...through our Find a Pharmacy tool. Prior Authorization List Some services require approval from CareSource MyCare Ohio before you can get them. We call this prior authorization. Your provider will...

...professionals and facilities The billing and payment of your claims The review of your health care and use of benefits The prior authorization of your requested services Data exchanged for...

...faxing it to us. Prior Authorization On your Formulary, Prior Authorization limits will show “PA” next to the drug name. If a drug has a Prior Authorization limit, we need...

...Routine care like screenings and exams. You get this care to help stop a health problem from occurring. Prior Authorization Approval that may be needed before you get a service....

...Prior Authorizations Some prescriptions may need a prior authorization. This means that it will need to be reviewed and approved by us before you can fill it. Your provider will...

...on 12/01/2025 Prior Authorization Criteria – For certain drugs, your doctor will need to contact us before you can fill your prescription. 2025 Prior Authorization Criteria Last updated on 12/01/2025...

...when you have emergency symptoms (24 hours a day, 7 days a week), and without prior authorization. Member Services: 1-844-607-2829 (TTY: 1-844-743-3333 or 711), Monday through Friday, 7 a.m. CT/8...

...2026 Step Therapy Criteria Prior Authorization Criteria For certain drugs, your prescriber will need to contact us before you can fill your prescription. Prior Authorization Criteria Visit the Plan Documents...

...the Forms page under Pharmacy Prior Authorizations. CareSource will continue to maintain and post a Preferred Drug List (PDL), which will include SUPDL preferred products and preferred products in categories...

...Most specialty drugs need a prior authorization (PA) before you can get them. Some drugs have limits on how much can be given at once. Talk with your provider about...