Drug Formulary

Navigate The Formulary is a list of drugs that are covered as a pharmacy plan benefit for HAP CareSource™ MI Coordinated Health (HMO D-SNP) members. The HAP CareSource MI Coordinated Health formulary represents the prescription therapies believed to be a necessary part of a quality treatment program and was selected in consultation with a team of health care providers.

The Formulary* includes drugs covered under Medicare Part D and Medicaid covered non-Part D drugs and over-the-counter (OTC) items.

*Please review this list before providing care or prescribing medicine for your patients.

HAP CareSource MI Coordinated Health will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a HAP CareSource MI Coordinated Health network pharmacy and other plan rules are followed.

2026 Comprehensive Formulary – Machine Readable (JSON)

2025 Comprehensive Formulary – Machine Readable (JSON)