Caremark Forms 2011

The Prescription Drug Listing/Formulary and Prior Authorization & Dispensing Limitation List- Dose Optimization List have been updated for 2011.

Please see the attached forms for complete information:

Employer letter, employee letter (with instructions how to access these forms online), Prior Auth/Limits Form (NP859), Formulary (1099) and Formulary TX (NP1583).

Mail Date: 12-08-10

Accounts: Accounts with medical

• Caremark 2011 Employer Letter
• Caremark 2011 Employee Letter
• 2011 RX Dispensing Limitation List, Prior Authorization, and Dose Optimization List
• 2011 RX Drug Listing Formulary
• 2011 RX Drug Listing Formulary TX