...Request Form Last updated on 05/19/2022. Prescription Drug Benefit Documents Below are links to documents covering your prescription drug benefits. Comprehensive Formulary – A list of all drugs covered under...

...don’t have it, you can view or download it here. As a Diabetes plan member, you get many drugs, services and supplies at $0 cost to you! If you need...

...prescribe certain medications, as outlined in the CareSource PASSE member’s Preferred Drug List (PDL). Specialty Pharmacy Prior Authorization Request Form Submit this form to request prior authorization to prescribe specialty...

...about covered drugs, specialty medications, prior authorization and more about prescribing medications for your patients. Primary Care Provider Roles & Responsibilities Review the roles and responsibilities that are expected of...

...health diagnosis (e.g., treatment for drug/alcohol use, genetic testing, HIV/AIDS, mental health or sexually transmitted diseases), you can verify if the patient has granted consent to share health information on...

...Our special expanded Rx drug list provides zero-cost brand name and generic drugs for common treatments, while support from pharmacists will help you manage medications and avoid potential drug interactions....

...are also reviewed by practitioners with expertise and knowledge appropriate to the item, service, or drug being requested. Refer to the Provider Manual for further information related to clinical appeals...

...you money or lower your drug costs. If you join, you initially pay $0 to the pharmacy for covered Part D drugs. Then, we will bill you each month for...

...and support. Find My Prescriptions: A tool to view covered drugs or call us. Find a Pharmacy Personal medication list to keep a record of drugs. My CareSource: Claim and...

...Label, Approved Orphan and Compassionate Use Drugs Medical Necessity – Off Label, Approved Orphan and Compassionate Use Drugs Medical Necessity – Off Label, Approved Orphan and Compassionate Use Drugs Medical...