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Vivamedicaremember. com/memberresources/default.aspx Formul aries Step Therapy Formulary Exception Request for a drug that is not on the plan s list of covered drugs. The prescriber must provide clinical documentation that the restricted dose has been found to be ineffective and all other formulary alternatives have been found to be or based on sound clinical judgment would likely be ineffective. The prescriber must provide information that given the patient s medical condition all other...
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