2026 CODAC Benefit Summaries and Carrier Flyers

PBM DATA SHEET The Following is important information regarding the Pharmacy Benefit Manager (the "PBM") and how you can access information and benefits under the Rx Plan.

Pharmacy Benefit Manager ("PBM"): PBM Main Telephone Number:

CVS Caremark

1 (800) 552-8159 www.Caremark.com

PBM Main Website:

PBM Paper Claim Submission Address: PBM Mail Order Address: PBM Mail Order Telephone Number: PBM Appeals Mailing Address: PBM Appeals Fax Number: PBM Appeals Electronic Mail Address: PBM Urgent Appeals (contact): PBM Formulary Website Link: PBM Other Important Links:

CVS Caremark, PO Box 659541, San Antonio, TX 78265-9541

CVS Caremark, PO Box 659541, San Antonio, TX 78265-9541

(888) 202-1654

Non Specialty: CVS Caremark, Inc., Appeals Department, MC109, PO Box 52084, Phoenix, AZ 85072-2084 ---- Specialty: CVS Caremark Specialty Appeals Department, 800 Biermann Court, Mount Prospect, IL 60056

(866) 443-1172

appeals.commercial@cvshealth.com

Call CVS Customer Care at 1 (800) 552-8159 Login to your account at www.caremark.com CVS Specialty Pharmacy: www.cvsspecialty.com Additional Customer Care Phone Number: (833) 844-5639

PBM Other Information:

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CIDN:199534