Drug Formulary

CareSource PASSE™ follows Arkansas Medicaid’s evidence-based Prescription Drug Program, Preferred Drug List (PDL) and Prior Authorization Criteria.

  • Search Tips: To access the downloadable Preferred Drug List and Prior Authorization Criteria documents, click on the link, then choose Resources > Provider Documents > Evidence Based Preferred Drug List.

Additionally, CareSource PASSE covers the over the counter (OTC) medications listed in Arkansas Medicaid’s covered OTC list.

Additional information on pharmacy claim submission and prior authorization is available on the Pharmacy page.

Drug Formulary Changes

Each quarter, there may be changes to the PDL. You can check the list of drug formulary changes to see if any of these changes affect the medications you prescribe.