Caremark PHC, LLC

December 21,
Revdex.com
*** *** *** *** *** ***
*** ** ***
Complainant ID: *** / *** ***
To Whom It May Concern:
This letter is in response to the correspondence we received from your office on December 8, Thank you for the opportunity to address Mrs*** ***’s concerns regarding the delay in receiving medication
Upon review of Mrs***’s concerns we were able to confirm that there was no delay with shipping her order. On December 2, Mrs***’s order was shipped for delivery by December 3, to her local CVS retail pharmacy. On December 7, Mr*** contacted our specialty customer care, and was informed that the order was delivered on December 3, as expectedOur records do not indicate that there were any delays nor do we show any documentation stating that there were any issues with Mrs***’s order. In an effort to assure Mrs***’s package did arrive, our specialty pharmacy contacted the CVS retail location and verified the package was delivered
We sincerely apologize for any frustration or inconvenience that Mrs*** experiencedWe value Mrs*** 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 Mrs*** have any additional questions or concerns, please do not hesitate to contact me at ***. My office hours are Monday thru Friday from 9:a.muntil 5:p.mCentral Standard Time
Sincerely,
*** ***
Member Advocate

Dear Sir or Madam,
Thank you for giving us the opportunity to address the beneficiary’s concerns regarding his prescription drug costs with *** *** *** *** Part D Prescription Drug Plan (PDP)This letter is in response to your correspondence dated April 24,
Please contact us with any questions or concerns regarding this response
Sincerely,
*** Insurance Company

This is in response to your inquiry dated October 14, which we received on October 29, regarding his compound medication.I spoke with the member on October 15, and advised *** *** *** has previously advised they were able to fill the medicationThe member advised his physician’s office stated *** *** *** was not able to fill the medication; however, the member stated he would contact them directly to verify if they were able to fill the medication. I also advised the member the NDC numbers being provided by *** *** are not valid NDC numbers per the manufacturer; therefore, the claims will not process with the NDC numbers providedThe member stated he would file a complaint with the Office of Personnel ManagementThe member did not require any further information at this time

I get a drug from this companyMy copay is $30, but I have a copay assistance program where my copay is paid by the drug company (***) in fullOn 08-18-2015I was charged $for the drug, *** paid my full copay to CVS alsoI have been trying since 08-to get refunded the $that CVS charged meI have called them times nowtimes I was told that I would get a credit back to my credit card, times I was told I would get a refund check, and time I was told that *** was responsible for the refund (that is totally false- *** never charged me- CVS did)CVS charged me improperly and has been withholding the refund for monthsI want the refund and an apology ASAPThank you

CVS Caremark has incorrect information on their data system concerning our doctor and they will not correct itI have given them information, they have confirmed it, but still they continue to act on this & now they have based on this erroneous information, decided our doctor is unauthorized to fill prescriptions for us and that we should find another doctor !! Dr*** *** is fully licensed - See “History”

Meds sent to *** *** and not approved by meI returned package and was charged for the medsI returned asthma meds by ***CVS Caremark keeps sending the meds and refuses to stop resending medsIt’s not on my medical chartCVS Caremark says I need to pay for medsairmists

Revdex.com:
I have reviewed the response submitted by the business and have determined that the response does satisfy my issues and/or concerns in reference to complaint #***I understand that by choosing to accept the business response that my complaint will be closed as resolved.
Regards,
*** ***

Revdex.com:
I have reviewed the response submitted by the business and have determined that the response does satisfy my issues and/or concerns in reference to complaint #***I understand that by choosing to accept the business response that my complaint will be closed as resolved.
Regards,
*** ***

Revdex.com:
I have reviewed the response submitted by the business and have determined that the response does satisfy my issues and/or concerns in reference to complaint #***I understand that by choosing to accept the business response that my complaint will be closed as resolved.
Regards,
*** ***

Dear Sir or Madam, Please review the attached response for case number ***Please feel free to contact me directly with any questions or concerns regarding this response. Sincerely,*** **Senior Consultant, Medicare Part D Grievances

I have been forced to go through CVS Caremark ny my employers insurance company for the past yrsI am a Type Diabetic and have required insulin injections since I was five yrs oldWithout these injections, I will dieUnfortunately, the monopoly that is CVS Caremark doesnt seem to understand this, the difference between Type & Type Diabetes, or even careI can not get anyone to help me in customer service, management, or the pharmacist emplyed by Caremark
Since last week, I have spoken to them four times regarding the need for them to ship my insulinThe first custmoer service rep told me that payment of $was required before shipment can be made, which I paidI then asked her to have it expedited immediately, as I have been without it for a month because their anticsShe told me the quickest it would be delivered was the next TuesdayI spoke with her on Thursday
On Monday, I received numerous calls from Caremark regarding my orderWhen I called them back

Prescriptions were ordered on 2/20/16, payment processed on customer end on 2/27/The prescriptions were sent to an old address, shipment denied by the new occupants, shipment returned via ***, and shipment was delivered to CVS on 3/2/at 9:a.m
The prescriptions have not been received by us/customerMultiple phone calls have been made to CVS CaremarkThere has been no resolution On 2/29/I was told the prescriptions were reshipping on 3/1/for overnight delivery and they did notOn 3/2/I was told they were reshipping for overnight delivery and they did not I then received a voice mail on 3/3/at approximately 2:p.mthat the prescription for *** was denied due to the item had already been shipped and there was delivery confirmationThen while I was on the phone with another CVS Caremark representative I received another voice mail at approximately 3:p.mthat the prescriptions were being sent out overnightThat voice mail said that ther

1-12-placed order for day prescription from which my Doctor wrote for a day supply CVS Caremark erroneously charged me $for the day supply citing they were restricted from filling the whole prescription for days 1/14/2016, after several lengthy attempts to resolve this matter with Call Center reps; ***, *** *** *** and continuously placed on unreasonably extended hold and finally forwarded to: "***" (Senior Clinic Advisor), and supervisors, "***," "***" (terrible disposition), and "***" who informed me because of the discrepancy, ** *** would be given a one time bulk up credit for $dollars and to keep the day prescription These supervisors informed me I would not be billed for the prescription 1/15/16, *** ***l left a voice mail stating what these supervisors told me earlier about the bulk of credit which I saved on my cell for documentation to support my voice records, date & time I did not receive a day s

My physicians office placed an order for my prescription and I was told CVS Caremark would have to fill the prescription and they would call to schedule delivery This was the first week of April 2016/ My appointment was for the 15thI never rec'd a call so I ended up calling the 12th to ensure my prescription would be delivered on time for my dr apptWhen speaking with the rep they told me the delivery date would be the 14th so I would make my Friday (15th) appointmentCome Friday the prescription never arrived I called and was placed on hold at least times for over ten minutes each time and the reps did not come back on the lineFinally a rep did not put me on hold and told me that there were not any notes as to why they did not ship the medication it just simply didn't shipAlso, that it was noted to ship that morning and I would have SaturdaySo I completely missed my appointment and there was no reason as to whyI took off the morning for this specifically and had bee

I am writing to you as I do not know what other option to take hoping that you can assist me
A few months ago I tried to use my benefits at CVS to buy some speciality medications and it was just too expensive for me to affordI found another pharmacy that could fill the prescription at half the cost which would save me about dollars
I went ahead and requested for an override which was offered to me but due to finances not being enough I went ahead and put that on holdI have tried to call again to get the override activated and I have now been advised that I can no longer utilize that money unless I wanted to just go ahead and pay out of pocket
My questions were not really answered because from what I understand my benefits have not changed so I should be able to utilize the overrideMust I also mention that it is such a pain to be on calls for hours during the naïf stressful time for a patient trying to get medications instead of this being a painless process

We have received this complaint and have attempted to reach out to this member and have been unsuccessfulIn order to address the complaint we are in need of the members id or date of birth to locate the account and research the members concernIn order to properly investigate your concerns, we
are in need of additional information. Please provide us with the following information: Member ID number and Date of Birth

I have been forced to go through CVS Caremark ny my employers insurance company for the past yrsI am a Type Diabetic and have required insulin injections since I was five yrs oldWithout these injections, I will dieUnfortunately, the monopoly that is CVS Caremark doesnt seem to understand this, the difference between Type & Type Diabetes, or even careI can not get anyone to help me in customer service, management, or the pharmacist emplyed by Caremark
Since last week, I have spoken to them four times regarding the need for them to ship my insulinThe first custmoer service rep told me that payment of $was required before shipment can be made, which I paidI then asked her to have it expedited immediately, as I have been without it for a month because their anticsShe told me the quickest it would be delivered was the next TuesdayI spoke with her on Thursday
On Monday, I received numerous calls from Caremark regarding my orderWhen I called them back

This is the company I am required to use for my prescription service through the state of Illinois I wanted to start getting my rx by mail because it would be cheaper My MD has been trying to get my prescription through by FAX they have other patients that go through this process It has taken over a month and only of my scripts is in the cvs system I am currently out of this med but I have not received the med Cvs Caremark will not authorize a local pharmacy to fill this unless I pay full price It will cost me out of pocket a retail price over $ I am retired and cannot afford this Therefore I will go without the med my doctor has prescribed

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 # ***Please add your rejection comments below.
While I highly doubt that this will go any further, I want Caremark to know that the process by which they approve or deny medication is not only poor but in some cases potentially dangerous. I believe that Caremark should be required to make it a business practice to alert any insured of these requirements. Caremark never contacted me during this episode, I had to repeatedly call them to ask for a status. My doctor sent in urgent requests alerting Caremark to my past history of suicide attempts due to severe depression and included the history of taking the generic version and it not working to relieve my symptoms. Caremark does not give any of that consideration and so someone sitting in an office somewhere just denied it without any explanation to me, putting me in a near incapacitated state for almost a week! (Note: I received a letter a week later after I submitted this complaint). Exactly what could the benefit be, to a company the size of Caremark, to require a patient on a specific medication to fill their prescription with a generic before they can get the medication that they need? They literally approved the appeal 2-days after I accepted the genericI don't see the sense in that. Given the size of Caremark, I doubt that anyone there will give this a second lookI just hope their current practice doesn't result in more severe harm to anyone else
Regards,
*** ***

I have been a managed Type I diabetic for yearsMore recently, my regimen consisted of *** fast acting insulin with meals and *** for basal insulin which I took twice daily, at breakfast and dinnerOver time, I began experiencing concerning side effects with this regimen, including but not limited to unconsciousness during low blood sugar episodes during the night requiring emergent ambulance care on multiple occasions, as well as a transient ischemic attack suffered in or about during which time I lost all control of my upper and lower limbs for a period of nearly minutesIt is my understanding this a precursor to CVAAt that time, I discussed with my doctor my short-comings with the *** regimen, and asked if there was an alternative treatment to better manage my sugarsAt that time I began using *** once daily for control of my sugars throughout the dayImmediately on starting ***, I began to notice complete resolution of these side effects of the prior reg