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Pharmacy Policies and Procedures

Prior Authorizations and Appeals

(Formulary Exception Requests)

Prior authorization numbers are specific to the Member's identification number and the code of the pharmaceutical service. Once the authorization has been granted, CVS Caremark will enter it into the system and the claim will adjudicate.

To access prior authorization/exception request forms, visit the CVS Caremark plan-specific Prior Authorization websites.All completed forms should be returned by fax.

Minnesota prescribers, please use the Minnesota State PA Request Form for prescription drug prior authorization (PA) request and formulary exceptions.

Prior authorization forms

Prior authorization inquiries
Phone: 1-855-582-2022
Fax: 1-855-245-2134

Prior authorization forms

Prior authorization inquiries
Phone: 1-800-294-5979
Fax: 1-888-836-0730

Prior authorization forms

Prior authorization inquiries
Phone: 1-800-294-5979
Fax: 1-888-836-0730

Prior authorization forms

Prior authorization inquiries
Phone: 1-877-433-7643
Fax: 1-866-255-7569

Prior Authorization forms

Prior authorization inquiries
Phone: 855-344-0930
Fax: 855-633-7673

Prior authorization forms

Prior authorization inquiries
Phone: 1-877-433-7643
Fax: 1-866-255-7569

Contact the CVS Pharmacist Help Desk with general questions: 1-800-364-6331
Contact the Part D CVS Pharmacist Help Desk with Part D questions: 1-866-693-4620

Date: 9/16/2019 8:06:17 AM Version: 4.0.30319.42000 Machine Name: PWIVE-CMSWEB01