Formulary List definition

Formulary List means the listing of preferred and non-preferred medications as determined by AvMed’s Pharmacy and Therapeutics Committee based on the clinical efficacy, relative safety and cost in comparison to similar medications within a therapeutic class. This multi-tiered list establishes different levels of cost-sharing for medications within therapeutic classes. As new medications become available, they may be considered excluded until they have been reviewed by XxXxx’s Pharmacy and Therapeutics Committee. Specific medications on the Formulary List and their placement in a given therapeutic class are subject to change at any time without prior notice to you or your approval. It is your responsibility to consult with your Attending Physician to determine whether a medication is on the Formulary List at the time the prescription is rendered. For more information see Part XII.
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Formulary List means the listing of preferred and non-preferred medications as determined by AvMed’s Pharmacy and Therapeutics Committee based on the clinical efficacy, relative safety and cost in comparison to similar medications within a therapeutic class. This multi-tiered list establishes different levels of cost-sharing for medications within therapeutic classes. As new medications become available, they may be considered excluded until they have been reviewed by AvMed’s Pharmacy and Therapeutics Committee. Specific medications on the Formulary List and their placement in a given therapeutic class are subject to change at any time without prior notice to you or your approval. It is your responsibility to consult with your Attending Physician to determine whether a medication is on the Formulary List at the time the prescription is rendered.
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Examples of Formulary List in a sentence

  • See Section 2 of this chapter.⚫ Your prescription drugs on the plan’s Formulary (List of Covered Drugs) (we call it the “Drug List” for short) are covered by the Medicare Part D portion of your benefit.

  • You may pay the full cost of the prescription because you find that the prescription drug is not covered for some reason.⚫ For example, the prescription drug may not be on the plan’s Formulary (List of Covered Drugs), or it could have a requirement or restriction that you didn’t know about or don’t think should apply to you.

  • You can find these vaccines listed in the plan’s Formulary (List of Covered Drugs).o Other vaccines are considered medical benefits.

  • Other parts of this contract include the Formulary (List of Covered Drugs) and any notices you receive from us about changes to your coverage or conditions that affect your coverage.

  • Section 3.3 Formulary: The plan’s List of Covered Drugs The plan has a Formulary (List of Covered Drugs).

  • Or, visit www.ibxmedicare.com to use our Formulary (List of Covered Drugs) search tool or view a downloadable document.When this document refers to “we,” “us,” or “our,” it means Independence Blue Cross.

  • Section 3.3 The plan’s List of Covered Drugs (Formulary)The plan has a Formulary (List of Covered Drugs).

  • These chapters, together with the Formulary (List of Covered Drugs), tell you what prescription drugs are covered and explain the rules you must follow and the restrictions to your coverage for certain prescription drugs.

  • You can find these vaccines listed in the plan’s Formulary (List of Covered Drugs).

  • Here are materials that explain these basics: • The plan’s Formulary (List of Covered Drugs).

Related to Formulary List

  • Formulary means a list of covered prescription drugs provided under this plan. The formulary includes generic, preferred brand name, non-preferred brand name, and specialty prescription drugs.

  • E-Verify Program above means the employment verification program administered by the United States Department of Homeland Security, the Social Security Administration, or any successor program.

  • Open Item List means a list of work activities, Punchlist items, changes or other issues that are not expected by Owner and Contractor to be complete prior to Substantial Completion.

  • Primary Listing means the single directory listing provided to Customers by Publisher under the terms of this Agreement. Each telephone configuration that allows a terminating call to xxxx for an available time among a series of lines shall be considered a single Customer entitled to a single primary listing. “Proprietary Information” is as defined in Article 20, Section 20.1.1.

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • Prescription drugs means drugs, medicine and controlled substances which by law can only be prescribed for human use by persons authorized by law.

  • Prescription drug means any drug required by federal law or regulation to be dispensed only

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • HCFA means the United States Health Care Financing Administration.

  • Basic Comprehensive User Guide means the Ministry document titled Basic Comprehensive Certificates of Approval (Air) User Guide” dated April 2004 as amended.

  • Direction-indicator lamp means the lamp used to indicate to other road-users that the driver intends to change direction to the right or to the left;

  • Nonprescription drugs means nonnarcotic medicines or drugs which may be sold without a prescription and are prepackaged and labeled for use by the consumer in accordance with the requirements of the statutes and regulations of this state and the federal government;

  • Approved Vendor List means a list of approved vendors established under Section 63G-6a-507.

  • Nonprescription drug or "over-the-counter drug" means any

  • E-Verify system means an Internet-based system operated by the United States Department of Homeland Security that allows participating employers to electronically verify the employment eligibility of newly hired employees; and

  • Participating Prescription Drug Provider means an independent retail Pharmacy, chain of retail Pharmacies, mail-order Pharmacy or specialty drug Pharmacy which has entered into an agreement to provide pharmaceutical services to participants in the benefit program. A retail Participating Pharmacy may or may not be a select Participating Pharmacy as that term is used in the Vaccinations Obtained Through Participating Pharmacies section.

  • Recall List as used in this Agreement means the list of employees who are laid off from employment with the City or removed from their position by reason of a reduction in the size of the workforce, and who retain a right to return to their prior job classification pursuant to the terms of the Labor Agreement and/or Civil Service rules.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or

  • Provider Manual means a working document, including but not limited to BCBSM published bulletins and provider notices, that provide specific guidelines and direction by which providers may meet their contractual responsibility as described in this Agreement. Provider Manuals are published on web-DENIS.

  • Approved abuse education training program means a training program using a curriculum approved by the abuse education review panel of the department of public health or a training program offered by a hospital, a professional organization for physicians, or the department of human services, the department of education, an area education agency, a school district, the Iowa law enforcement academy, an Iowa college or university, or a similar state agency.

  • Prescription monitoring program “PMP,” or “program” means the program established pursuant to 657—Chapter 37 for the collection and maintenance of PMP information and for the provision of PMP information to authorized individuals.

  • Appropriate List Matching Data means (A) account registration and alternate payee data, to the extent made appropriate by statutes, rules or regulations governing the U.S. Government Lists, (ii) data determined by BNYM in light of statutes, rules or regulations governing the U.S. Government Lists to be necessary to provide the services described in this Section 3(b)(5), and (iii) data the parties agree in writing to be necessary to provide the services described in this Section 3(b)(5).

  • User Manual means the user guide, Help guide, and other documentation provided with the software, updated agreements provided on the website of Quick Heal (xxx.xxxxxxxxx.xxx), explanatory or other materials as provided from time to time by Quick Heal.

  • User Guide means such user guide or document issued or prescribed by us, through any medium, setting out instructions on the use of the EB Services;

  • HMO a health maintenance organization doing business as such (or required to qualify or to be licensed as such) under HMO Regulations.

  • Clinical review criteria means the written screening procedures, decision abstracts, clinical protocols, and practice guidelines used by a health carrier to determine the necessity and appropriateness of health care services.