Get the free Caremark Comp Precertification Request Form

This document is a request form for the precertification of increasing opioid dosage above a specified threshold, requiring evaluations and specific documentation.

How to fill out caremark comp precertification request

How to fill out Caremark Comp Precertification Request Form

1. Obtain the Caremark Comp Precertification Request Form from the official website or healthcare provider.
2. Fill in the patient’s personal information, including name, date of birth, and contact details.
3. Provide the insurance information, including the policy number and group number.
4. Complete the section detailing the medical condition or reason for the precertification request.
5. List the specific medication or treatment for which precertification is being requested.
6. Include the prescribing physician’s information, including their name, contact number, and NPI number.
7. Attach any supporting medical documentation that may assist in the review process.
8. Review the form for accuracy and completeness before submission.
9. Submit the form through the designated method (fax, online, or mail) provided by Caremark.

Who needs Caremark Comp Precertification Request Form?

1. Patients who require medication or treatment that may need prior authorization through Caremark.
2. Healthcare providers who are prescribing treatments that require precertification.
3. Pharmacies needing to verify coverage for specific medications before dispensing them.

People Also Ask about

How long does prior authorization take for medication?

Prior authorizations are required by insurance companies for some medications. This includes those that may have less expensive alternatives. The prior authorization process can take anywhere from a couple days to a few weeks. Once approved, the prior authorization lasts for a defined timeframe.

Does CVS require prior authorization?

Whether a patient needs prior authorization depends on their health insurance. If their plan uses CVS Caremark to manage prescriptions, they might need special approval for some medications. As a PT, you can check if they're eligible by logging into the provider portal or by calling the insurance company directly.

How long does CVS Caremark prior authorization take?

1-5 days for PA submission; 0-1 day for decision. Review of PA requests by CVS Caremark are generally completed within 72 hours of receiving all necessary documentation.

Are Caremark and Express scripts the same?

Beginning April 1, 2023, our national pharmacy benefit administrator is moving from CVS Caremark to Express Scripts. The Express Scripts network offers access to 64,000 retail locations (including CVS pharmacies in Target stores) as well as mail delivery services.

How do I contact CVS Caremark about prior authorization?

Please contact CVS/Caremark at 1-800-294-5979 with questions regarding the prior authorization process.

What is the number for 1 800 930 5190?

Call CVS Caremark toll free at 1-800-930-5190.

How long does a prior authorization take for CVS Caremark?

Review of PA requests by CVS Caremark are generally completed within 72 hours of receiving all necessary documentation. Questions? If you have questions about the formulary, call Customer Care at 1-888-766-5490.

For pdfFiller’s FAQs

What is Caremark Comp Precertification Request Form?

The Caremark Comp Precertification Request Form is a document used to request prior authorization for specific medications or treatments covered under a person's insurance plan managed by Caremark.

Who is required to file Caremark Comp Precertification Request Form?

Typically, healthcare providers or prescribers who are seeking approval for certain medications or treatments on behalf of their patients are required to file the Caremark Comp Precertification Request Form.

How to fill out Caremark Comp Precertification Request Form?

To fill out the Caremark Comp Precertification Request Form, complete the required fields including patient information, prescriber details, diagnosis, requested medication or treatment, and any additional clinical information necessary to support the request.

What is the purpose of Caremark Comp Precertification Request Form?

The purpose of the Caremark Comp Precertification Request Form is to obtain prior approval from Caremark to ensure that the requested medication or treatment is medically necessary and meets the criteria of the insurance plan.

What information must be reported on Caremark Comp Precertification Request Form?

The Caremark Comp Precertification Request Form must include patient demographics, prescriber information, detailed clinical information, diagnosis codes, a description of the requested medication or treatment, and any pertinent medical history or justification for the request.