© GetHuman Inc.

How do I handle a prescription not covered by my insurance?

Asked 4 months ago
When a prescription is not covered by insurance, it can be quite frustrating. First, it is important to check the specific details of your plan to confirm that the medication is indeed not covered. This information can usually be found by reviewing the formulary, which is a list of medications covered under your insurance plan. If you do not have access to your formulary, the Caremark website may have resources to assist you in locating this information. If the medication is confirmed to be excluded from your coverage, you may want to consider a few alternatives. One option is to consult with your prescribing healthcare provider. They may be able to recommend a different medication that is covered by your plan or suggest an alternative treatment plan. Additionally, sometimes a prior authorization process may allow your doctor to appeal the decision and request coverage for the prescribed medication. Discussing this with your healthcare provider can be beneficial. Furthermore, if cost is a concern, inquire about generic options or discount programs. Many pharmacies offer discount cards that may lower your out-of-pocket costs. Finally, for more personalized assistance regarding your specific plan and options available to you, it is advisable to visit the relevant section on the Caremark website for additional guidance and support on prescription coverage.
Answered Jul 21st 2025

Need further help?

Type out your followup or related question and we will get you an answer right away.

Similar Questions

Ask a Question All Caremark Questions

Need to call Caremark?

If you need to call Caremark customer service, now that you have the answers that you needed, click the button below. You can either call them on your phone or use our free AI-powered phone to dial for you, get a rep for you, and more.
Call Caremark

Caremark

Find a list of many popular Caremark questions with answers or step by step guides on our FAQ page below. Or ask a whole new question and get an answer right away.
Call Caremark Caremark Customer Service FAQAsk a Question
Was this page helpful?YesNeeds work
Sharing is what powers GetHuman's free customer service contact information and tools. You can help!