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How to Send a Prescription to CVS Caremark: A Definitive Guide

Navigating the world of prescriptions can feel like traversing a bureaucratic maze, especially when dealing with a large pharmacy benefits manager like CVS Caremark. Fear not! This comprehensive guide will illuminate the various methods you can use to seamlessly send your prescription to CVS Caremark, ensuring you get your medication promptly and efficiently.

The Core Question: How Do You Send a Prescription to CVS Caremark?

The process depends heavily on whether it’s a new prescription or a refill, and who is initiating the process. Here’s a breakdown of the most common methods:

Direct Electronic Submission from Your Doctor: This is by far the most convenient and increasingly common method. Your physician’s office will electronically send the prescription directly to CVS Caremark. To ensure this works smoothly, confirm with your doctor’s office that they have CVS Caremark listed as your pharmacy benefit manager in your patient profile. They will then electronically submit your prescription. You will be able to pick it up at the pharmacy.
Your Doctor Faxes the Prescription: Although less common than electronic submission, faxing is still a viable option. Ask your doctor to fax the prescription to the designated CVS Caremark mail-order pharmacy. You’ll need to provide your doctor with the correct fax number, which you can usually find on your CVS Caremark member portal or by contacting their customer service.
You Physically Mail the Prescription: In some cases, especially for paper prescriptions received directly from a doctor, you might need to mail the original prescription to the CVS Caremark mail-order pharmacy. This is typically reserved for situations where electronic submission or faxing isn’t possible. Be sure to include your member ID and any relevant instructions with the prescription. It’s also wise to send it via certified mail for tracking purposes.
Transferring a Prescription from Another Pharmacy: If you already have a prescription at another pharmacy, you can request a transfer to CVS Caremark. You can typically do this by contacting CVS Caremark directly or using their online portal. You’ll need to provide information about the current pharmacy, the prescription details (medication name, dosage, and prescription number), and your CVS Caremark member information.
Using the CVS Caremark Mobile App or Website: The CVS Caremark mobile app and website offer convenient tools for managing your prescriptions. You can use them to request refills, track your order status, and even initiate a prescription transfer from another pharmacy. Some doctors may also send prescriptions to your CVS Caremark profile through this portal if linked and authorized.
Physician sends e-prescription for a controlled substance: If you have a controlled substance prescription, e-prescribing is permitted but has a stricter regulations, and your physician must comply with the security requirements and authentication protocols. Be sure to confirm with your prescriber that they have met these requirements to electronically send it to CVS Caremark.

Important Considerations for All Methods:

Verify Your Information: Always double-check that your name, date of birth, address, insurance information, and medication details are accurate to avoid delays.
Understand Formulary Restrictions: CVS Caremark has a formulary, which is a list of covered medications. Ensure your prescribed medication is on the formulary or discuss alternatives with your doctor.
Prior Authorization: Some medications require prior authorization from CVS Caremark before they will be covered. Your doctor will typically handle this process, but it’s good to be aware of it.
Allow Sufficient Time: Mail-order prescriptions take time to process and ship. Order refills well in advance of running out of medication to avoid interruptions in your treatment.
Keep Track of Your Order: Utilize the CVS Caremark app or website to track your order’s progress and estimated delivery date.
Specialty Medications: For specialty medications (often used for complex or chronic conditions), the process may be slightly different. CVS Caremark may have a dedicated specialty pharmacy that handles these prescriptions.

FAQs: Your Questions Answered

Here are twelve frequently asked questions to further clarify the process of sending prescriptions to CVS Caremark:

FAQ 1: Can I send a photo of my prescription to CVS Caremark?

Generally, no. CVS Caremark typically doesn’t accept photos of prescriptions. They require either direct electronic submission from your doctor, a faxed prescription from your doctor, or the original paper prescription mailed to their mail-order pharmacy.

FAQ 2: How long does it take for CVS Caremark to process a prescription?

Processing times vary. Electronic prescriptions are usually processed quickly, often within a day or two. Mail-order prescriptions can take longer, typically 7-10 business days, including shipping time. Refills are typically faster than new prescriptions.

FAQ 3: What if my doctor doesn’t participate in electronic prescribing?

Discuss with your doctor the possibility of them using this method or consider asking your doctor to fax the prescription to CVS Caremark. Alternatively, you can mail the original prescription. If neither of those are available, you may consider switching to another doctor who can work with electronic prescribing.

FAQ 4: How do I find the fax number for CVS Caremark’s mail-order pharmacy?

The fax number is typically found on your CVS Caremark member portal, your benefits information packet, or by contacting CVS Caremark customer service directly.

FAQ 5: Can I transfer a prescription for a controlled substance to CVS Caremark?

Yes, transfers of controlled substance prescriptions are permitted, subject to state and federal regulations, but there may be stricter rules about the way it is sent. Call CVS Caremark to learn the details.

FAQ 6: What happens if my medication requires prior authorization?

CVS Caremark will notify your doctor, who will then need to submit the necessary paperwork to request prior authorization. This process can take several days. It’s best to proactively discuss this with your doctor when starting a new medication that may require it.

FAQ 7: How do I know if my medication is covered by my CVS Caremark plan?

You can check the CVS Caremark formulary online through your member portal or contact their customer service. The formulary lists all the medications covered by your plan and any restrictions or requirements associated with them.

FAQ 8: Can I have my prescription delivered to my home?

Yes, CVS Caremark offers home delivery through their mail-order pharmacy. This is a convenient option for maintenance medications and refills. Delivery times vary based on location.

FAQ 9: What if I need my medication urgently and can’t wait for mail-order delivery?

In urgent situations, you can ask your doctor to send the prescription electronically to a local CVS pharmacy. You can also request a short-term supply from your doctor to bridge the gap while you wait for your mail-order prescription to arrive.

FAQ 10: How do I handle refills through CVS Caremark?

You can request refills online through the CVS Caremark website or mobile app, by phone, or by mail. Be sure to have your prescription number handy. It’s always best to request refills several days before you run out of medication.

FAQ 11: What if I change insurance plans?

If you change insurance plans, update your information with CVS Caremark immediately. This will ensure your prescriptions are processed correctly under your new plan.

FAQ 12: I received my medication and I have questions, who do I contact?

Contact CVS Caremark’s Customer Service immediately. They have pharmacists available who can answer your medication-related questions.

Conclusion: Taking Control of Your Prescriptions

Sending a prescription to CVS Caremark doesn’t have to be daunting. By understanding the available methods, verifying your information, and staying proactive, you can ensure a smooth and efficient process. Remember to leverage the CVS Caremark website and mobile app for convenient management of your prescriptions. With this knowledge, you are empowered to navigate the system with confidence and focus on what truly matters: your health and well-being.