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Search for covered drugs

CCA Health covers a wide range of both over-the-counter and brand-name and generic prescription drugs. Use the links below to search our formularies.

Principle Plan & Cardinal Plan (MI) – Drug Formulary (Gold) (2022)

Dual Care Plus Plan (HMO D-SNP) Covered Drugs MI (2022)

CCA Medicare Ultima (HMO) and CCA Medicare Excel (HMO) Covered Drugs (2023)

CCA Medicare Maximum (HMO D-SNP) Covered Drugs MI (2023)

Coverage determination

For some drugs, you will need to get approval (“prior authorization”) from CCA Health before we can agree to cover a drug for your patient. The requirement for getting approval in advance may also help to guide the appropriate use of certain drugs. If you do not get this approval, your patient’s drug might not be covered by the plan.

Coverage Determination Form (OptumRx) MI

Coverage Determination Forms MI

If your request for coverage for a prescription drug was denied, you have the right to ask for an appeal of our decision within 60 days of the notice of denial.

Filing a Grievance, Complaint, Coverage Decision, or Appeal MI

Redetermination Request Forms MI

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