CVS Caremark Standard Clinical Criteria
Choose a tab to select Clinical Criteria or Exceptions.
Clinical Criteria
Select the starting letter of the medication or condition to find the desired form. Drug coverage is dependent on member’s plan and formulary.
C
D
F
H
I
J
K
L
M
N
O
P
S
T
U
Y
Exceptions
Select the starting letter of the medication or condition to find the desired form. Drug coverage is dependent on member’s plan and formulary.
A
B
C
D
E
F
G
H
I
J
K
L
N
O
Q
R
S
T
U
V
W
X
Y
Z
NOTE: Drug coverage and prior authorization requirements are dependent on member’s plan and formulary. Please refer to the members pharmacy benefit materials for full list of formulary and prior authorization requirements.