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Forms
https://www.caresource.com/providers/tools-resources/forms/...(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...
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General Plan Information
https://www.caresource.com/plans/marketplace/plan-documents/general-plan-information/...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...
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Forms
https://www.caresource.com/members/tools-resources/forms/...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...
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COVID-19 Information and Resources
https://www.caresource.com/providers/tools-resources/covid-19-provider-resource-center/...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...
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Drug Formulary
https://www.caresource.com/providers/tools-resources/drug-formulary/...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...
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Prescription Drug Formulary
https://www.caresource.com/plans/marketplace/benefits-services/pharmacy/preferred-drug-list/...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...
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Drug Formulary Changes
https://www.caresource.com/providers/tools-resources/drug-formulary/drug-formulary-changes/...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...
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Health Care Links
https://www.caresource.com/providers/education/patient-care/health-care-links/...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...
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Pharmacy
https://www.caresource.com/providers/education/patient-care/pharmacy/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...
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Provider Disputes or Appeals
https://www.caresource.com/providers/provider-portal/appeals/...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...
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