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Pharmacy Policies and Procedures

Member Eligibility

Medica Member eligibility will be verified through the CVS Caremark claim processing system. You may also verify eligibility by calling:

• CVS Caremark Pharmacist Help Desk at 1-800-364-6331
• Part D CVS Caremark Pharmacist Help Desk at 1-866-693-4620
• Medica Provider Service Center at 1-800-458-5512

Under no circumstances should a Member whose eligibility has been verified, be denied a Pharmaceutical Service (subject to Pharmacy's professional judgement), or be asked to pay more than is due under the terms of the Pharmacy Participation Agreement with Medica.

Date: 11/30/2021 3:53:09 AM Version: 4.0.30319.42000 Machine Name: PWIM4-CDWEB01