Caremark PHC, LLC

November 15, 2017 Revdex.com serving Eastern Massachusetts, Maine, Rhode Island and Vermont Donald Lynch Boulevard, Suite Marlborough, MA 01752-4705 Complaint # *** / *** *** To Whom It May Concern, CVS Specialty is the dispensing pharmacy for the prescription
portion of Mrs*** *** health planThis letter is in response to the correspondence we received from your office on October 27, Thank you for the opportunity to address Mrs***’s concerns regarding the billing of her medications to the correct insurance plan. Upon receipt of this complaint our Specialty billing department has been able to reprocess the dates of service in question, May 30, and June 29, *** *** with our CVS Specialty billing will be reviewing Mrs***’s account to make sure her medications are being billed accordingly to the correct insurance moving forward. Additionally, Mrs*** was not sent to an outside collection agency for collections and the late notices have been stoppedMrs*** previous coverage has terminated as of June 10, and her primary coverage is updated with *** *** *** *** ***If Mrs*** needs further assistance she can contact *** *** at *** in our CVS Specialty billing. 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.” Sincerely, *** ***Member Advocate

April 13,
Revdex.com of Eastern MA, ME, RI, & VT*** *** *** *** *** ***
*** ** ***
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 March 28, Thank you for the opportunity to address Mr***'s concern as expressed in Complaint ID: ***
Upon review of the prescription order in question, we have verified on March 9, a request was submitted to contact Mr***’s prescriber for new prescriptionsThis error was made by a customer care representative who failed to see that there were valid prescriptions availableOn March 18, Mr*** contacted CVS/caremark customer care because he did not receive his order placed on March 9, When Mr*** spoke with customer care he was advised that his prescription order would be shipped via overnight delivery at no cost to him; this did not happenDue to this delay, Mr*** contacted his prescriber to request a short term fill of the three medications and filled them at Iola Pharmacy for $A new order, order # ***, was processed and shipped on March 23, but was not sent via urgent next day deliveryOn March 25, Mr*** contacted customer care and advised that he was out of medication due to not receiving his order as it was promisedMr*** had to fill a second short term supply of his medicationsDue to the mail order which had that already processed, his second short term supply was not covered and Mr*** was responsible for the full cost of the medication at $
Order# *** was delivered on March 26, via United States Postal service; tracking# ***Due to the two errors caused by customer care, both retail fills have been reprocessed and *** *** will be sending Mr*** a refund of $There is no record to support Mr*** spent $out of pocketAdditionally, the mail order was $and was care for by a credit of $which was on file
We 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

February 10,
Revdex.com serving Eastern Massachusetts, Maine, Rhode Island and Vermont
Donald Lynch Boulevard, Suite
Marlborough, MA 01752-
Complaint # *** * *** *** ***
To whom it may concern:
CVS/caremark administers the prescription benefits portion of the health plan for the *** *** ** ***, of which *** *** *** is a memberThank you for the opportunity to address *** ***'s concerns as expressed in Complaint # ***
We regret that an exception cannot be made concerning the copayment *** *** was responsible for with his orderThe order processed and billed correctly through the plan benefit. *** *** would need to contact *** *** ** *** to request any exception. *** ***'s copayment for the medication in question billed correctly at $Although he only received a day supply, the cost of the medications dispensed far exceeded his $copayment responsibility
CVS/caremark administers the prescription drug benefits for the *** *** ** *** health planAs the administrator of the *** *** ** *** health plan, we are required to administer the prescription portion of the benefit plan in accordance with the benefit features adopted by *** *** ** ***
We value *** *** 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 *** *** have any additional questions or concerns, please do not hesitate in contacting me at 1-866-526-
Sincerely,
*** * ***
Member Advocate

Back in June 2016, I decided to use CVS/Caremark to get my prescriptions through mail order since it was cheaper than the local pharmacyMy health insurance is through *** *** *** *** *** Federal governmentMy first bad experience with CVS/Caremark is when I called in June to check to see if they had my prescriptions from the doctor to fill, I was told yes and I said hold off because I just filled one at the local pharmacy because I needed it right away, they said they wouldAfter that when I did call back, I was told I needed a prior approval because my previous one expired in May (note I called in June and no said anything)After that it was downhill, every time I spoke to someone I got a different answer but one agent I talked to filled of my three prescriptions and asked how I wanted to be billed, I said invoice which he did; however when I called about the third medicine because I had received an email that it was cancelled, I was told that they could only invoice for

On 02/06/2018, Caremark sent me the wrong medications from their #* *** *** *** ***, PA location
On 02/09/2018, I spoke to *** at Caremark customer service (***) to notify Caremark of the error, I asked where to take the medications to return them, and to notify Caremark that I will not be paying for the medications sent in error*** said, I will receive a call or email or I will receive a snail mail document to get the issue resolved
I waited until April 2018, to give the company enough time to respond to my complaintI did not hear back from anyone at Caremark except they sent me another bill for the medications that I cannot use
On 4/3/2018, I called and spoke to *** at Caremark customer service*** connected me to *** Nin Caremark in San Antonio, TX*** said she wrote a priority note on my account stating Caremark is to never fill prescriptions for me without calling me firstShe said she called Clinical to ge

I am very frustrated with CVS CaremarkI received three letters from them, all dated August 11, They were addressed to me and my two daughtersThey said that we were undercharged for some of our prescription medications between January 1, and March 8, 2016, and that, in order to avoid tax penalties, I had to send three checks totaling $1,to CVS CaremarkMy issue is that I never would have purchased those medications if they had told me then that those were the pricesIn fact, one of the prescriptions we didn’t even fill through the pharmacy that Caremark says we didOn August 16, 2016, when I called the number on the letter, ###-###-####, for my “dedicated representative”, and explained the letters that I had received, the rep didn’t know anything about what I was talking about and t

The customer service and billing department of CVS/Caremark is a nightmareI've dealt with a billing issue with them since February The only reason I used this company is because *** *** said I had to for the coverage; I will never use them againI began receiving an invoice for the balance due which wasn't correct because *** *** was responsible for the claimI contacted *** *** in September when I received my first threatening collections letter because my credit is perfect and I don't want it dinged for a payment I am not responsible for*** *** sent the payment to them with urgency and CVS/Caremark confirmed my account had a $balanceA month later I began receiving daily calls about this same balanceA representative told me my account did indeed have a $balance and the calls were automaticAfter that final call, I stopped receiving the calls from themToday, almost one year later, I've received a letter from a collections agency advising

In Mid February an order was placed by my physician for a Rx CVS created an order - Rx# ***
I have repeated told CVS that:
I have not received the Rx
They have FAILED to call me on a line that indicates CVSAs an Identity Theft Victim three times over, I do NOT answer un-identified inbound calls
I have repleted the above to them now in over email/messages
Finally late last week a *** from the Service Recovery team left a voicemail message while calling from an un-identified telephone number I returned this call this morning He repeated the same old retorect that they had delivered.the Rx to my mailbox yet they fail to show proof of same
I will is necessary submit to the *** Postal Inspector an affidavit of said facts in this case for possible criminal investigation by either a postal service worker or a criminal sorting thru my mail box
This Rx is necessary and ordered from my doctor who is concerned with my prostate health and further d

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

January 4,
Revdex.com
*** *** *** *** *** ***
*** ** ***
Complaint ID: ***/ *** ***
To whom it may concern,
CVS/caremark administers the prescription benefit portion of the health plan UPS, of which Mr*** *** is a memberThank you for the opportunity to address Mr***' concerns as expressed in Complaint ID ***
Upon re-evaluation of the concern, we are still unable to resolve this in a favorable matter for Mr***It was confirmed that the order in question was translated and filled correctly by CVS/caremark pharmacyWe did review Mr***’ interactions with our customer care team and we recognize that there were several opportunities for additional training and coaching for our staff. Feedback has been provided to each member 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 him as a customer and 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 additional questions or concerns, I may be reached at ***
Sincerely,
*** ***
Member Advocate

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”

As of Oct1st, 2017, my husband’s employer switched insurance companies from *** *** *** to *** *** On October,1st, I had prescriptions filled for him with our local CVS store CVS is responsible for filing prescriptions with the appropriate company One prescription was properly filed with CVS Caremark which is the new company being used for prescriptions The second prescription was improperly filed with *** On January 15th, 2018, we received a letter from *** stating that we owed them $for a pharmacy payment that occurred after the termination of his enrollment I have printouts from my local CVS verifying that the prescriptions were filled on October 1st
Since we received the notification from ***, I have contacted the Caremark corporate office about twice or three times a month for an update On several occasions they stated that they would address this mistake on their part I am still waiting Last week, I once again called

December 11, 2015Revdex.comDonald Lynch Boulevard, Suite 102Marlborough, MA 01752-4705Complaint ID: *** *** *** ***To whom it may concern:CVS/caremark administers the specialty prescription benefit portion of the plan benefit for General Electric, of which ***
*** *** is a member. This letter is in response to the correspondence we received from your office on December 2, 2015. Thank you for the opportunity to address *** *** concerns as expressed in Complaint ID ***. Upon reviewing this concern, we verified that the plan requires prior authorization for the medication in question. The previous prior authorization was valid from July 7, thru October 7, 2015. They are only approved three months at a time. Our Specialty Guideline Management made three attempts to obtain the required documentation to complete the prior authorization process from the prescriber without success. This caused for the initial order to be cancelled. In efforts of resolve this issue, we contacted the prescriber again. Based on information provided, the prior authorization was denied. An appeal was then initiated and the medication was approved to allow continuous coverage thru December 31, 2015. Per the specialty pharmacy, the medication is no longer needed but the approval has been entered to allow the out of pocket claim to be approved as well. We have contacted the *** *** ***y that filled your prescription locally and asked them to reprocess the claim. The total that should be paid is $30.00. *** *** will need to take the receipt and method of payment used to the pharmacy to obtain a refund. We sincerely apologize for any frustration or inconvenience that *** *** experienced. We value *** *** as a member and we remain fully committed to our purpose, "helping people on their path to better health". Should you or *** *** have any additional questions or concerns, please do not hesitate to contact me at ***Sincerely,
*** ***Member Advocate

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,
*** * *** ***

When I spoke to *** last Friday, I was in agreement of her calling back this week but not to have a follin hours was not what I expected. They should have resolved this matter by now since it is extremely clear the package was never delivered to us. This matter is between the Post Office and CVS and my mother's funds should not be delayed any further. This is not acceptable.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,
*** ***

I became a Caremark member in January and form the beginning have had customer service and access issuesI was unable to access the website to place an order and requested support where I was promised contact which I never receivedI then escalated to the Office of the President and received a message form *** *** who said everything was fixed, despite me still not having accessI reached out to him and spoke directly with him and wass finally able to gain access in late January
Upon placing an order I was not provided a receipt or a shipping confirmation, and I was getting bombarded with marketing emails and physical mail despite opting outI reached back out to *** and he was going to research the issue and call me backHe did not, instead he called my wife at her work number (when her personal number was on the account)When I called him back after placing a new order on the upgraded site, he had nothing but excuses about why he never called meHe also had no inf

I have my health insurance thru *** (member ID=***), which requires me to get my prescription medication thru CVS/Caremark CVS/Caremark allows for mail order service where they are supposed to provide me with a day supply of a medication I received a script dated February from my Dr** for a day supply of *** (*** *** *** (base), which I was told by CVS to be canisters I mailed it in to their Pittsburgh PA address, and only got canisters back (Rx #***), and they charged me $ I called to complain, and they told me that they instituted a new rule on January 7, reducing the amount they ship for this medication I was never aware of and I was not notified of such a policy change, my policy being a month policy which began on July 1,

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

The bank sent a check for $for a bill for medicine, (mail order) in Jan, I kept getting calls about the bill not being paid and I told them that is was paidI looked at my bank account, found the cancelled check that they cashed, sent it to where the girl told me to, that had to be about a month agoNow my husband got a letter from a collection agency about the check, that they cashed in JanThis really makes me so angy