Fax a non formulary drug exception form to cvs caremark at 1 888 836 0730. You may submit a request for your patient to receive a non preferred drug at a lower cost sharing tier if the non preferred drug is medically necessary.
Upcoming 2020 Formulary Changes Psg Key Insights
Cvs caremark tier list. Prescription for a tier 1 tier 2 or tier 3 drug as defined below. Cvs caremark mail service order form members can complete this form to order prescriptions from cvs caremark mail service pharmacy wellcares preferred mail order pharmacy. Our goal is to help make your life better. List of covered. Is a guide of medications distributed through cvs specialty. Kansas state employees discount tier drug list 01012019 class name desc drug brand name acne products benziq acne products benziq ls.
Effective as of 01012019. To help maintain affordability in the pharmacy benefit we encourage the use of cost effective drugs and preferred brand names through the three tier program. Effective as of 01012019 effective 0101 2019. However there may be instances when only a tier 3 drug is appropriate which will require a higher copayment. Cvs caremark tier list. Youll find it on the rx bottle tube jar or invoice.
Value formulary quick reference list. Dont worry at this time there are no drug shortages as a result of the coronavirus. Enter the numbers only. Jan 1 2019 january 2019 the value formulary quick reference list is not an all inclusive list but please visit www. Cvs caremark value formulary effective as of 01012019. Call cvs caremark at 1 855 582 2038.
The 9 digit number must be from a cvs caremark prescription. 4 tier prescription discount program drug pricing tool ameriflex care member services cvs caremark is different from other pharmacy benefit management pbm service providers because of the results it delivers to plan sponsors and members through its integrated mail and retail pharmacy model its advanced approach to clinical and cost management and continuous innovation in pharmacy care. Providing one of the broadest offerings of specialty pharmaceuticals in the industry. There should be documentation to show that the lower cost sharing. See answers to frequently asked questions if your doctor thinks there is a clinical reason why one of these covered options wont work for you your doctor can call us at 1 866 814 5506. Cvs specialty pharmacy distribution drug list.
Antifungals topical cvs clotrimazole antifungals topical cvs clotrimazole maximum antifungals topical cvs itch relief antifunga. Cvs caremark value formulary effective as of 01012019. Drug list product descriptions. Oct 1 2018 2019. Cvs specialty pharmacy distribution drug list. Refill our systems are fully operational.
Prescription drug coverage and your rights. Download the cvs caremark app and manage your prescription benefits wherever you are. Download our app find more information.
Gallery of Cvs Caremark Tier List
