Warning: Memcache::get() [memcache.get]: No servers added to memcache connection in /home/measured/public_html/libs/phpcache/drivers/phpcache.driver.memcached.class.php on line 75

Warning: Memcache::get() [memcache.get]: No servers added to memcache connection in /home/measured/public_html/libs/phpcache/drivers/phpcache.driver.memcached.class.php on line 71

Warning: Memcache::add() [memcache.add]: No servers added to memcache connection in /home/measured/public_html/libs/phpcache/drivers/phpcache.driver.memcached.class.php on line 65
CVS caremark appeals department Complaint - CVS caremark appeals department- medication denial - Kapvay
CVS caremark appeals department Complaint

CVS caremark appeals department Complaint

ADVERTISEMENT

CVS caremark appeals department- medication denial - Kapvay


CVS caremark is responsible for reviewing preauthorization claims for my insurance company (Blue Cross Blue Shield of Rhode Island) and they are completely inadequate and dysfunctional. I have recently switched jobs and this is a new policy for me. I have been taking a daily medication for over 4 months and have done very well on it with very few side effects. My doctor submitted a prior authorization request and that was also denied. He is board certified in his specialty and caremark has decided that he is incorrect with his prescribing practices because they think there is a "similar" medication that should be tried first. I have submitted an appeal about this because the medication they think is similar is not a generic for the medication being denied. In fact it is not even in the same medication class as the medication being denied. In addition it carries with it serious side effects such as suicidal ideation and depression. To make matters worse I have now received a letter from their appeals department saying they need a letter of medical necessity from my physician because they cannot make a decision without that. He has already submitted the necessary information. I also am unable to contact them to ask questions regarding the additional information because they only list a fax number and an address. If i call my insurance company I'm told that it is not in their hands, but is in the hands of caremark. Then I am given a number to caremark that tells me since I am a patient and not a physician I am not allowed to talk to anyone. This is absurd and very poor customer service as well as questionable ethics at best. This company, as well as BCBSRI should be ashamed of themselves. They are taking "cost effectiveness" to a disgraceful level. I always prefer a generic and/or more cost effective option when it is available, but the simple fact of the matter is that it is not available.


Share This Review:



         


Is this your Business? Claim Your Business Free and reply to this customer

CONTACT THIS BUSINESS

Post a reply for this review COMMENT
WRITE to CVS caremark appeals...
SUBMIT a ticket
for CVS caremark appeals...
WATCH videos
for CVS caremark appeals...
More CVS caremark appeals department Reviews and Complaints MORE reviews and complaints
for CVS caremark appeals...

BUSINESSES REPLY HERE

Claim this company BUSINESSES: CLAIM YOUR BUSINESS NAME FREE
Respond to this review BUSINESSES: REPLY TO THIS CUSTOMER NOW
Link to MeasuredUp BUSINESSES: Free Customer Service Excellence Badge
Take the pledge BUSINESSES: Free Customer Service Pledge Badge
Upgrade Account BUSINESSES: Build your customer service online reputation


ADVERTISEMENT


Comments

login with Facebook and share your reviews

More CVS caremark appeals department reviews


Similar reviews


More

[Top]

Bookmark/Share this page

This page is under construction.
It will be up and running soon with new features to make you smile more.
Thanks,
The MeasuredUp Team