Formulary (pharmacy): Difference between revisions
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Some plans cover off-formulary drugs at a lower rate -- like mine. |
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A '''formulary''' is a list of [[prescription drug]]s covered by a particular drug benefit plan. |
A '''formulary''' is a list of [[prescription drug]]s covered by a particular drug benefit plan. |
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Formularies are based on evaluations of efficacy, safety, and [[cost-effectiveness]] of drugs. Patients pay varying co-pays for drugs that are on formulary. For drugs that are not on formulary, patients must pay |
Formularies are based on evaluations of efficacy, safety, and [[cost-effectiveness]] of drugs. Patients pay varying co-pays for drugs that are on formulary. For drugs that are not on formulary, patients must pay a larger percentage of the cost of the drug, sometimes 100%. Formularies vary between drug plans and differ in the breadth of drugs covered and costs of [[Copayment|co-pay]] and premiums. Most formularies cover at least one drug in each drug class, and encourage generic substitution. Also known as a preferred drug list.<ref>[http://www.health.state.ny.us/health_care/medicaid/program/medicaid_transition/definitions.htm New York State Department of Health]</ref> |
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==References== |
==References== |
Revision as of 04:45, 9 November 2008
A formulary is a list of prescription drugs covered by a particular drug benefit plan.
Formularies are based on evaluations of efficacy, safety, and cost-effectiveness of drugs. Patients pay varying co-pays for drugs that are on formulary. For drugs that are not on formulary, patients must pay a larger percentage of the cost of the drug, sometimes 100%. Formularies vary between drug plans and differ in the breadth of drugs covered and costs of co-pay and premiums. Most formularies cover at least one drug in each drug class, and encourage generic substitution. Also known as a preferred drug list.[1]