Pharmacy
CareSource covers all medically necessary Medicaid-covered medications. We use a Preferred Drug List (PDL). These are the drugs we would like your provider to choose. The list can change. Check it when you need to fill or refill a drug.
Preferred Drug Lists
•
Georgia Medicaid and PeachCare for Kids®
•
Planning for Healthy Babies® (P4HB) Family Planning
•
P4HB Inter-Pregnancy Care (IPC)
•
OTC PDL
Many Georgia Medicaid members pay a small part of their health care costs. This is called a copayment or copay. Preferred drugs have a $0.50 copay. Non-preferred drugs are cost-based. Learn more about cost-based copays.
Bring your member ID card to the pharmacy. Be sure to fill your prescriptions before you travel out of state.
Ask Your CareSource Pharmacist
Do you have questions about your medications? Talk to a CareSource pharmacist! You do not need an appointment. Call 1-833-230-2073 (TTY: 711) to speak with a pharmacist today. We are open Monday through Friday, 8 a.m. to 5 p.m.
Prior Authorization
Some prescriptions may need a prior authorization (PA). This means that a drug will need to be reviewed and approved before you can fill it. Your provider will make this request for you.
Here are some reasons a PA may be needed:
- There is a generic or over the counter (OTC) form of the drug
- It can be misused
- There are other drugs that must be tried first
How to Request a Medicine Not on the PDL
You can ask us to cover medicine that is not on our preferred drug list. This is called asking for an exception. To ask for an exception, please fill out this form.
Our Pharmacy team will give you an answer within 24 hours unless we need more information from your doctor.