CarePlus Prescription Drug Coverage Information
Learn what prescription drugs are covered by your CarePlus plan.
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Senior man with female healthcare provider holding prescription.

To see the prescription drugs that are included in our formulary, please refer to the comprehensive Prescription Drug Guides below. These guides are updated on our website monthly. Only the current formulary for each plan will display.

2024

South Florida

Tampa Area

Orlando Area

Daytona Area

Treasure Coast

Jacksonville Area

Part D Prior Authorization and Step Therapy Criteria

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Disclaimers

1CareNeeds Plus (D-SNP): This plan is available to anyone receiving both Medicare and Medicaid: Qualified Medicare Beneficiaries (QMB/QMB+), Specified Low-Income Medicare Beneficiaries (SLMB/SLMB+), Qualifying Individuals (QI), Qualified Disabled and Working Individuals (QDWI) and other Full Benefit Dual Eligibles (FBDE). CareNeeds Plus (HMO D-SNP) is sponsored by CarePlus Health Plans, Inc. and the State of Florida, Agency for Health Care Administration.

2CareComplete (HMO C-SNP) and CareComplete Platinum (HMO C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of diabetes, cardiovascular disorders or chronic heart failure.

3CareBreeze (HMO C-SNP) and CareBreeze Platinum (HMO C-SNP): This plan is available to anyone enrolled in Medicare with a diagnosis of chronic lung disorders.

4CareOne Plus (HMO-POS): This plan covers certain out-of-network services for members while visiting Puerto Rico. Except in emergency or urgent situations, non-contracted providers may deny care.

5CareOne Platinum (HMO-POS): This plan covers certain services received from out-of-network providers in Brevard and Indian River counties in Florida. Except in emergency or urgent situations, non-contracted providers may deny care. You will pay a higher copay for services received by non-contracted providers.

6CareComplete Platinum (HMO-POS C-SNP): This plan covers certain services received from out-of-network providers located within the plan's service area. Except in emergency or urgent situations, non-contracted providers may deny care. You will pay a higher copay for services received by non-contracted providers. This plan is available to anyone enrolled in Medicare with a diagnosis of diabetes, cardiovascular disorders or chronic heart failure.

7CareBreeze Platinum (HMO-POS C-SNP): This plan covers certain services received from out-of-network providers located within the plan's service area. Except in emergency or urgent situations, non-contracted providers may deny care. You will pay a higher copay for services received by non-contracted providers. This plan is available to anyone enrolled in Medicare with a diagnosis of chronic lung disorders.

8CareSalute (HMO-POS): This plan covers certain services received from out-of-network providers located within the plan's service area. Except in emergency or urgent situations, non-contracted providers may deny care. You will pay a higher copay for services received by non-contracted providers.

Need a printed guide or alternate format? 

To submit a request, use our electronic form or contact Member Services.

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Last Updated:

01/04/2024