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Formulary Medications Prior Authorization Form If this is an urgent request, please call Together with CCP Pharmacy Services. Otherwise, please return completed form to: Together with CCP Pharmacy
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Step 1: Gather all the necessary information about the child's non-formulary medication, such as the name of the medication, dosage instructions, and any special administration requirements.
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Step 2: Contact the child's healthcare provider or pediatrician to discuss the need for the non-formulary medication and obtain a prescription if necessary.
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Step 3: Coordinate with the child's pharmacy to ensure they have the non-formulary medication in stock or can order it for you.
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Step 4: Fill out any required forms or paperwork provided by the childrenscommunityhealthplan or the pharmacy regarding the non-formulary medication.
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Step 5: Submit the prescription and any necessary paperwork to the pharmacy and wait for it to be processed.
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Step 6: Pick up the non-formulary medication from the pharmacy and carefully follow the dosage instructions provided by the healthcare provider.
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Step 7: Monitor the child's response to the non-formulary medication and communicate any concerns or side effects to their healthcare provider.

Who needs non-formulary medications - childrenscommunityhealthplan?

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Children who require medications that are not covered under the formulary of childrenscommunityhealthplan may need non-formulary medications.
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These can include children with specific medical conditions that require specialized medications not typically covered by the formulary.
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Additionally, children who have experienced adverse reactions or side effects from formulary medications may also require non-formulary alternatives.
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It is important for healthcare providers to assess each child's individual needs and determine if non-formulary medications are necessary for their well-being.
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Non-formulary medications are medications that are not on the approved list of medications covered by Children's Community Health Plan.
Providers or pharmacies who prescribe or dispense non-formulary medications to patients covered by Children's Community Health Plan are required to file.
Providers or pharmacies can fill out the necessary forms and submit them to Children's Community Health Plan for consideration.
The purpose of non-formulary medications is to allow for coverage of medications that may be necessary for certain patients but are not on the approved list.
Providers or pharmacies must report the patient's information, medication details, and reason for prescribing the non-formulary medication.
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