Get Generic Prescribing Program Exception Request Form - Hr Msu

Filling out the Generic Prescribing Program Exception Request Form - Hr Msu online is a straightforward process that ensures patients can access necessary brand-name medications when generics are not suitable. This guide provides step-by-step instructions to assist healthcare providers in completing the form accurately and efficiently.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, enter the patient's name and date of birth in the designated fields to ensure correct identification.
3. Provide the prescriber's name along with their phone number and fax number. This information is crucial for follow-up communication.
4. Specify the brand-name drug required, along with its dosage form and strength. Also, include the relevant diagnosis that justifies the use of the brand-name drug.
5. Detail any generic alternatives that the patient has tried or been considered for, and include the dates these were attempted to provide a comprehensive history.
6. Offer evidence indicating that the generic alternative is unsafe or ineffective, or outline any known interactions with other medications the patient is currently taking.
7. Include any additional relevant information that may support the patient’s condition and the request for the brand-name drug.
8. After completing all sections, have the healthcare provider sign and date the form to validate the request.
9. Fax the completed form along with any necessary supporting documentation directly to the CVS/caremark Exceptions Department at the provided fax number. Ensure all fields are filled out to avoid delays in processing.

Complete the Generic Prescribing Program Exception Request Form online to ensure your patients receive the appropriate medication.