CVS Caremark, Caremark, Caremark RX, CVS Health Hidden or hard to find rules to avoid paying for prescriptions Nationwide
My doctor knows what quantity and dosage of a medication is right for me. However, Caremark will deny prescription insurance claims if the dosage/quantity doesn't match what they say is right. For example, if you are prescribed a medication that is 25mg twice a day, Caremark may not cover it unless it is 50mg once a day. If you look at the math there, it's the same amount of medicine. Two 25mg pills, is the same as one 50mg pill. I've read countless other complaints online about Caremark. They consistently come up with reasons to not cover prescriptions. They've even had to pay the U.S. government millions due to not reimbursing people properly. That is getting off topic slightly, but my point is that if a doctor wants a patient to take 25mg twice a day versus 50mg once a day, Caremark should cover it either way. Let me be clear, they cover the drug that they didn't cover for me. But only in certain dosages. I trust my doctor more than Caremark. Caremark is not a doctor and shouldn't dictate dosages.