CVS Caremark
Managing your prescription plan to ensure access to affordable medication.
Overview
CVS Caremark is a leading PBM that manages prescription drug benefits for employers, health insurance carriers, and other health plan sponsors. Its services include formulary management, claims processing, a national network of retail pharmacies (including its own CVS Pharmacy stores), specialty pharmacy, and mail service pharmacy. The company focuses on controlling drug costs while improving health outcomes for its members.
✨ Key Features
- Formulary Management
- Retail Pharmacy Network
- Mail Order Pharmacy
- Specialty Pharmacy
- Clinical Programs and Utilization Management
- Rebate Negotiation
🎯 Key Differentiators
- Vertically integrated with retail pharmacies (CVS Pharmacy) and a major health insurer (Aetna)
- Data-driven formulary management and claim adjudication
- Focus on a comprehensive, connected healthcare experience
Unique Value: Offers a vertically integrated approach to pharmacy benefits, combining the scale of a top-tier PBM with the assets of a national retail pharmacy and a major health insurer to manage total healthcare costs and improve member access and outcomes.
🎯 Use Cases (3)
✅ Best For
- Operating as the PBM for tens of millions of people in the U.S.
💡 Check With Vendor
Verify these considerations match your specific requirements:
- A software tool for individual prescribers to manage formularies.
🏆 Alternatives
Its integration with retail and insurance provides unique opportunities for care coordination and data insights that standalone PBMs cannot offer.
💻 Platforms
🔌 Integrations
🛟 Support Options
- ✓ Email Support
- ✓ Phone Support
- ✓ Dedicated Support (Client tier)
🔒 Compliance & Security
💰 Pricing
Free tier: NA
🔄 Similar Tools in Formulary Management
CoverMyMeds
Provides electronic prior authorization (ePA) solutions to connect providers, pharmacists, and payer...
FDB (First Databank)
Provides integrated drug databases and clinical decision support solutions for healthcare systems....
Wolters Kluwer - Medi-Span
Provides drug databases and clinical screening solutions for healthcare systems and payers....
Arrive Health
Delivers real-time cost and coverage data into clinical workflows to improve medication affordabilit...
Optum Rx
A major Pharmacy Benefit Manager (PBM) offering comprehensive pharmacy care services, including form...
Express Scripts
A leading Pharmacy Benefit Manager (PBM), part of Cigna, that provides comprehensive pharmacy benefi...