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Drug Formulary and Pharmacy Search

CareMore Health Plan covers both brand name drugs and generic drugs. Generic drugs have the same active ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs. The formulary may change during the year.

From time to time, there may be a change in tiered costs and/or removal made in the formulary. CareMore will post a 60-day advance notice of any changes to our formulary below.

You must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which CareMore authorizes use of out-of-network providers. If you obtain routine care from out-of-network providers neither Medicare nor CareMore will be responsible for the costs.

CareMore Health Plan has contracts with pharmacies that equal or exceed CMS requirements for pharmacy access in your area with 64,831 pharmacies in our network.

Formulary Search

2014 CareMore Health Plans Online Formulary Search

Printable Formulary (Opens a PDF)

Arizona

Maricopa County

Pima County

Nevada

Clark County

California

Los Angeles/Orange County

San Bernardino County

Santa Clara County

Stanislaus County

PLEASE NOTE: Our drug list is updated monthly. For the most current list of drugs on the formulary, please refer to the "2014 CareMore Health Plans Online Formulary Search" tool on the website or call Member Services at 1-800-499-2793 (TTY users should call: 711). Representatives are available 8 a.m. - 8 p.m., 7 days a week (October 1 – February 14) and Monday – Friday (February 15 – September 30).

Online Pharmacy Search

2014 CareMore Health Plans Online Pharmacy Search

Printable Provider / Pharmacy Directory (Opens a PDF)

Arizona

Maricopa County

Pima County

California

Los Angeles County

Orange County

San Bernardino County

Santa Clara County

Stanislaus County

Nevada

Clark County

 

CMS' Best Available Evidence (BAE) Policy (This link will take you to the CMS website)

How do I request an exception to the CareMore Health Plan’s Formulary? (A Prior Authorization) (Opens a PDF)