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CVS Caremark Pharmacy Benefit Drug Prior Authorization Forms

 

CVS Caremark Prior Authorization Fax Forms

 

Forms are being updated and will be made available soon. In the meantime to submit a PA please visit http://www2.caremark.com/epa/ or call the numbers below.

 

Request Method Commercial QUEST Integration Medicare
Electronic PAs http://www2.caremark.com/epa/ http://www2.caremark.com/epa/ http://www2.caremark.com/epa/
Phone 1 (855) 240-0543 1 (855) 220-5732 1 (855) 479-3659
TTY 1 (800) 863-5488 1 (808) 863-5488 1 (866) 236-1069
Fax 1 (855) 762-5207 1 (855) 762-5206 1 (855) 633-7673
Hours of Operation Monday - Friday, 7:45 a.m. - 5:00 p.m., Hawaii Standard Time Monday - Friday, 7:45 a.m. - 5:00 p.m., Hawaii Standard Time Monday - Friday, 8:00 a.m. - 8:00 p.m., Hawaii Standard Time
After-hours Phone 1 (855) 298-2491 1 (855) 479-3656 1 (855) 479-3659

 

 


 

To view the previous version of this page, click the link below:

 

CVS Caremark Pharmacy Benefit Drug Prior Authorization Forms - OBSOLETE

 

First Published:11/17/2015
Latest Revision:08/15/2016

Files that are in PDF format can be viewed using the free Adobe Reader or another PDF-reader application.

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