2012 CarePlus Prescription Drug Guides and Part D Information
View all pre-approved preferred generic or brand name prescription drugs that are covered under the CarePlus Florida Medicare Advantage plan in your service area.
Tampa Area:
Hillsborough and Pinellas Counties Benefit Plans
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Orlando Area:
Orange, Osceola, and Seminole Counties Benefit Plans
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Lake, Marion, and Sumter Counties Benefit Plan
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Treasure & Space Coast:
Indian River, Martin, Okeechobee, and Saint Lucie Counties Benefit Plan
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Gulf Coast:
Charlotte, Lee, and Sarasota Counties Benefit Plan
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Part D Utilization Management Requirements: Prior Authorization (PA), Step Therapy (ST), Quantity Limit (QL), and Exceptions
- Guidelines on PA, ST, QL, and Exceptions
- English
- Spanish
- Miami Dade (all plans); Broward (all plans); Palm Beach (all plans); and Tampa area (CareOne PLUS HMO , CareDirect HMO SNP)
- PA Criteria
- ST Criteria
- QL Restrictions
- Tampa area (CareNeeds HMO SNP, CareNeeds PLUS HMO SNP, CareFree HMO, CareOne HMO) and Orlando area: Orange, Osceola, & Seminole (CareNeeds HMO SNP, CareNeeds PLUS HMO SNP, CareOne PLUS HMO)
- PA Criteria
- ST Criteria
- QL Restrictions
- Orlando area (CareOne HMO); Orlando area: Lake, Marion, Sumter (CareNeeds PLUS SNP); Treasure and Space Coast (CareOne HMO, CareNeeds PLUS HMO SNP); and Gulf Coast (CareOne HMO)
- PA Criteria
- ST Criteria
- QL Restrictions
Prescription Drug Transition Policy
At the beginning of a new plan year, you may not be able to receive your current drug therapy if the drug is not on CarePlus' drug list (or formulary) or if it requires prior authorization because of quantity limits, step therapy requirements, or confirmation of your clinical history. CarePlus wants to be sure that you, as a new or existing member, safely transition into the new plan year. To learn more about the transition process, please review our 2012 Transition Policy.
- Prescription Drug Transition Policy
- English
- Spanish