Caremark PHC, LLC

In order to properly investigate your concerns, we are in need of additional information Please provide us with the following information: Your childs first and last name along with the Date of Birth, and the medication in question

I am just trying to refill a prescription The prescription is from June And good for refills Second refill was October Tried to submit 3rd refill, January 26th One of the medicines showed "on hold" with request in to doctor I've called times about it this week, Jan 30th, Feb and twice today, asking about the issue Every time I get a different answer I point out that the prescription hasn't changed, they first insisted they needed more information I asked what was different than in October? They told me later I could put a patient override for the medicine and it would go out on [redacted] immediately I checked back later that day, it showed back "on hold" so I called the 4th time I am not getting any resolution and talk to someone different each time Again - prescription is JUST a "refill", 3rd of refills called in back in June Nothing has changed from doctor since originally received Whatever has changed is from Caremark's end and they

March 1, Revdex.com of Eastern MA, ME, RI, & VT Donald Lynch Boulevard, Suite Marlborough, MA 01752-Complaint ID: [redacted] / [redacted] To whom it may concern: CVS Specialty® is the dispensing pharmacy for Mr [redacted] 's specialty medications This letter is in response to the correspondence we received from your office on February 9, Thank you for the opportunity to address Mr [redacted] 's concern as expressed in Complaint ID: [redacted] The specialty pharmacy received an order request on October 6, with a requested delivery date of October 10, The request could not be completed because there were not refills remaining on the prescription The specialty pharmacy’s attempts to obtain a prescription from the patient’s physician were not successful until October 11, Another factor is that Mr [redacted] ’s insurance plan has a limit of two pills a day for the medication in question whereas his physician was prescribing three pills a day Approval was required from the insurance provider on a monthly basis to override that plan design feature On February 19, 2018, a Patient Advocate with our Specialty pharmacy advised that they were in contact with Mr [redacted] ’s prescriber and secured a new prescription for the medication in question which allowed for the additional refills In addition, Mr [redacted] ’s prescriber provided our pharmacy a prescription for a different strength of the medication, which is not subject to the same quantity plan design restrictions We value our members and we are confident that future service will better reflect our commitment to our purpose of, “helping people on their path to better health.” Should you or Mr [redacted] have any additional questions or concerns, please do not hesitate in contacting me at 1- [redacted] Sincerely, [redacted] Member Advocate

Revdex.com: I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted] Please add your rejection comments below I ask for the approval for vacation prrscription for months Regards, [redacted] ***

In order to properly investigate your concerns, we are in need of additional information Please provide us with the following information: Patients name, patients date of birth, and the medication in question

In order to properly investigate your concerns, we are in need of additional information Please provide us with the following information: Member ID number and your Date of Birth,

My annual deductible on my health insurance and prescriptions through my health insurance is $1,I was in the hospital in the beginning of January of and met my health deductible by January 4, My understanding is that it can take a week or so for the hospital to get that information over to [redacted] so when I went to pick up prescriptions I had to pay full price as if I had not met my deductible for the yearLast week when I went to [redacted] I had to pay about $for my medicine and I knew that there had to be a problemSo I called Caremark customer service, they advised they showed I was on a family plan with my health insurance which meant I had a $2,deductible that had not been met yetI explained they had incorrect information as I was on an individual plan which meant my deductible should be $1,Long story made short, [redacted] the company who offered me the health insurance called CVS/Caremark to advise they had the wrong info, and

December 23, Revdex.com serving Eastern Massachusetts, Maine, Rhode Island and Vermont [redacted] Complaint ID: [redacted] / [redacted] To whom it may concern: CVS /caremark administers the prescription benefits portion of many health plans as well as offers services through our Specialty PharmaciesThis letter is in response to the correspondence we received from your office on December 6, Thank you for the opportunity to address Ms [redacted] concerns as expressed in Complaint ID: [redacted] Upon review of Ms [redacted] ’s concern, it was determined our specialty department did initially bill the medication in question to the incorrect benefit plan Once the correct benefit information was obtained by Ms [redacted] , our specialty pharmacy has attempted to resubmit the prescription claim to her correct benefit plan multiple occasions however has been unsuccessful Our specialty pharmacy is currently working directly with [redacted] in trying to resolve this issue Ms [redacted] ’s account will continue to be monitored by our specialty team to ensure that all concerns expressed are addressed and resolved to her satisfaction A representative with our specialty pharmacy contacted Ms [redacted] to provide her the latest update on her request and will continue to keep her informed Additionally, Ms [redacted] has been refunded the amount of her order while we continue to try to resolve her concern We sincerely apologize for any frustration or inconvenience that Ms [redacted] experiencedWe value our members and we are confident that future service will consistently reflect our commitment to our purpose, "helping people on their path to better health." Should you or Ms [redacted] have any additional questions or concerns, please do not hesitate in contacting me at [redacted] Sincerely, [redacted] Member Advocate

Revdex.com: I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # [redacted] Please add your rejection comments below Regards, [redacted]

March 10, Revdex.com serving Eastern Massachusetts, Maine, Rhode Island and Vermont [redacted] Complaint ID: [redacted] / [redacted] To whom it may concern: CVS/caremark administers the prescription drug benefit for the [redacted] health plan, of which Mr [redacted] is a member Thank you for the opportunity to address this concern In reviewing this concern, it was confirmed the medication in question is on a maintenance exclusion list specific to [redacted] The medication in question can only be filled for a maximum of a day supply per fillThis information is available on the [redacted] websiteThere is a maintenance exclusion form available on the [redacted] website which members can complete and submit for an exception to this plan directive We value Mr [redacted] as a member, should you or Mr [redacted] have any additional questions or concerns please do not hesitate in contacting me at [redacted] Sincerely, [redacted] Member Advocate

CVS/caremark administers the prescription benefits portion of the State of Illinois Insurance Plan, of which Ms [redacted] is a memberThis letter is in response to the correspondence we received from your office on February 28, Thank you for the opportunity to address Ms [redacted] 's concerns expressed in Complaint ID [redacted] Upon review of Ms [redacted] 's concern regarding delays with mail order, it was determined there were no delays with teh processing the order in questionsMs [redacted] called CVS/caremark's customer care several times to verify order status but was advised no prescription had been receivedAlthough there was no specific issues verified with receiving prescription request, customer care could have provided Ms [redacted] more options in an effort to bypass any pending delaysCVS/caremark accepts prescriptions in a variety of ways, for example: mail, fax, phone, and through electronic prescribing devicesCustomer care agents also have the ability to generate an electronic fax, which is a fax sent to the doctor's office as a prescription requestOnce the prescription was received, CVS/caremark processed and shipped the order overnight which was confirmed deliveredAdditionally, calls will be reviewed and feedback and coaching will be provided to each member of the customer care team with whom Ms [redacted] interactedWe sincerely apologize for any frustration or inconvenience that Ms [redacted] experiencedWe value Ms [redacted] as a member and we are confident that future service will consistently reflect our commitment to our purpose, "helping people on their path to better health"should you or Ms [redacted] have any additional questions or concerns, please do not hesitate in contacting me at [redacted]

CVS Caremark is the absolute about getting your your prescriptionsLast year I had to go months with medication I needed because they said I "had my fill for the year" even though I obviously hadntIts a shot you take every three months and they would not provide it to me claiming I already claimed too many for the year wich would have literally been impossible as I would only inject myself ever three months as prescribedso now what happened is [redacted] somehow lost my insurance without ever informing me even though all claims go through caremark, they had me pay for the prescriptionsand now are refusing to refund me because they said I picked the medication upWHY WOULD I NEED A REFUND IF I NEVER PICKED THE MEDICINE UP!?!?!?!?!?!?! So they have effectively stolen hundreds of dollars from me for falsely charging me for prescriptions that were zero cost under my insurance policyCVS CARE MARK WILL STEAL YOUR MONEY !!!!!!!

Complaint ID: [redacted] / [redacted] To whom it may concern: CVS/caremark administers the prescription benefits portion of the United Airlines health plan, of which Mr [redacted] is a memberThis letter is in response to the correspondence we received from your office on March 14, Thank you for the opportunity to address Mr [redacted] ’s concern as expressed in Complaint ID: [redacted] Upon review of the prescription order in question, we verified the order was shipped on February 13, Per [redacted] tracking information the prescription order was delivered on February 17, Typically, when there is proof of delivery of an order the mail order pharmacy will only reship at the member’s costIn an effort to resolve this issue in Mr [redacted] ’s favor, an exception was made and an override was placed on file to allow Mr [redacted] to receive a replacement order at no additional chargeA new prescription order was processed and shipped via [redacted] on March 17, Per [redacted] tracking information the order was delivered on March 18, and signed for by Mr [redacted] We value Mr [redacted] as a member and we are confident that future service will consistently reflect our commitment to our purpose, “helping people on their path to better health.” Should you or Mr [redacted] have any additional questions or concerns, please do not hesitate in contacting me at [redacted] Sincerely, [redacted] Member Advocate

CVS Caremark began working to fill prescription on a mail order basis several years agoTo the best of my knowledge with federal employees, retireesI’m retired as of 12/10/I purchased medication through [redacted] Pharmacy to include above medications that was until the co-pay soared to untenable levels 9$$)Cvs has seems to demonstrate a complete total scorched earth business model by causing delays or denials and prescriptionsIt has added a burden to my family practice physician and a dire exasperation to me with the intent to discourage me from using CVS Caremark by asking me to jump through hoops for fireThen telling me after every day (I was dotted and T’s crosses), that they didn’t have an orderIt (the CVS Comp) were of good conscience, they would work with this patient, not against

I have a chronic disease that requires me to be on [redacted] From November of until June of my dosage had been consistent of mg a day, which CVS charged me a copay of $ In June my dosage was changed to mg a day, which CVS is charging me a copay of $ When I called to have it corrected, believing it was an error they told me that because my new dosage requires a mg and a mg pill for, they are charging me for two separate prescriptions The end result is I'm getting less medicine for twice the amount of money I spoke to three different "supervisors" who all told me that is their practice and refused to do anything even though it doesn't make any sense I don't understand how it's legal to do this? When I asked if I had my doctor specifically request all mg pills how much they would charge me and they said it would go back to $ Why should the patient be impacted by their practices? I would go somewhere else but they force me to us

Synopsis of Problem August 2016: We were informed by CVS/Caremark that they had decided to look at a prior authorization with an expiration of 2018, and they had to deny it and informed us that my wife was no longer allowed to have the doctor prescribed [redacted] mland that CVS/Caremark had decided to switch her to the more cost effective generic drugBeside the fact that we wanted to stay with our doctor’s advised medicine I pointed out numerous articles revealing that the FDA had approval strong reservations about the drug’s reliabilityCase in point [redacted] online article “pharma & healthcare dated 7/07/@ 7:am”We were still told we had no choiceAfter several phone calls and much frustration they granted us an appealThe next week we were informed that the appeal had been denied and CVS/Caremark would be deciding my wife’s treatment for usAt this point I requested corporate headquarter names of people I could state our case toAccording to [redacted] the

My personal privacy has been violated by CVS/Caremark mail order pharmacy 08/23/16-Changed shipping address online for a refill medication -Called CVS caremark mail order deparment and spoke with a representative to ensure and confirm the correct change of address 08/24/16-Received an email of "Order Received Confirmation with the Correct mailing address 08/27/16-UPS tracking system states that the medication has been delivered by not in the mailbox of the correct address 08/29/16- Called CVS Caremark and the representative states that the medication order has been sent to the WRONG ADDRESS -Went tot he wrong address location to inquire about the medication and the medication package has been opened by the person living in the house --HIPPA VIOLATION !! -Furious!! and called CVS Caremark and no one is able to give me an answer as to why the medication was

August 25, Revdex.com serving Eastern Massachusetts, Maine, Rhode Island and Vermont [redacted] Complaint ID: [redacted] – *** [redacted] To whom it may concern: CVS Caremark administers the prescription benefits portion of the [redacted] insurance plan, of which Mr [redacted] is a memberThis letter is in response to the correspondence we received from your office on August 17, Thank you for the opportunity to address Mr [redacted] ’s concerns as expressed in Complaint ID: [redacted] Upon review of Mr [redacted] ’s concerns, pursuant to the [redacted] prescription benefit, prescription mail order requests cannot be released without paymentWhen calling CVS Caremark for a refill, payment is required at the time the order is placed If there is a previous balance, the members of the customer care team will request all monies owed in order to avoid any potential delays with processing of an orderIf the balance, new or aged, on the mail order profile exceeds a specific threshold the order will be held until CVS Caremark receives a secondary approval from the member In regards to the medication in question, it has been determined CVS Caremark mail order pharmacy had two prescriptions on fileOn May 8, one prescription was transferred to [redacted] on [redacted] ***The remaining prescription on file expired April 28, When an order is placed for an expired prescription; the system will automatically send a fax to the prescribing physician requesting an updated prescriptionIf there is no response from the doctor a letter is mailed and records show a letter was sent to Mr [redacted] on August 16, Unfortunately, the fax was sent to the prescribing physician on record but Mr [redacted] had changed doctors Upon receiving the complaint, we assisted Mr [redacted] in obtaining the medication at the local CVS Pharmacy on August 17, The mail order pharmacy has a new prescription that will begin processing September 9, In order to ensure procedures were followed and accurate information was provided, calls will be reviewed and feedback will be given to all members of the Customer Care Team who assisting Mr [redacted] with his concerns We sincerely apologize for any frustration or inconvenience that Mr [redacted] experiencedWe value Mr [redacted] as a member and we are confident that future service will consistently reflect our commitment to our purpose, "helping people on their path to better health"Should you or Mr [redacted] have any additional questions or concerns, please do not hesitate in contacting me at [redacted] Sincerely, [redacted] Member Advocate

June 29, Revdex.com serving Eastern Massachusetts, Maine, Rhode Island and Vermont Donald Lynch Boulevard, Suite Marlborough, MA 01752- Complaint ID: [redacted] / Mr [redacted] To whom it may concern: CVS Caremark administers the prescription benefits portion of the health plan for [redacted] , of which Mr [redacted] is a member Thank you for the opportunity to address Mr [redacted] ’s concern as expressed in Complaint ID: [redacted] Upon review of Mr [redacted] ’s interaction with our customer care team, we have verified on June 8, 2017, he did request that six of his medications be refilled; one of the medications requested was [redacted] ® All of Mr [redacted] ’s medications, with the exception of [redacted] , were shipped on June 13, The representative Mr [redacted] spoke with, placed an order for [redacted] utilizing a prescription on file that expired on March 6, The representative did overlook a valid prescription on file which would have allowed our pharmacist to fulfill Mr [redacted] ’s request Feedback and coaching has been provided to the customer care team member whom Mr [redacted] interacted with Mr [redacted] ’s final order for the medication [redacted] shipped on June 22, I have been in contact with Mr [redacted] to discuss his concern and he has confirmed his order was received We sincerely apologize for any frustration or inconvenience that Mr [redacted] has experiencedWe value Mr [redacted] as a member and we are confident that future service will consistently reflect our commitment to our purpose, “helping people on their path to better health.” Should you have any additional questions or concerns, please do not hesitate in contacting me at ###-###-#### Sincerely, [redacted] Member Advocate

I am employed through [redacted] and they began using CVS Caremark as their prescription drug company this year In the last month, I received a notice that they would no longer be covering a prescription that myself and my husband have been taking since ( [redacted] **) until we obtain additional testing to confirm that the prescription is necessaryWe are in process of getting the additional testing but the issue is that the first available testing date isn't until October My complaint is that CVS Caremark gave us less than days notice that they would not be covering the prescriptionWe filed an emergency appeal stating that we did not have an issue with additional testing but going four months without taking a prescription that we have been taking for years is not logical We requested that they continue to cover the prescription that was ordered by our regular primary car physician until we were able to take the testing they require for continued coverage Less th