Administrative Override definition
Administrative Override means the process in which Serve You Rx administers the non- clinical rules and conditions established or adopted by Plan Sponsor to determine whether a drug may be approved for coverage, where such evaluation does not require professional consultation with a physician, physician office staff, nurse, clinical pharmacist, Serve You Rx's clinical review staff, or other persons authorized to prescribe prescription drugs or other health care professionals, such as, but not limited to vacation overrides, lost/stolen/broken overrides, emergency overrides, mandatory mail overrides, and maintenance overrides. This does not include reviews utilizing clinical review guidelines or protocols.