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Providers

Retail pharmacy

Medications covered under the pharmacy benefit are typically those that can be self-administered by the patient, such as oral tablets and capsules, topical creams and lotions.

Depending on the prescription, the member may need prior authorization. When a Prior Authorization is needed for a prescription, the health care provider will need to contact the CVS Caremark® Prior Authorization Department to answer criteria questions to determine coverage.

Prior Authorization

Please note: Not all medications require prior authorization. You may contact customer service to determine what medications require prior authorization.