...a prior authorization using the Prior Authorization Request Form (coming soon). If you are seeing a specialist, they will get approval from your primary care provider (PCP). Pharmacy Documents List...

...We are open 9 a.m. to 5:30 p.m. Monday through Friday. Comprehensive Drug Formulary CareSource MyCare Ohio uses a Comprehensive Formulary. The list shows the drugs we want your primary...

...This includes providers that perform in-office surgeries. These services should be available at no cost to the member. Submit the Interpreter Service Request Form (coming soon) to request interpretation services...

...can use and give out your information without an authorization (special permission from you) for our normal business and where required by law. This document tells you of some of...

...to drugs on our formulary. Check the Notice of Formulary Changes (coming soon) to view the updates. View the links below for more pharmacy topics: Find My Prescriptions Find a...

...medical practice and are the lowest cost alternative for the member. These requirements ensure appropriate use of these medications. Drug Formulary Pharmacy Policies Pharmacy Forms Prior Authorization Pharmacy Benefit Manager...

...you. Printed Formulary: Get more details about your medication coverage, including when you might need a pre-authorization and when you may need to try step-therapy. 2021 Tier 6 Select Care...

...for claims, prior authorizations, and other administrative tasks for providers. Submitting Claims and Authorizations ODM is implementing a One Front Door approach to streamline claim and prior authorization submissions. Providers...

...The Prior Authorization List shows which services need a prior authorization before you can get them. 2022 Prior Authorization List (for Ohio only) 2021 Prior Authorization List Usually your primary...

...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...