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DRUG TRANSITION POLICY
https://www.caresource.com/plans/mihealthlink/benefits-services/pharmacy/drug-transition-policy/...fills to provide up to a maximum of a 30-day supply of medication. The prescription must be filled at a network pharmacy. For those members who are new or who...
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Drug Management Program
https://www.caresource.com/providers/education/patient-care/pharmacy/drug-management-program/...and limit how they can get those medications. The limitations may be: Requiring the member to get all their prescriptions for opioid or benzodiazepine medications from one pharmacy Requiring the...
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Care & Disease Management
https://www.caresource.com/plans/marketplace/benefits-services/care-disease-management/...pharmacy or other health care source to let us know you might benefit from one of our programs. We will send you materials related to your health condition along with...
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2025 DSNP Extended Benefits
https://www.caresource.com/plans/dsnp/2025-extended-benefits/...want you to have consistent care and benefit coverage with your providers. Here s a breakdown of your 2025 coverage. Pharmacy Pharmacy $0 copay on all prescriptions when you qualify...
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Select Primary Provider
https://www.caresource.com/members/my-caresource-account/select-primary-provider/...be responsible for the costs unless you get approval from CareSource. You should use an in-network pharmacy to get your prescriptions unless there is a non-routine circumstance where you cannot...
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MA-Dual Special Needs
https://www.caresource.com/plans/dsnp/...year coverage: Pharmacy Pharmacy Enjoy broad coverage on a lengthy list of Medicare Part D drugs. Get 30-, 60- or 102-day supply by mail order or local retail pharmacy. Medications...
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Drug Formulary
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-formulary/...use in-network pharmacies to access your prescription drug benefit, except under non-routine circumstances when you cannot reasonably use an in-network pharmacy. CareSource is an HMO with a Medicare contract. Enrollment...
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Next Generation Managed Care
https://www.caresource.com/providers/tools-resources/next-generation-managed-care/...System (OMES) Provider Network Management (PNM) module, which will reduce administrative burden on providers. Also, the Single Pharmacy Benefit Manager (SPBM) will begin providing pharmacy services across all managed care...
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Medication Disposal
https://www.caresource.com/members/tools-resources/find-my-prescriptions/medication-disposal/...to the DEA site to see a list of sites near you. RETURN TO THE PHARMACY OVERVIEW Do you have any old or unused medications? Don’t just throw them away...
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Health Care Terms
https://www.caresource.com/members/education/health-care-terms/Learn what the terms mean that your provider uses. There are even more word meanings in your member handbook. Term Definition Inpatient Services Inpatient Services are when you spend at...
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Pharmacy