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The document is a Formulary Exception Physician Fax Form used for preauthorization requests regarding medication. It requires the prescriber to provide patient and insurance information, details about the requested medication, and justification for its use over alternatives. Incomplete forms will be returned, and additional documentation may be required. The form must be submitted to Blue Cross and Blue Shield of Illinois for review.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What does it mean if a drug is not on the formulary?

The easiest way to put it is that a non formulary medication is a drug that doesnt appear in the insurance plans preferred list, thus it is not covered 100%. As a consequence of this, the people who have to take such medications might have extra costs.

What does formulary mean on insurance?

A formulary is a list of all the drugs covered by a health insurance plan. Health plans have different formularies, which means that a particular drug might be covered by one plan in your area, but not by another.

What does it mean if a drug is removed from the formulary?

If a medicine is not included within the Joint Formulary, it is considered non-formulary. The aim is for the Joint Formulary to cover 90% of prescribing, however, it is recognised that there are occasions when it is clinically necessary for a non-formulary medicine to be prescribed.

What does drug not on formulary mean?

Formulary exclusions are drugs that a PBM chooses not to be included in coverage. Usually, a PBM will contract with multiple insurance providers to manage their prescription benefits. A provider can choose not to follow their PBMs formulary exclusion list if they wish to cover a drug. Rise in Formulary Exclusions.

What is a formulary request?

Hospital Formulary. A hospital formulary is a list of medications stocked by the hospital pharmacy and related information for prescribing. Not all medications are on formulary, but comparable drugs may be available.

What is a formulary exception form?

A formulary exception should be requested to obtain a Part D drug that is not included on a plan sponsors formulary, or to request to have a utilization management requirement waived (e.g., step therapy, prior authorization, quantity limit) for a formulary drug.

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