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Passport Health Plan Pharmacy Benefit Management Medicaid Phone: 844.380.8831 Fax: 844.802.1406NONPREFERRED MEDICATIONS Standard Request Expedited Request you or your prescriber believe that waiting
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How to fill out non-preferred medications

How to fill out non-preferred medications
01
To fill out non-preferred medications, follow these steps:
02
Contact your healthcare provider or pharmacist to determine if the medication you need is considered non-preferred.
03
If it is a non-preferred medication, ask your healthcare provider if there is an alternative preferred medication that can be prescribed instead.
04
If there is no alternative, your healthcare provider will need to provide a justification for the non-preferred medication.
05
Ensure that you have the necessary insurance coverage for non-preferred medications. Some insurance plans may require prior authorization or may have higher copayments for these medications.
06
Visit a pharmacy that participates in your insurance plan and provide them with the prescription for the non-preferred medication.
07
Pay any necessary copayments or fees for the non-preferred medication.
08
Follow the instructions provided by your healthcare provider and pharmacist for taking the non-preferred medication.
09
Keep track of any side effects or concerns and communicate them with your healthcare provider.
10
Refill your prescription as needed to continue taking the non-preferred medication.
Who needs non-preferred medications?
01
Non-preferred medications are typically prescribed for individuals who have tried and failed alternative preferred medications or have specific medical conditions that require the use of non-preferred options.
02
Sometimes, insurance plans may also have a tiered formulary system where non-preferred medications are prescribed for cost-saving reasons.
03
Ultimately, the decision to use non-preferred medications is made by the healthcare provider based on the individual's medical needs and insurance coverage.
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What is non-preferred medications?
Non-preferred medications are medications that are not prioritized by the healthcare provider or insurance company due to cost, availability of alternative options, or other reasons.
Who is required to file non-preferred medications?
Healthcare providers or pharmacists may be required to file non-preferred medications depending on the regulations of the healthcare system or insurance provider.
How to fill out non-preferred medications?
To fill out non-preferred medications, healthcare providers or pharmacists need to provide information such as the patient's name, medication name, dosage, frequency, and reasons for the non-preference.
What is the purpose of non-preferred medications?
The purpose of non-preferred medications is to promote cost-effective healthcare practices, improve patient outcomes, and encourage the use of preferred medications whenever possible.
What information must be reported on non-preferred medications?
Information such as the patient's name, medication name, dosage, frequency, reasons for non-preference, and any relevant medical history may need to be reported on non-preferred medications.
What is the penalty for late filing of non-preferred medications?
The penalty for late filing of non-preferred medications may include fines, sanctions, or other consequences depending on the regulations of the healthcare system or insurance provider.
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