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If a medication is non-formulary, it means it is not included on the insurance companys formulary or list of covered medications. A medication may not be on the formulary because an alternative is proven to be just as effective and safe but less costly.
Ozempic is non-formulary, but available to most beneficiaries at the non- formulary cost share. You do NOT need to complete this form in order for non-Active duty beneficiaries (spouses, dependents, and retirees) to obtain non-formulary medications at the non-formulary cost share.
Non-formulary medicines should be prescribed only when formulary choices are not suitable or have been exhausted.
A medication that is not a part of the drug formulary. This may be due to the medication not being considered for formulary addi- tion or the medication being consid- ered but the PT committee choosing not to add it.
If a medication is non-formulary, it means it is not included on the insurance companys formulary or list of covered medications. A medication may not be on the formulary because an alternative is proven to be just as effective and safe but less costly.
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