External Appeals. For appeals of a decision that a prescription drug is not covered because it is not on our formulary, please see the Formulary Exception Process in the Prescription Drug and Diabetic Equipment and Supplies section. When filing a reconsideration or an appeal, please provide the same information listed in the Complaints section above.
Appears in 106 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
External Appeals. For appeals of a decision that a prescription drug is not covered because it is not on our formularycovered, please see the Formulary Prescription Drug Coverage Exception Process in the Prescription Drug and Diabetic Equipment and Supplies section. When filing a reconsideration or an appeal, please provide the same information listed in the Complaints section above.
Appears in 37 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
External Appeals. For appeals of a decision that a prescription drug is not covered because it is not on our formulary, please see the Formulary Exception Process in the Prescription Drug and Diabetic Equipment and Supplies section. When filing a reconsideration or an appeal, please provide the same information listed in the Complaints section above.
Appears in 15 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
External Appeals. For appeals of a decision that a prescription drug is not covered because it is not on our formulary, please see the Formulary Prescription Drug Coverage Exception Process in the Prescription Drug and Diabetic Equipment and Supplies section. When filing a reconsideration or an appeal, please provide the same information listed in the Complaints section above.
Appears in 7 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
