Examples of Nonpreferred drug in a sentence
The Managed Care Plan shall ensure its PBM provides the following electronic message alerting the pharmacist to provide Medicaid recipients with the Hernandez notice/pamphlet when coverage is rejected due to the drug not being on the PDL: Non-preferred drug; Contact provider for change to preferred drug or to obtain prior authorization.
For pharmacy contracts, ensure its pharmacy benefits manager provides the following electronic message alerting the pharmacist to provide Medicaidrecipients with the HSA notice/pamphlet when coverage is rejected due to the drug not being on the PDL: Non-preferred drug; Contact provider for change to preferred drug or to obtain prior authorization.
For pharmacy contracts, ensure its pharmacy benefits manager provides the following electronic message alerting the pharmacist to provide Medicaid recipients with the HSA notice/pamphlet when coverage is rejected due to the drug not being on the PDL: Non-preferred drug; Contact provider for change to preferred drug or to obtain prior authorization.
The Health Plan shall ensure its PBA provides the following electronic message alerting the pharmacist to provide Medicaid recipients with the Hernandez notice/pamphlet when coverage is rejected due to the drug not being on the Health Plan’s PDL: Non-preferred drug; Contact provider for change to preferred drug or to obtain prior authorization.
The lessee shall take delivery of the property for interior furnishing upon signature of this Contract.
New prescriptions may require pre-authorization or other limits.Aetna DAW: If a Preferred drug is available and an Alternative or Non-preferred drug is dispensed, you will be charged the applicable co-pay plus the diference in cost between the Alternative or Non-preferred drug and Preferred drug cost even if your provider requests the Alternative drug.
In most cases, the Preferred drug is the same chemical entity/ active ingredient as the Non-preferred drug.
The Managed Care Plan shall ensure its PBM provides the following electronic message alerting the pharmacist to provide Medicaid recipientswith the Hernandez notice/pamphlet when coverage is rejected due to the drug not being on the PDL: Non-preferred drug; Contact provider for change to preferred drug or to obtain prior authorization.
The Non-Formulary or Non-preferred drug or biologic requires documentation that the patient has tried and failed the Formulary/Preferred agents (FDA approved or medically accepted for the patient’s indication) OR a medical reason has been provided as to why these agents are unable to be used to treat the patient’s condition (e.g. intolerance, contraindication, etc.).
If coverage of a Non-preferred drug is approved, the drug will be covered at the Preferred drug level.