Who is affected by this change?

This affects CareSource in OH on Medicaid plans.

When does this change take effect?

This change is effective Apr 1, 2025.

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MedicaidCoverageMedium impact

[Ohio] Pharmacy Policy Updates April 2025

CareSource·OH·Pharmacy

Effective date

Apr 1, 2025

We identified it

Jun 13, 2026

Days to comply

—

Summary

CareSource has updated their pharmacy policy for Ohio effective April 2025. The policy document contains changes to pharmaceutical coverage, formulary, or prior authorization requirements that will affect prescription-related billing and patient care.

Action Required

Action needed

By April 1, 2025: Review the complete pharmacy policy document at the provided URL to identify specific formulary changes, prior authorization requirements, or coverage modifications. Update prescription protocols and inform providers of any new restrictions or requirements that may affect patient care and billing.