Pharmacy

As a Qualified Health Plan in the Health Insurance Marketplace, CareSource provides prescription drug coverage. This benefit provides coverage for prescriptions obtained from a retail pharmacy, mail-order pharmacy or specialty pharmacy; and those that are administered by a healthcare professional in their office, in the patient’s home, or in another health care setting.

CareSource uses evidence-based guidelines to ensure health care services and drugs meet the standards of excellent medical practice and are the lowest cost alternative for the member. These requirements ensure appropriate use of these drugs.