Please find the enclosed Network Enrollment Form, effective January 1, 2019, for the following network:

  • Medicare Part D Retail Network 96

The Network Enrollment Form is included on page two of this notification. The Network Enrollment Form will apply to all Covered Items as indicated by a Plan’s dispensing limitations for all its plan members.

If you would like to be enrolled in Medicare Part D Retail Network 96 under the terms detailed in the attached Network Enrollment Form, complete the form and submit to CVS Caremark® no later than April 9, 2018.

*Please see attached for more information.