Drug Formulary

CareSource uses a NavigatePreferred Drug List (PDL), or formulary, that is updated quarterly. For the most up-to-date information, access the online Formulary Search Tool.

We also have a NavigateList of Covered Vaccines to help you determine if a vaccine is covered at your office or at a local participating pharmacy, and if there are any requirements for coverage. Preventative vaccines for children (ages 0-18) are covered as part of the federally funded Vaccines for Children program and generally are not covered at local pharmacies.

Beginning January 1, 2020, CareSource adopted Ohio Medicaid’s Unified Preferred Drug List (UPDL). This means that CareSource will prefer the same prescription medications as fee-for-service and other Medicaid managed care plans in the state of Ohio. Prescriber’s will be able to access the UPDL online at the Ohio Department of Medicaid’s website https://pharmacy.medicaid.ohio.gov/ under “Drug Coverage” and also by clicking on the NavigateUPDL.

Online Drug Formulary

We offer an online Formulary Search Tool that can help you quickly look up medications for CareSource members. It’s easy! You can find out if a medication is covered by searching alphabetically, by brand and generic name, or by therapeutic class.

Additional information is available on the Pharmacy page.

Drug coverage information for our formulary is also available on Fingertip Formulary, a medical application you can download to your mobile device. You can also determine drug coverage status on the MMIT Formulary, another application that can be downloaded onto your mobile device.

Drug Formulary Changes

Each quarter, there may be changes to our PDL. You can check the list of drug formulary changes to see if any of these changes affect the medications you prescribe.