Caremark PHC, LLC

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.
As I said in my original complaint I have gotten different answers from Caremark. This seems to be yet another response. If they want to resolve it, they should sent me original plan documentation that shows what they say is actually in the plan. When I pull up the plan on-line, I do not find the word "powder" anywhere in the file. To further discredit their claim about powders in use in prescriptions is the fact that they have been covering my on prescription that has an oil soluble powder in it
Regards,
*** ***

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

Every month, I await my blood pressure medication from CVS Specialty, and every month, they are lateInsurance issues ( and when I call my insurance company, they always say they authorized the meds)I am sick of this lack of professionalism and I want this series of issues corrected

If there was a possibility of giving them stars, I definitely would My husband ordered his prescriptions approximately week before running out It said that they were in transit, then the day they were to be delivered, it was undeliverable They had put the wrong address on his package, mind you, he had received the medications at our address multiple times before When he called, the basically called him a liar as to why it was undeliverable, even though they had put the wrong zip code on the package They then stated that they would overnight his medicines to him, not able to get bridge medication at the CVS in town So, today, the medicine should be delivered, and it's now in label production, not overnighted They stated that they still cannot call in a bridge prescription to CVS Their "conflict resolution" department is a COMPLETE JOKE!!!!!!! They are useless!!!!!! There are *** *** medications that he's supposed to take daily!!!!! Apparently it's no big deal if he has a *** or *** ***!!! We are contemplating legal action at this point I'm a nurse and deal with a lot of mail order pharmacies and this is BY FAR the worst pharmacy I've ever encountered!

Prescription sent to cvs mail order to address informed by customer service and cvs does not acknowledge receiving itCalled customer service and after a min call was told as email would be sent by the supervisor to the mail order service to track the order and I would receive a call back withe status wihhin a daydays later no contact or information was receivedCalled again and received the same answer today.the prescription in case is for a month supply of an expensive controlled medicationHad to request another prescription to the doctor and pick it up in person in the doctors officeWorst of all was to be made feel stupid for not mailing using a tracking numberAs if the usps was unreliable! They never lost my sent payment and even my vote is sent over the mail without issues

I filed to have a Rx filled at my local pharmacy and CVS had this RX cancelled and did not contact me to state they were not allowing my pharmacy to fill it and that CVS had to do it
My Pharmacy advised me of the situation and advised me that I had to contact CVS directlyI called the *** number and spoke with *** She told me that I had to have my pharmacy transfer the Rx over and that as long as it was done today (31Dec2015), it would be processed today and billed for before the 1st of the year
*** was contacted and I advised them of what I was told and they advised me that was NOT common practice and that CVS had to contact them to get the RxI called CVS back and spoke with a lady name *** ( not sure how it was spelled, sounds like ***)This woman had attitude with me f

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

I called in a refill for the first time with this prescription plan for my month old daughter on 4/25/ I was told that the insurance company would not cover the medicine I then contacted them to advise that she needed the prevacid as it is a solutab and she cannot swallow a pill They had wanted her to take a generic that only comes in a pill form I was given the appeal number and fax number for her Dr to contact Since the 25th I have been told they are waiting on my Dr or haven't received the information needed I've been told by multiple associates different stories, as one will say they have everything the other will say they have only received partial and then I will be told they have received nothing When I contact my Dr they have proof of the phone calls as well as the letter of medical necessity that was faxed I contacted this business on 5/5/and escalated to a supervisor She asked that my Dr's office call one more time and she would track the follow and

CVS ID: * *** - Picked up prescriptions from the drugstore prior to receiving my insurance ID cards Paid cash for the prescriptions and *** keeps telling me they are working on refunding my $worth of prescriptions from 7/15/but they just keep giving me the run around They told me what documents I needed to submit I did that They contact the drug store and the drug store confirmed the purchase I do not think it should take over months to be reimbursedI have spoken to many people and when I give a reference number each time they start everything over 2/reference #: *** then I called on 3/*** was suppose to return my call before the 31st Called on 4/heather from customer carecalled on 5/*** * employee ID *** ! STILL NO ONE HAS RESOLVED THIS PROBLEM>

Member id: *** ***, Date of birth ***
Regards,
*** ***

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. Correction again, all of the employees named in the original complaint informed ** ***, $dollars will be charged for any subsequent remainder of the day supply placed on file The order form does not inform customers that prescriptions cannot be ordered in a day supply from a day submitted prescription This would have saved the confusion and / or appearance of impropriety when you're being double billed
Regards,
* ***

Joined with *** *** Part D prescription plan and the agent explained that purchasing the "plus plan", which is twice the amount of the regular plan, would ensure I would not go into the "donut Hole" staying on the same insulin I take two types of insulins (short and long term) each prescription was $now each one is over $

I place an order in May for my prescription and paid for my orderI called in June to order the medication refill and customer service said I got an order in MayI told the lady I did not receive an order in May and that was why I am ordering it nowShe said the insurance want let them do an over ride and I need to check with the Post Office, I told them the Post Office take people packages, so she said it was tracked to my door and I told her I didn't get itWhwn I called the Post Office the manger said it was tracked to my doorI told her than scan it at my address but, they didn't leave itShe said she can't say the carrier stole it, I she to her I can*** said I could get a day supply and she would talk to her boss about a creditShe said she would follow back up on the credit along with getting my refillWhen I called to place an order for another medication they tacked on the amount for the lost orderI told them I not paying twice for something I didn't getI s

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 *** *** 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 *** 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, *** *** the company who offered me the health insurance called CVS/Caremark to advise they had the wrong info, and

I am a *** customer of ***The customer service that I received from *** was terribleI was misinformed about the prescription gap coverage which increased my cost for my prescriptionsThe information that I received from *** was not correctI have discussed the problem with several ***’s representatives and supervisorsThese folks transfer my call to various departmentsThese departments tell me that they will get back with me in or hoursI had continue to call to talk with someoneThe *** did not take my case seriouslyI am waiting for an Executive from *** to call me to discuss an approach to fix the problemI am sure that I will have to call *** to initiate this phone call with an ExecutiveThis is terrible customer service which began with *** providing me with incorrect gap coverage information which resulted in a very high cost for my prescription

It took days to get my medicine and it was wrongThen it took days to get it fixed and get the right medicine I've had innumerable problems with CVS orders in the past

My endocrinologist submitted my refill prescriptions for *** *** and *** ***My wife and I called CVS specialty pharmacy and delivery was scheduled for 1/11/Today is 1/15/and the injectables are not deliveredCVS Caremark does this every month we never get medication on time.*** *** 200mg/ml soln
Last filled on: January 12,
Rx#: ***
Refills left:
Issued: January 9,
Prescriber: *** ***
Days supply:
Remaining supply:
Expires: January 12,
Dispensing pharmacy: CAREMARK ILLINOIS SPECIALTY PHARMACY, L.L.C

I was billed for a months supply of my *** medication Under state law, they are only able to dispense a day supply After sending a day supply, I was billed for a day supply They refused to refund me They never contacted me to let me know of the additional cost nor that the medication could only be filled for day supply

To Whom It May Concern:I once again reject the response from CVS, which are pasted below, for two reasons:First the two responses from CVS to the Revdex.com contradict themselves. Please note the section that is in bold and underlined. The August response states there were no comments or directions from me not to ship prescriptions. The July response states there were directions not to ship, but account numbers were changer ornew accounts were set up. This is a bold contradiction in their own writings that CVS can’t be consistent in what they are telling you and me between two different responses that are about days apart. They are unable to keep their stories straight.Secondly, the section in blue from both letters state in their written words that the accounts have been noted and no further shipments will occur. Yet, as in my lastcomplaint filed, I stated and will state again, that in my last verbal communications with CVS, they told me VERBALLY, that they can not and will not guarantee that I will never receive any further shipments. They told me that even though the accounts are noted for no further shipments, does no guarantee that shipments will notbe received. This is what CVS told me VERBALLY. And furthermore I was told VERBALLY, that if and when I do receive further shipments it is my responsibility to contact them again and waste my time again in making phone calls to resolve their mistakes. Therefore, what is written in both letters and what I was told VERBALLY does not agree I asked for an explanation for this discrepancy in my last complaint and CVS has not addressed this discrepancy. So which of the above is true? What I was told verbally or what is in this letter? And why is it that CVS has told me twodifferent stories, one by their response and one by verbal communication? August 10, 2015Revdex.com*** *** *** *** *** ***
*** ** ***Complaint ID: ***/*** ***To whom it may concern:CVS/*** administers the prescription benefits portion of the health plan for the *** *** *** *** *** of which Mr*** is a memberThis letter is in response to the correspondence we received from your office on July 21, Thank you for the opportunity to address Mr***’s concerns as expressed in Complaint ID ***.The order in question was received via electronic prescription request from Mrs***’s prescriber’s officeThe order was not initiated by CVS/***. We have verified that there were no comments or direction from Mrand Mrs*** directing our pharmacy not to fill any order requests received from the prescriber’s officeAdditionally, after reviewing calls with our customer care team there was never a request to hold any orders when requested by the prescriber prior to the order shipping outAt this time comments have been added to Mrand Mrs.***’s files to ensure that prescription order requests are placed on holdwhen received until Mrand Mrs*** authorize the order forprocessing. CVS/*** will not initiate a prescription request unlessdirected to do so by Mrand Mrs*** Furthermore, upon review of Mr***’sinteraction with the customer care team; we recognize that there wereopportunities for additional training and coaching for our staff. Wherenecessary, feedback has been provided to each member of the customer care teamwith whom Mr*** interacted Lastly, we address issues in this office onbehalf of the CEO, *** ***; it is not customary that he speak to membersdirectly to resolve their concernsShould Mr*** have any additionalquestions or concerns regarding this experience and situation, he can contactme at ###-###-#### We sincerely apologize for any frustration orinconvenience that Mr*** experiencedWe value our members and we areconfident that future service will consistently reflect our commitment to ourpurpose, “helping people on their path to better health.” Should you or Mr.*** have any additional questions or concerns, please do not hesitate in contactingme at ###-###-####Sincerely, *** ***Member Advocate July 28, 2015Revdex.com*** *** *** *** *** ***
*** ** *** Complaint ID: ***/*** *** To whom it may concern: CVS/*** administers the prescriptionbenefits portion of the health plan for the *** *** *** ***
*** of which Mr *** *** is a memberThis letter is in responseto the correspondence we received from your office on July 21, Thank youfor the opportunity to address Mr***’s concerns as expressed in ComplaintID ***. We verified that there were instructions in a previous accountrequesting that the mail order benefit not be utilized if any prescriptionsrequests were received for Mrand Mrs***When the order in question wasreceived for processing there were no instructions which would have stopped theorderWe have confirmed that when the plan was renewed, theprevious notated request did not transfer to the new fileForthis reason, the order was shipped We have contacted Mr*** and confirmed that thereare now instructions on the mail order account to prevent future orders fromprocessing via the mail order benefit Additionally, a creditof $has been issued to the account as of July 22, We sincerely apologize for any frustration orinconvenience that Mrand Mrs*** experiencedWe value Mrand Mrs.*** as a member and we remain fully committed to our purpose of “helping peopleon their path to better health”Should you or Mrs*** have any additionalquestions or concerns, please do not hesitate in contacting me at ###-###-####. Sincerely, *** ***Member Advocate
Regards,
*** ***

Tell us why here
January 14,
Revdex.com serving Eastern Massachusetts, Maine, Rhode Island and Vermont*** *** *** *** *** ***
*** ** ***
Complaint ID # ***/*** ***
To whom it may concern,
CVS/caremark administers the prescription benefits portion of
the health plan for * * * ***, of which Mr*** *** is a memberThis letter is in response to the correspondence we received from your office on January 1, Thank you for the opportunity to address Mr***'s concerns as expressed in Complaint ID #***
Upon review of this concern, we verified Mr*** contacted our customer care team on January 1, to cancel the prescriptions in questionAlthough our representative cancelled one of the prescriptions in question they failed to notice that there was a separate order for the prescription in process which could have also been canceledIn an effort to resolve this issue in Mr***'s favor, packaging has been sent to retrieve the unwanted medicationOnce the medication is received back in our filling pharmacy Mr***’s account will be credited.
Additionally, feedback has been provided to the members of the customer care team with whom Mr*** interacted with. Please note that our goal is to ensure that our valued customers receive only the highest level of customer care
We sincerely apologize for any frustration or inconvenience that Mr*** experiencedWe value Mr*** 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*** have any additional questions or concerns, please do not hesitate in contacting me at ***
Sincerely,
*** ** ***
Member Advocate