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Preferred Drug List
https://www.caresource.com/plans/medicaid/benefits-services/pharmacy/preferred-drug-list/...on the Gainwell Technologies pharmacy website. Ask Your CareSource Pharmacist Do you have questions about your medications? Talk to a CareSource pharmacist! You do not need an appointment. Call 1-833-230-2073...
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Patient Administration
https://www.caresource.com/providers/education/patient-care/patient-administration/...on the Provider Portal. Pharmacy benefits are also shut off after 30 days of nonpayment. If the member brings themselves current within the 90 days, pharmacy benefits will be reinstated...
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Fraud, Waste & Abuse
https://www.caresource.com/members/tools-resources/fraud-waste-abuse/Our Program Integrity Department handles cases of managed care fraud, waste or abuse. It can be done by providers, pharmacies, or members. Fraud means the purposeful misuse of or for...
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Primary Care Provider Roles & Responsibility
https://www.caresource.com/providers/education/patient-care/pcp-roles-responsibilities/...patient dismissed from the practice. Maintaining clinical records, including information about pharmaceuticals, referrals, inpatient history, etc. Obtaining patient records from facilities visited by CareSource patients for emergency or urgent care...
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Telehealth
https://www.caresource.com/members/tools-resources/where-to-get-care/telehealth/...diagnosis and even prescriptions, when needed. If a prescription is needed for your issue, you can pick up the medication at your local pharmacy or any network pharmacy that you...
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Tools & Resources
https://www.caresource.com/members/tools-resources/...your prescription medicine is covered by CareSource? With the following tools and resources, you can find doctors/providers/pharmacies, view covered medications, see where to get care, learn what your plan covers...
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Administrative Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/administrative-policies/...necessity, investigational and experimental services. The following policies have moved to the Pharmacy Policy page: Medicaid Drug Rebate Program (MDRP) Coverage Rules – AC Reject Medical Necessity – Off Label...
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Your Diabetes Health Plan
https://www.caresource.com/plans/marketplace/plan-documents/your-diabetes-health-plan/...provider to write a prescription for them and take it to your in-network pharmacy. Sign-up for home delivery of your maintenance medications. 90-day supplies are 2.5x the cost of a...
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Plan Documents
https://www.caresource.com/plans/dsnp/plan-documents/...10/01/2024 Provider and Pharmacy Directory The Provider and Pharmacy Directory lists the providers and pharmacies you can use. You can search for a provider or a pharmacy by clicking the...
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Medicare Prescription Payment Plan
https://www.caresource.com/plans/dsnp/pharmacy/drug-cost-help/mppp/...is confirmed. When you go to the pharmacy: When you fill a prescription for an eligible drug, you will pay $0 at the pharmacy. You will still be responsible for...
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