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Tier Exception Request Form To submit request electronically, please go to covermymeds.com using Plan×IBM Name BCBS NCM ail: Blue Cross NC, ATTN: Part D Coverage Determination P.O. Box 17509, Winston-Salem,
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How to fill out www2fepblueorgbenefit-plans-specialty formulary tier exception

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How to fill out www2fepblueorgbenefit-plans-specialty formulary tier exception

01
To fill out the www2fepblueorgbenefit-plans-specialty formulary tier exception, you need to follow these steps:
02
Visit the website www2fepblue.org and navigate to the benefit plans section.
03
Look for the formulary tier exception form and click on it.
04
Fill in your personal information like name, address, and contact details.
05
Provide your FEP member ID and the name of your insurance provider.
06
Specify the medication for which you are requesting a formulary tier exception.
07
Explain the reason why you believe you need a formulary tier exception for that medication.
08
Attach any supporting documents such as medical records or doctor's prescriptions.
09
Review the form for any errors or missing information.
10
Submit the completed form online or mail it to the address provided on the form.
11
Wait for a response from the FEP Blue team regarding your formulary tier exception request.

Who needs www2fepblueorgbenefit-plans-specialty formulary tier exception?

01
Individuals who have certain medical conditions or specific medication needs may require the www2fepblueorgbenefit-plans-specialty formulary tier exception.
02
It is typically needed by individuals who are covered under the FEP Blue insurance plan and require a specific medication that is not included in their plan's formulary or is on a higher tier, leading to higher out-of-pocket costs.
03
A formulary tier exception allows individuals to request coverage for the medication they need at a lower cost or without any additional cost. It helps individuals access necessary medications that may not be readily available in their plan's formulary.
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www2fepblueorgbenefit-plans-specialty formulary tier exception is a request made to the formulary tier exception process to have a medication covered at a different cost-sharing tier.
Members who are prescribed a medication that is not on their plan's formulary or is on a higher cost-sharing tier are required to file the formulary tier exception.
To fill out the formulary tier exception, members need to provide information about the medication, the medical condition it is being prescribed for, and any supporting documentation from their healthcare provider.
The purpose of the formulary tier exception is to provide members access to necessary medications at an affordable cost, even if those medications are not typically covered or are at a higher cost-sharing tier.
Members must report information about the medication being requested, the medical necessity for the medication, and any supporting documentation from their healthcare provider.
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