CVS Caremark

CVS Caremark is the Pharmacy Benefits Manager and mail order vendor for MVP's Medicare Advantage plans with prescription drug coverage. This means they process your prescription drug claims. You do not need to go to a CVS/pharmacy for your prescriptions—you can fill your prescriptions at any pharmacy that contracts with MVP, including all major pharmacy chains.

If you have questions about your prescription drug coverage, CVS Caremark Customer Care is available 24 hours a day, seven days a week at 1-866-494-8829 (TTY: 711).

 

• CVS Caremark Mail Service Pharmacy

  You can save money on drugs you take regularly. By using the CVS Caremark Mail Service Pharmacy, you receive a three-month supply of your prescriptions for two co-pays*. Your medications are delivered directly to your home and standard shipping is free.
  
  • Check the Formulary to see if your drug can be filled by mail order. Drugs that are not available via mail have an NM in the Requirements/Limits column.
  
  • Ask your doctor to send a prescription for a 90-day supply of your medication.
  
  • If you have not used the CVS Caremark Mail Service Pharmacy and your doctor sends in a prescription for you, Medicare requires that you give CVS Caremark authorization before they will mail your medication. Consent is not needed for future mail order prescriptions, unless the co-pay for a prescription is more than $250.
  
  • Your medication will usually arrive within 7-14 days after CVS Caremark receives your prescription.
  
  To order refills, Sign in/Register to your MVP online account and select Pharmacy (CVS Caremark) or call CVS Caremark Customer Care is at 1-866-494-8829 (TTY: 711), 24 hours a day, seven days a week.
  
  *BasiCare, WellSelect, and GoldSecure members pay 100% for drugs in Tiers 3-5 until your yearly deductible is met.
  
  

• CVS Specialty Pharmacy

  CVS Specialty Pharmacy provides select specialty drugs for complex medical conditions, delivered to your home. Visit www.CVScaremarkspecialtyrx.com for more information.
  

 

 

Last updated: October 2017

Important Information

 

MVP Health Plan, Inc. is an HMO-POS/PPO/MSA organization with a Medicare contract. Enrollment in MVP Health Plan depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.

The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next.

Out-of-network/non-contracted providers are under no obligation to treat MVP Health Plan members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Medicare beneficiaries may also enroll in Preferred Gold HMO-POS, GoldValue HMO-POS, GoldSecure HMO-POS, Gold PPO, BasiCare PPO, and/or WellSelect PPO through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.