...and no annual or lifetime dollar limits for essential health benefits. Now, you can get these additional healthy heart benefits too! *Prior authorization or step therapy required. **Limit of one...

...Stimulator Implantable Spinal Cord Stimulator Implantable Spinal Cord Stimulator Implantable Spinal Cord Stimulator Infant Formula Infant Formula Infant Formula Inhaled Nitric Oxide Inhaled Nitric Oxide Inhaled Nitric Oxide Inhaled Nitric...

...home. Quantity limits and prior authorizations are waived. This includes: Replacements if equipment is lost or damaged. Medical supplies such as diabetic supplies, incontinence supplies and enteral formula. Face masks,...

...Medication List and Action Plan, or Standardized Takeaway Form. The Standardized Takeaway Form will have all of your medicines and how you should take them. Your MTM pharmacist may find...

...in the first 90 days of your membership and your medication is not on our covered drug list (formulary) or coverage is limited in some way, such as prior authorization,...

...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....

...Vision References Learn more about topics like covered routine vision services, claims submissions and prior authorization requirements and processes. Superior Vision Website Visit this link to contract with Superior Vision....

...limitations. This may include requiring a prior authorization, step therapy, or quantity limit. The prior authorization requirements for your medicines may change. Questions? Call Member Services. The comprehensive formulary, pharmacy...

...Use the Tell Us form at CareSource.com/MemberInquiry. A UM staff member who calls will say their name, title, and company (CareSource). Staff are available to accept collect calls about UM...

...You recently switched plans and your medication is not on your new plan’s covered drug list (formulary). Your plan dropped your medication from its formulary or added coverage restrictions for...