Stated; prescribed; ritual.
A book containing stated and prescribed forms, as of oaths, declarations, prayers, medical formulaæ, etc.; a book of precedents.
Prescribed form or model; formula.
(FOR mu LAR ee): List of drugs that a pharmacy stocks and dispenses. Institutions such as HMOs and VA hospitals, which run their own pharmacies, often use a formulary, and physicians practicing in these institutions can prescribe only drugs that are on the formulary.
List of specified drugs and their proper dosages. Better benefits are usually available for formulary drugs than non-formulary.
A list of drugs that a Medicare drug plan covers is called a formulary. Formularies include generic drugs and brand-name drugs. Most prescription drugs used by people with Medicare will be on a plan's formulary. The formulary must include at least two drugs in categories and classes of most commonly prescribed drugs to people in Medicare. This makes sure that people with different medical conditions can get the treatment they need.
A list of approved medications that health plans, working with pharmacists and physicians, develop to encourage greater safety and cost-effectiveness in the dispensing of prescription drugs.
a list of selected pharmaceuticals and dosages recommended by health insurers. Formularies are developed by Pharmacy and Therapeutics Committees, which consider drug safety, efficacy, quality, and cost-effectiveness in the decision whether or not to include a drug in a formulary.
a list of approved or available drugs.
a defined list of brand name and generic medications that have been selected for their effectiveness and value.
Listing of approved drugs for various medical indications, originally created as a cost-controlling measure but used more recently to guide usage of antibiotics based on information about resistance patterns.
A list containing the names of certain prescription drugs that an HMO covers when dispensed to its members who have drug coverage.
list of drugs preferred by a health plan or pharmacy benefits manager to treat various conditions, based on clinical review and favorable financial arrangements between the health plan and the companies that make the drugs. Formularies typically undergo annual reviews for appropriateness and completeness, and to determine which drugs provide the best mix of clinical and economic effectiveness from the health plan's perspective. A formulary drug may not always be the best drug for a patient, but it is always the best drug for the health plan, unless it results in significantly more medical services or complications for that patient because the formulary drug turns out not to work as well as better drug choices.
List of drugs and other pharmaceuticals that the health plan will cover. A formulary may limit the type and number of medications available for a physician to select from when treating any given disease, illness or condition.
a listing of prescription medications that will be covered by a plan or insurance contract that often fosters substitution of generic or therapeutic equivalents on a cost-effective basis. astroenterologist — a physician, who specializes in diseases of the stomach and intestines.
The panel of drugs chosen by a hospital or managed care organization that is used to treat patients. Drugs outside of the formulary are not used, unless in rare, specific circumstances.
A list of prescription drugs selected by an insurance company or health plan and considered "formulary", "preferred", or "approved" drugs. Prescription drugs are chosen based upon clinical information and price and the list is referred to as a formulary drug list.
List of drugs approved for the treatment of various medical indications. It was originally created as a cost-control measure, but it has been used more recently to guide the use of antibiotics on the basis of information about resistance patterns.
A listing of drug products that may be dispensed or reimbursed (positive formulary) or that may not be dispensed or reimbursed (negative formulary). A government body, third-party insurer or health plan, or an institution may compile a formulary. Some institutions or health plans develop closed (i.e. restricted) formularies where only those drug products listed can be dispensed in that institution or reimbursed by the health plan. Other formularies may have no restrictions (open formulary) or may have certain restrictions such as higher patient cost-sharing requirements for off-formulary drugs.
A list of selected pharmaceuticals and their appropriate dosages felt to be the most useful and cost-effective for patient care. Physicians are often required to prescribe from the formulary developed by the insurance plan or HMO with which they are affiliated.
A list of prescription medications that are approved for coverage by a health plan and that will be dispensed through participating pharmacies.
A list of drugs HMOs and hospitals recommend to their doctors for use. A restricted formulary is one where physicians may prescribe only those drugs listed.
A list of approved drugs for which the plan will pay.
A listing of all medications/products that a particular drug plan provides as benefits to its beneficiaries
The list of drugs chosen by a health plan to treat patients. Drugs outside the formulary are not used except in specified circumstances.
(pharmacology) a book containing a compilation of pharmaceutical products with their formulas and methods of preparation
a book, in this case a collection of case folders, containing prescribed forms used in the service of a church, in this case auditing routines and processes and how they were run and the pc's responses to them including confessions
a collection of drugs for which CareFirst has negotiated particularly favorable prices with the manufacturer
a drug list that helps determine your copayment for each prescription
a guide that an HMO has chosen that tells a provider which medications can be prescribed
a guide that Blue Cross provides to your doctor that lists both generic and brand name drugs
a listing, by therapeutic category, of FDA-approved ambulatory drug products used to assist pharmacies, physicians and third-party payers in prescribing and dispensing pharmaceuticals
a listing of drugs covered by the health plan, usually arrayed in tiers, with each tier having a different patient cost-sharing obligation
a listing of drugs that have been approved for use under the plan
a listing of preferred pharmaceutical substances and formulas
a listing of the health plan's preferred drugs
a list of both generic and brand name drugs that are preferred by your health plan
a list of brand name and generic medications that are deemed to be safe, efficacious, cost-effective, and preferred by the health plan
a list of brand-name and generic medications that have been reviewed and selected by a committee of practicing doctors and clinical pharmacists for their quality and effectiveness
a list of carefully selected medications that have been deemed to be efficacious and cost effective
a list of commonly prescribed medications within particular therapeutic categories
a list of drugs a plan chooses to cover
a list of drugs approved for use
a list of drugs covered by your prescription plan
a list of drugs covered under particular drug plan
a list of medications that are covered by a PDP
a list of medications that are eligible for coverage under the Pharmacy Benefits Program
a list of medications that have been reviewed and selected for their quality and effectiveness by a committee of practicing doctors and clinical pharmacists
a list of preferred medications designed to manage prescription costs without affecting the quality of care
a list of prescription maintained by Blue Cross Blue Shield of New Mexico, which allow employees to pay a lower rate for the prescriptions that are listed
a list of prescription medications covered under your health plan
a list of prescription medications that health plans cover under the benefit plan
a list of prescription medicines that your health plan has approved
a list of recommended prescription medications that is created, reviewed and continually updated by a team of physicians and pharmacists
a list of the medications that are covered by a particular insurance company, and usually not all medications in a given drug class will be covered
a logical management tool - we limit prescribing based on evidence and we improve health by reducing unnecessary cost and diverting it elsewhere and reducing side effects by only prescribing when the benefit is backed up by the evidence
a mandatory listing of covered prescription medications which are preferred for use by this Plan and will be dispensed through participating pharmacies to covered persons
a PBM-produced list of FDA-approved drug products by therapeutic category, along with relative cost information
a preferred list of medications selected to meet patient needs
a preferred list of medications that encourages the use of the most clinically effective and cost effective medications
a reference guide used by your doctor to select medications covered by the plan
see Preferred, Standard and Premium drug list.
IList of prescription drugs approved for a health plan's prescription drug benefit. Formulary lists are available at CIGNA’s web site or you can call CIGNA’s Customer Service number and request a copy.
nbspThe list of pharmaceutical products, developed in consultation with physicians and pharmacist, approved for their quality and cost effectiveness.
List of preferred pharmaceutical products to be used by a managed care plan's network physicians. Formularies are based on evaluations of the efficacy, safety, and cost-effectiveness of drugs.
A list of prescription medications that a health care plan will cover under its prescription drug plan.
For Medicare prescription drug plans, the formulary is all the drugs that the insurance plan covers. Medi-CareFirst Rx's formulary covers all of the drugs that Medicare will pay for under its Part D prescription drug coverage.
A list of prescriptions approved for coverage by the plan. The list is compiled by professionals and physicians in the field and is updated each January and is effective for the calendar year. Changes may be made depending on availability or market.
A panel or list of medications covered by a health plan. Medications not on this list require prior authorization in order to be dispensed.
Formularies are lists of preferred medications. They are used as a mechanism to encourage the use of less-costly drugs. Formularies should be updated frequently to reflect new drugs being introduced into the market, current clinical information, and information on drug interactions.
The list of drugs chosen by hospital, managed care organization, or other health plan that is used to treat patients.
As referred to in this booklet, “formulary,” when used without an identifier, describes a preferred drug list model.
A list of selected pharmaceuticals and their appropriate dosages felt to be the most useful and cost effective for patient care. Organizations often develop a formulary under the aegis of a pharmacy and therapeutics committee. In HMO's, physicians are often required to prescribe from the formulary.
A list of commonly prescribed medications that are preferred or allowed to be dispensed to enrollees. A prescription drug plan that has an open formulary allows coverage for both formulary and nonformulary medications. A plan that has a closed formulary limits coverage to those drugs on the formulary. Depending upon the prescription drug plan, some exceptions to coverage under a closed formulary may be made. If a drug is excluded from a closed formulary, an alternative drug deemed to be equally effective by the pharmacy benefit administrator is covered under the formulary.
A list of prescription drugs determined to be safe and effective. These drugs are regularly reviewed and the formulary updated to reflect current medical standards. When two or more equivalent drugs or brands reflect current medical standards of therapy, the formulary may include only one of them.
A list of drugs a plan covers, often broken into categories, such as generic, brand-name preferred or brand-name non-preferred.
An approved list of prescription medications covered by a health insurance company. Depending on the health plan, there may be an "open formulary," which would allow access to non-formulary medications at a higher cost, or a "closed formulary," which requires patients to use medications included on the health plan's formulary.
A list of prescription drugs that are available through a prescription drug plan such as Medicare Part D. Some formularies contain several tiers with different price levels (e.g., for generic and non -generic brand drugs).
A specific list of drugs included in a given plan for a client. Insured members are covered for those specific prescriptions when the drugs appear on the formulary list.
List of certain drugs and their proper dosages. In some Medicare health plans, doctors must order or use only drugs listed on the health plan's formulary.
(See Drug formulary)
See Drug Formulary or Recommended Drug List (RDL).
a list of drugs (medicines) that your Medicare Advantage plan covers with or without a prior authorization (PA). Your doctor will know about this.
A list of covered drugs provided by the plan.
A list of preferred, commonly prescribed prescription drugs. These drugs are chosen by a team of doctors and pharmacists because of their clinical superiority, safety, ease of use and cost.
The list of prescription drugs that your private health plan, like a Medicare HMO, will pay for either in part or in full. Drugs not on the formulary are generally not covered by private health plans.
A listing of prescription drugs and insulin established by the health plan which includes both Brand Name and Generic Prescription Drugs. These drugs are subject to copayments that may vary based on the plan design.
The list of prescription medicines for which health plans reimburse their members.
A list of drugs and their proper dosages. For some health plans, physician or other health-care providers must order or use only drugs listed on the health plan's formulary.
Hospitals keep a selected range of the most cost-effective drugs. This list is the 'Hospitals Formulary' and is managed by the Formulary Pharmacist, under the guidance of the hospitals Drug and Therapeutics Committee.
retirement planning services for executives. May involve planning to accumulate assets for retirement or to time a retirement plan distribution.
A specific list of drugs that an insurer approves for reimbursement. Any drugs not in this formulary list are either not covered or covered at at different benefit level.
a list of particular prescription drugs for which an insurer provides additional coverage or a lower copay.
A health plan's list of selected prescription drugs and doses estimated to be the most effective and affordable. In HMOs, doctors may be required to prescribe from the formulary.
A preferred list of drug products that typically limits the number of drugs available within a therapeutic class for purposes of drug purchasing, dispensing and/or reimbursement. A government body, third-party insurer or health plan, or an institution may compile a formulary. Some institutions or health plans develop closed (i.e. restricted) formularies where only those drug products listed can be dispensed in that institution or reimbursed by the health plan. Other formularies may have no restrictions (open formulary) or may have certain restrictions such as higher patient cost-sharing requirements for off-formulary drugs.
A regularly updated list of FDA-approved medications the plan may cover based on the member's prescription benefit, subject to applicable limits and conditions.
A preferred list of prescription drugs established by a pharmacy vendor.
A list of certain kinds of prescription drugs that a Medicare drug plan will cover subject to limits and conditions.
A list of approved drugs under a health plan's prescription drug benefits.
A list of specific drugs covered by a Part D drug plan. Formularies must include at least two drugs from each therapeutic category and class of covered outpatient drugs, but may exclude specific drugs within the categories or classes. If a Part D plan uses a formulary, it must establish a pharmacy and therapeutics (P&T) committee to develop and review that formulary.
A list of approved medications that a health plan, working with pharmacists and physicians, develops to encourage greater drug safety and cost-effectiveness.
a list of covered drugs available through the Part D plan. A Part D plan's formulary must include at least 2 drugs in each therapeutic category and class. Money spent on medicines "on formulary" count towards TrOOP; money spent on "non-formulary" drugs do not count towards TrOOP. A beneficiary's doctor or health professional may be able to help the beneficiary obtain an exception if a medicine they need is not "on formulary". If the exception is approved, the patient's share of that drug's cost would then count towards TrOOP.
A specific set of drugs chosen by hospitals, managed care organizations, insurers or state Medicaid programs as those routinely available to patients under a specific program.
The complete list of brand-name and generic prescription drugs that a plan covers.
A list of drugs recommended or accepted for payment.
A listing of pharmaceuticals the health plan pays for.
A term used by individual insurance carriers to list or determine prescription drugs that are used as a basis for payment determination/limitation or exemption. Usually consists of all covered generic medications and a broad selection of brand name drugs. Generally covers all therapeutic classes of drugs to treat both acute (cold, flu and other short-term illnesses), and chronic (glaucoma, diabetes, high blood pressure, heart disease, asthma, etc) conditions.
A listing of drugs, classified by therapeutic categorie or disease class, that are considered prefered therapy for a given managed population and that are to be used by an MCO's providers in prescribing medications. Generally provided by the insurance company to the customer.
A list of specific drugs and dosages provided by a program or company. Patient assistance programs and Medicare Part D drug benefits each have a formulary that includes the drugs that are available through them.
A drug list used as a guide for determining the amount that you pay as a copayment for each prescription. Drugs listed on the formulary are typically available at a lower copayment to you. A formulary may also be referred to as a preferred drug list.
A formulary is a preferred list of drugs. The CareFirst prescription drug program is based on a formulary. With the CareFirst Three Tier program, you pay low co-payments for generic drugs (Tier 1), higher co-payments for brand-name drugs on the formulary (Tier 2) and the highest co-payments for brand-name drugs not on the formulary (Tier 3).
A list of drugs that a health plan covers.
A list of pharmaceuticals that a health plan will pay for.
A list of the prescription drugs covered by a Part D plan. Drugs listed on the formulary are also called eligible drugs. Some people call a formulary a preferred-drug list (PDL) or a select drug list.
An approved list of prescription drugs that managed care plans may provide to their enrollees. Some plans restrict prescriptions to those contained on the formulary and others also provide nonformulary prescriptions. Drugs contained on the formulary are generally those that are determined to be cost effective and medically effective.
12 A listing of drugs, classified by therapeutic category or disease class, that are considered preferred therapy for a given managed population and that are to be used by a Managed Care Organization's providers in prescribing medications.
A list of drugs that are covered by a Medicare Prescription Drug Plan.
A list of medications that a prescription drug plan covers (prior authorization by the Medicare prescription drug plan may be required). Generic Substitution Prescription drug plans (PDPs) may automatically switch prescriptions to generics when they are available. Independent Review Entity (IRE) The third stage of the Part D appeals process; an IRE reviews a planâ€™s decision not to cover a medication. An IRE is a review body that is under contract with the prescription drug plan to do such reviews. Limited Income Under Medicare, limited income refers to income below 150% of the Federal Poverty Level. In 2005, the year Medicare prescription drug benefit goes into effect, this is equal to a yearly income of $14,355 for an individual and $19,245 for a couple, with other resources of no more than $11,500 for an individual and $23,000 for a couple.
A list of prescription medications chosen by Express Scripts for their ability to be clinically and cost effective.
A list of medications preferred or recommended by your health plan. Doctors are encouraged to prescribe medicines on this list.
A list of medications (both generic and brand names) that are covered by a specific health insurance plan or pharmacy benefit manager (PBM), used to encourage utilization of more cost-effective drugs. Hospitals sometimes use formularies of their own, for the same reason.
A list of medications that your provider may prescribe that would be covered under the pharmacy benefit at a low co-payment. Formularies are used to control rising medical costs and keep co-payments low but still provide the best value and not compromise quality of care.
A list of prescription medications covered by an insurance company.
A list of prescription medicines an HMO will cover. Sometimes newer and more expensive drugs will not be covered by an HMO policy, and it will suggest other, less costly drugs be used instead.
A list of drugs developed by an agency (provincial or hospital) that are usually reimbursed.
List of prescription drugs approved by a health plan. Formularies are either "closed," including only certain drugs, or "open," including all drugs. Both types typically impose a cost scale requiring you to pay more for brand name drugs, rather than generic.
A formulary is a list of pharmaceutical items that providers, payors, MCO s, insurance carriers, and others ( e.g., PBM s) recommend for specific treatments. These items are chosen for therapeutic and/or pricing reasons. An IHS, for example, may have many formularies based upon the clinical and functional areas. A hospital or an IHS keeps its own formulary(s); in theory, individual practitioners and medical groups must keep track of a formulary for each insurance plan.
A list of medications plans will pay for without prior approval.
List of all brand name and preferred generic alternatives covered by a planâ€™s prescription drug benefit. The decision to cover a brand name or generic drug is made exclusively by the insurance carrier. This list is usually provided on the insurance carrierâ€™s website and is subject to change at any time.