Drug Formulary
CareSource® Dual Advantage™ (HMO SNP) plans use a Preferred Drug List (PDL), or formulary ( 2024 | 2025), that is updated periodically. To access the most up-to-date information, use the Formulary Search Tool to determine drug coverage.
Members may be required to pay copays or coinsurance for prescription drugs. Copay amounts vary based on plan and medication. Coinsurance is applied for specialty pharmacy. Copays and coinsurance are also dependent on member qualification for the Medicare Extra Help program. For plan year 2024, CareSource is participating in CMS’s Value-Based Insurance Design Model, and members that qualify for Extra Help will have $0 cost share for Part D medications.
For more information, access our Pharmacy page, view the Provider Manual or call us at 1-833-230-2176 from 8 a.m. to 6 p.m. Monday through Friday.
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