...(SMA) Prior Authorization Provider Form T Testosterone Prior Auth Form Request Form Topical Agent Prior Authorization Request Form Tzield Prior Authorization Request Form U Uterine Disorders Prior Authorization Request Form...

...exception review of requests, the timeframe for review is 72 hours from when we receive the request. For expedited exception review requests, the timeframe for review is 24 hours from...

...Form – Use this form to ask for repayment for a prescription drug you paid for. Fraud, Waste and Abuse Reporting Form – Use this form when you think a...

...and Human Services VIEW PUBLIC HEALTH EMERENCY INFORMATION Resources Information for Healthcare Professionals Information for Healthcare Professionals Centers for Disease Control and Prevention (CDC) View COVID-19 Information Coronavirus (COVID-19) Partner...

...p.m. Eastern Time (ET) Monday through Friday. Formulary Search Tool We use a Drug Formulary (2026) that is updated regularly. Helpful Online Drug Formulary Tools Formulary Search Tool Pharmacy Page...

...CareSource Marketplace Drug Formulary 2026 CareSource Marketplace Drug Formulary 2025 CareSource Marketplace Drug Formulary 2025 CareSource Marketplace Drug Formulary 2026 CareSource Marketplace Drug Formulary 2025 CareSource Marketplace Drug Formulary 2026...

...Summary of Formulary Changes Effective April 1, 2026 01/30/2026 Summary of Formulary Changes Effective February 1, 2026 12/02/2025 Summary of Formulary Changes Effective January 1, 2026 11/01/2025 Summary of Formulary...

...Eligibility Criteria (US MEC) for Contraceptive Use 2016-Present Centers for Disease Control and Prevention DiabetesPro® American Diabetes Association, Professional Education Portal Domestic Violence Intimate Partner Violence Centers for Disease Control...

Before providing care or prescribing medicine for your patients, please review the CareSource® MyCare Ohio (HMO D-SNP) Medicare Part D formulary and Medicaid List of Covered Drugs. f Formulary Use...

...of Representative (AOR) form. The AOR form is available on our Forms page. Please note, an AOR form or equivalent is required if the appeal is submitted by anyone other...