Pharmacy Policies

These administrative policies apply to our Georgia plans on the Health Insurance Marketplace.

Administrative policies offer guidance on determination of medical necessity, investigational and experimental services.

Some administrative policies conjoin with our pharmacy policies (such as non-formulary medications, off-label use, drug professional administration, etc.). Click below to review CareSource’s administrative policies:

REVIEW ADMIN POLICIES

The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.

Current Pharmacy Policies

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Archived Pharmacy Policies