Find A Pharmacy
To Find a Pharmacy near you, simply type in your address and follow the prompts. While we cover all medically necessary Medicaid-covered medications, we use a Preferred Drug List (PDL). The list shows the most common drugs covered. These are drugs we prefer your provider to prescribe.
Specialty Pharmacy
Most specialty drugs require a prior authorization before you can get it. Prior authorization may be needed if:
- There is a generic or drugstore alternative drug.
- The drug can be misused or abused.
- There are other drugs that must be tried first.
Some drugs have limits on how much can be given at once. Talk with your provider about prior authorization and if any of your medications will need it. Please call Member Services if you have any questions.
Georgia Lock-In Program (GA LIP)
GA LIP is a health and safety program which protects members whose use of services exceeds medical necessity. Use of controlled substances is monitored, and members are assigned designated providers. GA LIP enrollees must get their medicines filled at one pharmacy and use their primary care provider for medical care.
Helpful terms to know:
Pharmacy – Drugstore.
Preferred Drug List (PDL) – A list of covered drugstore medicines.
Prescription – A health provider’s order for a drugstore to fill and give a drug to their patient.
Prior Authorization – Pre-approved coverage from CareSource before health care is given. Providers send prior authorization requests to CareSource for needed services.
Member Services: 1-855-202-0729 (TTY: 1-800-255-0056 or 711), Monday – Friday 7 a.m. – 7 p.m.