Fax numbers for CVS Caremark prior authorization requests, split by plan type. For prescribers and their authorized agents, verified from CVS Caremark.
- CVS Caremark splits its prior authorization fax line by plan type, there is no single number that covers every member.
- Medicare Part D: 1-855-633-7673. Medicaid: 1-866-255-7569. Non-Medicare (commercial): 1-888-836-0730, published on the Global Prior Authorization Form rather than the main contact page.
- CVS Caremark steers submitters toward electronic prior authorization (ePA) first; fax stays available as a fallback for prescribers and their authorized agents.
Who This Page Is For
Pharmacists, prescribers' offices, and their authorized agents submitting a prior authorization to CVS Caremark. If your doctor's office asked you, the patient or caregiver, to fax it yourself, the same numbers apply.
CVS Caremark Prior Authorization Fax Numbers, By Plan Type
CVS Caremark's Prior Authorization Department accepts fax submissions for drug coverage reviews, step therapy exceptions, and non-formulary requests. The correct number depends on the member's plan type, confirmed directly from CVS Caremark's own prior authorization contact page:
- Medicare Part D: Fax 1-855-633-7673, Phone 1-855-344-0930. For a Medicare Part D coverage determination, check the member's specific plan website for the required form.
- Medicaid: Fax 1-866-255-7569, Phone 1-877-433-7643. A Minnesota-specific Medicaid PA form is published separately; other states may have their own.
- Non-Medicare (commercial): Phone 1-800-294-5979. The fax number, 1-888-836-0730, is not listed on the main contact page, it appears on the linked Global Prior Authorization Form itself, easy to miss if you only check the contact page.
Which Number Should I Use?
Check the member's ID card or plan documents for Medicare Part D or Medicaid first, those two plan types have their own dedicated fax lines. If the plan is neither (a standard commercial or employer plan), use the Non-Medicare fax on the Global Prior Authorization Form. Sending a commercial request to the Medicare Part D fax (or vice versa) will delay the review, the departments don't cross-route requests.
Documents and Prerequisites
CVS Caremark's own forms are plan- and state-specific: the Global Prior Authorization Form covers most Non-Medicare requests, while several states (Arizona, California, Florida, Texas, and others) have their own state-mandated PA form linked from the same contact page. Always use the current form linked from CVS Caremark's site rather than a saved copy, these forms are revised periodically. Because this form carries the patient's protected health information, send it through a HIPAA-compliant fax service rather than a consumer email attachment.
Several other pharmacy prior authorization intermediaries follow a similar pattern. Our directory also covers OptumRx's fax number, is fax still accepted at Prime Therapeutics, the Carelon fax page, and Evolent's prior authorization fax, each with its own fax status and routing notes.
Fax.Plus encrypts CVS Caremark prior authorization forms with 256-bit AES at rest, using a unique key per user.
FAQs
Can I submit a CVS Caremark prior authorization electronically instead of by fax?
Yes. CVS Caremark's ePA system (caremark.com/ePA, or via CoverMyMeds) processes most requests faster than fax or phone, and is the option CVS Caremark recommends first. Fax and phone stay available for providers who prefer them or don't have ePA access.
What's the difference between the Medicare Part D and Non-Medicare Caremark fax numbers?
They route to different review teams. Medicare Part D prior authorizations go to 1-855-633-7673, following CMS-regulated timelines. Non-Medicare (commercial) requests use the number on the Global Prior Authorization Form, 1-888-836-0730, and follow the member's own commercial plan rules instead.
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