...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...

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...Pharmacy We cover all medically necessary Medicaid-covered medications. We use the Nevada Single Preferred Drug List (SPDL). All Nevada Medicaid plans use this same list. Learn more about your pharmacy...

...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...

...referral. Tell the member how to get the service. Notify the specialist of the referral. A specialist documents the referral in the member’s chart as well. Referral forms are not...

...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...

...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...

CareSource PASSE pays for all medically necessary, CMS participating, Medicaid-covered FDA-approved products on the Preferred Drug List (PDL) at many pharmacies. These are drugs we prefer your provider to prescribe....

...Diabetic Supply List (Last Updated 01/01/2026) CareSource MyCare Ohio covers these preferred diabetic testing supplies. Medicaid List of Covered Drugs (Last Updated 04/01/2026) This list shows the OTC items and...

...respectful quality care and services that are response to diverse cultural health beliefs and practices, preferred languages, health literacy and other communication needs Governance, Leadership, and Workforce Communication and Language...