...Member Exception Request Form – Use this online form to ask for an exception to a drug listed on the CareSource Marketplace Drug Formulary Internal Appeal Request Form – Use...

...is not on the plan’s formulary. Asking us to waive restriction on the plan’s coverage for a drug (such as limits on the amount of the drug you can get)....

...711), 8 a.m. to 8 p.m., Monday – Friday. Grievances A grievance is any dispute (other than one involving a coverage determination or an organization determination) that expresses dissatisfaction with...