...Accessibility to care Availability of services and practitioners Health outcomes Internal monitoring review and evaluation of program areas, including Utilization Management, Care Management and Pharmacy services Medical, Behavioral Health and...

...10/01/2024 Provider and Pharmacy Directory The Provider and Pharmacy Directory lists the providers and pharmacies you can use. You can search for a provider or a pharmacy by clicking the...

...necessity, investigational and experimental services. The following policies have moved to the Pharmacy Policy page: Medicaid Drug Rebate Program (MDRP) Coverage Rules – AC Reject Medical Necessity – Off Label...

...Us page. If you have questions, CareSource PASSE is here to help you find answers. Visit the Contact Us page to help us direct you to the correct area. Tools...

...a Pharmacy tool. Visit our Pharmacy page for a complete overview of your pharmacy benefits. This information is not a complete description of benefits. Call Member Services at 1-833-230-2020 (TTY:...

...network and/or provider network may change at any time. You will receive notice when necessary. Return to the Pharmacy Overview CareSource RxInnovations™ has partnered with Express Scripts®, our Pharmacy Benefit...

...we have made, you can appeal our decision. Who Can Ask for a Coverage Determination? You Your appointed representative Your provider Our Pharmacy Benefits Manager, Express Scripts® is in charge...

...if your current providers are in the HAP CareSource MI Coordinated Health network! Find A Doctor Pharmacy Benefits Pharmacy Benefits Get the medications you need with no copays for covered...

...Find My Prescription tool. Visit the Plan Documents page to view important documents about prescription drug benefits. Formulary Changes We feel it is important that you have continued access to...

...your prescriptions before you leave. You can also use our Find A Pharmacy tool to confirm if there is a pharmacy in your area. Quantity Limits On your Formulary, Quantity...