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NonFFormulary//Exception inquiry MoliinaHealthcaareofCaliforrnia Phone Number:(888 8)6654621 Magnum Amber:(800)8 8163778Instru actions:Please ecompleteallapplicablesecttionsclearly. An Attachanyadditionaldocumeentationthatisimportantfo
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How to fill out non-formularyexception inquiry non-formularyexception inquiry

01
Begin by gathering all necessary information such as the medication details, medical history, and prescription information.
02
Contact your healthcare provider or physician to discuss the non-formulary medication and the need for an exception.
03
Obtain the necessary forms or documentation required by your insurance provider for the non-formulary exception inquiry.
04
Fill out the non-formulary exception inquiry form accurately and completely, providing all requested information.
05
Attach any supporting documents or evidence that may strengthen your case for the non-formulary exception, such as medical records or a letter from your healthcare provider.
06
Submit the filled-out form and supporting documents to your insurance provider through their designated channels, which may include online submission, fax, or mail.
07
Follow up with your insurance provider to ensure that they have received your non-formulary exception inquiry and to inquire about the status of your request.
08
If your request is approved, work with your healthcare provider to obtain the prescribed non-formulary medication.
09
In the case of denial, review the reasons provided by your insurance provider and consider appealing the decision if you believe it is warranted.

Who needs non-formularyexception inquiry non-formularyexception inquiry?

01
Individuals who are prescribed medication that is not on their insurance provider's formulary, or approved list, may need to submit a non-formulary exception inquiry. This applies to people who require a specific medication that is not typically covered by their insurance plan and need to seek an exception for coverage.
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Non-formulary exception inquiry is a process used to request coverage for a medication that is not on the formulary list of a health insurance plan.
Patients or their healthcare providers are required to file a non-formulary exception inquiry.
To fill out a non-formulary exception inquiry, the patient or healthcare provider needs to provide information about the medication, the patient's medical condition, and any relevant supporting documentation.
The purpose of a non-formulary exception inquiry is to request coverage for a medication that is not on the formulary list when it is medically necessary for the patient.
The information that must be reported on a non-formulary exception inquiry includes details about the medication, the medical condition it is being used to treat, and any supporting documentation from healthcare providers.
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