Pharmacy

CareSource RxInnovations has partnered with Express Scripts to help you manage your prescriptions and save money.

CareSource will pay for your prescription drugs and some prescription medical supplies at the pharmacy. Some examples are diabetic supplies, inhaler spacers, peak flow meters, syringes, needles, alcohol wipes and condoms. You will need to get your prescription drugs at a pharmacy that takes CareSource.

Be sure to bring your CareSource ID card with your prescription to the pharmacy. Your ID card will let pharmacies know that CareSource pays for your medicines.

Many Georgia Medicaid and PeachCare for Kids® members pay a small part of their health care costs, called a copayment. Learn more about pharmacy copays by clicking here.

Find My Prescriptions

Do you want to look up your medicine and find out if it is covered by CareSource? It’s easy when you use our Find My Prescriptions tool. This tool will help you learn how to find your medicine.

Find A Pharmacy

To Find a Pharmacy near you, simply type in your address and follow the prompts. While we cover all medically necessary Medicaid-covered medications, we use a Preferred Drug List (PDL). The list shows the most common drugs covered. These are drugs we prefer your provider to prescribe.

Specialty Pharmacy

CareSource partners with Accredo, an Express Scripts Company, as our preferred specialty pharmacy to supply specialty medications your doctor may prescribe. Accredo can:

  • Help you get your prescription filled or change your pharmacy
  • Deliver your specialty medications to your home, workplace or to your doctor’s office
  • Help support and teach learn about your specialty medication and give you support from specially-trained health care professionals
  • Set up a home visit from a nurse if needed

Most specialty drugs require a prior authorization before you get your medication. Contact your doctor for more information.

For more information, call Accredo at 1-866-501-2009. They can take your call Monday through Friday from 7:30 a.m. to 9 p.m. You may also access the Accredo website to manage prescription refills for existing specialty mail order medications as well as check coverage information. You can still get your non-specialty medications through your local pharmacy. Do you have general questions about specialty pharmacy? Call Member Services.

Georgia Lock-In Program (GA LIP)

GA LIP is a health and safety program which protects members whose use of services exceeds medical necessity. Use of controlled substances is monitored, and members are assigned designated providers. GA LIP enrollees must get their medicines filled at one pharmacy and use their primary care provider for medical care.

Printed Formulary: Get more details about your medication coverage, including when you might need a pre-authorization and when you may need to try step-therapy. If you have questions about your prescription drug coverage or problems with your pharmacy, call Member Services.

Member Services: 1-855-202-0729 (TTY: 1-800-255-0056 or 711), Monday – Friday 7 a.m. – 7 p.m.