Your CVS/caremark prescription benefit plan gives you access to the medicine you need to stay healthy. Our team of doctors and pharmacists makes sure your plan includes medicines that work well and are cost effective. If your current medicine is affected by a change in your plan, you will need to talk to your doctor about choosing a different medicine. If you do not change, you may have to pay the full cost to keep using your current medicine.*
You don't have to pay too much to treat your health condition. Your plan includes medicines to treat your condition that can have the same health benefits as higher-cost options but may save you money. Just ask your doctor which covered option(s) will work for you.
Don't wait. Follow these steps to get a covered option filled right away:
Filling at a retail pharmacy? Have your doctor call in the new prescription(s) to your local pharmacy.
Filling through CVS/caremark Mail Service? Your doctor can call in the new prescription to us toll-free at 1-800-378-5697. Or you can call us toll-free at 1-866-251-9383, and we will contact your doctor for you.
Remember, your plan includes medicines that work well are and priced right. But some medicines may not be covered.
Click on the "Your Covered Options" link above. Review the medicines listed in the "Drugs Requiring Prior Authorization for Medical Necessity" column. If you are taking any of these medicines, ask your doctor which covered option(s) will work for you instead.
*If you have already tried the medicines listed in the Formulary Consideration section and your doctor still thinks there is a medical reason why one of the options won't work for you, your doctor can call us toll-free at 1-855-240-0536 to request a prior authorization for medical necessity.
See our Frequently Asked Questions for more information.