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Provider Overview
https://www.caresource.com/providers/...Jan. 1, 2024. For more information, review the Network Notification. Tools & Resources Tools & Resources Access information to help you with practice administration. Most Popular Drug Formulary Provider Manual...
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Diabetes
https://www.caresource.com/plans/marketplace/diabetes/...require a referral from your PCP or CareSource. Expanded Formulary: Includes drugs like Ozempic®, Trulicity® and Rybelsus®. Home Delivery Option: Use Express Scripts® to get your maintenance medications. 90-day supplies...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...are also reviewed by practitioners with expertise and knowledge appropriate to the item, service, or drug being requested. Refer to the Provider Manual for further information related to clinical appeals...
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Plan Documents
https://www.caresource.com/plans/plan-documents/...and more. Comprehensive Formulary – The CareSource Medicare Advantage formulary is a list of all drugs covered under your plan. 2022 Comprehensive Formulary ( English | Spanish) (Updated 12/01/2022) Notice...
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Plan Documents
https://www.caresource.com/plans/mihealthlink/plan-documents/...Monday through Friday. Prescription Drug Benefit Documents Below are links to documents covering your prescription drug benefits, including the latest drugs covered by the plan and more. Comprehensive Formulary –...
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Plan Documents
https://www.caresource.com/plans/mich/plan-documents/...(Formulary)– A list of all drugs covered under your plan. List of Covered Drugs (Formulary) (Last updated 02/01/2026) Notice of Formulary Changes – Throughout the year, changes may occur to...
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Quick Start Guide
https://www.caresource.com/members/tools-resources/quick-start-guide/...past documents such as EOBs, invoices, and more Use Find My Prescriptions to get an accurate cost for a drug, based on your plan Access helpful online tools, such as...
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Plan Documents
https://www.caresource.com/plans/mycare-snp/plan-documents/...drug your provider initially prescribed. Notice of Formulary Changes If changes occur to drugs on our Part D formulary, we will update them in this list. Preferred Diabetic Supply List...
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Grievance and Appeal
https://www.caresource.com/members/tools-resources/grievance-appeal/...A decision we make about the payment for a Part D drug or an exception to our formulary. Organization Determination – A decision we make about covering a medical service...
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Benefits and Services
https://www.caresource.com/plans/marketplace/benefits-services/Please select your state. CareSource plans provide comprehensive, quality coverage that you can afford, understand and use. We offer individual and family plans with adult vision and fitness coverage. Benefits...
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Drug formulary