Coverage Determinations (Decisions) A decision we make about the payment for a Part D drug or an exception to our formulary. If you believe you are entitled to payment or...

...or quality improvement project and presentation at a national conference Formulary management, including policy writing and creating coverage criteria Clinical innovation program monitoring and creation Prior authorization review Teaching certificate...

...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...

...for check-ups and screenings. Expanded Drug Formulary: Easier access to the drugs that you need to treat your heart condition. Medication Management: Support from pharmacists to manage heart and other...

Notification Date Posted Summary of GLP-1 Formulary Changes Effective January 1, 2026 12/01/2025 Summary of Formulary Changes Effective January 1, 2025 12/01/2025 Summary of Formulary Changes Effective November 1, 2025...

...for help with your plan or finding an in-network provider or pharmacy. *Some drugs and services require pre-authorization from us before you get them. Check the Drug Formulary. Congratulations on...

...information. Limitations, copayments and restrictions may apply. Benefits and/or copayments/coinsurance may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at any time....

...The HAP CareSource MI Health Link formulary is a list of all drugs covered under your plan. 2025 Comprehensive Formulary – English | Spanish Last Updated 12/01/2025 Notice of Formulary...

...(Updated 12/01/2025) Notice of Formulary Changes – Throughout the year, changes may occur to drugs on our formulary. Check this list to view the updates. 2025 Notice of Formulary Changes...

...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...