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Requests for formulary exceptions should be submitted using the Prior Authorization/Medication Exception Request form. Clinical evidence must be provided ...
1 Dec 2021 — Exceptions requests are granted when a plan sponsor determines that a requested drug is medically necessary for an enrollee. Therefore, an ...
Retirees with Medicare must complete a form; No additional Part D premium. Exception: high income enrollees. Complicates or prevents double coverage ...
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