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Blue Cross and Blue Shield of Minnesota Drug List Exclusions Effective 1/1/16 Below is a list of medicines by drug category that may be excluded from coverage under your prescription drug benefit.
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How to fill out drug list exclustions

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How to fill out drug list exclusions:

01
Start by obtaining a copy of the drug list exclusions form from your healthcare provider or insurance company. This form typically contains a list of medications that are not covered by your insurance plan.
02
Carefully read through the form and familiarize yourself with the instructions provided. It is important to understand the criteria for submitting an exclusion request and the documentation required.
03
Make a list of the medications you are currently taking that are not covered by your insurance plan. Gather any supporting documents such as medical records or prescriptions that can help justify why these medications are necessary for your health.
04
Fill out the form accurately and completely, providing all the requested information such as your personal details, insurance policy number, and contact information. Be sure to include the names and dosages of the medications you are requesting exclusion for.
05
Attach any supporting documentation to the form as required. This may include a letter from your healthcare provider explaining the medical necessity of the excluded medications or any relevant test results.
06
Review the completed form and ensure all the information is accurate and legible. Double-check that you have included all the necessary attachments and documentation.
07
Submit the drug list exclusions form to your healthcare provider or insurance company by the specified deadline. Keep a copy of the form for your records.
08
Follow up on your submission by contacting your healthcare provider or insurance company to ensure they have received your request. Inquire about the timeline for processing the exclusion request and any additional steps you may need to take.

Who needs drug list exclusions:

01
Individuals who are prescribed medications that are not covered by their insurance plan may need drug list exclusions. This could be due to various reasons such as the medication being classified as a non-formulary drug or not meeting the plan's coverage criteria.
02
Patients who require certain medications for the management of chronic conditions or specific health conditions may need to seek drug list exclusions in order to continue receiving their necessary treatments.
03
Individuals who have tried alternative medications covered by their insurance plan but have not achieved the same level of effectiveness or experience adverse side effects may also be candidates for drug list exclusions. It is important for them to work with their healthcare provider to document the medical necessity of the excluded medications.
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Drug list exclusions refer to medications that are not covered by a particular insurance plan or pharmacy benefit program.
Healthcare providers or pharmacies may be required to file drug list exclusions with insurance companies or pharmacy benefit managers.
Drug list exclusions can be filled out by submitting a list of medications that are not covered by an insurance plan or pharmacy benefit program.
The purpose of drug list exclusions is to control costs and ensure that only necessary medications are covered by insurance plans or pharmacy benefit programs.
The information reported on drug list exclusions may include the name of the medication, the reason for exclusion, and any alternative treatment options.
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