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Your 2017 FourTierPrescription Drug List
Effective July 1, 2017,
This Prescription Drug List (PDL) outlines the most commonly prescribed medications
for certain conditions and organizes them into
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How to fill out universal preferred drug list

How to fill out universal preferred drug list
01
Obtain a copy of the universal preferred drug list from your healthcare provider or pharmacy.
02
Review the list to see if the medications you are currently taking are included.
03
If your medications are not on the list, speak to your healthcare provider about alternatives that are covered.
04
Fill out any necessary forms or provide any required information to add or switch medications on the list.
05
Keep a copy of the updated universal preferred drug list for future reference.
Who needs universal preferred drug list?
01
Patients who want to ensure their medications are covered by insurance.
02
Healthcare providers who need to prescribe medications that are included in the preferred drug list to improve cost-effectiveness.
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What is universal preferred drug list?
The universal preferred drug list is a list of medications that have been identified as preferred by a health insurance plan or pharmacy benefit manager.
Who is required to file universal preferred drug list?
Health insurance plans and pharmacy benefit managers are required to file the universal preferred drug list.
How to fill out universal preferred drug list?
The universal preferred drug list can be filled out online through the designated portal or submission platform.
What is the purpose of universal preferred drug list?
The purpose of the universal preferred drug list is to guide healthcare providers and patients towards using cost-effective medications.
What information must be reported on universal preferred drug list?
The universal preferred drug list must include the name of the medication, preferred status, cost information, and any restrictions or limitations.
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