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Member Form Overview

Forms
In order to view the CVS Caremark forms you need to download the Adobe Acrobat Reader plugin. After installing Acrobat Reader, print the form you need, fill out the desired information, and follow the instructions on the form.

Direct Member Reimbursement - To obtain reimbursement for a prescription which was purchased without the use of your prescription card, please print this form, include your receipts and mail it to CVS Caremark at the address noted on the bottom of the form.

Authorization to Use/Disclose Protected Health Information

Designation of Personal Representative

Caremark Mail Service Confidential Communications Form

 

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