Health Insurance
CVS CaremarkHeadquarters
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Complaints
This profile includes complaints for CVS Caremark's headquarters and its corporate-owned locations. To view all corporate locations, see
Customer Complaints Summary
- 517 total complaints in the last 3 years.
- 162 complaints closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.
Initial Complaint
Date:01/19/2024
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
After changing insurances, I found out that I need to go through CVS specialty pharmacies for my medication. I got the approval from the doctor that was sent to CVS and its been now over a month and I still have not received my prescription. Ive called twice each time Im being told that they need to enter the information because the person before didnt enter it. I called again a third time on January ********************************************************************** even though the medication appears to have gone out January 1 I never received it. I had to be escalated to the resolution team at this point its been over a month since Ive had my medication which is Enbrel and Im starting to go out of remission for both my psoriasis and my arthritis. This is unacceptable for a drug company or pharmacy to treat patients this way.Business Response
Date: 01/26/2024
Good Afternoon, please see our response to Complaint ******** ****************************Initial Complaint
Date:01/18/2024
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
I have cancer. I have been trying to get my medication from CVS Caremark. I have to take a pregnancy test for this medication. I took it on January 2, ****. I was getting my cancer treatment on 1/9/24 CVS CAREMARK called me and stated they couldn't get me the medication due to weather and I needed to take another pregnancy test. I was already in the office of an oncologist, so I asked them to do another pregnancy test. The medication was supposed to be at the *** location for me to pick up 1/18/24. I did a required survey. I talked to the pharmacist as required. They didn't ship out my medication and said I needed to come in for a third pregnancy test. I have already taken an extreme amount of time off due to cancer and my nonverbal autistic daughter. Now, I have to take time off due to the incompetence of a pharmacy that is holding my life-threatening medication.Business Response
Date: 02/01/2024
Good Afternoon,
Please see our response to 21165014.
Initial Complaint
Date:01/18/2024
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Help me get my medicine. Dec. 27-went to Dr. ******* January 5, I received a letter from CVS Caremark saying that my medication was approved. On Jan. 8 and 9 I received calls from CVS Caremark/specialty pharmacy division that my medication was not approved. I told the morons I had a letter saying it was approved. Of course non-english speaking people on the phone with no reasoning ability and reading a **** script. I received a call from ******* at ****************** ****** Jan. 9 saying everything was in order and I was approved, that all I had to do was call CVS and have them send the medication to the Dr.s . I told her about the call earlier in the day, but she said maybe it was prior to her contacting them. I called Caremark they told me I was not approved. They told me to call another # and same result. I called ******* back and she said she would get in touch with them again. In the meantime I received two more calls from Caremark saying I was not approved, two different people one in the morning and one in the afternoon. ******* from the Dr. ****** called me again Tuesday and said she just got off the phone and everything was straightened out and for me to wait for a call from Caremark to have the ** sent to the Dr. ******* So twice the morons from Caremark called and this time it was a damned different story. They said that I was on hold because the Dr. ****** had not contacted them. I said I just talked to ********************** (sp) and those idiots said, Yes, we see it in the notes. I said well she IS the ************ I called ******* back and she was frustrated as well, but said she would call them back. So we have proof cause it is in their own Caremark notes that they talked to ******** So, what has ****** me off further is that Habish or some such name called me this morning and said I was declined because the *********** had not contacted them back. I said ******* talked to you all yesterday; she again said, Yes, I see this in the notes..Business Response
Date: 01/30/2024
Good Afternoon,
Please see our response to Complaint # ******** for **********************
Initial Complaint
Date:01/17/2024
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
January ****: Caremark demanded prior authorization for a prescription I was already on with my previous insurance, OptumRX and Tricare. I have been taking isoretinoin, the generic of Accutane, to treat severe cystic acne that did not respond to any other treatments, including OTC creams, prescription topical ointments, and antibiotics. When left untreated, I end up with cysts under my skin over an inch in diameter anywhere on my body, causing me severe pain. Because Caremark delayed my prescription so long, my window for receiving it closed and I was unable to receive my month's supply. Because of their actions, my care has been delayed and I have been charged for nothing. I demand this company cease practicing medicine without a license and dictating what care I receive when the best course of action for me has already been determined by my doctors. I also demand an explanation of the process and proof that prior authorization is financially necessary and evidence that Caremark has genuine medical professionals making these judgements. I want to see the names and qualifications of the staff determining prior authorizations as soon as possible.Business Response
Date: 01/24/2024
Please see our response to Complaint # ********.Initial Complaint
Date:01/16/2024
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
My doctor sent in a script to the cvs mail order pharmacy however the pharmacist decided that he would wait to talk to the doctor before filling it since the new script had a dosage change. What an IDIOT! In todays healthcare, Do you think doctors have the time to respond to such nonsense? With this logic, if I was prescribed a new medication that idiot would not fill it either w/o speaking to the physician since I wasn't prescribed it before, right? Stupidity! This is the logic they use at caremark and if you ask for a supervisor they are as efficient and bright as a rock. I dealt with a sup named ***** for 45mins ,Sup named ***** ****************, account coordinator ******** ref#******* (lied and said he was *****'s boss and refused to give me his ID#), a CSR ***** who refused to get me a supervisor again,a CSR named ****** and a CSR named ************** (who needs to clean out her ears and should not be answering the phone-along with her supervisor ***** (who I could not talk to directly only via the useless ***************. I also asked what state they were headquartered in last week when I had questions about my prescription plan and ******* refused to tell me. Absolutely ridiculous and ZERO common sense as you can ****** and find it out the exact address but their reps wouldn't disclose the State? I'm now going without my medication due to the mail orders ignorance and inability for CVS local stores to fill my scriptBusiness Response
Date: 01/31/2024
January 31, ****
BBB serving Eastern *************, *****, ************, and *******
********************************************************************************************************************************************************
Complaint # ********
To whom it may concern:
This letter is in response to the correspondence we received from your office on January 17, ****. Thank you for the opportunity to address the members concern.
Upon review, the members prescriber electronically discontinued the Mail Order prescription in question on 1/12/24. On 1/16/24 the member obtained a 90-day supply of the medication from a local CVS Pharmacy.
We value our members and remain committed to our purpose, bringing our heart to every moment of your health. Should you have any additional questions or concerns, please do not hesitate in contacting me at **************.
Sincerely,
*********************************Initial Complaint
Date:01/12/2024
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
CVS Specialty Pharmacy's call center operations are inefficient to the point of delaying adequate patient care. Their inbound team lacks medical knowledge / professionalism / understanding to appropriately support incoming calls from healthcare professionals. I have spent HOURS on the phone with no resolution, redirected multiple times to simply learn of a determination (yes or no answer). They are getting away with outsourcing headcount and hiring third party 'solutions', which is negatively affecting treatment outcomes. The unfortunate reality is if a patient's insurance is contracted with CVS Specialty, they are locked into and contractually obligated to use a business incapable of meeting their health needsBusiness Response
Date: 01/23/2024
January 23, ****
BBB serving Eastern *************, *****, ************, and *******
********************************************************************************************************************************************************
Complaint # ********
To whom it may concern:
This letter is in response to the correspondence we received from your office on January 12, ****. Thank you for the opportunity to address the members concern.
Upon review, CVS Specialty has no information on this member.
We value our members and remain committed to our purpose, bringing our heart to every moment of your health. Should you have any additional questions or concerns, please do not hesitate in contacting me at **************.
Sincerely,
*********************************
Member AdvocateInitial Complaint
Date:01/11/2024
Type:Service or Repair IssuesStatus:ResolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
My doctor prescribed me a medicine designed to help with "TD" symptoms called ******** and she gave me samples. My pharmacy would not fill it stating it was a "specialty" medication or i could pay out of pocket over seven thousand dollars for a thirty day supply. I have insurance and that's with my employee insurance plan. But because it was a specialty i had to use our pharmacy benefit manager CVS specialty pharmacy and had my doctor sent them the script. They denied the request twice stating i did not meet the qualifications to have "TD" medications. So my doctor resubmitted and got the approval. This was in early December, i believe December 5 when i got the approval letter from CVS specialty in the mail. A little time goes by, no meds come in the mail. So i check with CVS, they tell me it needs an approval. I politely explained we already had the approval so where's my meds that i need to control my movements? And while this back and forth was going on i ran out of medication samples and my pharmacy benefit provider changed. Now CVS is telling the story that they have an approval for seven days, other than that it's the new insurance's problem and i would need a new approval through them. I don't understand a few things. Number one, why are you denying required medication for someone who clearly had a medical need for them? This was approved in December so why are they bouncing the responsibility of a new authorization to someone else when they've had it for well over a month? Should this not be their responsibility? And what happened to the original approval? Why wasn't the medication shipped when the approval was granted instead having me as the patient suffer unnecessarily for over a month? Clearly CVS Specialty doesn't know what they're doing and i feel like i'm being discriminated against for having a medical condition that i can not control. Their phone number is ************ or ************ or ************Business Response
Date: 01/19/2024
January 19, ****
BBB serving Eastern *************, *****, ************, and *******
********************************************************************************************************************************************************
Complaint # ********
To whom it may concern:
This letter is in response to the correspondence we received from your office on January 12, ****. Thank you for the opportunity to address the members concern.
Upon review, the member has an approved coverage request from December 21, 2023 thru June 21, ****. A 7-day transition supply was provided to the member on January 11, ****.
We value our members and remain committed to our purpose, bringing our heart to every moment of your health. Should you have any additional questions or concerns, please do not hesitate in contacting me at **************.
Sincerely,
*********************************
Member AdvocateCustomer Answer
Date: 01/22/2024
Better Business Bureau:I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # ********. Please add your rejection comments below; if you do not provide any details, your complaint will be closed as Answered.
[You must provide details of why you are not satisfied with this resolution. If you do not enter a reason for your rejection, your complaint will be closed as Answered.]
Businesses and Customers should be civil, courteous and polite in their responses to complaints. It is important to remain professional and productive when participating in the BBB complaint process.That's great they sent me a seven day supply however, that does not cover the amount of time they listed for coverage. Not to mention the fact they got the original prescription according to their own website on 12/5/23. Given the dates of the original script and the end coverage date, it should have been more than enough time for a thirty day supply. Not to mention the fact they gave me two rejections for not enough info to substantiate a diagnosis of TD, further delaying my treatment. Once i received the original approval it should have been filled. When i went looking for the status it said in a processing state and needed an approval. So another approval had to be obtained. And i only get seven pills? What happened to the original authorization that my doctors office and i received in early December? It's not our fault your company lost it. And another auth was in place and only seven pills were sent? You need to fulfill your contractual obligation with the client. Find that original authorization and review your own systems which shows clearly the script was obtained in early December and not 12/21.
FAQ
Regards,*****
Business Response
Date: 01/29/2024
January 29, ****
BBB serving Eastern *************, *****, ************, and *******
********************************************************************************************************************************************************
Complaint # ********
To whom it may concern:
This letter is in response to the correspondence we received from your office on January 22, ****. Thank you for the opportunity to address the members concern.
There was no approved coverage request on file prior to December 21, 2023. The prescriber submitted coverage requests prior to December 21, 2023, however they did not have information sufficient to issue an approval.
We value our members and remain committed to our purpose, bringing our heart to every moment of your health. Should you have any additional questions or concerns, please do not hesitate in contacting me at **************.
Sincerely,
*********************************
Member AdvocateInitial Complaint
Date:01/11/2024
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
I would like to purchase a 90 day mail order supply of a medication. The medicine is already preapproved. When I checked the cost on the Amazon (my normal pharmacy site) I was limited only to a 30 day supply. CVS is only allowing a ****************************************** their mail order division. The cost is higher at CVS. To me this seems to be a conflict of interest. I was not able to get anywhere on the support line after 2 calls, 1st being I was told I didnt have an account and the second went on for 40 mins which I was unable to continue any longer. This med is often out of stock especially at the local CVS which makes a 20 day supplies a great deal of work to chase. Please help me connect with a senior level person that can assist efficiently Thanks.Business Response
Date: 02/02/2024
February 2, ****
BBB serving Eastern *************, *****, ************, and *******
********************************************************************************************************************************************************
Complaint # ********
To whom it may concern:
This letter is in response to the correspondence we received from your office on January 12, ****. Thank you for the opportunity to address the members concern.
Upon review, the medication in question required an approved coverage request. The members prescriber submitted a coverage request that was denied, followed by an appeal that was approved for 36 months. The Plan limits the medication to a 30-day supply even dispensed through CVS but due to issues with stock, The Plan allowed a one-time exception for a 90-day supply to process at Amazon Pharmacy 1/23/24.
We value our members and remain committed to our purpose, bringing our heart to every moment of your health.
Sincerely,
*********************************
Member AdvocateInitial Complaint
Date:01/10/2024
Type:Customer Service IssuesStatus:ResolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
On 2/9/23 my personal **** was charged $3221.32 for a prescription based on erroneous CVS records (Customer # *********** showing my personal **** as a drug company copay assist card. I informed CVS of the issue 2/22/23 & was told a full refund would be processed as a credit to my personal ****. The refund has never processed. This is a clear case of fraud since CVS DID NOT HAVE MY AUTHORIZATION to charge my **** and has told me repeatedly that they will process a full refund. If I had been told by CVS they wouldnt credit my **** I would have contested the payment with **** and would have received the credit for the amount. I have had numerous extremely long conversations with CVS representatives and have been told repeatedly they will process a credit to my ****. CVS continues to attempt to get a payment from the copay assist card but the full $ amount of the copay assist has been depleted/used so the drug company denies the request each time as they should. As I stated in numerous conversations to CVS representatives, once the copay assistance was depleted they needed to present it to the prescription drug plan with the card # they have on file. I met the full deductible for 2023 and the prescription drug plan paid the charges SUBMITTED to them after the deductible was met. CVS needs to do what they have repeatedly said they would do and take care of this.These are some of the calls:02/22/23 **************** refund requested 10/30/23 ******* - Account Solutions Escalation submitted 10 business days 11/09/23 ************** - Account Solutions Escalation submitted. **** to **** was erroneous and not my responsibility. Refund will be process 3-4 weeks 01/02/24 - Jelasa - Account Solutions Bill to **** erroneous. **** will be credited 72 hours 02/07/24 - ********** - Supervisor Account Solutions Escalation from 11/09/24 was NEVER assigned. CVS continues to ************** assist and is denied. **** never presented to insurance company. He is researching. Will take 2-3 weeks.Business Response
Date: 01/24/2024
January 24, ****
BBB serving Eastern *************, *****, ************, and *******
********************************************************************************************************************************************************
Complaint # ********
To whom it may concern:
This letter is in response to the correspondence we received from your office on January 12, ****. Thank you for the opportunity to address the members concern.
Upon review, a voicemail was left for the member on January 16, ****, indicating the member will receive a full refund of $3,221.32 via check. The refund is expected to arrive within the next 7 to 10 business days.
We apologize for any inconvenience the member may have experienced. We value our members and remain committed to our purpose, bringing our heart to every moment of your health. Should you have any additional questions or concerns, please do not hesitate in contacting me at **************.
Sincerely,
*********************************
Member AdvocateCustomer Answer
Date: 01/30/2024
[A default letter is provided here which indicates your acceptance of the business's response. If you wish, you may update it before sending it.]
Better Business Bureau:
I have reviewed the response submitted by the business and have determined that the response does satisfy my issues and/or concerns in reference to complaint #********. I understand that by choosing to accept the business response that my complaint will be closed as resolved.
Regards,
*******************************Initial Complaint
Date:01/05/2024
Type:Delivery IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
CVS Caremark became my provider Jan 2023. I've continued to struggle receiving medications through them. Ping pong between doctor and Caremark for over 12 months. My wife is on the same plan and has received zero prescriptions by Caremark in the 13 months we've been trying. We are resorting to using local ****** pharmacy because Caremark can't deliver the service. Mail order subscription service is costing me more time than just picking it up at the store each month. 90 day by mail saves time and money is their claim and it has proven to be a false claim for me and my family.Customer Answer
Date: 01/17/2024
I have not heard from the business in response to my complaint.Business Response
Date: 01/30/2024
January 30, ****
BBB serving Eastern *************, *****, ************, and *******
********************************************************************************************************************************************************
Complaint # ********
To whom it may concern:
This letter is in response to the correspondence we received from your office on January 17, ****. Thank you for the opportunity to address the members concern.
Upon review, the members have prescriptions that require approved prior authorization requests before the prescriptions can be processed and shipped. Email notifications were sent to the members regarding the prescriptions in question. Our records show requests were made to the prescribers office; however, there has been no response. The members prescriber may submit prior authorization request via phone at ************** or submit an ePA (electronic Prior Authorization) using CoverMyMeds.
We value our members and remain committed to our purpose, bringing our heart to every moment of your health. Should you have any additional questions or concerns, please do not hesitate in contacting me at **************.
Sincerely,
*********************************
Member AdvocateCustomer Answer
Date: 02/01/2024
Better Business Bureau:I have reviewed the response submitted by the business and have determined that the response does not satisfy or resolve my issues and/or concerns in reference to complaint # ********. Please add your rejection comments below; if you do not provide any details, your complaint will be closed as Answered.
The business response perfectly highlights the reason for my original complaint. My health care provider has submitted the Preauthorization (PA) multiple times. It happens the same way each time. For example, even after the BBB complaint, I called my provider again telling them the detail and that I did file a BBB complaint against Caremark. She assured me she had submitted a PA previously but would contact them again and I spoke with Caremark rep again to confirm. This agent said the PA was received and assured me it was getting done this time. (Email received confirming order on 1/18 for Order #********** I received an automated email on 1/19 saying the prescriber hasn't responded awaiting PA. This cycle has repeated multiple times for multiple prescriptions. The first time for this most recent prescription the Caremark agent said they were sending the PA to an old provider that no longer practices and not my newer one. The next time, they said they were using an old prescription number instead of the new one. The next tiime, the agent said they can't find the new prescription...for about 5 minutes...then suddenly said oh, there it is. There is clearly something wrong with CVS Caremark and how they process these PA's.
I asked my health care provider what I can do to resolve this and move forward. She emailed me a Good RX coupon and said she could call this into ****** and I can use the Good Rx coupon since Caremark is struggling to make this work.
My request, is CVS Caremark send Order #********** and figure out why their system is broken and provide an explanation. I never had this problem with Express Scripts or with any ****** Pharmacy. This has been a non-stop hassle with Caremark since my employer switched to Caremark as a benefit provider. Also, during this BBB Complaint period, at no time has CVS Caremark contacted me. The only interactions have been me calling into Care trying to do this same thing over and over. I pay for this benefit through my employer and do not have a way to opt out. I am facing having to move all of my prescriptions to a local ****** pharmacy just so I can get consistent service without endless back and forths for something that really should be simple.
Businesses and Customers should be civil, courteous and polite in their responses to complaints. It is important to remain professional and productive when participating in the BBB complaint process.
FAQ
Regards,*******
Business Response
Date: 02/14/2024
February 14, ****
BBB serving Eastern *************, *****, ************, and *******
********************************************************************************************************************************************************
Complaint # ********
To whom it may concern:
This letter is in response to the correspondence we received from your office on February 5, ****. Thank you for the opportunity to address the members concern.
Upon review, on 1/19/**** a coverage request was initiated but later closed to due no response from the prescribers office. On 2/6/**** an outbound call was placed to the prescribers office to initiate a coverage request; a partial approval was gained for a quantity of 6 per month per plan limitation for a duration of 3 years.
We value our members and remain committed to our purpose, bringing our heart to every moment of your health. Should you have any additional questions or concerns, please do not hesitate in contacting me at **************.
Sincerely,
*********************************
Member Advocate
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