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Premier Formulary Medical Exception Process Blue Cross & Blue Shield of Rhode Island developed the Premier formulary to encourage the use of medically accepted, cost-effective drugs. Some drugs are
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What is formulary exception process?
Formulary exception process is a request made by a patient or their healthcare provider for coverage of a medication that is not included on the health plan's formulary.
Who is required to file formulary exception process?
Patients or their healthcare providers are required to file formulary exception process.
How to fill out formulary exception process?
To fill out formulary exception process, patients or their healthcare providers need to submit a request form along with relevant medical information supporting the need for the non-formulary medication.
What is the purpose of formulary exception process?
The purpose of formulary exception process is to provide access to necessary medications that are not on the health plan's formulary.
What information must be reported on formulary exception process?
The information reported on formulary exception process must include the patient's name, identification number, the medication being requested, and supporting medical documentation.
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