CaremarkReviews of caremark.com

Absolutely the worst online pharmacy on the planet our union switched over to them and it’s the biggest mistake they ever made. We now have a petition going to go back to “OPTUM” and have enough signatures to do so. CVS denied my daughter seizure medicine. We had to fight tooth and nail and go through three appeals so that my daughter could take her medicine so she didn’t have seizures and die. every single person you speak to at CVS has a they don’t” give a shit attitude” about your issues.. other members have had their heart medicine denied diabetes medicine denied. Everything is a denial with them. Whatever you do do not use them. They do not have a single positive review all their reviews are one star or less. run from this Pharmacy as fast as you can!!!!!

Our insurance switched to Caremark and it is a living hell. You CANNOT access any human customer service. All of these companies using AI Chatbots is infuriating. You can't call in and talk to a human, It is nothing but a looping hell of recorded backrooms. I will miss Express Scripts for the rest of my life, they always had incredibly helpful people on their customer service line, Caremark is the absolute worst in customer service. You're dealing with real humans with real health problems, and you can't provide a single human to answer phones. So much for "care"

Caremark Prior Authorization Experience – I am writing to document a distressing experience I encountered with Caremark’s prior authorization process for a longstanding medication. My medication, which I have taken for years, normally costs around $4 with a savings card, but this time the cost was unexpectedly close to $2000 due to a prior authorization requirement. The process became a nightmare due to multiple failures and communication issues: I was advised that my doctor needed to change the DAW (dispense as written) code to facilitate approval. Despite emailing the doctor’s office and offering to assist, no action was taken by the doctor’s office, and Caremark staff did not follow through. Caremark representatives initially claimed they could waive the need for a letter of medical necessity, but later insisted the letter was required. They marked the case as urgent and said it would be reviewed in a few days. Three days passed with no fax received by my doctor, and I was left without medication. Multiple calls revealed that Caremark failed to fax the necessary letter, and staff exhibited unprofessional behavior, including speaking over me, displaying irritation, and providing inconsistent information. The supervisor finally admitted that the fax was never sent, and I was told the waiver of the letter was due to a change in coding without informing my doctor or me. Throughout, I received no proactive communication from Caremark about these updates, leaving me in a vulnerable and distressing position without medication. This experience reflects poor communication, lack of accountability, and unprofessional conduct by Caremark staff, causing significant inconvenience and stress. I hope this summary can assist in addressing systemic issues within the prior authorization process.

Caremark has had a noticeable decline in quality over the last 2 years. I get one of my medications through the specialty pharmacy, and a prescription for a 30day supply of medication takes at least 40 days to fill. Expediting shipping does not resolve this, and it feels like a cost saving measure that hurts the client. Outside of specialty, the revised formulary and reliance on AI has made ADHD ubtreatable. Generics switch monthly when they are even in stock, which pretty much everyone except insurance companies now acknowledge isnt the best for clients health. Previous successful meds that have been removed from the formulary cant get pre auth'ed, leaving me stuck with a terrible prescription plan until next year. All of this took place in January, 3 months after open season enrollment at my company. Caremark used to be great, now the ravages of time seems to have dimished them to a crumbling husk. Ive never had a real affinity for a company one way or the other, but the state of Caremark in 2027 feels less like a profitable business and more like a crumbling statue in a Percey Shelly poem.

The only reason I’m giving one star is because Trustpilot doesn’t allow a negative star! CVS and CVS Caremark is only in the business of driving up stock prices. They are abysmal when it comes to keeping their customers healthy! I have been diagnosed by multiple physicians with severe obstructive sleep apnea (OSA). I was prescribed Zepbound which almost immediately stopped my snoring, so much so that I no longer required the use of a CPAP. Then CVS decided they were not going to cover Zepbound and that everyone would be moved to Wegovy (which they have ownership). I was not on Zepbound for weight loss, rather it was to mitigate my OSA. Now I’m back on the CPAP and all related symptoms have returned. Terrible company! The fact that they don’t even respond to the overwhelming bad reviews tells you all you need to know about CVS.

One of the biggest things I hate about CVSCaremark is the fact that I was told by three representatives that I had to be on GLP-1 shots as they tried telling me it was part of my husband's insurance plan. It's not. I was on a different medication for weight loss. Not only did they send me 10+ letters insisting my doctor gets me on these shots they also called my doctor's office telling them they wanted a preauth sent over. Today I had enough of the back and forth and told them I DON'T AUTHORIZE any of it and to stop bothering me and my doctor's. The representative even admitted that it was a misunderstanding with their end and she'd resolve it . I'm being made to look like a fool to my doctor's office because they keep going back and forth. Frustrating and disappointing.

On 2/20/26 I contacted Caremark to have my medication pre-authorized. As I was can only get get 3 months without authorization for more. Every year it the same thing. I was told by the CSR that pre-authorization was not needed this year. I asked her if she was sure and she said she checked every month for the rest of the year and it was OK. Sure enough, when April refill is processed I have to pay for the prescription since there is no guarantee as to when it will be approved. I believe this company does everything it can to make processes more difficult to save money at their custom expense.

My doctor prescribed medication on the 7th, on the 14th i get a text from CareMark saying there is a problem with a prior authorization from the doctor. This is for a situation where i have had surgery and medication for a year and a half. How do you get prior authorization for a situation in existence for over a year and a half? Why am i notified a week later?