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CareSource PASSE pays for all medically necessary, CMS participating, Medicaid-covered FDA-approved products on the Preferred Drug List (PDL) at many pharmacies. The list shows the most common drugs covered. These are the drugs we prefer your provider to prescribe.
Most specialty drugs require a prior authorization before you can get it. Prior authorization may be needed if:
- There is a generic or alternate over-the-counter drug.
- The drug can be misused or abused.
- There are other drugs that must be tried first.
Specialty drugs must also be filled at a specialty pharmacy. Some drugs have limits on how much can be given at once. Talk with your provider about prior authorization and if any of your medications will need it. Talk to your care coordinator or call Member Services if you have any questions.
Member Services: 1-833-230-2005 (TDD/TTY: 711) Monday through Friday, 8 a.m. – 5 p.m. CT