Closed formulary definition

Closed formulary means all available Food and Drug Administration (FDA) approved prescription and nonprescription drugs prescribed and dispensed for outpatient use, excluding:
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Closed formulary means a list of prescription drugs and devices reimbursed by the insurer that excludes coverage for drugs and devices not listed.
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Closed formulary means a list of prescription drugs and devices reimbursed
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Examples of Closed formulary in a sentence

  • Closed formulary The Commission hereby adopts a closed formulary as defined in 810:15-1-2 for workers' compensation claims with a date of injury on and after February 1, 2014.

  • Closed formulary plans cover most, but not all, Part D eligible drugs.

  • Closed formulary' means a list of prescription drugs and devices reimbursed by the insurer that excludes coverage for drugs and devices not listed.(1a) 'Health benefit plan' has definition provided in G.S. 58-3-167.

  • Closed formulary – A method used by an insurer to provide prescription drug benefits in which only specified FDA approved prescription drug products are covered, as determined by the insurer, but in which medical exceptions are allowed.

  • Closed formulary – A formulary that excludes specific medications, often based on cost or efficacy.

  • Question: Can you explain the Open Formulary with exclusions?Answer: With the Closed formulary, the Department determines a list of 178 drugs that were eligible for coverage.

  • He reviewed the statistics of the Good Landlord Program, noting that there had not been an increase of those not wishing to participate in the program as had occurred in previous quarters.

  • Shall be familiar with and follow the Pharmacy Closed formulary rules in accordance with 28 TAC §134.500 through §134.550.

  • Closed formulary — Moda will now have a closed drug formulary to help bring down costs.

  • Closed formulary: Non-formulary or non-preferred medications are not covered within a health plan unless under an exception where medically appropriate.


More Definitions of Closed formulary

Closed formulary means all available Food and Drug Administration (FDA) approved prescription and nonprescription drugs prescribed and dispensed for outpatient use, and applies to the categories listed below that require prior approval:
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Closed formulary means all available Food and Drug Administration (FDA) approved
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Related to Closed formulary

  • Enrolled Nurse means an employee:

  • Prescribed Forms means the forms prescribed from time to time under or pursuant to subsection 66(12.7) of the Act filed or to be filed by the Company within the prescribed times renouncing to the Subscriber the Qualifying Expenditures incurred pursuant to this Agreement and all parts or copies of such forms required by the CRA to be delivered to the Subscriber;

  • prescribed form means, with regard to the filing of Annual Financial Information, Audited Financial Statements and notices of Listed Events with the MSRB at www.emma.msrb.org (or such other address or addresses as the MSRB may from time to time specify), such electronic format, accompanied by such identifying information, as shall have been prescribed by the MSRB and which shall be in effect on the date of filing of such information.

  • Number of Students Who Began the Program means the number of students who began a program who were scheduled to complete the program within 100% of the published program length within the reporting calendar year and excludes all students who cancelled during the cancellation period.

  • Number of Students Who Began Program means the number of students who began the program who are scheduled to complete the program within the reporting calendar year.

  • Formulary means a list of covered prescription drugs provided under this plan. The formulary includes generic, preferred brand name, non-preferred brand name, and specialty prescription drugs.

  • Closed Session means a meeting or part of a meeting of a public body that is closed to the public.

  • Applied For means that you have already applied for a TIN or that you intend to apply for one soon. Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8.

  • Closed panel plan means a plan that provides health benefits to covered persons primarily in the form of services through a panel of providers that have contracted with or are employed by the plan, and that excludes benefits for services provided by other providers, except in cases of emergency or referral by a panel member.

  • Permanent foster care placement means the place of residence in which a child resides and in

  • Lawfully admitted for permanent residence means the status of having been lawfully accorded the privilege of residing permanently in the United States as an immigrant in accordance with the immigration laws, such status not having changed.

  • Medical evaluation means the process of assessing an individual's health status that includes a medical history and a physical examination of an individual conducted by a licensed medical practitioner operating within the scope of his license.

  • Covered foreign country means The People’s Republic of China. “Covered telecommunications equipment or services” means–

  • Closed season means all times, manners of taking, and places

  • Eligible patient means an individual who meets all of the following conditions:

  • Overseas treatment means treatments or appliances provided or sourced from outside of Australia. This includes treatment on cruise ships inside or outside Australian waters.

  • Non-Participating Certified Registered Nurse Anesthetist means a Certified Registered Nurse Anesthetist who does not have a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Placed for adoption means the assumption and retention of a legal obligation by a person for the total or partial support of a child in anticipation of adoption of the child. If the legal obligation ceases to exist, the child is no longer considered placed for adoption. [PL 1993, c. 666, Pt. A, §1 (NEW).]

  • Medical clearance means a physician or other health care

  • Advanced registered nurse practitioner or “ARNP” means a person who is currently licensed as a registered nurse under Iowa Code chapter 152 or chapter 152E who is licensed by the board as an advanced registered nurse practitioner.

  • Foster care placement means placement of a child through (i) an agreement between the parents or

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

  • Medical Reimbursement Programs means a collective reference to the Medicare, Medicaid and TRICARE programs and any other health care program operated by or financed in whole or in part by any foreign or domestic federal, state or local government.

  • Registered Nurse (RN) means an individual licensed pursuant to Iowa Code chapter 152.

  • Armed forces of the United States means the United States

  • Prescribed Limit means ten per cent (10%) of the issued ordinary share capital of the Company as at the date of passing of this resolution unless the Company has effected a reduction of the share capital of the Company in accordance with the applicable provisions of the Companies Law, at any time during the Relevant Period, in which event the issued ordinary share capital of the Company shall be taken to be the amount of the issued ordinary share capital of the Company as altered (excluding any treasury share that may be held by the Company from time to time); and