CVS Caremark Reviews

If I could give zero stars, I would. I have been on a few medications for quite sometime now. They are psychiatric maintenance medications. I am constantly subjected to withdrawals from the medications whenever I need a refill since they never have the medication. My doctor increased the dose on one of my BP meds that I have been on for over a year. Instead of sending it out they held the order stating that they need to confirm I can take this medication with all my other medications by speaking to my doctor directly. Good luck getting my doctor on the phone for that, he sees so many patients in a day that he cannot be babysitting each of his prescription orders. I had to argue with them to release it.

My wife ordered a specific medication for after breast cancer care through them because they were supposed to charge the same as the local CVS pharmacy. The first prescription arrived, and we were charged the exact amount that the local CVS pharmacy charged. They did an automatic refill, thinking it would be the same but when it arrived, it was $350 more than what we paid. We have been trying to get our money back for 6 weeks now. They keep saying it will be returned shortly and that they will call back when it’s to be refunded. No one ever calls, and the money has yet to be refunded. My wife is on the phone with them every few days for an hour about it, and they have received the shipment of meds back. Now her needed medication is about to need refilling, and we have nothing. Horrible company. Please do not do business with them. In my line of work, they would’ve been arrested for theft by now!

First, Caremark dropped Zepbound from their formulary for monetary reasons, NOT because it works better, because it doesn't. It's a known fact that Zepbound is better. Zepbound is also FDA-approved for sleep apnea, but Caremark won't cover it. SECOND - while waiting for a pre-authorization for a different medication, I kept checking in with the pharmacy and my doctor, yet nothing was moving. Caremark said they forwarded the forms to the doctor and was waiting for a response. Doctor said they sent everything required to Caremark.

I notified CVS Caremark since I was eligible. I have high-priced medication ordered, but I was calling around to find the lowest price. I was quoted from CVS Caremark that I could pay $15 for a three-month supply. I put it on my credit card and gave her the information for it. The staff said they would take care of getting the prescription mailed. A week later, I find out, the doctor had prescribed medication with refills monthly. So CVS Caremark had changed my credit card to $15 for a one-month supply. I was NOT notified by CVS Caremark staff.

For years we have been abused by this negligent and unholy monster of a garbage machine called CVS Caremark. Your customer service department is deficient by design to stall the purpose of your patient's calling you in the first place. CVS Caremark is hands-down the most universally loathed agency of its kind in my lifetime and that is really saying something. Our latest issue, raised arbitrarily by CVS Caremark, of course, has resulted in COUNTLESS calls from me, countless calls and FAXES from my Dr's office and each and every occasion is met by another stalling tactic in the SCAMMY script fed to the automatons that work at CVS Caremark.

Wish I could give 0 stars. We have had issues with CVS getting the billing of my daughter's specialized Rx correct for over 4 years. They do not listen to our requests each year to pay the initial order in full with our HSA card so that we meet our deductible. They will bill the copay assistant card after we explicitly say not to - I have been told things like "oh I see the note here but the last representative must have chosen to ignore it". Every time we call to follow up we are told something different (usually incorrect). We are still waiting (as of April 20th) for the order from Jan to be corrected and reported to our medical insurance to apply to our deductible which means we are still waiting to place the order she should have received in February. Not one time in the last 4 years have they managed to correctly bill our daughter's medicine.

If I could give 0 stars I would as 1 is too good for those crappy pbm...Has you jump thru hoops repeatedly just so they can deny you again. They should all be fired as they are ALL as useless as t*ts on a bull.

I have been trying to get a prior authorization for a heart-related medicine since February. Due to a comedy of errors by Caremark, it is now April, and I am still trying to get them to connect with the doctor and obtain the needed information. They then turned it over to a third-party company called C@C Innovative, who said it may take 90 days for approval. I hope I am still alive by then. Ridiculous company. 0 stars.

CVS Caremark is the worst provider I have ever dealt with. Between the poor customer service and denying authorizations for medications I have previously been on, I might as well not have insurance.

My doctor prescribed medication for me on the 7th. I get notified by Caremark today, the 14th that there is a problem with prior authorization. I have had surgery and medication for this issue for over a year and a half. What does prior authorization have to do with an existing situation? Why does it take a week to notify me?

Never get an English-speaking customer service agent that can actually interrupt English enough to understand anything other than basic questions. Lately, even the supervisors can seem to struggle with advanced questions and become extremely rude when questioned. The problem is Caremark contracts with the majority of Part D insurance carriers and their focus is on denying beneficial medications that insurance companies do not wan to pay for. Unfortunately, customer service has become a thing of the past and there is no option to choose just Caremark shoved down your throat.

This company is absolutely horrible. They are my insurance provider through Lowe's. My blood work says I'm pre-diabetic. My claim for meds was submitted on a Monday, I have chased them for days. First they said they had up to 3 days to approve or deny my authorization. Then on Thursday I called after my request was still "in progress". I was on hold forever, couldn't get a supervisor and the rep said it would be another day for a response after she escalated my request. These are medical meds and I can't get someone to look at my test that say I need meds. As soon as I got off the phone with them, they denied my authorization.

I would love to give a negative number. This is the absolute WORST company ever! My clinic accidentally absolute my prescriptions to Caremark. I went on line then was chatting with someone stating I DID NOT want to use their serviced absolute was getting no where. So I went back to my clinic where they assured me it had been canceled.

Called to renew a prescription, and of course you get automation and not a real person. I speak English but the automation repeatedly did not understand me. Took forever and when I thought I was about done it sent me to a real person to complete. That person needed to go through everything again! I tried telling her all is correct in the system. But she insisted we go through it all again. Extremely frustrating and took way too much time.

I’ve now been denied coverage for two different meds in the past few weeks. Each time the pharmacy offered me a “coupon” that allowed me to get the med at a reasonable cost. Each med worked to relieve my symptoms as the doctor predicted. CVS Caremark has gone down to junk level.

The mail order is great. However, they are constantly changing what dosage they send me for medicines with absolutely no notification why this is happening. It’s ridiculous. Delayed prescriptions. No communication. Changing amounts provided. I’d never recommend this pharmacy.

Manages my prescription insurance, but I cannot order from them. Cost at local pharmacy for my meds is too great for me. Must be nice to get rich by killing people!

CVS Caremark knows they have a captive audience since so many companies (like my employer) use Caremark for prescription coverage for their employees. I am going through menopause and take a generic medication for estradiol -- this is not something I take because I am not taking care of my body, but due to a natural progression for women.

Caremark put on the CVS app that they sent out a prescription to me on 3/12/26. I did not have insurance with them since 1/1/26. They refused to correct their error after 1 hour and 2 minutes on the phone with 5 different people. All I asked is for them to correct their error that they had sent it out. They said they didn’t have that ability, not a letter, not an email, nothing. I have to try and convince the doctor and the pharmacy that I did not get the prescription. I would not recommend them to anyone seeking a mail prescription company. It should have been a simple fix.

I originally thought I would write a bad review every day until they sent my medication, to drive their poor reviews up. Joke's on me. They don't really have any good reviews. They have taken my medication hostage though. In spite of the script written and confirmed twice by my doctor.

I need my testosterone medication due to hypogonadism. CVS Caremark rejects every prescription. The increase in testosterone from each cycle is mostly negated because I have to wait 2 weeks for the refill. I pray that my company will contract another company.

TERRIBLE!!!...I've been trying to get prescription for sleep apnea and BMI over 38 for almost two weeks, CVS/Caremark said the Dr office is not sending the Paperwork with Notes needed for prior authorization to be approved, but yet nurses have sent the paperwork several times....I keep getting denied Prior Authorization for medicines... First Zepbound which is prescribed for it, but they won't approve that, So I have to start with Wegovy.. Yet now they are denying wegovy also.. It's been a total headache. Wish I would have stuck with Blue Cross!!!! I have called almost everyday trying to get this resolved!!!!

Horrible company to work with. Constantly lose things, make it extremely difficult to get the medications you need to live. They don't communicate well. I am so disappointed my company switched to this pharmacy provider. There is no excuse for the level of incompetence.

My child has to get infusions for rheumatoid arthritis and has been approved for years to get the medication. Recently we have been trying for months to get it because he is due for the infusion and at this point, months past due. We were denied stating that the doctor hasn't provided a reason for him to get it being under 18. This is crazy, we have already been through this and he has had it several times. Then we struggled so long trying to get CVS to approve it we thought at this point he is almost 18 so we will wait. He turned 18 then we get a call saying it's approved and to call to schedule the infusion.

I'm in the middle of pre-auth limbo/HELL for medication I've been taking for SEVEN years for my chronic health condition. I'm on my 5th or 6th call along with several back and forth with my doctor. The insurance company would save money by kicking these crooks to the curb and provide their clients with their required medication. It's ridiculous to put patients' health and well-being into someone's hands who is NOT a doctor. I now understand why they have lawsuits in litigation and new ones pending.

CVS Caremark should be shut down. They are taking money from corporations and then refusing to provide the companies employees any of their medications. They have refused every medication that my doctor has prescribed. Several of these meds I have been taking for years but as soon as SC PEBA switched coverage to Caremark, I have not been able to get any of my meds. Shame on this evil, corrupt company.

Specialty pharmacy phone support are the rudest most incompetent group of humans on the planet. I’ve never dealt with such bad customer service in my life. If I had a choice I’d switch. Blows my mind they allow it to be this bad.

If you’re in your 30’s, do not even attempt to get testosterone prescribed to you. Apparently you have to be near retirement and dead inside to get the pre authorization for it. Surest approved my testosterone prescription in Nov, after 2 months I felt GREAT! Way more energetic to take on the world and its problems and not always wanting to sleep. Well Surest changed over to CVS Caremark, and immediately denied me twice for not “meeting the criteria”, what a joke. Gotta love the USA medical insurance system, non licensed doctors telling doctors and patients they do not need the meds. Avoid this company, you will end up paying more out of pocket.

They are refusing to approve an Rx I have been on since 10 months. This is a brand new insurance for me and it's like pulling teeth. I can't hate it anymore. I have been on calls all week trying to move earth and heaven providing them with docs from the doctor's office showing letters stating medical necessity. Come to find out, if it's an expensive drug you can just go die, but they will not approve it. DISGUSTING!

Three days ago they tell me it's zero dollars and it's on the way. I get an email that there is an issue so I call. I find out it's been shipped so I ask how many injections have been sent. Tells me he doesn't know so I say you need to find out. Next thing I know he sends me to a virtual assistant. This company is garbage.

Absolutely horrible custom service and delivery of medications. If you are doing any specialty treatment or need time sensitive drugs, they will basically let you die or spend thousands of money to push you off your diagnosis. I had time sensitive medication to take, although they said it will be delivered overnight, it took 3 days to get to me! Absolutely absurd! When I called they blamed me for not calling them and said it was UPS fault, they did not want to take responsibility.

They aren’t filling my prescriptions. They have no idea about my orders. I had open heart surgery and I don’t have my medication. I’m going to end up in hospital again because of their extreme negligence. This company should be dropped.

I just switched from the pharmacy I’ve been using for thirty years. Lately I’ve been experiencing problems with getting my prescription from my old pharmacy. Yet they claimed that it was due to demand that they couldn’t get my prescription. I called CVS and asked if I could get it filled through them, they got back to me within a half hour, and told me that they could get my prescription filled immediately. I am so happy for CVS helping me with this issue. Every month I had to wait about three weeks to get my prescription filled at my old pharmacy. And my copay is half at CVS.

It’s sickening and disgusting that my job chose this inept company, after reading all the reviews. I’m certain that maybe this company should face a class action lawsuit. I’ve gone two months without my medication because this evil company keeps denying it. I pray God himself deals with this vile corrupt company keeps denying!😡

I called CVS Caremark last month when the a non-CVS pharmacy denied coverage for a prescription. I escalated the call to a manager. Explained the situation (long story short): CVS NEVER has the prescription I need. It is consistently backordered. So I asked to switch it to a pharmacy that had it in stock. The manager kept insisting that I had to use CVS pharmacies. Finally she asked if I would prefer the 90 day mail order supply. I said that would be great, as long as I can actually get the prescription.

Zero stars! These people harassed me over and over about their typo error for the number days for the script, 38 vs 28, the correct number. Solved they continued calling over and over for the same thing. After 2nd time, I got 2 MORE calls. I do not have Medicare Pt D and they wanted to pawn it off. Irresponsible, inadequate, ineffective, HARASSERS, who obviously cannot conduct their company with efficiency. I am blocking the number. Next day, 2 more calls. Ridiculous. Filed complaint with my prescription insurance BC/BS. They need to ditch CVS CAREMARK, because they are failing to do the job.

This is a horrible company. They don't know what they are doing. Customer service is horrible. Go a month with no medication. Hours on phone being transferred several times.

I recently switch insurance company and now my pharmacy told me they will no longer be able to serve me. They provided me a CVS phone number and this is where my refill would be coming out of. It’s been almost 3 weeks since I have been going and forth with the care team specialist in order to get my insurance info correctly. I’m out of medication for the 2 past 2 weeks I’m so lost and confused. I’m not sure if I should just cancel my whole insurance plan. Wait till next year. Get another insurance plan. This CVS Caremark is a joke.

Worst experience with mail order ever! Finally got 90 day approved but it will arrive late! Spent hours on the phone and gave up. Out of the blue I get a text medication is on the way. Time from filling until arriving is way off and terrible communication and customer service. Optum RX was awesome.

Get one drug no problem, Get another every month, a problem, I have proof with letters. Try to threaten you, "If you don’t get from us the meds will be not covered," and had them call my provider saying I have been there, they lied. I have phone records of it. Everything for money.

Garbage company. Daughter has seizures and needs to keep trying new medicines until one works. They keep denying medicine and also force 90 day supplies, as well as forcing you to use a CVS. She doesn't need 90 days if she's just going to try a different medication. Going back to bluecross next enrollment.

I have been waiting over two months to get Wegovy refilled because Caremark will no longer accept the prescription from my doctor. I have to join their company’s 9amHealth, provide a bunch of medical info, and have their doctors write the prescription, which they have yet to do. This should be a violation of my medical privacy as well as as a fraud from Anthem. I pay for the top tier policy solely so I can choose my own providers - ones I trust and know. Because Caremark is forcing me to use their provider for my prescription, this should be in violation of my policy as represented by Anthem.

I ordered a prescription refill from CVS Caremark and shortly after noticed that my space number was not correct, I tried to contact them to ask what I could do. They had me chat online and they stated that it would be no problem over and over again. I provided my correct space number. After the chat I checked to see if it had been changed and it was still incorrect so I went on to the site and was able to change it myself. And my medication was still delivered to the wrong space number, I called to talk to someone to get some help. That person was not able to do anything for me so another person got on the line and right away stated that it was my provider's fault that my space number was incorrect, I have had the same provider for years. They know my address, she stated that I would need to use another refill and pay for it.

CVS Specialty is very difficult to work with, I seem to have issues refilling my prescription at least twice per year. Last year when my copay assistance had ran out they shipped my medication to me without my consent and made me responsible for a $2100 copay. I had to call a dozen times over 2 months to have it corrected because the pharmacy wasn't processing it correctly. Very frustrating.

I had insurance coverage, but CVS Caremark did not cover my medications as expected. Now they are telling me that I need to submit claims for all the medications that were previously not covered. This process has been extremely frustrating and exhausting. What’s even more concerning is that they **don’t even have records of the prescribed medications on their end**. This is alarming, because obtaining this information should be straightforward if they are properly connected to my insurance—especially since **CVS Caremark is my pharmacy through my insurance**. It’s disappointing to have insurance and still struggle to access necessary medications. The experience has made me question who was essentially taking the money that should have gone toward covering my prescriptions.

CVS Caremark (which covers medication approval under Carefirst Maryland) sucks. They will consistently deny approval for a medication even after receiving a PA from a physician that it is medically needed and other options have been tried. Trying to get an actual person on the phone is useless and if you are lucky enough to actually connect to a live ** they will pre-read BS from a script and never answer or address your concern.

CVS Caremark has no concern about customers. They only care about their bottom line. PBM's which CVS Caremark is one of the largest was designed to help customers until they realized they could make a lot more money requiring people to use the drugs they get the biggest kick back for. If you have a choice don't use CVS Caremark. They control the doctors and customers and do not care about helping. They care about the CEO getting 1.5 million per year and stock options adding a total package to 17.8 million. These are 2024 numbers. But I can not get a medication a trained doctor says I need.

A medicine I've been on for over a year is all of a sudden being denied. It's been over two months of this. I already switched medications when they stopped prescribing my previous one last year. That took two months to fix. Now they won't even prescribe the medication they pushed on me last year.

I have CareMark membership in which prescription are delivered free of charge. On February I received a prescription for free home delivery and was charged $9.49. Spoke with a rude manager stated that the delivery is indeed $9.49. Call customer service the first time and the rep hung up in my face. Tried a second time and was put on hold every five minutes for over and hour. Finally after being on hold, I was told to call back to the store about the refund. Instead I filed a complaint against cvs with The State Board of Pharmacy. Hopefully they will resolved the issue.

1st time using Caremark. I placed an order for my medication on January 21st, 2025. Today is February 5th, 2025. Still no meds. Called NUMEROUS times. Lied to, told it was in another city would receive the next day.. Still nothing but EXCUSES...Worst company ever!! No stars -100..

SC state plan UNFORTUNATELY, switched to Caremark this year 2026. Awful service. How can they deny a commonly used medication that previously, I had NO PROBLEMS GETTING FOR SEVERAL YEARS!!!??? I want ANOTHER company. ZERO STARS

Tried to talk to customer service to ask about a message I received the same day, wanted to know if they could get it to me quick, usually have a extra vial of insulin in the refrigerator when shipments usually arrive, just filled my pump and now I have no back up. Couldn't find me in their system. What? They just sent me a text about a prescription. Wow! She was friendly though.

This garbage company always delays getting you your medications with that dirty trick of prior authorization. I am on a medication and had refills to get at my pharmacy, but when I go to pick them up, they are not ready due to CVS Caremark requiring a new Prior Authorization. For medication that I have been on for a year, and have refills left on rx. I have to delay taking my medication due to these ** making my required new Prior Authorization be needed Prior to my rx being available to be refilled. Complete joke that they can do this. They are paid to provide RX coverage but they act more as an RX presenter. What is the point of having RX coverage if they do more to prevent you from getting medication that your doctors prescribe filled?

Really wish I could give this company negative stars. Terrible communication skills, terrible customer service, the employees don't know anything. They don't comprehend that people go in there to get prescriptions that are important to their well-being.

This operation is unbelievably incompetent. I literally spent hours online the phone and texting with them about a single prescription and I finally went to another pharmacy, which was another disaster because CVS had charged my insurance but not sent the Rx, so I still couldn’t get it filled. I will never ever use CVS again for anything.

Avoid if possible, I'm stuck with them unfortunately due to my employer's plan options. Decided prior authorization was required after 3 years of covering a medication, without warning. Then causing me to have to stop a medication cold turkey and offering zero assistance or flexibility.

Horrible. The few prescriptions I had refilled, instead of being $35 like last year are 95. I called and some bs line. Also, they said I'm on a 70/30 plan when I'm on 80/20.

Caremark has constantly messed up both mine and my husband's prescriptions. Their customer service people are nice, but incompetent. Prescriptions that were specifically written for a certain amount of tablets in a month have been changed to be that number in a span of 90 days. Which means I am getting ripped off. I am so disappointed with them now. I have never in my life given a company such low reviews.

I don’t usually leave reviews and I did not want to give 1 star, but please bring back Express Scripts. I’m 58 and have been a diagnosed diabetic since I was 33. I’ve now gone almost three weeks without my medication while waiting on a prior authorization. Caremark keeps shuffling me from one place to another. The customer service reps are kind, but whoever is handling these authorizations on the backend needs to do better—people are sick out here. They’re requiring an A1C over 6, which makes no sense. The medication works, which is why my numbers are controlled. Medications were being handed out, and now the people who actually need them can’t get them, while others were able to use them for different reasons.

Just tried ordering for the first, oh my Lord Jesus help me! Online, live chat and phone call all a complete train wreck! Such a shady operation going on here! I would rather pay double at a local pharmacy or do without.

Have 2 prescriptions to be filled, worse experience ever. Employer required us to move my specialty pharmacies, which was never a problem. One day it is scheduled, same day needs more information. Nearly 1 month later still no prescriptions. VERY FRUSTRATING!

Switched me to 90 day refill thru CVS against my will as I ran out of meds and refills. I was never notified Caremark was my insurer, I never received an email letter or text, and they hid from me the fact I could opt out so I was waiting unmedicated trying to get them to fill it which they failed to do. Being unmedicated is not a livable situation and because of them I went off for several days and did suffer a lot.

Caremark would screw up a 2 piece jigsaw puzzle. Nothing is ever correct or called into the correct location you asked for. Filling anything through the mail service is a chore and takes 2 hours of your time. They always want to change what the DOCTOR called in and give you something else. As far as I know, doctors do not answer the phone there so where they get off changing the order is beyond me. This place should be shut down. Horrible customer service and never resolve any issues. It’s the same thing month after month. If we could get a different insurance, believe me, we would. I would be embarrassed to work for this shit show.

If I could give them 0 stars I would!!! Horrible customer service and Horrible coverage. I have been on a medication for 2+ years and they denied coverage. I had no choice but to switch since my company went with this crap insurance.

I was forced to switch from Optum to CVS by my insurance. Optum was amazing. CVS so far has been a nightmare to deal with. They "lost" my prescription, after they had called me a month prior to my refill date to set everything up and make sure it would be refilled on time. They told me they would call back a week prior to needing the refill to get it sent. They never did, so I called them. They tried to tell me that they never had it, but I had the emails from them showing that they initiated setting up the account and refills. They claim they reached out to my doctor, twice, for a new prescription, even though the one that transferred had refills left, but that my doctor never replied. My doctor claims to have never received it. They finally "found" my prescription and agreed to fill it. I got an email saying the order was complete and would be shipped, but the next day they call me to go over the same things again that had already been gone over twice.

Online site is completely worthless. I have to call every time I reorder because the system will not allow you to get the medicine on time. I have had 2 flare-ups due to the late processing and delivery.

There were no less than 10 people standing around behind the pharmacy counter. No customers waiting for drop off or pick up. No one bothered to help fill a prescription for more than 5 minutes. Left to support a pharmacy interested in their customers.

First, we are forced to use CVS Specialty Pharmacy for certain prescriptions. CVS claims this model is more cost-effective, but in reality it has resulted in higher costs for customers than using other pharmacies. Being required to use an in-house pharmacy while paying higher out-of-pocket costs feels unfair and misleading.

CVS Specialty Pharmacy provides fine service, with value added care. CVS Specialty Pharmacy corrected mistakes immediately, when they occurred very, very occasionally. NOW, I have had to change specialty pharmacies due to the medicare upheaval this new year, 2026. An agent actually called me to say that CVS Specialty was out of network. They had taken time to research where I could get my way-expensive med in network, and they gave four (4) names and phone numbers before they hung up. Yikes! They do care!

Cleverly hid the more than $50 per month cost increase until after the open enrollment period closed. I'm now paying $78/month for one drug that cost $0.88 for 3 months supply. This company is clearly one of the sleaziest on record.

My company made us switch to CVS Caremark for 2025 and we still have them for 2026. They have continued to raise the price of my heart medicine. Yes my HEART medicine to now $77. They say it is compared to a 3mg dose once a day when I take a 10mg extended release dose. How is that even close??? I am under the assumption CVS Caremark would prefer I have no heart medicine and have a heart attack since their comparisons are not even close. BEWARE of this company and RUN far far away and do not give them any money.

Absolute JUNK company!! Everyone is sorry and understands but no one can help! Our insurance medication provider was switched to this AWFUL company. I have struggled and seen numerous doctors over the course of 8 years about low energy and fatigue. I finally get on a medication that helps and was approved by my previous insurance. Now as of the beginning of the year with the switch I am no longer approved to take it, and have to try something different.😡 I hate them and their corporate machine nonsense, it's the opposite of healthcare!!!

My elderly family member tried to get help with a prescription for which the dose was changed by their doctor. My family member received rude customer service and was hung up on by the representative without problem resolution.

I have a "low deductible" plan. They expect me to pay 1300 dollars on my first prescription of the year in order to pay towards my deductible, this is an absurd amount to be requested all at once and these people should be in jail.

We were forced to use CVS Specialty when Aetna bought them. Had almost no issues with Optum, but constant issues with CVS. Their customer service is a nightmare. No one is ever able to help and always transfers you to someone else that can't help. Every person has a different story. I have been without a life-saving medication since Dec 26 and they couldn't care less that it keeps getting delayed because of their incompetence and red-tape. Optum always offered a 2 week bridge supply for issues related to delivery, it is "not CVS policy" i.e affects their bottom line. So here I am on week 4 with no meds, they continue to change their story every time-- Today it's the Dr. office fault.

While customer service is apologetic and sympathetic to customers that isn't helpful in any way. This service just complicates the process even further. They took over prescription management for my health insurance and my prior authorization for a medication allegedly didn't transfer over. Medication that I had been on for years since my body doesn't produce the hormone. I was never notified by the company that it would be an issue. I only found out 2 days after requesting a refill and that was actually by the pharmacist.

Coverage for a drug was abruptly changed with no notification. My open enrollment did not warn of this change to allow for an informed choice. This is unethical and should be illegal. Plus I was on the phone for hours until I finally found someone who know about this and could explain it. I am so frustrated and angry.

I have done business with the CVS in Cayce SC for years. They have all my medication records. I am almost out of my needed diabetes injectable that I have been on, with previous pre-approvals for at least 2 prior years. They will not let me have my medication without an additional pre-approval. I have notified my MD. They say they didn't receive it. Out of my hands but I NEED my medication, not red tape because of greed on CVS' part.

I have CVS Caremark coverage as part of an Anthem BCBS plan. Never in my life have I run into so many problems with prescription coverage in a single year. I'm on several very routine medications, and they have forced me to change three of them to products that are less convenient or don't work as well. They flat out rejected coverage for a prescription for an urgent medical problem that was even on their list of conditions to cover it. When I complained, they told me I could file an appeal that would be answered within 30 days - as if it is reasonable to wait that long when you need medication for an acute illness.

This company is terrible or and their staff is not knowledgeable. They have recently denied my new heart medicine and now they are denying my diabetic medicine. We have fought and appealed the decision and nothing. I am disgusted with them, considering that I have been paying a lot of money to them for 13 years.

They are a nightmare, took me 6 phones calls to get prescription filled, Kept trying to charge me copay, EVERY month have to do the same thing over and over. The sooner they go out of business the world will be just a little bit brighter. God will punish them for what they do.

I know this is absolutely not politically correct so I'm apologizing in advance for calling CVS Caremark **. During the upheaval of relocation, I either didn't receive or missed a notification. Either way, a script was filled but wasn't able to be picked up. While on the phone I asked for the script to be filled but transferred to a location near me to be picked up.

CVS Caremark will not transfer active scripts after you have left a job. I left a job in August and tried to transfer my scripts after my last day of work. They refused to even acknowledge that I had scripts. Their only advice is to go back to my doctor and get new scripts.

Awful!!!! The pharmacy staff at the local location are all rude.. Decided to have my meds mailed to me so I wouldn't have to deal with their incompetence. Well, now I'm waiting on my mail meds and here they're still pending!!! I've already ran out of one and getting ready to run out of others. I wish I would've never switched over to you guys. I cx my mail order & will be having walmart pharmacy take care of me like before with no issues... I'd rather pay the $10 copay than deal with you guys anymore! You guys suck!

I have been with Blue Cross Blue Shield Federal (Regence) (BCBS) for over 30 years. I have never had a problem with claims until BCBS started using CVS/Caremark as their pharmacy Benefit Manager until now. Suddenly it is like dealing with United Healthcare. Suddenly, I am having problems with three prescriptions, one being my high blood pressure medication. I called a CVS/Caremark pharmacist and thought I had the problems solved and then I had a third prescription denied. I have given up. I am sorry I signed up for BCBS Federal. I will be shopping for a new health insurance company the next open season.

CVS Caremark is slow, they will intentionally delay your prescription requests, require prior authorization, limit supply, question prescribing details, question “why do you need this much medication?”, force you to wait on ridiculous long holds when you call, ask for “additional information” before processing a simple refill among other delay tactics. Their app, which they prefer you use over other means of contact, is buggy, unreliable, and constantly under maintenance or “connectivity issues” without explanation. Their browser portal is difficult to navigate and usually includes vague or incomplete information. I have zero confidence every time I place an order or refill, which forces me to constantly monitor them so that I don’t run out of my maintenance medications. Other than that, they are great <sarcasm intended>.

My wife went to the ER with active vomiting symptoms, she got administered an IV to rehydrate and some anti-nausea meds were administered during the 4-hour visit. The doctor ordered anti-nausea prescriptions through CVS Caremark for Tamiflu and Promethazine. Her symptoms remained stable for the first 24 hours so we didn’t fill the prescriptions. Today her nausea returned and she tried to fill her Promethazine script (she opted to not use Tamiflu) only to discover that the ER staff sent the prescriptions to CVS Caremark for MAIL ORDER FULFILLMENT…and the eta for the anti-emetic medication to arrive is January 3-6!!!

It is extremely frustrating to deal with this vendor. My insurance requires me to use this vendor for cost savings, and the vendor requires 90-day mail-order prescriptions. Every time I refill, they ship via USPS. My most recent order was filled on December 5, but as of today, December 22, I still have not received the package. USPS tracking shows that it is currently in Alaska.

It's just horrible all the way around. Too much to explain and all the low ratings are exactly correct. I wish we weren't forced to use this pharmacy. Hopefully our company will be switching soon. A delay for anti-rejection medication is totally unacceptable when it comes to a kidney transplant. If possible stay away from CVS Caremark...

CVS Caremark is horrid. My insurance changed two months ago but they have not updated their system. They have incorrecrtly denied a prescription while pushing me to renew an old prescription. CVS Caremark has awful customer service and does nothing to assist customers. HORRID. HORRIBLE. HORRIFIC.

I wish I didn't have to use Caremark. Absolutely horrible. All the low ratings are true. I've had the exact same problems over and over. They always mess up my fills and refills so that I am running out of meds and have to talk to customer service for 30+ minutes. Very frustrating.

The worst company I have ever dealt with. They pay for nothing, if it’s not 90 day you have to pay out of pocket, the cost is more I was paying less before them. Communication is very poor reps no nothing they just copy and paste from a script. I’m I pay 100 a week for one person for insurance and coverage is very slim! As far as prescriptions just have your wallet ready cause they are not gonna cover anything!

I have been working for over six months now to get approval for a prescription that I need to treat a chronic and worsening health condition. When I started this process I would lose about a half hour a day to extreme pain. Now I spend about 5hrs a day in bed in pain. The cycle of this has been (1) doctor submits approval request. (2) Approval request denied. (3) Doctor appeals. (4) I call. (5) Person on phone very nicely expresses her confusion and says that she sees the appeal is already denied but it's obvious I need this so just submit it again. (6) Return to step one with identical results. At this point I have a nagging feeling I won't live through 2026, and CVS Caremark's greed will be the only cause.

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.

So thankful that my insurance provider will no longer partner with CVS Caremark after this year as they provide horrible prescription drugs management services. If you have an option to avoid CVS, you should.

For starters, I only write reviews when an experience is exceptionally bad — and this one earned it. They get one star only because the system requires at least that, and I’m sure most people feel the same. This was hands down the worst customer service experience I’ve ever had. While trying to register a new account, the website rejected my (standard-format) phone number, offered no guidance, and then locked me out after two attempts with a 30-minute timeout. Several fields were prefilled but still required manual clicking — as a software developer, I’ve never seen interns produce something this poorly designed.

Lesson learned for us.. CVS Caremark is a fraud and fake company. With 80% of their reviews representing worst customer experience, these guys have to be a fraud for not delivering on their said services and sticking to their shady fraudulent promises. The review statistics clearly show that CVS Caremark does not care about its negative 80% rating casting doubts about their 10% of 5 star rating legitimacy. We gave them a try. Never received our meds. CvS caremark sent them to a wrong address. They kept delivering it to the wrong address every time we made the address correction.

They reject almost all prescription claims. It's as much of a ripoff as the stores. Poorly ran company. I was stuck with them through my company. Prescription would be cheaper using discount coupon sites.

Called to get a prescription override. Johanna asked me for my social security number. Red Flag, I asked to speak to a manager. The manager said they should never ask for that, and they don't have it on file either way.

Absolutely the worst customer service experience. Every time I call CVS Caremark, I get robotic answers and no real help. I spent more than two weeks trying to get a simple prescription processed. First they said my doctor needed to send the prescription. After my doctor sent it, they said they needed prior authorization. My doctor’s office has sent the authorization multiple times, but every time I call, CVS Caremark repeats the same script: “We haven’t received it, please wait 24 hours,” then “48 hours,” and then they start from the beginning again like nothing was ever done.

I have spent hours and hours which equate to days on the phone with them! I have Blue Cross Blue Shield for medical and Caremark for my prescription coverage. This is insurance through my employer, so that is what I have. For the last over a year and a half almost 2 years I have been fighting them. I’ve had some surgeries and health issues and maxed out my out-of-pocket both in 2024 and at the end of January 2025. Since that time I will go to pick up a prescription at Walgreens and when they submit it to Caremark, even though my prescriptions are supposed to be zero right now, I will get random charges on various prescriptions of mine. It is never the same prescription that has the charge. I may have a couple that are zero and then I will get a charge on another one at the same time.

If I could give less than 1 star, I would. I was prescribed a pill to be taken for 90 days (longer usage could lead to major health problems). CVS Caremark approved the initial 30 pills and then, when it was time to refill the prescription, they denied the request. I contacted my Costco pharmacist, who said that CVS would only allow me to get a refill for 90 pills (when I only needed 60 more since I had already taken 30). I tried to call my main insurance first (Blue Cross), but they said it was a CVS problem and transferred me. The CVS person I spoke with told me that I needed to get 90 pills. After I explained (again) that CVS had approved the initial 30 pill order and asked if they could override the rule that required me to buy 90 more pills, he talked with his supervisor and then said I had 2 options: change my plan so that they don't require a 90 day refill or pay out of pocket.

I wish I could give less than 1 star. Unfortunately, I cannot chose my prescription plan so I am stuck. I have repeatedly had to keep track of my own meds so as not to run out. I have been told, "Oh, I never received your order" and my Dr has had to send it literally 3x beforehand. I was told that my medication will arrive before it runs out due to a heart condition. I will be out for a week now and I can only pray. These people are horrible and I have called 3x in a daily and once everyday of the week to find out about my medications and I receive answers that are all different. Staff needs a system that no matter when anyone calls at what day and whatever time the answer is the same rather than having a patient have to run around and do it for them. You will get the same responses of "I understand and am so sorry I have to deal with this" and then get frustrated.

I called on behalf of my husband to see if there was a difference in co-payments between mail-order service and retail. After verifying me, Rep. Sarah was so helpful and patience; she went through all my husband's medicines (they are quite a few) and checked the co-payment amounts one by one... We will begin to receive these benefits next year, but wanted to be "ahead of the game", and Sarah put us at ease in this matter... Thank you!

CVS Caremark, operating as both a medical insurance provider and a pharmacy, presents a conflict of interest that severely undermines patient care. My experience with them has been profoundly negative, marked by bureaucratic hurdles and a blatant disregard for medical professionals' expertise. Despite having employer-provided coverage, I encountered egregious delays in medication authorization, even in the immediate aftermath of surgery. CVS Caremark repeatedly denied prescribed non-opioid medications, initiating a frustrating cycle of requests for alternatives, only to deny those as well.

I received a letter in the mail informing me I'd no longer be covered for my recurring prescription medications unless the prescriber altered them from 30 days to a 90-day supply. I did just that and still got denied. The same letter also insisted I could "opt out" of having to change my existing prescriptions so long as it fell within the same benefit year. Guess what? They didn't honor this either.. They seem to be pushing people into using their terribly inefficient store pharmacies. Amazon delivered them in 1-2 days, CVS delivers in 5-7 business days* if you're lucky and charged more money than Amazon's out-of-pocket rates.

I waited for 2 weeks to get pre authorization on ** and then it was denied. This is medicine for toenail fungus. Had 2 doctor visits and lab work done but it was not good enough. Now they want me to have a biopsy of my toenail that is going to cost my insurance company 200 dollars. It’s crazy.

The worst insurance I've ever had! If you have to be on a name brand med because a generic isn't available, they will fight you on reasons why they won't pay for it. Even if it's stated in the policy they will, they will find a reason not to pay. This is Cracker Jack insurance. You are better off with GoodRX.

We are forced to use CVS Caremark as are prescription provider. My biggest beef is that I am on monthly scrips and cvs had to always order them when they are needed. I wear a glucose monitor yet it can’t be kept in the store for what reason, god only knows. Every 3 moths I fill it yet when I need it, I always have to do without it till the computer (Caremark gods) allow it. The same thing happens with my **. I sometimes have to go without my diabetic drug because, once again the Caremark gods will not allow cvs to order it 5 minutes sooner. Why would I go mail order with Caremark when I can’t get what I need at the store. I don’t trust Caremark but I am stuck with them. It’s not cvs’s fault that Caremark won’t allow them to carry my scripts in the store. Caremark is trying to force mail order.

My husband got a new job. Caremark is now managing our prescription drug plan. First, they didn't cover my medicine I have been taking for over ten years and had to pay all out of pocket for. Then they tried to tell my doc I had to wait for my new Rx because they just paid for one...The one I paid completely out of pocket for. When I called to address they lie that they just paid for my prescription, I got put on hold forever. Then someone answered and put themselves on mute and were listening to me. How do I know? I waited 5 min in dead silence and then asked how long before they stop listen to me and unmute themselves, they hung up the phone!

Pitiful does not even begin to describe the experience that I have dealt with from this company. My wife has ran out of her migraine meds because of your asinine 90 day requirement on maintenance meds. And has had a headache almost every day.

There should be a severe investigation into the CVS Caremark pharmacies. Especially the specialty ones, like me that have to use them for life-saving medication’s. I have used several other specialty pharmacies in the past and have never had an issue getting my medication. I had to go on a generic one time and it did not work for me for many reasons. It took one appeal letter and I got the necessary medication needed.

I had been out of my medicine for over a week because I owed $30. I had to wait over the weekend, and I was upset. Then I spoke to Cayla C. from the billing resolutions department, and she was so nice, efficient, and smoothed everything over, getting my medication sent overnight. If it were not for her I would have looked into an alternative medication and left this pharmacy. CVS Specialty Pharmacy is lucky to have someone of such caliber.

The CVS website is the worst I have ever seen. There is no way to delay a prescription, and it is totally unfriendly. I have never seen such an awful website that is filled with useless complicated crap. I see the vast majority of reviews agree.

What a total joke. On October 11th doctor sent pre authorization. Finally got authorization for painkillers on October 31. Customer service has no clue what they're doing. And found out that there's no one there to handle preauthorizations from approximately noontime on Friday until Monday about noon and they say it will take 5-7 days to get authorization. \n They do this.\n To make you pay out-of-pocket for it, if it's a necessity, what a joke

Caremark is the absolute worst. Every prescription I have to get is constantly scrutinized and there's always "need more information from the prescriber". I understand controlled substances but seriously something as simple as a statin? Even my doctor and his nurse absolutely hate dealing with them. The customer service reps are great and I feel so bad for them because I know they have to put up with a lot crap from customers. If you have a choice avoid this company at all costs. Express scripts is 10000 times better. Worst Rx management provider EVER.

The worst place to have to fill medicine. I'm out of my prescription for my psoriatic arthritis and they are telling me they need a prior authorization. It already has one until 9/26. I've even talked to the insurance company and was told I would have no trouble getting it filled through Caremark that they have everything they need. We'll apparently not.

This is the worst prescription coverage plan I have ever dealt with. I am going to be complaining to my employer. Their authorization process is ridiculous and they deny medications that they should not, leading to delays in treatment. If it were up to me I would not choose this vendor for coverage. Highly dissatisfied.

Need sleep medicine for a severe sleep disorder I was born with and runs in my family. The medications are all controlled substance - duh, they all promote sleep. CVS caremark only covers 15 out of 25 days of controlled substance. Ok but not for sleep disorders? Wrong. So. CVS official statement to me is that they will cover 15 days of sleep medicine a month. This is difficult because as many know, there is 30 days in a typical month. When asked if this is discrimination regarding me, the representative said it does seem like that. Having to use good Rx to cover meds because of this evil PBM. Why do I have insurance again?

If I could give a 0 I absolutely would! Nothing but problems with this "company." My daughter I to switch medication that she's been on for years because they refused to cover it, and she hates the new one. My son's ADHD meds had to be changed. Doctor put me on zepbound for not only weight loss but to control my sugar (it would drop suddenly out of nowhere). And it worked. I finally found something that worked. And they no longer cover it. Forced us on Wegovy, which absolutely doesn't work. Haven't lost a single pound, still have to monitor my sugar because it will just suddenly drop, and my hair started coming out in clumps! Absolutely 1000% do not recommend this company for anyone!!!

This is the worst insurance ever. It denies claims for medicines that I have been taking for years. All of a sudden my pharmacy claims started getting rejected. Even after trying other medicines which failed they keep rejecting the appeal by the doctor.

My sister passed away on the 16 of Oct. I had heart failure on the 20. I ended up in the hospital. My doctor worked with me for days to get my heart rate down and to find the best combination to help my heart work well enough to discharge me, but when I got home these fiends goons refused to cover the medication that thins my blood for my heart to pump it well. I spend the whole day and night in pain. They told me to try baby aspirin when it specifically says baby aspirin is a completely different substance and can not be substituted for eliquis. These people are heartless and do not care about lives. They don't deserve to be dealing with human beings. I wouldn't trust them to take care of animals. They need to be closed down. I don't have a receipt because they won't cover my meds I need to live.

I have been waiting for a prior authorization for a month. It was denied and my doctor appealed it. Now they are saying it will take another month for the appeal process. I am going to contact my union about this issue. Not acceptable!

We were forced to change pharmacies/prescription benefits. Never had a problem with our smaller pharmacy. I will say this, CAREMARK is not my doctor. They don’t know me on a personal level and to deny meds I have taken for a year or longer, or know my whole history, prescribed by my doctor, who does know me on a personal level and tell me they are now denying meds all in the “we’re making sure there’s not a better alternative med for you” movement, and have no IDEA about me personally.., This is a sick way of denying medication to those who have gone the right route for years.

Would give 0 stars if possible. CVS Caremark is the definition of greedy for-profit healthcare company. They changed their “covered medicines” list arbitrarily and make appeals extremely difficult. Your dollars are more important than your health.

I am only writing this review to acknowledge a customer service representative that went above and beyond for me. Her name is Chrissy & she really went out of her way to fix an issue I was having getting the pharmacy to fill my prescription. While I do agree that Caremark is making it very difficult to get the medication doctors are prescribing, I don't have anything negative to say about their customer service.

I have never in the 10+ years had any issues with Caremark until this year. The cancellation of meds mid year. The run around with “prior approvals” even when the doctor has sent in full documentation that even the Senior Specialists can’t find errors is disgusting. No one knows what’s going on and silos behind the scenes are playing games with people’s lives. And the silos lie because they tell you the prescriber pulls your prescription and the Sr Specialists at Caremark tell you the PA wasn’t complete when they find out it is in fact complete and accurate. I’m disgusted with Caremark and hope my employer decides to leave and go to a better provider.

I have had this insurance for years since I’ve worked at my job. They are just ridiculous. They keep changing the medications that are approved and how often I can refill. I’ve been on my acid reflux medication for a long time. First I could refill monthly as it is a necessity for me. Now they changed it to 90 day refills. But I can’t order a refill now because I’ve already gotten my 90 days worth ! I am so sick of them. The customer service is horrible. They are rude. I spoke with the customer service rep and first of all when she answered she sounded like she was asleep and annoyed that I was calling.

I have been trying to get a prescription for Skyrizi refilled after taking this for 3+ years. First they denied it based on cost saying there are cheaper alternatives (Tremfya). Then they canceled the order for Tremfya, claiming it needs prior authorization. After prior authorization was issued, they canceled the order because they needed to verify the dosage with the doctor even though their system will not accept an order from the doctor without the dosage or directions. After my doctor contacted them for verification, they said on the phone that everything was OK with the order. Now they say they need prior authorization again. This has been going on for 3 months. CVS Caremark will do anything, not to fill this order. My advice is, if you have a choice, go elsewhere.

You guys suck!!! I have autism, and your insurance doesn’t cover my prescription called Aptensio XR 60 mg medicine. I can’t function or make it through the day without taking this medicine. I have been on this medication for the past 3 years, and it really helps me. You are really putting people in real bad situation by not covering this medication. You are setting people up for failure by not covering this medication. I’m really disappointed and dissatisfied with your services!!!

15 years with this company...don't have a choice. 15 years of CHRONIC mistakes. They will suck your time as you try to sort out their problems. Hands down, the most incompetent company in this country. Unsure how they are still in business. Of course, this is the company the government contracts with. There is no end to their mistakes. Even if you plan for them, they STILL get it wrong. I want Medco!!!

This is the worst prescription insurance!!!! If you are considering an employer with this insurance…. RUN!!! And CVS retail is just as bad!!! Understaffed because the corporate wants to work the staff like dogs and not hire anyone and expect them to work days off and lunch breaks so they do not have to close the pharmacy!!! And no I’m not an ex-employee of cvs but a consumer member!!!

Working with CVS Caremark is like dealing with a monopolistic offshored bureaucracy machine. They canceled one of my prescriptions in July with no notice. I've had to go back and forth with them, my doctor and the pharmacy to get a replacement. Their goal is to wear you down and starve you until you die. They're the Comcast of pharmacies. They are the AT&T of "health care". They also prohibit me from getting my Rx from my local specialist pharmacy because it's not in my plan - but I have no choice to buy that option. Heartless. Soulless. If you've worked with them you understand why "you know what".

I ordered a 90 day supply of eye drops. Should be 3 bottles per manufacturers specification. And I was receiving 1 bottle per month elsewhere. When my ‘90’ day supply came it was 2 bottles. That was never related to me previously before ordering. They gave me about 5 different excuses why they considered 2 bottles a 90 day supply. They refused to send a partial refund or to send the 3rd bottle. Definitely scammy. I ordered over the phone as the website was acting up.

I fail to see how the new policy, as explained to me by the San Pedro store manager, of ELIMINATING ALL SHAVING SUPPLIES, is in any way conducive to helping the consumer or making CVS Caremark a solid, reputable company! Rather than extending open arms to the recently displaced Rite-Aid consumers, CVS has decided to double **-slap them by eliminating multiple core products!! I hope your stores burn to the ground!

This sad excuse needs to be put out of business. Absolutely disgusting. Let's all do our part and get away from them if at all possible. They don't understand how to do business. Too many people in jobs that they don't belong in.

It’s pretty shameful when a prescription insurance stops covering the medication that works for you and wants to substitute with one you’ve already tried and that doesn’t work. I sincerely hope my doctor can get them to change their mind but it doesn’t look hopeful.

Been trying to get on 90 day prescription which is $95.00 vs $45 for a month at pharmacy. After having to call them and getting 30 day supply cancelled, they told me that they were resubmitting prescription for 90 days. After thinking everything was good to go, I received a 30 day supply at a charge of $95. After 45 minutes on the phone with them, I was unable to resolve anything. What a joke. They must think people are stupid. I can't believe that they can't at least just charge me the 30 day price of $45 that a pharmacy would charge.

Pretty sad when they receive new prescriptions and mark them as processed and NEVER processed the order. They simply refused to investigate and told me I already received the prescription. LIARS! It took my insurance company a lot of time to get them to figure out the error. I'm already out of my meds due to their incompetence and there is no compensation or willingness to make up for their major error. Local pharmacies don't carry the meds so they have to be ordered, leaving me without my meds for multiple days. I HATE CVS!!!

Caremark is the Joke of Jokes when it comes to Prescriptions! I am a Type 1 Diabetic and doctor wanted me to start a pump, but Shocker, Caremark decided to Authorize the Pump, but not the CGM that goes with it! How do you do that to a T1 Diabetic, where Sugar control is a Must! You should be Ashamed! I would give it a 0 if possible!

Website is a mess, you can't get any errors corrected, lots of duplication of information, meds displayed 'inactive' when they're not, also displayed as active when they're not. A real mess. Steer clear if you can.

Totally useless. Item Not covered. Told to go to pharmacy. Pharmacy sold over the counter Except prescription gets refilled by mail but still need syringe. No physical store near me has them. Then told today that my provider should call prescription into physical store and cost would be about .45. So they rip me off first go round Then tell me to send prescription to an outlet that doesn’t have them.

Todays call was very helpful. Usually they are either not helpful or incorrect. The latest incident was incorrect messages saying the Dr. Had to renew prescription. Which was refilled this month with one refill remaining. On Caremark.com it said it could bot be refilled and to call the zdr. We still have a refill scheduled for 9/14. Bad information on website has occurred before.

I have been on Zepbound for six months. I am feeling amazing. My high blood pressure is closer to normal. Cholesterol is lower. I can tie my shoes, My knees don’t bother me. I’m drinking way less alcohol. I’m saving the insurance company tons of money by not needing knee replacements or having a heart attack or stroke. They are making me switch to Wegovy that isn’t the same drug. I have had no bad side effects. It has not been about the weight loss or looking better. I’m 63 and have tried all the diets and exercise programs. This has worked. I’m hoping my doctor will submit an appeal after my first one was denied in less than three days; but they are overwhelmed with this. My doctor had the choice and chose Zepbound for a reason.

I tried to fill my medication and the Pharmacist refused to fill my prescription that I take for years because of a prior authorization from CVS Caremark. I had CVS caremark from another job and I never had problems getting my prescription. It's terrible that I'm going thru this. It was so frustrating that offered to pay the prescription out-of-pocket and the pharmacist refused to fill it. It is a serious problem. I had another insurance before and this never happened with them. This CVS caremark is useless. It creates a unnecessary red tape for customer. It's extremely inconvenient.

No happy with CVS Caremark. In June, said my prescription wasn't covered. Then sent me a letter saying my prescription was covered. Now August, they are rejecting my prescription mid refills. What am I supposed to do? Pay out of pocket or just risk the withdrawal symptoms/negative health risks. Thanks big pharma.

8/15/25: My eldest mother who is on disability and takes many medications had a terrible experience with your insurance. Your policy prior authorization sucks and needs work. You need new workers who to review prescriptions, and have common sense, communication skills. My mom is really frustrated with your dumb stupid insurance that clearly needs work, Go get a new insurance that will meet your needs.

Use a credit card to be able to dispute charges from CVS Caremark. They approved the necessity for me to have brand name following my doctor sending requirement but my doctor (a neurosurgeon) now has to call them for a "tier" exception so I, who is not able to reach a therapeutic level on generic, can pay the lower price. Penalizing me for drug differentials and wasting a doctor's time. Considering ordering from Canada.

Their website is a mess. They frequently hold up authorized prescription refills and I have to get the doctors involved to help fix the problems. If possible go somewhere else to get your prescriptions filled!

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 does not care about their clients, I work overtime daily at a hospital and cannot get to a CVS pharmacy to fill my life-saving medications, and they have now blocked my ability to fill them at my hospital pharmacy. They only care about their bottom line and forcing people in need to go without medications just so they can squeeze every last penny.

To the company that screwed me over for $1,330! Thanks for telling me something was covered by my policy and that if I paid for the first round of shots that I would meet my deductible. So the next shots would be cheaper…. Thanks for nothing since that was a lie. Come to find out after 1 1/2 hours on the phone a second time trying to find out why my deductible wasn’t met I was told it was in fact not covered by the same people. After spending $1,330 on a series of shots that if I wanted to continue that I would have to pay full price. The only response given to me was “sorry”. Even though they were the ones that lied about it. I guess next time I’ll just toss my money in the trash when they open their mouth. Would be cheaper.

Total incompetence. I am considering switching employers just so I do not have to deal with Caremark. They changed their formulary and then you have to jump through hoops to get a prescription covered, I have had to contact my doctor at least 10 times in the past two weeks and have them fill out the appropriate papers. Companies suggested another prescription close to their formulary but there are restrictions with that not that the representative told me so I had to call my doctor back after my doctor put in for the other prescription. It's just that this company is so money focused.

This is the country's worst health care company!! They abruptly stopped covering my medication then asked me to switch to another medication then denied me that one also. They make it as hard as they can to get ahold of them through their website phones etc. My company uses them and I have no choice. They truly don't care about you just profits. So glad they a can kill me slowly and make money.

I just went through my normal process of getting my son ready for a new school year. This includes getting updated Epi Pens since he has severe allergies (Severe Tree Nut allergy, sesame seeds, Egg, Grass and a few others). So imagine my surprise when CVS Caremark denied it requiring a preauth. I was already unhappy with them because of the issues with denial and preauth requirement to continue to receive Zepbound even though it helped reverse pre diabetes. I was prewarned on this from someone else that said they went through the same thing. I am at the point of legal action because to treat people like this should be illegal.

This is the worst company in the US. They’re trying to hurt people over money, this company should be investigated for corruption. Please all customers please help close this company down!!! Let your voice be heard.

I've been on Zepbound for several months and lost 50lbs. Then went I went to refill my prescription I found out insurance was denying it. I called in to find out that it's no longer on their preferred list of drugs and was replaced by Wegovy. My doctor has submitted a PA twice because I was told by a rep that I should go through. WRONG. So now I'm paying out of pocket for it instead of switching to something that I have to start over on along with more listed side effects. Best part is I received this decision in the mail on the 17th when the change took place on the first. ** CVS Caremark. Typical greedy company.

If I could give less than 1 star I would. Caremark has to be the worst (if not just top 3) prescription benefits companies around. First you HAVE to use CVS pharmacies who are notoriously horrible. Then you get the prior authorization (FOR MEDICINE YOU'VE BEEN ON FOR YEARS) only to be denied - go through their appeals process for months and have to go without your medicine. My husband has had this happen with 2 critical medicines. Then I have to have labs done every 30 days for a condition and they won't fill a prescription that usually changes except for a 90 day prescription. They think they know better than the physicians treating you and that is apparent on some of the reasons for denials of medication and the treatment you get from their representatives. I would seriously consider changing jobs just to not have to use Caremark.

The process to get specialty pharmacy drug is ridiculous, I had to call in today to push the process along, it’s been weeks going back and forth between the doc, the drug manufacturer and cvs Caremark. They told me they couldn’t expedite the order because it’s my first time getting the drug. So now the drug is not going to be shipped for 8 more days. I hate that I am forced to used them, why couldn’t I just go through my normal pharmacy!

Patients should not be forced to switch medications that are working well simply because of corporate contracts. These decisions should be made by doctors, not PBMs. Caremark most recently made this decision around Zepbound but have done it with other medications before this. Please put patients before profits.

I was shocked to be told by a Caremark representative that members are not allowed to receive any information about prior authorization criteria for a medication. This is completely unacceptable. As a patient, I have the right to understand what is required for coverage in order to work with my provider and avoid unnecessary delays in care. Withholding that information is not only unhelpful—it borders on obstruction. No healthcare system should operate behind a wall of secrecy when patients’ health and treatment timelines are at stake.

If I were an employer who wanted to maintain my employees, at least the good ones, I would not use CVS Caremark for the pharmacy provider. They are acting like they are the doctor and choosing which medication they want you to take rather than allow the medical doctor to decide. This should be illegal. This is about money only. They do not have the best interest of the patient as their priority. Awful.

I just switched insurance companies upon my retirement, and as of July 1, 2025, CVS Caremark is now my pharmacy. For the last two weeks, I have been getting the runaround from them in trying to get a prior authorization for one of my prescriptions. My doctor has sent the information, called them twice, and CVS still tells me that they have received no information from the doctor's office. Lying does not seem like a great business practice, especially in the health care field. I feel helpless as well as frustrated that I cannot continue taking my medication as prescribed by my doctor. It seems like they might want to take the "care" out of their name.

CVS Caremark's decision to remove Zepbound from their formulary has had a profoundly negative impact on my health, particularly as it was instrumental in managing my severe obstructive sleep apnea, rheumatoid arthritis, and weight loss of 65 pounds in just three months. While Wegovy worsened my physical and mental health, my doctor provided a medical letter of necessity for Zepbound, yet my request was still denied, and even a suggested alternative, Mounjaro, was also refused. It's disheartening and concerning that decisions about medication approvals are being made by physicians unfamiliar with my case, raising questions about the oversight and ethical standards—didn't they take an oath to prioritize patient well-being? This blanket denial undermines personalized care and leaves patients like me feeling abandoned and frustrated.

I am so disgusted that my employer switched from Express Scripts to Caremark. Express Scripts was so much better. I guess they save money with Caremark making it so hard to get meds covered or not covering them at all. Also poor customer service.

If I could leave a less than 1 star review I would. The ONLY reason we switched insurance was for me to receive Zepbound and it has been a fight since day 1. It's bad enough the continue to move the goal post at every turn - but that coupled with how GOD AWFUL their employees are is a double negative. I do not understand why ANYONE on god's green earth would ever want to deal with these people. They have to be the rudest call center workers to step foot on earth. They act like they're beyond inconvenienced every time. You took a call center job! What do you expect! I just got off my 4th phone call on the month with them because again what I was told July 1 is now void. I've received NO NOTIFICATION of my plan coverage changing and yet they're surprised I'm calling upset. Whatever you do, avoid CVS Caremark AT ALL COSTS.

If I could give zero stars, I would. I don't understand how a company like this thinks it's better than the doctors who prescribe our medicine. I've lost 25lbs on Zepbound in the last three months, and it is also helping manage my HS. Today, my refill was denied, and the option I was given was Wegovy, which made me ill physically and mentally. I was told there was no path forward for getting my Zepbound refilled, even with a PA.

The only reason I changed insurance providers was for Zepbound prescription coverage. Caremark provided it for the first few months, then removed it from their approved medications list...UNLESS you have already have an existing prescription, or exhausted using similar medicines, like Wegovy (I previously was on Ozempic, then Wegovy and it was no longer effective so I switched). After my doctor's office had filled out and submitted the required paperwork several times, they have denied me because I haven't tried the alternative medications.

Holy smokes is it a pain to get mail order set up, and it is required for my insurance to cover prescription costs. I have now had to set up 2 medications for mail order, and despite providing CVS all info they needed to contact my provider, I still had to reach out to my provider both times to get it set up. VERY little instruction is given for how to set up mail order. I basically got a letter that said "you need to set up mail order go online and do it". So I had my Dr. prescribe to a pharmacy with mail order service. Well apparently, that was wrong, so I paid full price for those meds. I tried again poking around the website and finally found where to request a mail order prescription. Filled out everything requested including my Dr. contact info. CVS "attempted" to contact my provider but was unsuccessful and eventually asked me to get a hold of them for them.

Absolute worst company I have ever been forced to deal with. Express Scripts blows these fools out of the water. Every aspect is abysmal: coverage, communication, customer service, ease of even accessing customer service. I won't order meds through them. Awful. Awful. They should be thrown out of business.

CVS is the PBM for State Farm. Have been seeing more and more meds take off covered list or impossible hoops to jump through. Clearly they only care about making money no matter who gets pushed aside. Looking at these reviews, I see I am not alone.

CVS Caremark has denied both a generic and brand name antidepressant several times. First the said I need to try the generic version which I did, but I failed it. So my dr requested the brand name. They keep denying the brand name. They claim they don’t have my drs info which is BULL! My dr has sent it numerous times and they keep denying it.

CVS Caremark customer service is terrible with communication. Was told by multiple support people multiple times my medication would be covered, only to find out it was denied. After speaking with management, I learned the support staff were not telling me the right info. Very misleading workers. They don't care. Absolutely terrible company.

So with only a 2-month notice, CVS Caremark decided to take my medicine off the formulary list without reason. They gave me an option on a substitute which isn't even close to what I took. When you call their customer service, they're very vague and don't want to really discuss why. Because of this, I'll never step foot in a CVS store again and unfortunately, my RX insurance goes through CVS Caremark otherwise, I wouldn't deal with them ever again!

CVS Caremark is putting my health at serious risk – denying life-changing medication without valid reason. I’ve been using Zepbound (tirzepatide) for the past two months under the supervision of my doctor. I have completed 8 weekly injections, lost 15 pounds, and seen over 90% improvement in my severe sleep apnea. My quality of life has drastically improved. Yet, CVS Caremark has denied my prior authorization for continued use of Zepbound. They also denied substitution with Mounjaro, even though it’s the same medication. Despite my doctor submitting a letter of medical necessity and a full appeal, I’ve been left in limbo. This is unacceptable. Caremark is ignoring medical evidence and patient well-being. I’m not alone — thousands of patients are being affected by sudden policy changes, with no transparency or proper communication. Caremark needs to be held accountable for putting profits over patients. Shame!

CVS Caremark is the pharmacy provider for the Blue Cross/Federal Employee Plan. As they are my children's secondary insurance, I am forced to send a snail mail paper claim for the secondary insurance. My son's critical meds co-pay is $1,700. I have to pay it upfront and then mail so they can "run" the claim and pay their portion. The plan will not do a coordination of benefits with the primary insurance. Is it 2025? I can't even email of fax the claims. I am very dissatisfied with their archaic process.

Being an Aetna member, CVS is kind of 'shoved' on you. The $75 quarterly credit for OTC supplies is a joke. My husband and I have both ordered 3 times each now - we have yet to receive what we order. Each time substitutions have been made (CVS brands for national), quantities have been incorrect twice (yet they keep the credit!), and good luck trying to use it in a store. I've gone to the website 3x at least to try to figure it out, and stopped at 3 stores - none of which knew how to make it work. OH and the number they publish to contact them - 888-628-2770 - is an auto attendant that no matter what you do, press, or say, you cannot talk to an individual. You can order, reorder, check your account balance....but apparently they want no complaints or feedback.

They have overfilled on prescriptions not selected for automatic renewal while causing me to run out of other critical medications needed (and that were requested for refill). I have tried to rectify this on several occasions over the phone to no avail. Accountability in making the same mistakes and not solving the program (a lack in customer service) is their main problem.

My experience with Caremark Medicare Plan D was initially good starting in 2012. However their operations and customer service deteriorated greatly over at least the past year. They inexplicably cancelled two prescriptions that both had remaining refills without notification. When my physician sent a new 90 day prescription they cancelled it because he sent a 10-day prescription to a local pharmacy to tide me over until the Caremark order arrived. They told me I should go buy what I needed out of pocket. There is more, these are examples. Customer service is abysmal. Representatives do not have knowledge of the Caremark system and repeatedly tell me things that are not true. I finally found a higher-up who actually told me that many of the reps don't know what they are doing (my words). If you have a choice, stay far away from Caremark. I'll be changing at next enrollment period.

I have been using ** for about 3 months now after switching from ** which was no longer effective in weight loss. After receiving a letter from CVS Caremark telling me that effective July 1, 2025 that I would have to switch to **, but that my doctor could submit a prior authorization request. My doctor explained that ** was no longer effective, and that ** was much more effective in weight loss to address my sleep apnea. My doctor sent in 2 prior authorization requests and in less than 24 hours they were denied. So what does that say about CVS Caremark??? I hope that my employer decides to switch to a different pharmaceutical provider, because it is apparent that CVS Caremark is all about the bottom line. All of my prescriptions that have a generic counterpart they fill with no issues. However, my only prescription that does not have a generic version they first approved and now they don't.

After getting a certain medication for 6 years. The refill required prescriber to get authorization. Which they did. Only to have CVS Caremark deny coverage. The same med they have filled for 6 years?

My doctor requested two refills for mail delivery five days ago, but CVS still hasn’t processed them. I recall having the same issue in the past. I imagine this service is only convenient if medication refills are ordered well in advance.

CVS Caremark dropped me from a medication without any warning, no heads-up, no explanation — nothing. Just gone. This was a critical prescription, and they didn’t even have the decency to tell me they were doing it. I had to find out the hard way. I pay a ridiculous amount for insurance, and this is how I’m treated? This isn’t just bad service — it’s dangerous and completely careless. People rely on these medications. You can’t just cut someone off like that and expect them to figure it out on their own. They clearly don’t care about their patients, only profits. I honestly hope they’ll get karma. They are beyond shameful.

I have been forced to use CVS Caremark as my "prescription provider", I am using that term loosely and generously, for many years now because of my insurance. If you are taking maintenance medications, like cholesterol, blood pressure or other cheap generic maintenance medications Caremark is okay. Pretty much any medicine that is newer or has a patent still associated with it, making it more expensive, they aren't going to cover it. Your physician can contact them for authorization or an exemption, it's going to be denied, even if your physician has tried medication for you on Caremark's approved formulary list and they didn't work or there was side effects.

Have had coverage by CVS from two jobs. They do not cover any prescriptions needed for cancer survivors. They have denied coverage request by my doctor. They also approved one request and canceled it again after filling the prescription once. They offered alternatives that my doctor said cause other side effects such as cancer. If you can get coverage elsewhere this company only care about their profit. Sound familiar. I work for a huge company who they must make millions off of but yet they cover shit. Shame on them. Nothing good to say but can't say enough how much they suck. Good luck if they have monopolized your coverage as well.

Having meds come to your door by mail is great! But it would be important to have someone that is qualified filling prescriptions, and making sure you get what you need. If the label on the bottle says 450mg and the prescription only includes 300mg pills, wouldn't you as a "Dr. Of pharmacy" send a note to the provider saying "hey this doesn't add up"? Is there any accountability to this system? Aren't pharmacists suppose to communicate with prescribers when there is something that could be suspect? I realize there are probably millions of prescriptions flowing through this place, but that is not an excuse. CVS Caremark needs to take a little responsibility for the pharmacist's work, and hire more, or crack the whip on the delinquents!

Since taking over pharma administration for Clover Health they have been a total, inefficient, unprofessional total fiasco - unresponsive to customer needs - expedited authorizations take weeks - requiring authorization on tier 1 generics is a joke.

We have had nothing but problems with CVS Caremark. Unfortunately our insurance forces us to use them or we would have stopped years ago. If meds are lost in the mail they make you wait to replace them and they lose them in the mail frequently. 9 times out of ten prescriptions called in simply don't go through and have to be sent in again. Terrible company , don't recommend at all.

Incredibly disappointing. As an individual with intractable Epilepsy I require name brand. My doctor just wrote a letter in December 2024 - they don't notify that they want another - just send me generic which is significant to my disorder. The cost difference for 90 days is $120 for Dilantin which my grandfather took in the 1930s! Like another I feel like they hold me hostage.

I have decided that CVS Caremark only cares about the bottom dollar. I have had nothing but problems trying to get my prescription covered for one reason or another. I get the runaround on so many different fronts and it’s very frustrating. It is very obvious that they only care about the bottom dollar not patient care, not patient satisfaction, just money. It is very sad that this is what our insurance has come to.

3 to 4 years, no less than 40 prescriptions over a week late beyond the 30-day prescription. Complete garbage to both doctors and customers. Refuse to actually communicate unless you call and over an hour every time. Have absolutely no interest in anything but money, i.e. the ability to take your medication on a daily basis that they have a valid prescription for multiple weeks that is covered by ones own insurance. Pics are of only one year of complaints.

This company is the absolute worse to deal with. Every time a prior authorization is submitted they claim they did not get the information. No matter how many times you resend. It never fails. Going to complain to my union to beg them to switch to another PBM.

Terrible company. Prices are inflated. They do not fill prescriptions. Their customer service is a joke. Virtual assistant is awful. Phone you would need to wait on hold for hours. Complete trash service.

This is the worst excuse for prescription coverage we have ever had to endure. Most of the time, we end up using a Good RX discount code. I think CVS Caremark should be charged with fraud for the premiums they collect and the lack of coverage they provide. Maybe someone will go after their CEO next.

Cannot get prior auth on a prescription. Have been waiting 5 days. Called CVS Caremark twice. Got 2 different stories. First rep blamed the Dr for not sending everything in which was not true. 2nd lady said it looked good but they will ot release a prior auth without 72 pending business hours. It is RIDICULOUS these companies get to do whatever they want while we pay in an arm and a leg with no say so. Do not use if you can avoid.

It is of the utmost importance for an epileptic to get his/her antiepileptic medication seamlessly and not bite nails and cry when it is time for the next refill which has been happened at CVS at McMullen Booth several times. Please tell me why the medicine can only be refilled 1 day before the patients/customer runs out. Not acceptable when the prescription is in their system. Process failure is recognized here making people upset and stressing them out. It is on autofill or not on autorefill. Both times does not matter.

I’ve had a frustrating experience with Caremark. They have repeatedly failed to cover my medically necessary prescriptions. Even after the prior authorization was completed, it was denied almost immediately with little to no explanation. The website and app are difficult to navigate, and getting in touch with a representative takes an unreasonable amount of time. Overall, the process has been stressful and disappointing.

Have been going back and forth for reimbursement of medications with this God awful, greedy, unhelpful company. You have to be an insurance expert on all matters before trying to work and navigate through them. They find any way to not reimburse you.

I talked to Solina about very complex question and she did absolutely wonderful. She explained things thoroughly and clearly. And was very careful to keep on the company motive. She had a wonderful sales persona and I left the call with large weights lifted off my shoulder. Absolutely wonderful experience. I frankly believe that the one star rating this company carriers is unjust. If any of the employees were half as exceptional as her I swear it'd be 5 stars.