Formulary definition

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.
Formulary means a listing of drugs used within a health plan.
Formulary means the prescription drugs and dosage forms covered under this agreement. Some prescription drugs are not in the formulary. If a prescription drug is not in our formulary, then it is not covered under this agreement. A committee of local physicians and Pharmacists, set up by us, develop the prescription drug formulary listing which is subject to periodic review and is subject to change. The committee decides the tier placement of drugs in the formulary, which determines the amount you will pay. To obtain coverage information for a specific prescription drug or to get a copy of the most current formulary listing, visit our Web site at XXXXXX.xxx. or you may call our Customer Service Department at (000) 000-0000 or 0-000-000-0000 for information.

Examples of Formulary in a sentence

  • Other parts of this contract include your enrollment form, the List of Covered Drugs (Formulary), and any notices you receive from us about changes to your coverage or conditions that affect your coverage.

  • Section 3.3 The plan’s List of Covered Drugs (Formulary) The plan has a List of Covered Drugs (Formulary).

  • Prescription Drug Formulary – means a schedule of Prescription Drugs approved for use which will be covered, if not otherwise excluded by this Policy and dispensed through participating pharmacies.

  • Supply of medicines and medical devices3.1 Medicine production according to GxP3.2 Supply chain management3.3 Formulary development3.4 Medicine dispensing3.5 Medicine compounding3.6 Medicine disposal/destruction4.

  • Tier and Formulary Assignment Process Your Copayment/Coinsurance amount varies based on how the Prescription Drug, including covered Specialty Drugs, has been classified by the Plan’s formulary and the type of Copayment/Coinsurance tier structure per the Schedule of Benefits.


More Definitions of Formulary

Formulary means the prescription drugs and dosage forms covered under this agreement. Some prescription drugs are not in the formulary. If a prescription drug is not in our formulary, then it is not covered under this agreement. A committee of physicians and pharmacists develop the prescription drug formulary listing which is subject to periodic review and change. The committee decides the tier placement of drugs in the formulary, which determines the amount you will pay. When possible, new prescription drugs are reviewed within six (6) months of the occurrence of one of the events described below to determine whether the prescription drug is eligible for coverage under this agreement:  final FDA approval;  the first date generally available in pharmacies (for prescription drugs only). To obtain coverage information for a specific prescription drug or to get a copy of the most current formulary listing, visit our website or, you may call our Customer Service Department for information. LEGEND DRUG is a drug that federal law does not allow the dispensing of without a prescription.
Formulary means the list of medications BCBSAZ and/or the PBM has designated as covered under this Pharmacy Benefit. Medications not on the Formulary are not covered unless BCBSAZ and/or the PBM authorizes a Formulary Exception for a Non-Formulary Medication. BCBSAZ and/or the PBM decide which medications are on the Formulary.
Formulary means a list of medicinal drugs.
Formulary means any dangerous drugs; including Schedule II-V controlled substances, physicians may use in the care of patients where there is an established physician-patient relationship.
Formulary means a list of drugs that has been developed, organized and is administered to promote rational, clinically appropriate, safe and cost-effective drug therapy.
Formulary means a specified list of Prescription Medications covered by the Company. The services of an independent National Pharmacy and Therapeutics Committee (P&T Committee) are utilized to approve sage and clinically effective drug therapies on the Formulary. The P&T Committee is an external advisory body of experts from across the United States. The P&T Committee’s voting members include physicians, pharmacists, a pharmacoeconomist and a medical ethicist, all of whom have a broad background of clinical and academic expertise regarding prescription drugs.Prescription Medications on the Formulary are classified into various cost tier designs based on the benefit. Prescription Medication tiers are classified as Preventive Medications, Generic Medications, Brand Name Medications, and Specialty Medications. The list of Prescription Medications that make up the Formulary and the tier classification of a Prescription Medication on the Formulary are subject to change by the Company and the Pharmacy and Therapeutics Committee. In recommending whether to place a Prescription Medication on the Formulary or to place a Prescription Medication in a tier classification in the Formulary, the Pharmacy and Therapeutics Committee compares a Prescription Medication’s safety, effectiveness, cost efficiency and uniqueness with other Prescription Medications in the same category. Prescription Medications including new Prescription Medications approved by the FDA are not covered under this Benefit Certificate unless or until the Company places the medication on the Formulary.
Formulary means the prescription drugs and dosage forms covered under this agreement. Some prescription drugs are not in the formulary. If a prescription drug is not in our formulary, then it is not covered under this agreement. A committee of physicians and pharmacists develop the prescription drug formulary listing which is subject to periodic review and change. The committee decides the tier placement of drugs in the formulary, which determines the amount you will pay. When possible, new prescription drugs are reviewed within six (6) months of the occurrence of one of the events described below to determine whether the prescription drug is eligible for coverage under this agreement: • final FDA approval; • the first date generally available in pharmacies (for prescription drugs only). To obtain coverage information for a specific prescription drug or to get a copy of the most current formulary listing, visit our Web site at XXXXXX.xxx. or you may call our Customer Service Department at (000) 000-0000 or 0-000-000-0000 for information. LEGEND DRUG is a drug that federal law does not allow the dispensing of without a prescription.