Formularies
CareSource Plus Rx Plans
 2010 CareSource Plus Rx Formulary (updated 6/16/2010)
(Silver Plus, Gold Plus, Platinum Plus and Diamond Plus)
Online Formulary Search Tool
CareSource Special Needs Plan
CareSource 2010 SNP Formulary
(updated 6/16/2010)
Online Formulary Search Tool
Section 3.5 (CareSource EOC)
When can you use a pharmacy that is not in the plan’s network?
Your prescription might be covered in certain situations
We have network pharmacies outside of our service area where you can get your prescriptions filled as a member of our plan. Generally, we cover drugs filled at an out-of-network pharmacy only when you are not able to use a network pharmacy. Here are the circumstances when we would cover prescriptions filled at an out-of-network pharmacy:
- An illness or injury that occurs while traveling outside of the plan’s service area where there is no network pharmacy. (Must be purchased within the United States.)
- If you travel out of our service area for an extended period of time (less than 6 months) and need to refill a drug you are currently taking and you are unable to find a network pharmacy.
In these situations, please check first with Member Services to see if there is a network pharmacy nearby.
How do you ask for reimbursement from the plan?
If you must use an out-of-network pharmacy, you will generally have to pay the full cost (rather than paying your normal share of the cost) when you fill your prescription. You can ask us to reimburse you for our share of the cost. (Chapter 7, Section 2.1 explains how to ask the plan to pay you back.)
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