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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...For certain drugs, your doctor will need to contact us before you can fill your prescription. Prior Authorization Criteria – For certain drugs, your doctor will need to contact us...
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Pharmacy
https://www.caresource.com/plans/mycare-snp/benefits-services/pharmacy/...certain drugs, we require you to first try another drug to treat your medical condition before we will cover the drug your doctor initially prescribed. Step Therapy Criteria (Updated 02/01/2026)...
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Early & Periodic Screening, Diagnostic & Treatment Wellness Visits
https://www.caresource.com/members/education/health-care-links/early-periodic-screening-diagnostic-treatment/...transportation to an appointment or finding a doctor in your area? Member Services can help. Call 1-800-488-0134 (TTY: 711). We are open Monday through Friday, 7 a.m. to 8 p.m....
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State Hearing and External Review
https://www.caresource.com/members/tools-resources/grievance-appeal/state-hearing-external-review/...INMCDGRIEV@caresource.com Online: www.caresource.com If you have any problems reading or understanding this information, please call us. We can read the information out loud for you, in English or in your...
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