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Formulary/Exception Inquiry Molina Healthcare of New Microphone Number: (888) 2957651 Fax Number: (505)3420595Instructions: Please complete all applicable sections clearly. Attach any additional documentation
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How to fill out non-formularyexception inquiry - molina
How to fill out non-formularyexception inquiry - molina
01
To fill out a non-formulary exception inquiry for Molina, follow these steps:
02
Contact Molina's customer service to request a non-formulary exception inquiry form.
03
Obtain the necessary information regarding the medication you are seeking an exception for, such as the name, dosage, and reason for requesting the exception.
04
Fill out the non-formulary exception inquiry form accurately and provide all the required information.
05
Attach any supporting documentation or medical records that may help substantiate the need for the exception.
06
Submit the completed non-formulary exception inquiry form and all supporting documents to Molina as instructed.
07
Await a response from Molina regarding the status of your request.
08
It is important to note that the exact process and requirements may vary depending on the specific policies and procedures of Molina. Therefore, it is advisable to contact their customer service or refer to their official guidelines for more detailed instructions.
Who needs non-formularyexception inquiry - molina?
01
Anyone who is enrolled in Molina's health insurance plan and requires a medication that is not listed in Molina's formulary may need to submit a non-formulary exception inquiry. Formulary refers to the list of medications covered by the insurance plan. If an individual's prescribed medication is not included in the formulary, they can request an exception to have it covered by Molina's insurance. However, it is important to note that each individual case is evaluated based on specific criteria, such as the medical necessity of the requested medication and available alternative options. Therefore, not all non-formulary medications will be approved. It is advisable to consult with Molina's customer service or refer to their official guidelines for more information on eligibility and the process of submitting a non-formulary exception inquiry.
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What is non-formularyexception inquiry - molina?
Non-formulary exception inquiry - Molina is a request made by a member or provider to review the need for a medication that is not on the Molina formulary.
Who is required to file non-formularyexception inquiry - molina?
Members or providers who are seeking coverage for a medication that is not on the Molina formulary are required to file a non-formulary exception inquiry.
How to fill out non-formularyexception inquiry - molina?
The non-formulary exception inquiry form can be filled out online or submitted through the mail with the required information about the medication and the medical need for it.
What is the purpose of non-formularyexception inquiry - molina?
The purpose of the non-formulary exception inquiry is to determine if there is a valid medical reason to cover a medication that is not on the Molina formulary.
What information must be reported on non-formularyexception inquiry - molina?
The non-formulary exception inquiry must include information about the medication being requested, the medical condition it is being used to treat, and any previous medications that have been tried.
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