CaremarkReviews of caremark.com

Goliath of denials. They don't even approve what's on their appoved list of medications. Thank you for your "care". I will celebrate when you'll cease to exist on the market.

My son went to CVS Caremark for his annual physical for grad school. CVS refuses to submit the visit through my insurance and submitted it as a self pay physical, when my insurance covers an annual physical. I appealed the decision and they refuse to change the billing code. I will never use them again for anything!

CVS Caremark, the pharmacy provider for my insurance company, made it nearly impossible to fill my son’s ADHD medication for almost two months. My son has taken the same medication for years. Before enrolling in my insurance plan, I verified that the prescription was covered. During the first month of coverage, we were able to fill it at a local pharmacy without any issue. But when it came time for a refill, everything fell apart. The local pharmacy told me coverage was denied because they had the medication, but it was made by a manufacturer CVS Caremark supposedly did not cover. I called my insurance company, and together we called CVS Caremark. Their representative told us they only covered the medication from one specific manufacturer and gave me two local CVS locations that supposedly had it in stock. I went to both pharmacies, only to be told they did not have it, it was on backorder, and they had no idea when it would be available. After more calls with my insurance company and CVS Caremark, I was then told the doctor could call the prescription into the CVS Caremark mail-order pharmacy. I went to the doctor’s office, and the doctor called it in while I was sitting there. A week later, I had not received any update or copay request, so I called again. This time, CVS Caremark said the prescription could not be called in by phone and had to be sent electronically or mailed in. No one could explain why we had been given different instructions previously or why the doctor was not told that when he called. By that point, nearly three weeks had already passed. I asked if they could make a one-time exception and approve the same medication from another manufacturer, since this was causing a serious delay in my son’s care. I was told there was nothing they could do. I then had to return to the doctor’s office for another prescription. Since the doctor does not use electronic prescriptions, I mailed it myself. Another 10 days passed with no update. When I called again, I was told CVS Caremark had canceled the prescription because they ran it through under a manufacturer not covered by my plan. They claimed it was automatically canceled and mailed back. Only then did they tell me the doctor needed to write the specific manufacturer name and drug code on the prescription. This information should have been provided several calls earlier. Every call took two to three hours and ended with a different set of instructions. No one took accountability. No one seemed able to provide clear, consistent, or correct information. Meanwhile, my son was left without a medication he has relied on for years. In the end, nearly two months later, I had to get another prescription and, through a personal connection, found a hospital pharmacist who was finally able to help. CVS Caremark’s customer service, policies, communication, and internal processes were abysmal. This was a miserable experience that showed a complete lack of accountability and disregard for the real impact these delays have on patients and families.

This is the biggest scam Insurance co. out there! I'm forced to pay their premiums through work insurance and they refuse to pay for the medication prescribed by my Dr. forcing me to pay out of pocket!

I am writing to share my personal experience with CVS Caremark and to express my frustration with what I believe has been a confusing, inconsistent, and unnecessarily burdensome process for obtaining my prescribed medication. Over the past several months, I have repeatedly encountered delays, conflicting information, and administrative obstacles while attempting to obtain medication prescribed by my physician. What should have been a straightforward process became a prolonged series of phone calls, paperwork, and communications between my doctor’s office and CVS Caremark. One of the most frustrating aspects of my experience was learning that medication I had previously received was suddenly subject to new prior authorization requirements. In other instances, I was informed that coverage limitations or authorization requirements had changed, requiring additional documentation and approvals. These changes occurred after my treatment plan had already been established by my physician, creating uncertainty about whether I would be able to continue receiving the medication I needed. Throughout this process, I often received different answers depending on whom I spoke with at CVS Caremark. I was instructed to have my physician’s office submit specific forms, only to later learn that additional forms, different authorizations, or further documentation were required. Each time new requirements emerged, I had to contact my doctor’s office again, and their staff had to spend additional time attempting to satisfy CVS Caremark’s requests. As a result, I found myself caught in a continuous cycle between my physician’s office and CVS Caremark. Information was frequently inconsistent, requirements appeared to change, and responsibility seemed to shift from one party to another. The process was not only time-consuming but also stressful, particularly because it involved medication that my physician had determined was necessary for my care. After going through this experience, I have little confidence that this letter will result in meaningful change. It is difficult for me to believe that the concerns of individual members receive the attention necessary to correct systemic issues that continue to affect access to prescribed treatment. While I hope that CVS Caremark leadership takes these concerns seriously, my experience has left me skeptical that meaningful action will be taken. Unfortunately, individuals like me often feel as though we are at the mercy of a system over which we have little control. Decisions regarding coverage, prior authorizations, and medication access can have a significant impact on our lives, yet the process can feel opaque, unresponsive, and disconnected from the realities faced by those who depend on these medications. I am sharing this letter because my experience has left me concerned about the efficiency, transparency, and accountability of the process. My hope is that CVS Caremark will take steps to improve communication, reduce unnecessary administrative hurdles, and ensure that individuals are not subjected to avoidable delays in accessing prescribed treatment.

Disgusting service. Prescription delay. I ordered my prescription Thursday 21st and was told will get it in two days. But today is 26th and still nothing. This is an outrage!!!!

Absolutely the worst online pharmacy on the planet our union switched over to them and it’s the biggest mistake they ever made. We now have a petition going to go back to “OPTUM” and have enough signatures to do so. CVS denied my daughter seizure medicine. We had to fight tooth and nail and go through three appeals so that my daughter could take her medicine so she didn’t have seizures and die. every single person you speak to at CVS has a they don’t” give a shit attitude” about your issues.. other members have had their heart medicine denied diabetes medicine denied. Everything is a denial with them. Whatever you do do not use them. They do not have a single positive review all their reviews are one star or less. run from this Pharmacy as fast as you can!!!!!

Our insurance switched to Caremark and it is a living hell. You CANNOT access any human customer service. All of these companies using AI Chatbots is infuriating. You can't call in and talk to a human, It is nothing but a looping hell of recorded backrooms. I will miss Express Scripts for the rest of my life, they always had incredibly helpful people on their customer service line, Caremark is the absolute worst in customer service. You're dealing with real humans with real health problems, and you can't provide a single human to answer phones. So much for "care"