Tip: Using CareMark data

Number	0146
Submitting Entity (SE)	99CAR1
Add Date	Jan 17, 2024
Update Date
Update	Included in January 2024 data tips email
Description	Though Caremark is considered a pharmacy benefits manager, it is possible that in some instances it can participate like a fully insured plan not as a PBM. At this time, there is no indicator in the claims or member data to make this distinction. Redefined field - ME001_CAT (PAYER_TYPE)
Active/Resolved	Active
Action / Resolution
Category 1	PBM
Category 2	Pharmacy
Tip / Issue	Tip

Support: APCD Data Requests