Non-Formulary Medications definition

Non-Formulary Medications means all medications except medications on the Formulary. Members may ask their prescribing provider to request that BCBSAZ make a Formulary Exception for a Non-Formulary Medication. BCBSAZ and/or the PBM decide which medications are Non-Formulary Medications and whether to authorize Formulary Exceptions for Non-Formulary Medications.
Non-Formulary Medications means the medication(s) is not a part of the Formulary. Non-Formulary medication(s) is not generally prescribed in DOC and requires preauthorization though the Department's Utilization Management Office to be considered for reimbursement.

Examples of Non-Formulary Medications in a sentence

  • For specific questions, providers may contact our Care Management Department at 800-905-1722.G. Injectables and Non-Formulary Medications Requiring Prior-AuthorizationPlease refer to the MedStar Family Choice Formulary for a listing of medications that require prior-authorization.

  • Injectables and Non-Formulary Medications Requiring Prior-Authorization Most Specialty Medications require prior authorization.

  • Please see the Medical Necessity for Non-Formulary Medications policy for more information.

  • All chemicals, machinery, equipment tools and process under the control of the occupier are safe and without risk to health and comply with the requirements of safety and health provisions in OSHA (Hall, Taylor & Torrington, 2005).

  • To furnish all legally required medication and product order information to DIAMOND on any Formulary and Non-Formulary Medications prescribed for inmates of the FACILITY.

  • While the FNPRM questions how much data should be required and where that data should be maintained, there is no need to look beyond the FCC’s own Universal Licensing System (“ULS”) as the repository.

  • Injectables and Non-Formulary Medications Requiring Prior-AuthorizationMost Specialty Medications require prior authorization.

  • Top 10 Non-Formulary Medications by Cost and Volume – 3rd Quarter FY19 3.

  • Medical necessity will be evaluated based on Medical Necessity for Non-Formulary Medications Kentucky Marketplace Plans PAD-0033-KY-MPP Effective Date: 07/02/2020 the overall health and well-being of the member and when the member’s day to day health would be impacted.

  • Medical Necessity for Non-Formulary Medications Kentucky Marketplace Plans PAD-0033-KY-MPP Effective Date: 07/02/2020 CareSource uses a Marketplace Formulary Drug List (i.e., Marketplace Formulary) that is established, reviewed and approved by the CareSource Pharmacy and Therapeutics (P&T) Committee and applicable state and federal regulatory agencies.

Related to Non-Formulary Medications

  • Antipsychotic medications means that class of drugs

  • Prescription medication means any medication that requires a physician prescription before it may be obtained from a pharmacist.

  • Participating Retail Health Clinic means a Retail Health Clinic which has 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.

  • Nonprescription medication means a drug or medication authorized pursuant to federal or state law for general distribution and use without a prescription in the treatment of human disease, ailments, or injuries.

  • Cannabis wholesaler means any licensed person or entity that purchases or otherwise obtains, stores, sells or otherwise transfers, and may transport, cannabis items for the purpose of resale or other transfer to either another cannabis wholesaler or to a cannabis retailer, but not to consumers.

  • Medical Assistance Program means the medical assistance provided pursuant to Chapter 319v of the Connecticut General Statutes (CGS) and authorized by Title XIX of the Social Security Act. The program is also referred to as Medicaid.

  • Participating Prescription Drug Provider means an independent retail Pharmacy, chain of retail Pharmacies, mail-order Pharmacy or specialty drug Pharmacy which has entered into an agreement to provide pharmaceutical services to participants in the benefit program. A retail Participating Pharmacy may or may not be a select Participating Pharmacy as that term is used in the Vaccinations Obtained Through Participating Pharmacies section.

  • Prescription monitoring program means the electronic system within the Department of Health Professions that monitors the dispensing of certain controlled substances.

  • 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.

  • Diagnostic clinical procedures manual means a collection of written procedures that describes each method (and other instructions and precautions) by which the licensee performs diagnostic clinical procedures; where each diagnostic clinical procedure has been approved by the authorized user and includes the radiopharmaceutical, dosage, and route of administration.

  • Employee Assistance Program means an established program for employee assessment, counseling, and referral to an alcohol and drug rehabilitation program.

  • Participating Prosthetic Provider means a Prosthetic Provider who has 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.

  • Participating Product means any of the Breville products listed in the table below by model name and number that are supplied by Breville in Australia and sold directly by Breville or by a Participating Retail Store: Any costs, fees, expenses or liability of any description to pay any amount for installation, insurance, warranty or extended warranty, delivery or any other cost that is, at the determination of the Promoter in its absolute discretion, additional or ancillary to the models listed in the above table.

  • Procurement Plan means the Recipient’s procurement plan for the Project, dated April 2, 2010, and referred to in paragraph 1.16 of the Procurement Guidelines and paragraph 1.24 of the Consultant Guidelines, as the same shall be updated from time to time in accordance with the provisions of said paragraphs.

  • Tobacco products means cigars, cigarettes, cheroots, stogies, periques, granulated, plug cut, crimp cut, ready rubbed, and other smoking tobacco, snuff, snuff flour, moist snuff, cavendish, ping and twist tobacco, fine-cut and other chewing tobaccos, shorts, refuse scraps, clippings, cuttings and sweepings of tobacco, and other kinds and forms of tobacco, prepared in such manner as to be suitable for chewing or smoking in a pipe or otherwise, or both for chewing and smoking.

  • Non-Participating Retail Health Clinic means a Retail Health Clinic which 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.

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • Tobacco product means any substance containing tobacco leaf, including but not limited to, cigarettes, cigars, pipe tobacco, hookah tobacco, snuff, chewing tobacco, dipping tobacco, bidis, blunts, clove cigarettes, or any other preparation of tobacco; and any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body by inhalation; but does not include any cessation product specifically approved by the U.S. Food and Drug Administration for use in treating nicotine or tobacco dependence.

  • Opioid treatment program means a detoxification or maintenance treatment program which is required to report patient identifying information to the central registry and which is located in the state.

  • Educational program means a program for educating and preparing physician assistants which is approved by the board.

  • Training program means a standardized medication

  • Development Plans has the meaning set forth in Section 3.2.

  • Technical Employees means those employees having special and specific engineering, geological or other professional skills, and whose primary function in Joint Operations is the handling of specific operating conditions and problems for the benefit of the Joint Property.

  • Performance Indicators means the indicators for Project monitoring and evaluation set forth in the Operational Manual.

  • Commercialization Plan has the meaning set forth in Section 6.2.

  • Dependent care assistance program means a benefit plan