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REQUEST FOR PRESCRIPTION DRUG COVERAGE DETERMINATION This form may be sent to us by mail or fax: Address: CVS Earmark Coverage Determinations and Appeals MC109 PO Box 52000 Phoenix, AZ 850722000Fax
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Cvs Caremark coverage determinations refer to the process of determining whether a particular medication or treatment is covered by the CVS Caremark insurance plan.
Healthcare providers, pharmacists, or CVS Caremark members may be required to file coverage determinations, depending on the specific situation.
To fill out CVS Caremark coverage determinations, you typically need to provide details about the medication or treatment being requested, the medical condition of the patient, and any supporting documentation.
The purpose of CVS Caremark coverage determinations is to ensure that CVS Caremark members receive access to necessary medications and treatments that are covered by their insurance plan.
Information such as the medication or treatment requested, the medical necessity of the request, supporting medical documentation, and any prior authorization requirements must be reported on CVS Caremark coverage determinations.
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