Caremark Avis 

Two different doctors want me on Zepbound. One for my sleep apnea. CVS Caremark has refused to cover it. I have no other way to get the drugs my doctors want me to take. I will be researching who covers prescriptions for the other insurers for next year and switch from Anthem if another one can get me the care my doctors recommend. I think CVS must have a backroom deal with the Wegovy manufacturer to ensure people take their drug when my doctors want me on Zepbound. My care should not be subject to a financial arrangement between two huge corporations. Gross abuse.

Prior authorization for a provider-provided prescription is more predatory insurance bs. It’s bad enough I have to wait for another prescription to be mailed from their “speciality pharmacy” in another state instead of getting it filled at the pharmacy right next to me like I’ve been doing for years. What they do impacts people’s literally HEALTH and it’s baffling that insurance companies do this sh*t let alone permitted to do this.

When to open up my c, v, s, vitamin D3 bottleThat doesn't expire for another year are spoiled. Bought these using my Aetna insurance bonus that you get quarterly.
I WILL NOT buy any more over the counter or prescriptions through cvs. THEY ARE SENT BY THE UNITED STATES POSTAL SERVICE.THEREFORE, THEY ARE SUBJECT TO HEAT AND COLD AND SPOIL.EASILY.

Cvs caremark is literally the worst PBM. I have also dealt with OptumRx and ExpressScripts and CVS Caremark is absolutely the worst. No comparison. Their app and website are never useable to resolve my issue, I end up calling the help line and I think they purposefully staff representatives who have the least amount of knowledge of anything. They never even understand what medication I'm calling about. Every single prescription fill is a battle. I'm currently on hold for my 6th call about 1 of my prescriptions. It is controlled (like most rxs) but it is not a rare, nor expensive nor commonly abused medication and every time I call in- I'm told something different. I'm not even going to go into the CVS specific grievances, like constant HIPAA violations- providing me with Rx details for a complete stranger.. Stay far away from CVS Caremark if you can. The FDA or some govt agency NEEDS to investigate CVS and CVS Caremark's practices. I have never had such constant issues with any other PBM.

I switched over to CVS pharmacy through my health insurance company to get my prescriptions delivered to my home because I thought it would be an easier and seamless process. It has been anything but that. CVS has left a gap in my medication for 2 prescriptions that are not negotiable for my health. The link provided to the CVS app is different from the one connected to my insurance company and hard to access, even though I’m computer savvy. And the customer support overall is abysmal. I have had to get my doctor to send a prescription to my local pharmacy to cover the gap between delivery times and pay for them out of pocket. This is a great way to save the companies money by eeking out medication with gaps. I’m sure it adds to their profits at the expense of their patients. But it shouldn’t have to be that hard. I worry that those who don’t have the ability to navigate through the system or don’t have the good fortune to have an excellent doctor who is easy to reach and responsive. This has created extra work for me, my doctor, and the customer support team of my insurance company. CVS provides an AI generated messaging service if I can find their website. This service has failed miserably and I cannot justify continuing to use it. The sad part for me is that I believe it was designed this way.

they deni almost all claims. poorly ran company.

DO NOT SPEAK TO A REPRESENTITIVE if you are updating your payment method USE THE AI. You will have a lot better luck accomplishing your task. Also if you need to add Appointment of Representative it only lasts for one year. This company is exactly what is wrong with our health care system in USA. Hey CEO review your policies.

What a phenomenally bad company. I sent a complaint to them, along with two letters I had written to CVS, requesting (for the 12th time) that they not contact any of my providers for refills. The response I got was 1. Can't find your account (they spelled my name wrong in the letter),
2. Because we can't find your account, we can't process your request for a refund.

WTF??? I didn't ask for a refund for ANYTHING. Where can a patient go to get actual and competent care???

This company couldn't improve if it tried. This is the absolute worst prescription management company in existence. They always have issues filling even the simplest of orders. Unfortunately we're stuck with them because of our health insurance. I have to call on a nearly daily basis for some screw up or another. Mr doctor and his nurse even HATE dealing with them.

Absolutely worst experience. Trying to save $30 on a prescription my mail order through CVS Caremark coverage took days of stress, frustration, 11 phone calls and no savings since delays forced purchase of short term refill and regular cost. No assurances were followed through. Still waiting for prescription to arrive.

First time this year I had a problem getting a prescription mailed from them. Several texts sent from them.
I called the doctor 3 times and still they say they did not hear from the Dr. I called them twice and on the last 45 minutes call they would not answer my question and finally hung up with no return call back to me.

Disgusting, CVS Caremark needs to be shut down.
Meds running out who cares, they sure do not.
Meds say sent never were and they could care less.
Don't bother reaching out, the WILL NOT HELP YOU.
This is why CVS is going out of business is the quality of care doesn't even exist.

CVS Caremark will not re-approve my daughter's Zepbound. As of July 1, 2025 CVS Caremark removed Zepbound from their formulary without warning. Zepbound was ordered by my daughter's endocrinologist since April 2025 since my daughter had side effects from Wegovy. Zepbound has been working well and now CVS Caremark has disregarded the prior authorization that the endocrinologist completed justifying the Zepbound order. CVS in this case is playing an endocrinologist which should not be the case. I pay over $3,100/month for insurance and I expect Zepbound for my daughter since it has been effective. My daughter leaves for college in one week and now we have to face insurance pushback and have make a decision on a new medication when she starts college.

Following "approval" for brand name per my Neurosurgeon's recommendation CVS Caremark sent me a "Good News" letter then proceeded to charge me for a Tier II medication. My Neurosurgeon has to call them to request a "Tier exception" isn't that the point of the Doctor writing the brand requirement? Generics have differentials that may not be therapeutic for certain people and therefore not an option. It is not a "choice" for my intractable Epilepsy disorder.

CVS is constantly treating my body like a science experiment by taking superior medications that work with my body away from me and making me try whatever their board has decided are suitable even though every time I have horrible side effects some of them permanent. I understand if it is a cost savings for them, but they should allow me my medications still even if I have to pay maybe a higher tier pricing. My doctors are surely know my body and my health history better than strangers at an insurance company. The past few years have been insane.

CVS Caremark is an absolute nightmare and we are stuck because this is the prescription processing service my husband's company provides with our Aetna insurance plan. NOTHING is covered without a prior authorization. The formulary list provided when logged in on the website does not match what they actually cover and they deny EVERY prior authorization the first time. I have been on the same ADHD medication-- a cheap generic-- for 17 years and they still deny the prior authorization on the first round every single time. My asthmatic daughter does best with certain brands of Albuterol inhalers, and Caremark only covers one type and it does not work nearly as well the others. Calling customer service is just a loop of recordings and you ever get to an actual person. They can treat consumers however they want because ultimately, employers will continue to use them no matter how AWFUL the service is. They are the worst.

Failure to cover needed prescriptions. Greed runs this company. Not care.

I used mail order to get a 90 day supply. When my order came it was 2 bottles instead of the 3. I called in and they told me no it was correct. I was told many stories. All sounded like B.S. The manufacturer even says 1 bottle=30 days. I went up the ladder to no avail. They would not refund the difference. They would not send the 3 rd bottle. What a SCAM! I said at least they could have been transparent and said this upfront before I ordered! More B.S. I will never use them or trust them again.
My advice- CHECK and recheck your order to make sure you are getting what you should.

Possibly the worst Healthcare provider out there. Just received denial letter for a prescription my doctor deemed necessary. Funny how some paper pusher can have more authority than my physician over my healthcare. They ALWAYS use generics, and if it's a brand name, they will always deny it.

Was told multiple times that multiple medications would be covered only to be denied everytime my doctor submitted the prescriptions. After speaking with a supervisor I was told the 2 employees I spoke with misled me. Terrible company and support team. You would think with medications they would be careful with what they are telling people.