clinically appropriate. Have the 30-day supply filled immediately at a Caremark participating retail pharmacy and send the 90-day supply prescription to the Caremark Mail Service Pharmacy.

What is a drug list?

A drug list is a list of preferred prescription medicines that have been chosen because of clinical effectiveness and safety. This list is typically updated every three months. The drug list promotes the use of preferred brand name medicines and generic medicines whenever possible. Generic medicines are therapeutically equivalent to brand name medicines and must be approved by the U.S. Food and Drug Administration (FDA) for safety and effectiveness. Generic medicines typically cost much less than brand name medicines.

Where can I obtain a drug list brochure?

You can obtain a drug list brochure by either accessing www.caremark.com/ers or by contacting Caremark Customer Care at (888) 886-8490. To save money, have your doctor prescribe a generic or preferred brand-name medicine from the Caremark Preferred Drug List. You may want to take this list with you when you visit your doctor for a prescription.

 



 

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