...for your needs that is on the formulary. You can also see if a drug is on the formulary and what it may cost by checking the Find My Prescriptions...

...Urine Drug Screening Prior Authorization Form – Submit this form when requesting prior authorization for urine drug screenings Submit the SUD 1115 Waiver Universal PA Form to request prior authorization...

Welcome to CareSource PASSE Our mission is: Putting Members First, Pursuing Better Health Care. Together we can make a lasting difference in the lives of those we serve by improving...

...Form Submit this form to request continuation of care for orthodontic services. Orthodontic Evaluation and Predetermination Form Submit this form to request prior authorization for orthodontic services. Orthodontic Form for...

...at 1-833-230-2005 (TDD/TTY: 711) to tell us. We can also mail you a form to send back. Fill out the Grievances and Appeals form. Mail us a letter. Mail the...

...die from sudden infant death syndrome, also known as SIDS. It expensive. Smoking a pack of cigarettes a day costs on average more than $3,500 a year. Vaping or using...

...on the left side (bottom) of the page to find a pharmacy near you. Covered Prescriptions CareSource uses a Prescription Drug Formulary (or just Formulary). Your Formulary is a list...

...can use pay stubs to do this. Pay Stubs must be less than 90 days from the renewal deadline. For more information about P4HB® renewals, visit the P4HB website or...

...Us page. If you have questions, CareSource PASSE is here to help you find answers. Visit the Contact Us page to help us direct you to the correct area. Tools...

...Panel Testing T Three-Day Window Payment The following policies have moved to the Pharmacy Policy page: Off Label Medication Request Multi-Source Brand Policy (previously DAW policy) Medical Benefit Medications Clinical...