Caremark Medicare PA process

What Steps Are Involved in Getting Prior Authorization for Vancomycin HCL with Caremark Medicare?

Insurance Company and Medication Overview: When dealing with an infection that just doesn’t respond to the usual treatments, Vancomycin HCL is often a go-to antibiotic for many healthcare providers. But, like with most high-powered medications, getting it approved under insurance can be a bit of a journey—especially with Medicare plans through Caremark. For cases where patients haven’t responded well to the usual options or formulary antibiotics, Caremark Medicare typically requires a prior authorization (PA) to make sure Vancomycin is necessary