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 Formulary Exception Prior Auth Request Form 2021-2025

Cvs Caremark Non Medicare Ulary Exception Prior Authorization Request 2021-2025 Form

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Instructions and help about caremark prior auth form

hello this is dr eric bricker and thank you for watching a healthcare z today we're going to be discussing medication formulary okay what is that a formulary is a list of medications that are covered by your insurance and that's super important because not all medications are actually covered by your insurance okay now the formulary is determined by something that's called the pharmacy benefits manager or the pbm for short so they actually are completely separate companies or departments within insurance companies that specifically determine pharmacy benefits and those are called pbms and it's that pbm and your employer that determine what particular medications are not covered on your formulary so you need to check with your own plan either through hr or through the phone number that's on the back of your car specifically for the pbm oftentimes there's a different pbm phone number to call okay so your doctor does not know your formulary

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