Provider Alert: Caremark Trimester 1 Reports of Year 2022 Are Now Available

Pharmacy benefits manager (PBM) Caremark has now placed Trimester 1 Reports for year 2022 in the Caremark Provider Portal.  Caremark provides its summaries of Direct and Indirect Remuneration (DIR) Fees paid by participating pharmacy providers for its Medicare Part D networks, as well as performance findings, in these “trimester reports.”  The most recent trimester reports, including Trimester 1 of 2022, are now available to providers to download from the Caremark Provider Portal.  It is very important for providers to review their trimester reports and their contracts with Caremark to understand the amount of time providers have from receipt of the trimester reports to dispute the performance findings depicted in the trimester reports.  Successfully disputing the performance findings during time allowed under Caremark’s contract could result in recovering substantial dollars improperly withheld by Caremark.

How Frier Levitt Can Help

If you are having difficulty retrieving these reports or would like a confidential review of your trimester reports, Frier Levitt can help.  Following our review, we can schedule a call to explain our analysis and propose a tailored plan of action to recover improperly assessed DIR fees and work toward improving prospective reimbursement.  If you would like to schedule a complimentary call to discuss DIR Fees, contact us today to speak to an attorney.