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A list of prescription drugs covered by a prescription drug plan or another insurance plan offering prescription drug benefits.
A Formulary Exception Request Letteris a written request asking that the restriction placed on a specific medication be released as it is medically appropriate and necessary for the patient's treatment.
?On formulary? means the medication is covered by the patient's prescription plan. Even if a medication is ?on formulary?, Practice Fusion will automatically check for alternative medications that may be more preferred by the patient's plan.
A formulary exception should be requested to obtain a Part D drug that is not included on a plan sponsor's formulary, or to request to have a utilization management requirement waived (e.g., step therapy, prior authorization, quantity limit) for a formulary drug.
A formulary is a list of preferred generic and brand-name medications approved by the Food and Drug Administration (FDA) that are covered under your Blue Shield Outpatient Prescription Drug benefit.