Get Prescription Reimbursement Standard Claim Form

Form CMS-1696 can be downloaded at .cms.gov or obtained by calling the Customer Service number on your member ID card. The claim may be submitted via mail or fax to the address or phone number on the Medicare Part D Prescription Drug Claim Form.

Follow these steps to submit your request. Step 1: Go to Caremark.com/covid19-otc. ... Step 2: Select Request your reimbursement and sign in to your Caremark.com account. ... Step 3 Once you're signed in, select: ... Step 4: Follow the prompts to provide required information. ... Step 5: Review and submit your claim.

We'll contact your doctor for approval and then process your order. There are a few ways to order your refills. After signing in at caremark.com, you'll see a list of all prescriptions ready for refill. If you're new to CVS Caremark, your existing refills may automatically transfer over to your account.

Step 1: Go to Caremark.com/covid19-otc. ... Step 2: Select Request your reimbursement and sign in to your Caremark.com account. ... Step 3 Once you're signed in, select: ... Step 4: Follow the prompts to provide required information. ...

Prescription Claim means and refer to a single request for payment for, or a x or invoice relating to, Covered Prescription Services which is made or submitted by a Network Pharmacy, other health care provider or Member (if applicable), whether such request, x or invoice is paid or denied.

Prescription Claim means and refer to a single request for payment for, or a x or invoice relating to, Covered Prescription Services which is made or submitted by a Network Pharmacy, other health care provider or Member (if applicable), whether such request, x or invoice is paid or denied.

Prescription Claims Send your pharmacy claims within one year of the date of service. Send the claim form and the following information for each drug. If you have other health insurance. TRICARE supplements don't qualify as "other health insurance.", include a copy of your explanation of benefits (EOB)

CVS Caremark, a subsidiary of CVS Health, will manage your prescription by getting you the medication you need, when you need it, whether that's once a month or once a year.