...Use Find My Prescriptions to get an accurate cost for a drug, based on your plan Access helpful online tools, such as MyHealth, myStrength, for your emotional well-being; and MyResources,...

...2022 Step Therapy Criteria (Updated 12/01/2022) Tier 6 Select Care Drug List 2022 Tier 6 Select Care Drug List Drug Transition Policy – Learn about our policy for potentially covering...

...Color (BIPOC), LGBTQIA, & complex populations, elimination of health disparities; partnerships with outside organizations; drive policy & advocate for change We recognize language and cultural differences have a significant impact...

...Documents List of Covered Drugs (Formulary)– A list of all drugs covered under your plan. List of Covered Drugs (Formulary) (Last updated 04/01/2026) Notice of Formulary Changes – Throughout the...

...box to add. Please also include the following documents: Drug Enforcement Administration (DEA) certificate Drug Enforcement Administration (DEA) certificate and/or Controlled Dangerous Substances (CDS) certificate Malpractice insurance face sheet Clinical...

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The frequently asked questions below are intended to help First Tier, Downstream and Related Entities (FDR) understand and manage their compliance efforts. Please click on the expandable menus below to...

...we make about the payment for a Part D drug or an exception to our formulary. Organization Determination – A decision we make about covering a medical service (Part C...

...afford their copayment, you must still render services to the member and cannot turn away the member. Please visit the Member Billing Policy page for more information. Coordination of Benefits...

Please select your state. CareSource plans provide comprehensive, quality coverage that you can afford, understand and use. We offer individual and family plans with adult vision and fitness coverage. Benefits...