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Mail Order Drugs
https://www.caresource.com/members/tools-resources/find-my-prescriptions/mail-order-drugs/...is not in the CareSource Dual Advantage network, your drug will not be covered. If you have a drug that requires pre-authorization and you would like to use mail orders,...
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Formulary Archive
https://www.caresource.com/providers/tools-resources/drug-formulary/drug-formulary-changes/formulary-archive/...Summary of Formulary Changes Effective April 1, 2024 03/01/2024 Summary of PDL Changes Effective March 15, 2024 02/15/2023 Summary of PDL Changes Effective January 01, 2024 12/01/2023 Summary of Formulary...
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Archived Reimbursement Policies
https://www.caresource.com/providers/tools-resources/health-partner-policies/reimbursement-policies/archived/...Services Rendered in a Hospital or Ambulatory Surgery Center Drug Testing Drug Testing Drug Testing Drug Testing Drug Testing E Emergency Department Electrocardiogram (EKG/ECG) Interpretation Epidural Steroid Injections Epidural Steroid...
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Your Healthy Heart Plan
https://www.caresource.com/plans/marketplace/plan-documents/your-healthy-heart-plan/...for help with your plan or finding an in-network provider or pharmacy. *Some drugs and services require pre-authorization from us before you get them. Check the Drug Formulary. Congratulations on...
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Preferred Drug List
https://www.caresource.com/plans/caresource-passe/benefits/pharmacy/preferred-drug-list/...Our PDL has more than one drug for treating a condition. These options are called alternative drugs. Alternative drugs are just as effective as other drugs with similar side effects....
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Forms
https://www.caresource.com/providers/tools-resources/forms/...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...
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Drug Transition Policy
https://www.caresource.com/benefits-services__trashed/pharmacy/drug-transition-policy/Under certain circumstances, CareSource can offer a temporary supply of a drug to you when your drug is not on the drug list or when it is restricted in some...
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Healthy Heart
https://www.caresource.com/plans/marketplace/healthy-heart/...for check-ups and screenings. Expanded Drug Formulary: Easier access to the drugs that you need to treat your heart condition. Medication Management: Support from pharmacists to manage heart and other...
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Drug Transition Policy
https://www.caresource.com/plans/dsnp/pharmacy/drug-transition-policy/...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,...
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Medication Therapy Management
https://www.caresource.com/members/tools-resources/find-my-prescriptions/medication-therapy-management/...list. Your drug list covers any prescription drugs, over-the-counter drugs, herbals, or supplements you take. Services through the MTM program are provided at no cost to you. Ask your pharmacist...
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drug formulary