Caremark PHC, LLC

I recived a prescription from cvs/Caremark that I did not order I spoke with a representative from them and they stated that they would not refund the medication I only set up two medications to get from them on auto refill This medication is not one of them The automatically charged my credit card $ The price of the medication at my local pharmacy is with a card from the prescription I just paid for months worth of medication

CVS/CAREMARK is a greedy companyOnce you have a prescription filled with auto refill and no longer need that medication they still send it and bill youI have called multiple times, replied to their text reminders and phone calls telling them not send that medicine and still keeping getting the medication and bills for it Do not ever have them auto payOnce you receive the medicine you are stuck with itNo wonder there is a problem people getting addicted to drugs

I was billed $for medication that I did not receive, nor did I request to have that medication mail orderedI contacted CVS Caremark *** at the time I got notice on I explained to the representative that I had not ordered or requested to have an *** inhaler mailed to me, not did I approve of the billThe representative gave an explanation that I was responsible for the cost of that medication when it was sent because the doctor placed the order and "it's cvs' policy" to mail the first refill without needing permission I don't mind paying for items I received, but I, in fact, did not receive the medication they claim to have sent

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 *** 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 *** 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 *** *** the

I ordered medicines on 04/25/They were supposed to be delivered On FridayI called and found out they were still processing and would be delivered Monday 05/01/They were notI called back and they said they should be shipped out and that day and they would place an urgent message on the packagingOn Wednesday 05/03/17, they still said not shippedI called back and they said they would call the warehouse and have them shipped out immediatelyFriday, I checked the status online and they were just now getting ready to be shippedThe problem with this is that I not only paid for day shipping on my items at $EACH ITEM, but they are trying to tell me that they only charge it per package and not per itemThen when I asked for my refund on the shipping, they said they won't refund my medicine costs or my shipping and they will get it to me when I canI said this was not acceptableI was leaving 05/05/for a move to Florida and would be on the road for a weekT

CVS/caremark administers the prescription benefits portion of the *** *** *** Insurance plan, of which Ms*** *** is a memberThis letter is in response to the correspondence we received from your office on march 4, Thank you for the opportunity to address Ms***'s concerns as
expressed in Complaint ***Upon review of Ms***'s concern, it was determined the order placed on February 20, was shipped to the incorrect addressOur records show there was an address update on February 20, but we are unable to determine where the error occurredThe address update only applied to Ms***'s records and not towards any dependents under this coverageThe address has been corrected for all dependents under Ms***'s coverageUpon placing a reshipment the order was not fulfilled due to the February 20, fill dateThe incorrect shipment was returned and processed in house on March 2, which allowed the new order to process and ship on March 4th CVS/caremark arranged saturday delivery with *** and per tracking information the package was delivered at the correct address on March 5, I have made multiple attempts to confirm delivery with Ms*** but have been unsuccessful in making contact with herWe sincerely apologize for any frustration or inconvenience that Ms*** experiencedWe value Ms*** 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*** have any additional questions or concerns, please do not hesitate in contacting me a* ***

CVS Pharmacy along with CVS Caremark and CVS Specialty have a relentless, unwanted, contact policyI have spent countless hours requesting that I not be contacted by phone, by text, by email to have my prescriptions refilledThey continued to promise to remove my number and continue to call meCVS Caremark has twice filled prescriptions that were never ordered then insist I pay the copay for a drug I did not order I have contacted them by phone, by email, in person, via *** and ***, but the contacts keep comingIt is beyond the point of harassmentWhile I do understand that there are other companies who provide this service, my insurance requires I do business hereThe contacts must stop!!!!!

Complaint: *** / *** ***
To whom it may concern:
CVS/caremark administers the prescription benefits portion of the health plan for *** *** & CoInc., of which Mr*** *** is a memberThis letter is in response to the correspondence we received from your office on March 1, Thank you for the opportunity to address Mr*** concern as expressed in Complaint ID: ***
Upon review of Mr*** concerns regarding his deductible for his benefits, we have verified that the correct plan information was not attached to his accountMr*** benefits office is responsible for submitting plan details to his Medical and Prescription providersMr*** has been updated in CVS/caremark’s system as of March 9, to reflect the appropriate plan information.
In researching Mr*** accumulation, all claims were reviewed and accounted forOn February 9, Mr*** filled six medications that were correctly applied to his deductibleMr*** was provided incorrect information when we was advised that he would be receiving reimbursed for an over paymentThe retail transaction in question went toward Mr*** deductible for the benefit year which has been metFurthermore, the medication that was filled on February 27, was adjusted to reflect Mr*** deductible being satisfied
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

*** *** **requires its employees to use a mail-order pharmacy for maintenance prescriptions They recently switched from *** *** to CVS/Caremark Pharmacy This series of problems occurred my first time trying to use this pharmacy for my husband's scripts
On March 9, I tried to use the online site to order my husband's scripts but because he was new to their system it would not allow me to order myself So I called customer service and the lady was able to pull up his account and I read off to her the three scripts he needed filled She said she would order them for me and spent time on the computer placing the order and then gave me the total for the order She said it would take no more than weeks to get the order, usually less than that I get off the phone with her thinking my order is placed and wait for the meds in the mail
March 18, we still had not received the meds I called in to customer service again and they tell me there is no record of my

My Prescription insurance was canceled and restarted when my daughter dropped off 8/1/Since then they started charging me deductibles even though I already met deductiblesI have called times since 8/1/and they always say they fixed it, will fix it and/or will call back They never fixed it, they never called backThey told me *** *** would send them updates, *** *** stated they had and *** *** my insurance was incorrect but they corrected it I called 9/and spoke with an escalation rep who said he would schedule a discussion between *** *** and CVS to correct and call me back the next weekI got no call back so I called 10/and he was out so the left a message and said he would call me Friday to date still no call backI have been paying out of pocket over $to date and still not straighten out

I am the primary care physician who was caring for *** *** She is under my care for obesity, borderline diabetes and hyperlipidemiaI tried to prescribe weight loss medication called *** for the patient This medication was declined by CVS Caremark but I was instructed by them to write a letter of medical necessity in order to get it coveredI wrote a letter of medical necessity and it was declined again with the instructions to try another medication from their formulary alternativesI prescribed one of the medications from their recommended formulary alternatives and it was deniedI was recommended to write another letter of medical necessity for the formulary alternativeThe letter was reviewed and the medication was deniedI spoke to a representative to ask why they recommended formulary alternatives and then denied itThe representative told me that the formulary alternatives were no longer covered but now methamphetamine was covered with a Copay of less tha

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

Trying to perform a prior authorization for a medication for a patientI have called several phone numbers, spoken with several people and no one can get this prior authorization completedI asked for a supervisor and they declined

June 23,
Revdex.com of Eastern MA, ME, RI, & VTDonald Lynch Boulevard, Suite 102Marlborough, MA 01752-
Complaint ID: *** / *** ***
To whom it may concern:
CVS Caremark administers the prescription benefits portion of the health plan for Chicago
Public Schools, of which Mr*** *** is a memberThis letter is in response to the correspondence we received from your office on June 10, Thank you for the opportunity to address Mr***’s concern as expressed in Complaint ID: ***
Mr***’s concerns pertaining to the rejected claim and denied prior authorizations for *** have been reviewedPursuant to the plan benefit, *** is covered for specific conditions; the information provided by Mr***’s doctor did not meet the criteria for coverageContact was made with the prescriber’s office on June 12, 2017, to inform them of the appeals process and how to expedite the appealA letter of medical necessity was submitted by the prescriber’s office on June 12, The appeal was denied on June 15,
On June 16, 2017, the prescriber’s office was notified that the remaining option available to appeal for coverage was an external review. The external review request was received in our appeals department on June 19, and submitted for review; it is due back on July 31,
Attempts to contact Mr*** directly and provide updates on his request for coverage have been unsuccessfulTo date, Mr*** has not returned our calls
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

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

On 8/10/16, I had a Rx called into CVS by my dermatologistI verified exactly what my dermatologist would be sending in ahead of time, logged into my CVS account and "Checked the drug cost" for *** 0.1% lotionThe drug was shown as $cost to me, so I went ahead and had the Rx filledToday, I check my healthcare MRA account and noticed that I had been billed $for this Rx, which was paid out of my healthcare MRAI called CVS Caremark to complain about the issue and they took no responsibilityI asked for my issue to be elevated and the third person I spoke with was *** (employee ID ***) in the Department of Executive RecoveryI am extremely frustrated because I followed all of the rules to check everything ahead of time and make sure the cost wasn't going to be too high, and I still got stuck with an astronomical billCVS is taking no ownership for their deceptive website which inaccurately projects drug costsIf consumers can't rely on this tool, it should be remove

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.
The response from CVS claims that CVS has made no errors in delivery of this order and does not address the requested recompenseThe response omits several key details regarding this transaction and is inconsistent with what has been communicated by the CVS Senior Customer Service representatives to both me and the Patient Care AdvocateThe response is incomplete, the conclusions are inaccurate, and the service to date has been appallingThe response from CVS to the Revdex.com indicates that there is a maximum allowed balance of $and that this is why the *** order was not processedHowever, there were two transactions attempted on December 5th, one for *** and *** (totaling approximately $700), and a second for *** (totaling less than $3)None of these medications were shippedSurely a $transaction does not exceed a $limitThe response from CVS to the Revdex.com indicates that the order was cancelled on December 13th because we had failed to respond to inquiries on the December 2nd orderTo the contrary, during phone calls on both January 8th and January 11th, CVS Customer Service representatives informed me that the order was cancelled due to insufficient funds funds in the provided HSA account (Note that I can provide Account Statements that show there were sufficient funds for the transaction)This claim of insufficient funds being the reason for cancellation was also communicated to the Patient Advocate during the week of January 18th.Furthermore, we (my wife and I), called the CVS Automated System on December the 18th to ascertain the status of the prescriptionsThe Automated System indicated that the *** was “in process”Surely if the order had been voided on the December 13th, the Automated System would not have falsely indicated that the order was “in process”Note that CVS has records of this phone call.In addition, during the phone call to CVS customer Service on January 8th, the Customer Service representative attempted to reorder the ***Initially, she was unable to do so, because the order was, in her words, “still in process”She had to void the order to continueSurely if the order had been voided on December 13th, the CVS system would not show that the order was in process on January 8th.In addition, my wife has now been without medication for daysCVS has made no attempt to provide medication while this order is in disputeIn all cases, it has been either mistakes, incompetence, or willful decisions on the part of CVS that has prevented the order from being filledCVS needs to get their facts to be internally consistent within CVS, admit their mistakes (or incompetence or willful poor service, whichever the case may be) regarding this order and provide appropriate recompense
Regards,
*** ***

Yesterday I was at the doctor's office and was prescribed a medication that I normally get locally By mistake they set the prescription electronically to CVS Caremark They immediately sent CVS Caremark a cancelation and then transmitted the to the local pharmacy I picked up that prescription and paid $ Six hours later I received an email stating that CVS Caremark was processing the prescription and the cost was going to be $ I called CVS Caremark and told them that they were not supposed to process that prescription because it was cancelled by the doctor I stated that I had already gotten my prescription locally They stated that they didn't see the cancelation and now there is no way to stop the processingI am surprised they were able to process a duplicate prescription on the same day but they can clearly see that I had gotten it in my prescription history They are sticking it to me and I clearly have a problem every time I have to get a prescription from th

November 30, 2015Revdex.com *** *** *** *** *** ***
*** ** ***Complainant ID: *** / *** *** To Whom It May Concern:This letter is in response to the correspondence we received from your office on November 5, Thank you for the opportunity to
address Mrs*** ***’s concerns regarding her reimbursementUpon review of this concern we verified that notification was sent out to Mrs*** advising that one or more of her current medications were no longer preferred as of April 1, The medication in question would still be covered by the plan; however, since it is now a non-preferred medication, the copayment may increaseAdditionally the correspondence explained that if Mrs*** had filled any of the medications in question between April 1, and June 30, and had not received notification of this change she would be reimbursedThe original amount for reimbursement was for $per fill for a total of $In an effort to resolve this issue in a satisfactory manner Mrs*** was reimbursed $for her April, and May, fillsThis was an additional $for each fill as a courtesy As of November 25, Mrs***’s reimbursement check for $was sent out and we confirmed she received her reimbursement check on November 30, 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

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 # ***
I had spoken with representatives prior to this who stated you can "always go to a local CVS" to fulfill the prescription for monthly refillsAdditionally, while this response states that it a maintenance prescription, it fails to address the fact that the amount of the prescription changes. CVS wants people to buy prescriptions based off of the amount of time that the prescription is being used, NOT THE MILLIGRAM AMOUNT, which has changed and is likely to change again. They want their customers to buy scripts for days that they won't be able to use days later because a person has used a prescription for days, not taking into account that the pills may be trash after days when the doctor changes the milligram. This is a terrible practice and a way to make consumers pay for medicine they won't use in days and won't reimburse them for. I am only asking for the amount of the difference for the pillsAs of the 1st of January I will not longer be using this insurance or ever shopping at CVS again because of this issue. I have also been making sure to tell everyone about this incident and how CVS refuses to reimburse people for the over prescribing them, cannot properly train their insurance representatives causing customers to have misinformation, are forcing people to buy more prescriptions than they need so they can profit, and not making exceptions or overrides, even when they are available in order to force people to buy more medication than neededThey should have no issue sending me a gift card for the extra dollars I was forced to pay off of their own representatives misinformation from when I called months ago when that representative told me I could always fill for days at the local pharmacy, and was not told I would be forced to buy daysThis is a company mistake, not mine and I should not be forced to pay for their mistakes. Regards,
*** ***