If you wish to request a Medicare Part Determination (Prior Authorization or Exception request), please see your plan’s website for the appropriate form and instructions on how to submit your …

CVS Caremark has partnered with CoverMyMeds to offer electronic prior authorization (ePA) services. Select the appropriate CVS Caremark form to get started.

This file contains the CVS Caremark Prior Authorization Request Form necessary for obtaining medication coverage. It provides essential details and procedures for submitting medication …

To access all medical and pharmacy benefit policies and prior authorization fax forms, please visit the CVS Caremark* Prior Authorization Documents page. Please note that you will be leaving …

This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical manufacturers not affiliated with CVS Caremark®.

Select the starting letter of the medication or condition to find the desired form. Drug coverage is dependent on member’s plan and formulary. We found 2 results.

I further attest that the information provided is accurate and true, and that documentation supporting this information is available for review if requested by CVS Caremark, the health …

View the CVS Caremark Clinical Prior Authorization Request Form in our collection of PDFs. Sign, print, and download this PDF at PrintFriendly.

This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical manufacturers not affiliated with CVS Caremark.