Exception Request definition

Exception Request means a request made by a Submitting Entity in accordance with Appendix 5C for an Exception.
Exception Request means a request that no EIC requirements be applied to a Contract. See Appendix No. 3 to these Regulations.
Exception Request means a process that allows a covered person, authorized representative, or prescribing physician (or other prescriber, as appropriate) to request and gain access to clinically appropriate drugs not otherwise covered by a health benefit plan.

Examples of Exception Request in a sentence

  • Exception Request - A Respondent may, for good cause, request an Exception to the application of the SBEDA Program if the Respondent submits the Exception to SBEDA Program Requirements Request form (available at http://www.sanantonio.gov/SBO/Forms.aspx) with its solicitation response.

  • Prior Authorization and Exception Request ProcessPrior Authorization status is included in the Essential Rx Drug List.

  • If Your Step Therapy Exception Request is denied, You have the right to request an expedited internal appeal and also have the right to request review by an Independent Review Organization as explained in the COMPLAINTS AND APPEAL PROCEDURE SECTION of this Certificate of Coverage.

  • If Your prescribing Physician or other Health Care Practitioner reasonably believe that denial of Step Therapy Exception Request could cause You serious harm or death, submission of the request with Urgent noted and documenting these concerns will be considered approved if we do not deny the request within 24 hours after receipt of the request.

  • If your Step Therapy Exception Request is denied, you have the right to request an expedited internal appeal and also have the right to request review by an Independent Review Organization as explained in the Review of Claim Determinations section of this Benefit Booklet.

  • In order for an exception to be considered, we must receive an “Exception Request Form” from your Physician.You can obtain an Exception Request Form on our website at www.floridablue.com, or you may call the customer service phone number on your ID Card and one will be mailed to you upon request.Note: Contraceptive injectable Prescription Drugs and implants, such as Norplant and IUD inserted for any purpose are not covered under this section.

  • The Step Therapy Exception Request will be considered approved if we do not deny the request within 72 hours after receipt of the request.

  • For staff who are related to or acquainted with an offender, the Contractor’s staff member must complete the Offender Contact Exception Request (CAJ-202) as provided by the MDOC and submit it to the MDOC Program Manager or designee.

  • If your prescribing Physician or other Health Care Practitioner reasonably believes that denial of the Step Therapy Exception Request could cause you serious harm or death, the request is considered approved if we do not deny 24 hours after receipt of the request.

  • In the event that a City employee cannot fully comply with one or more element(s) described in this Policy, the employee may request an exception by submitting Security Exception Request.


More Definitions of Exception Request

Exception Request means a request for coverage of a non-formulary drug. If you, your designee, or your prescribing health care provider submits a request for coverage of a non-formulary drug, your insurer must cover the non-formulary drug when it is medically necessary for you to take the drug.

Related to Exception Request

  • Interest Election Request means a request by the Borrower to convert or continue a Borrowing in accordance with Section 2.05.