Usacomplaints.com » Health & Medicine » Complaint / Review: CVS Caremark - CVS Caremark denies payment on med they had already approved for one year!. #1099238

Complaint / Review
CVS Caremark
CVS Caremark denies payment on med they had already approved for one year!

I've been taking Provigil for about 3 years for night shift sleep disorder. Every year I have to get approval. I got this approval back in May; yet all of a sudden when I go to refill it (Oct), the pharmacy tells me insurance won't cover it—and it's only been 5 months since I got their so-called "approval" for 1 year.

So I got on the phone to Caremark, was given the run-around— (at one point, the woman on the phone said I needed to talk to another department, and gave me the phone number. After I hung up & got ready to dial the number she had given me, I realized IT WAS THE SAME NUMBER I HAD JUST CALLED TO TALK TO HER! How ignorant can a company be?!)

I finally got to talk to someone who seemed to have somewhat of a clue, and he told me the med was denied because I was over the age limit for coverage. He said Caremark would not cover Provigil for anyone OVER THE AGE OF 19! Where did THAT come from?

Anyway, gonna get on the phone again today, see if I can straighten this mess out. I don't hold out much hope to be honest.


Offender: CVS Caremark

Country: USA

Category: Health & Medicine

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