MetaGlossary.com: Exception

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Keywords: Formulary, Medi, Request, Dosage, Tiering

Related Terms: Prescription, Formulary, Pharmacy, Msn, Member, Pharmacy And Therapeutics Committee, Point-Of-Service Plan, Php , Prior Authorization, Advance Beneficiary Notice, Abn, Prescription Drugs, Pbm, Medicare Managed Care Plan, Original Medicare Plan, Prescription Drug, Compounding Pharmacy, Medicare Summary Notice, Prescription Drug Plan, Pdp, Network Pharmacy, Auto-Enrollment, Step Therapy, Disenrollment, Dual Eligible, Medicare Advantage Plan, Medicare Supplement Plan, Drug Formulary, Drug Utilization Review, Health Plan, Enroll, Fee-For-Service Plan, Preferred Drug List, Medicare Advantage, Medicare Part D, Part D, Pos Plan, Medicare+Choice, Preferred Provider Organization Plan, Participating Pharmacy, Open Access Plan, Dispensing Fee, Maximum Allowable Cost, Original Medicare, Pharmacy Benefit Manager, Donut Hole, Maintenance Medications, Mma, Non-Formulary Drugs, Medicare Prescription Drug Plan

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a beneficiary's request for his or her plan to cover a medically necessary drug that is not on the drug plan's formulary

http://www.nls.org/planner/fall05.htm

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a document relating to public affairs quoted from by a Minister in the course of a speech which must be presented, if requested by any Member, unless the Minister states it to be of a confidential nature

http://www.aph.gov.au/house/pubs/practice/chapter8.htm

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a subject request for a memorial gift

http://winslo.state.oh.us/publib/material_wads.html

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A request to Medi-Care First Rx to pay for a drug that is not covered or to pay for a drug at a different cost.

http://www.medi-carefirst.com/partd/html/Glossary.html

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A type of coverage determination that, if approved, allows you to obtain a drug that is not on our formulary (a formulary exception), or receive a non-preferred drug at the preferred cost-sharing level (a tiering exception). You may also request an exception if we require you to try another drug before receiving the drug you are requesting, or the plan limits the quantity or dosage of the drug you are requesting (a formulary exception).

http://tenetchoices65.com/sh/glossary.jsp

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A request to the plan to either cover a drug that is not on the formulary or to bypass utilization controls.

http://disabilitybenefits101.org/ca/glossary/glossary_379.htm

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