Emergency Response Documents
Download PDFs of the emergency response documents you need.
Information for Pharmacists and Medical Professionals.
We provide health professionals with easy access to CVS Caremark® Mail Service for processing your patients’ new prescriptions. For immediate processing, simply submit a prescription using your ePrescribing tool.
Use Your ePrescribing Tool
CVS Caremark Mail Service Pharmacy
NCPDP ID: 0322038
One Great Valley Blvd
Wilkes-Barre, PA 18706
For Specialty prescriptions choose:
NCPDP ID 1466033
800 Biermann Court
Mount Prospect, IL 60056
Fax in the Prescription:
We’re here to help. For questions related to processing a retail pharmacy prescription claim, call the toll-free number listed below.
|Bin #||Phone Number|
|004336||1-800-364-6331 TTY: 711|
|610415||1-800-364-6331 TTY: 711|
|610239||1-800-364-6331 TTY: 711|
|610591||As communicated by plan or refer to ID card|
|610502||1-800-238-6279 TTY: 711|
|020099||1-800-296-5037 TTY: 711|
|020115||1-800-296-5037 TTY: 711|
|020107||1-800-296-5037 TTY: 711|
|020123||1-800-296-5038 TTY: 711|
|020388||1-800-296-5038 TTY: 711|
|020396||1-800-296-5038 TTY: 711|
|021007||1-800-296-5038 TTY: 711|
|021338||As communicated by plan or refer to ID card|
|610084||As communicated by plan or refer to ID card|
Hours of Operation
24 Hours a Day / 7 Days a Week / 365 Days a Year
Helpful information for Retail Providers
Verification of Eligible Persons
Providers will be paid only for claims in which a prescription for a covered item is written by a prescriber for an eligible person and is dispensed to that person. CVS Caremark and/or plan sponsors will provide eligible persons with identification cards. Providers must request the ID card from the eligible person and utilize the information on the card to submit claims. Providers will not be paid for providing pharmacy services related to covered items to an eligible person whose eligibility was not correctly submitted.
FAQs for Prescribers Office Staff
CVS Caremark helps more than 100 million members get the medications they need by working with their plan sponsors to provide cost effective, comprehensive prescription benefit plans. We offer the convenience of a nationwide network of more than 68,000 pharmacies and the option of Rx Delivery by Mail through CVS Caremark Mail Service Pharmacy.
Rx Delivery by Mail is a convenient and cost-effective way for your patients to fill up to a 90-day supply of eligible long-term medications with no-cost shipping. With most prescription plans, members save money when they fill by mail.
Because it takes 7 to 10 business days to process a mail service prescription, you may wish to write an additional 30-day prescription that your patient can fill at retail pharmacy right away. Mail service prescriptions are typically written for up to a 90-day supply with three refills.
RxSavingsPlus provides eligible participants with savings of up to 80% on generic drugs and up to 40% on brand name drugs* at 65,000 participating pharmacies nationwide. Participants without health benefits can also save at MinuteClinic, with up to 15% off health services or screenings. It’s available to patients without prescription coverage or to patients taking medications that are not covered by their prescription plan. For more information, visit RxSavingsPlus.com or call 1-877-673-3688 TTY: 711.
*Average savings of 55% for generics and 24% for brands.
FAQs for Pharmacists and Pharmacy Staff
If a member’s eligibility information is incorrect and a provider submits a claim using the correct information, the claim will reject. In most cases, we can assist the provider at the point of service. Please advise your customers that they should inform their plan sponsors of any incorrect information and remind them that claims will continue to reject until it is corrected.
The identification number can be found on the member’s ID card. The Help Desk is not able to provide identification numbers.
The RXGRP number and other data can be found on the member’s ID card. Please be sure to check both sides of the card for the necessary information.
Yes. If there is an RXPCN number on the member’s ID card it must be submitted exactly as it appears on the card. If there is no RXPCN, submit the default number according to the Banking Identification Number (RXBIN) listed in the appropriate Payer Sheet.
Submit the claim through the claims system to receive the adjudicated response, which will include the amount owed by the member, as well as information on eligibility, plan coverage, pricing, and applicable clinical programs and services. The Help Desk is not able to provide this information.
Many plan sponsors allow members to receive an early refill for vacation. Submit the claim as usual and contact the Help Desk for coverage verification if the claim rejects. If the plan sponsor allows vacation supplies, the representative will provide a prior authorization code.
Providers should note the adjudication response, which typically includes online re-transmission instructions or the appropriate contact information.
Submit a claim through the claims system to receive an adjudicated response, which will include messaging about plan coverage. The Help Desk cannot provide this information.
The Help Desk will help providers determine which data fields should be used for specific data whenever possible. Because there are many different types of software, however, representatives may not be familiar with your system setup. Providers should consult their software vendor or chain headquarters for technical assistance.
Press 0 at any time during the call to connect with a representative.
Unless otherwise specified, use RXBIN 004336. In most cases, the RXBIN is on the member’s ID card.
Guides, Alerts and Lists
Downloadable drug lists and guides
View and download standard and specialty drug lists, prescribing guides and other formulary information.
Please note that custom drug lists that are not included here.
Members should register or sign in at Caremark.com to check drug costs and coverage.
Digital Enrollment Forms
Pharmacists and pharmacy managers can complete the pre-enrollment questionnaire online. This is the first step to requesting enrollment in CVS Caremark pharmacy networks.
State Specific Forms & Guides
Medicare and Medicaid Compliance Training for Pharmacy Staff
Note to Pharmacies:
For claims utilizing BIN 020099, 020115, 020107, 020123, 020396, 020388, or 610502, please refer to the CVS Caremark® payer sheets listed below.
Download PDFs of the Pharmacy Payer Sheet documents you need.