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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.


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 the entire cost of the drug. 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>
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>


==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]

References