Please see the document below regarding a recent action of the Board and the ability to file appeals with CVS Caremark for certain claims outside the normal appeal window.
Additionally, the "Sample Claim Appeal Report" may be utilized by those Mississippi pharmacies that choose to file a Claim Appeal Report with CVS Caremark rather than filing an appeal for every claim believed to be reimbursed below the pharmacy acquisition cost. If utilizing the report option, you must file the report before May 24, 2025.
For more detailed information, please review our April 24th Edition Newsletter.