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Business Profile

Health Insurance

CVS Caremark

Headquarters

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Health Insurance.

Complaints

This profile includes complaints for CVS Caremark's headquarters and its corporate-owned locations. To view all corporate locations, see

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CVS Caremark has 42 locations, listed below.

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    Customer Complaints Summary

    • 514 total complaints in the last 3 years.
    • 162 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    The 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.

    Sort by

    Complaint status

    Complaint type

    • Initial Complaint

      Date:03/14/2023

      Type:Service or Repair Issues
      Status:
      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.
      CVS Caremark denied a medication they know I have been taking for over a year. CVS Caremark is a horrible organization and is doing everything they can in my last 20 days to deny all coverage. They are horrible people and no one should ever use this horrible disgusting company. They give no reason as to why they can deny it all of a sudden now.

      Business Response

      Date: 03/22/2023

      March 20, 2023

      Better Business Bureau
      5 *************. Suite 100
      *********** ** 01752-1927
      ************** 
      www.bbb.org/**/**

      Complaint # ******** 

      To whom it may concern:

      CVS Caremark administers the prescription benefits portion of the CVS Caremark health plan, of which the beneficiary is a member. This letter is in response to the correspondence we received from your office on March 14, 2023. Thank you for the opportunity to address the members concern regarding drug coverage.

      Upon review, we have verified that the members prescriber submitted a coverage request on March 13, 2023 that was denied the same day due to not meeting the plans criteria for coverage. On March 14, 2023 the prescriber submitted an appeal request that was approved from March 14, 2023 until March 14, 2024.

      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


      Customer Answer

      Date: 03/22/2023

      [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:03/13/2023

      Type:Order Issues
      Status:
      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.
      Rx prescribed by Dr ********************** denied. Appeal filed. Denied Insurance has no Dr treating me and cannot tell me what I can and cannot take. My ********* this drug is necessary and I cannot take any other variations.

      Business Response

      Date: 03/22/2023

      March 20, 2023 

      Better Business Bureau
      5 *************. Suite 100
      *********** ** 01752-1927
      ************** 
      www.bbb.org/**/**

      Complaint # ********

      To whom it may concern:

      CVS Caremark administers the prescription benefits portion of the Pennsylvania Employees ****************** health plan, of which the beneficiary is a member. This letter is in response to the correspondence we received from your office on March 13, 2023. Thank you for the opportunity to address the members concern regarding drug coverage.

      Upon review, we have verified that the members prescriber submitted a coverage request on March 2, 2023 that was reviewed and denied the same day based on the information submitted not meeting the criteria for coverage under the plan. If the member would like to submit an appeal request, the member can use the information listed below to initiate the request. 

      Member and provider can appeal by sending/faxing appeal information to:

      Prescription Claim Appeals MC 109 - CVS Caremark
      P.O. Box 52084
      *******, ** 85072
      Fax: **************

      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


    • Initial Complaint

      Date:03/09/2023

      Type:Product Issues
      Status:
      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 cancelled all orders with CVS mail order on 2/22/2023. On 2/24/2023, they sent the order anyway. I wrote and called several times. Every time they said it was my fault. I spoke to a rep from the company and she said, no, it was our (the company) fault and that if I returned the order unopened they would refund my money. I did just that, and I know they got it back, yet the still refuse to return my money. I just want my refund. They got the order back, and I am out the money for nothing. I spoke to ******************** and task # is ********

      Business Response

      Date: 03/09/2023

      March 9, 2023


      BBB
      5 *************. Suite 100
      ***********, ** 01752
      Phone ************

      Complaint ID: ********


      Dear BBB,

      This letter is in response to the correspondence we received from your office on March 9, 2023. Thank you for the opportunity to address the members concerns as expressed in File number Complaint ID: ********.

      In accordance with directives implemented by WellCare, all member grievances will be addressed and responded to by the client.  Please reassign the members concern accordingly.  Going forward all WellCare concerns should be sent directly to WellCare. WellCare will partner directly with CVS Caremark regarding PBM concerns. WellCare can be reached at:

      WellCare Health Plans, Inc.
      Attn: Grievance Department
      P.O. Box 31384
      *****, ** **********
      Phone: ************** 
      Fax: ************** 
      Email: *************************

      We value our members and remain committed to our purpose, bringing our heart to every moment of your healthShould you have any additional questions or concerns, please do not hesitate in contacting me at **************.

      Sincerely,
      *****************************

      Member Advocate
    • Initial Complaint

      Date:03/09/2023

      Type:Billing Issues
      Status:
      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 recently had to order fertility medication from CVS Specialty Pharmacy in January of 2023. Most were supposed to be charged to my Optum Fertility Solutions benefit of $10,000 for medications that I have through work. I was told during this initial order that all my medications were covered within my benefit, after what the insurance pays for, and my $3000 deductible, and that I would have to pay out of pocket for 4 doses (2 pens) of Gonal-F. At this time, there wasnt much difference between the price at CVS Pharmacy and competing pharmacies.When I went to order refills, I noticed that the numbers weren't adding up. They had charged 4 doses (2 pens of the Gonal-F) of one medication and used up the $10,000 benefit, and then made me pay out of pocket for the other 4 medications including 4 more doses (2 pens) of the Gonal-F. On Thursday, March 2nd, 2023, I spoke with ****** and had a representative from my health insurance on the line (********, her name is ************). ****** informed me that they have two different pricing structures, one they charge to the insurance company and one that they charge for paying for meds out of pocket. In doing another shopping around, I found that they are charging over 250% more to out of pocket charges for the same medication that other pharmacies carry, and this is what I had been charged. The price I was told over the phone for the medications were significantly higher than what I was told in January. I was then told that all of the medications had to be paid out of pocket even though I had reached my deductible because they were fertility medications, not regular medications.I requested from ****** an email that contained the prices of the medications, an itemized list of what got charged to my benefit and how much, and what I had to pay out of pocket and how much and was told that I would have that email by EOD. I was not sent that email by EOD on March 2nd, 2023.I have more details that will not fit here.

      Business Response

      Date: 03/24/2023

      March 24, 2023

      BBB serving Eastern *************, *****, ************, and *******
      5 *************.Suite 100
      ***********, ** 01752-1927

      Complaint # ********

      To whom it may concern:

      CVS Caremark administers the prescription benefits portion of the ****** Brands employee health plan, of which the beneficiary is a member. This letter is in response to the correspondence we received from your office on March 10, 2023. Thank you for the opportunity to address the beneficiarys concerns.

      Upon review, the member was charged correctly for the medications according to the plan design. CVS Specialty emailed the member a transaction summary on March 7, 2023 to show cost breakdown.

      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

      Customer Answer

      Date: 03/27/2023

      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 ter a reason for your rejection, your complaint will be closed as Answered.]

       

      I was never given a detailed breakdown as I had requested several times. I was given an overall summary. The company also ghosted me after a few phone calls of saying they were still working on the problem. They tried putting me off to try and avoid the issue that they know they overcharged me. And the prices they quoted me over the phone did not match up to the prices on the summary, and they they charged me a much higher price that every other pharmacy charges.


      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: 04/05/2023

      April 5, 2023

      BBB serving Eastern *************, *****, ************, and *******
      5 *************.Suite 100
      ***********, ** 01752-1927

      Complaint # ********

      To whom it may concern:

      CVS Caremark administers the prescription benefits portion of the ****** Brands employee health plan, of which the beneficiary is a member. This letter is in response to the correspondence we received from your office on March 27, 2023. Thank you for the opportunity to address the beneficiarys concerns.

      Upon review, the cost summary that was sent to the member, via email on March 7, 2023, provides the amount paid by Caremark and the amount paid by the member. The summary also provides details if a copay assistance card was used.

      The members deductible was met on January 10, 2023 and the member will now pay the coinsurance which is 20% of the full cost of the medication. This information is available to the member via www.Caremark.com.

      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

      Customer Answer

      Date: 04/07/2023

      This is what I received. This is a summary, not a detailed report.

       

      It does not list what each medication cost. It does not list what quantity of medication and the cost was charged to the Optum Fertility Solutions benefit. It does not list what quantity of medication and the cost was charged to me. The quantity stated are the doses, not an each of the medication. 

       

      I was also sent way too much of one medication, that I had to pay for, that only lasted for 2 weeks.

       

      Nowhere does it state the supposed out of pocket discounts they give to patients when they have to make up the cost of meds.

       

      It also does not state why I was charged an additional $329.73 without my authorization or knowledge when I was told all the medication was covered within the Optum Fertility Solutions benefit and that I was only paying for 2 pens of Gonal-F out of pocket for $3462.73 (FYI, which means that breaks down to $1731.32 per pen or $865.66 per dose).

      Regards,

      *****

       

       

    • Initial Complaint

      Date:03/07/2023

      Type:Sales and Advertising Issues
      Status:
      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 request a *** from my doctor in June 2022. My doctor ordered it from CVS specialty pharmacy. When I spoke to the representative from cvs to arrange delivery and authorization I was informed it was COVERED WITH MY INSURANCE. I was given the impression that it was free and absolutely covered. The *** was delivered to *************** had it inserted. About 8 weeks later I received a 650$ bill from CVS telling me I owe them for my ***. I should not owe them money for something I was assured was free. No one let me know how much I could possibly have potentially had to pay for this. I should have been informed before the transaction was complete.

      Business Response

      Date: 03/08/2023

      Can you please reassign from ***** to Caremark portal to provide you with a response for their patient in question. Thank you!

      Customer Answer

      Date: 03/08/2023

      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. 

      I dont understand what it is you wish me to do. Do I have the wrong division of this company?

      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,

      April

       

       

      Business Response

      Date: 04/07/2023

      April 7, 2023

      BBB serving Eastern *************,*****, ************, and *******
      ***************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************************

      Case #: 19549600

      To whom it may concern:

      This letter is in response to the correspondence we received from your office on March 10, 2023.  Thank you for the opportunity to address the beneficiarys concerns.

      As a courtesy, the $630.81 balance for the June 3, 2022 date of service has been removed from the beneficiarys account. 

      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
    • Initial Complaint

      Date:03/03/2023

      Type:Order Issues
      Status:
      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.
      Couldnt get a medication due to medication limits from insurance. Caremark was supposed to send in a prior authorization on January 24th, 2022. Then later got a letter in the mail saying prescription had to be filled through cvs Caremark specialty. To which I had the doctor *** over a new script. No communication from Caremark at this time. Online account for Caremark said order was expected to ship 2/27/23. Medication never shipped. Called Caremark on 3/2/23, was told it was my fault for having the dr. **** to specialty, to which representative then hung up on me. Had to call back and got a manager on the phone who promised medication would arrive with limited amount due to insurance on 3/3/23 between 8am-12n. Medication was never received. Call back to Caremark on 3/3/23 and was told the representative put in the wrong quantity and medication delivery was delayed due to such manner. I am currently filing a formal complaint.

      Business Response

      Date: 03/16/2023

      March 16, 2023

      BBB serving Eastern *************, *****, ************, and *******
      ************************************************************************************************************************-4705

      Complaint # ********

      To whom it may concern:

      CVS Caremark administers the prescription benefits portion of the Reliance Steel and ******************** health plan, of which the beneficiary is a member. This letter is in response to the correspondence we received from your office on March 4, 2023. Thank you for the opportunity to address the members concerns.

      The member was contacted by our specialty pharmacy on March 3, 2023, to advise that shipment was being completed. The order was shipped via MNX courier service. Tracking number ******** states the member signed for the package on March 4, 2023, at 10:35AM. 

      Finally, we understand the level of service the member received did not meet with her or our expectations, and we apologize for any r inconvenience she may have experienced.  Feedback has been provided to each member of our customer care team with whom the member interacted with in an effort to improve the level of service our members receive.  Should you or the member have any additional questions or concerns, please do not hesitate in contacting me at **************.


      Sincerely,

      ***********************************
      Member Advocate

    • Initial Complaint

      Date:03/02/2023

      Type:Product Issues
      Status:
      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.
      We have health insurance through my husband's company, *******. They contract with CVS Caremark for our prescriptions. I noticed that about half our prescriptions are not showing to count against our deductible. I called to inquire on this and was told I had to ****** a list called CVS Preventative Therapy Drug List. I did and the list is huge. Basically covering everything that might ail you. None of those drugs are allowed to count towards our deductible. But there is NOTHING in our plan documents that indicates this and when I contacted the benefits manager at my husbands work, I was told all prescriptions count towards our deductible. I find it incredibly odd that I would have to ****** this myself and it's not listed anywhere in our plan documents. I think this is a rule they made up and is not part of our plan. If we have a prescription received from a doctor, and pay our own money for the prescription, this should count towards our deductible. Why have that deductible dangling out there like a carrot if they pick and choose what we can and can't count towards our deductible? I selected refund as my resolution but I really just want ALL my prescriptions counting towards my deductible. We were ripped off in 2022 with this rule and it's continuing in 2023

      Business Response

      Date: 03/10/2023

      March 10, 2023

      BBB serving Eastern *************, *****, ************, and *******
      ************************************************************************************************************************-4705

      Complaint # ********

      To whom it may concern:

      CVS Caremark administers the prescription benefits portion of the **************. health plan, of which the beneficiary is a member. This letter is in response to the correspondence we received from your office on March 3, 2023. Thank you for the opportunity to address the members concern regarding the plans deductible.

      Upon review, we have verified that the plan does use Caremarks Preventive Drug List. The member can login to the Caremark.com, under plan & benefits select plan summary where it indicates some prescriptions or services may bypass the deductible and apply directly to your maximum out of pocket. Additionally, the members prior year accumulations were also reviewed for accuracy, and no discrepancies were found.

      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


    • Initial Complaint

      Date:02/28/2023

      Type:Service or Repair Issues
      Status:
      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 husband and I both take Synthroid in different dosages that we order from CVS/Caremark, which is the pharmaceutical company our medical insurance carrier, GEHA, uses. (We have never been offered a choice of prescription carriers, by the way, which is not helpful). Recently I have noticed that my .50 mcg dose pills cost more that my husbands **** mcg. dose pills, and I called Caremark to get an explanation. As we both have an up-to-date Generic Substitution form on file with Caremark, I assumed this was just an error, but, instead, learned that is not the case. Instead, I learned that as I have been prescribed a LOWER dose, my cost is GREATER than my husbands, who uses a HIGHER dosage!How is this possible? Is Caremark making up the rules as they go along? Synthroid has been on the market since ****, when it was owned and marketed by ***** Pharmaceuticals. It was the second-most prescribed drug in the world and was made available at prices low enough to benefit all who needed it to combat thyroid diseases, but as soon as ****** Laboratories took control of Synthroid in 2021, the price increased as much as 800 percent in some cases, and each time we question CVS Caremark about their pricing structure, sometimes staying on the phone for an hour or more, we get a different answer. When I called my insurance carrier, GEHA, regarding Caremark, they tell me they can not divulge any information of that kind, and refer me back to Caremark, which is basically telling me that my own business isnt my business.Is there anything that can be done to level the field and encourage Caremark to bring back the +- $12.65 price for Synthroid, an ultra-prescribed drug they are using as a cash-cow to the publics detriment? I suppose it comes down to dont get sick in America!

      Business Response

      Date: 03/15/2023

      March 15, 2023

      BBB serving Eastern *************, *****, ************, and *******
      ************************************************************************************************************************-4705

      Complaint # ********

      To whom it may concern:

      CVS Caremark administers the prescription benefits portion of the **** Federal health plan, of which the beneficiary is a member. This letter is in response to the correspondence we received from your office on March 1, 2022. Thank you for the opportunity to address the members concern. 

      Upon review, the member has agreed to have the brand exception approval removed and the prescription will now be paid according to plan design going further. 

      Should you or the member have any additional questions or concerns, please do not hesitate in contacting me at **************.


      Sincerely,

      ***********************************
      Member Advocate

      Customer Answer

      Date: 03/27/2023

      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.

      FAQ

      Regards,

      ******

       

       

    • Initial Complaint

      Date:02/25/2023

      Type:Service or Repair Issues
      Status:
      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 kids pediatrician refilled my children Montelukast medication for 3 months in December 2022. I went to pick up the first prescription in December at my local CVS. In January I requested the 2nd refill but I couldn't do it any longer with my local CVS pharmacy because CVS caremark would not refill it unless in by mail and it has to be a 3 months supply. I will have to visit my children pediatrician, pay copay for the visit, take a day off from work and my children from school because CVS caremark needs a 90 days subscription refill, when I still have 2 more refills. Yes my children pediatrician needs to see my children when prescribing medication because of their underlying conditions.

      Business Response

      Date: 03/07/2023

      March 7, 2023

      BBB serving Eastern *************, *****, ************, and *******
      ************************************************************************************************************************-4705

      Complaint # ********

      To whom it may concern:

      CVS Caremark administers the prescription benefits portion of the *** ************* ***************** health plan, of which the beneficiary is a member. This letter is in response to the correspondence we received from your office on February 25, 2023. Thank you for the opportunity to address the members concern regarding obtaining prescriptions.

      Upon review, on February 25, 2023 and February 28, 2023 Caremark submitted prescription transfer requests for the prescriptions for both members be transferred to Caremark mail order pharmacy. On February 27, 2023 and February 28, 2023 the prescriptions were received, filled and shipped (tracking information: **** EXP PARCEL / 9374869901700-650483137; **** EXP PARCEL / 9374869901700-650877325).

      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

    • Initial Complaint

      Date:02/20/2023

      Type:Service or Repair Issues
      Status:
      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.
      01/01/2023 to ongoing have been trying to get authorizations for gamma globulins and supplies and nursing care. It has continued to caught up in red tapes that I have been without medication or medical attention to my port since the first of the year. I have been trying to work with them and it appears to get nowhere or denied. They cant provide care with network and are having issues overriding so to work with the company I was with for the previous 6+ years that I am get no treatment that it is affecting my health.

      Business Response

      Date: 02/21/2023

      February 21, 2023
      CONFIDENTIAL AND PROPRIETARY
      FOIA EXEMPT DO NOT DISCLOSE

      BBB serving Eastern *************, *****, ************, and *******
      290 *********************************************, Suite 102
      ***********, ** 01752-4705


      Complaint # ********

      To whom it may concern  

      CVS Caremark is in receipt of the above referenced complaint.  However, we cannot address the members concerns due to the lack of information on any claim,including prescription number, or prescription name.  Once that information is received, we can address the members concern.

      We value our members and remain committed to our purpose, helping people on their path to better health.Should you or the beneficiary have any additional questions or concerns, please do not hesitate in contacting me at **************.

      Sincerely,
      CVS Caremark
      Service Recovery Unit 

      Customer Answer

      Date: 02/21/2023

      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.

      FAQ

      Regards,

      ********

      I do not accept the response if they want specific prescriptions then it is reference to Gamunex C and the care need to go with ( nursing) and port care. They have not provided a comprehensive safe resolution in the almost last two months.

       

      Business Response

      Date: 03/07/2023

      March 7, 2023

      BBB serving Eastern *************, *****, ************, and *******
      290 *********************************************, Suite 102
      ***********, ** 01752-4705

      Complaint # ********

      To whom it *** concern:

      CVS Caremark administers the prescription benefits portion of the Anthem health plan, of which the beneficiary is a member. This letter is in response to the correspondence we received from your office on February 21, 2023. Thank you for the opportunity to address the members concern regarding the change in their plans pharmacy network.

      The plan confirmed speaking with the member and has been working with ***** and the members medical provider on a new referral and authorization. ****** with the plan will address any concerns the member *** have. 

      Should you or the member have any additional questions or concerns, please do not hesitate in contacting me at **************.


      Sincerely,

      ***********************************
      Member Advocate

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