A drug formulary is a list of generic and brand-name prescription drugs that are covered by the plan, are FDA-approved, and have been chosen for their reported medical effectiveness and value.
The Select formulary includes all therapeutic categories and provides physicians with prescribing options. In addition, the formulary is reviewed quarterly to add new drugs and to remove brand-name drugs when a generic equivalent becomes available.
When you prescribe a formulary medication, plan participants receive the drug for a lower copayment. If you prescribe a drug not on the formulary, the plan participants out-of-pocket cost will be greater. Prescribing generic drugs allows plan participants to always pay the lowest copayment.
The use of the formulary does not prohibit you from prescribing an uncovered medication. You are able to prescribe any covered medication, regardless of whether the drug is on the formulary or not.
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PLEASE NOTE: Because prescription drug programs vary by group, the inclusion of a drug in this formulary does not imply coverage. This formulary is subject to change throughout the year and plan exclusions may override this list. Benefit designs may vary with respect to drug coverage, quantity limits, step therapy, days supply and prior authorization. Please call the number listed on your member ID card if you have questions about your specific prescription drug benefits. Please discuss any questions or concerns about your drug therapy with your physician or pharmacist.