WebJul 1, 2024 · The brand-name medications below are excluded on the formulary. These brand- name medications have been identified as having available generic equivalents covered at Tier 1 on the formulary. Speak with your pharmacist to have your excluded brand-name medication substituted with its generic equivalent. WebMar 1, 2024 · Prior Authorization: Non-formulary medication rejects at the pharmacy and requires further evaluation by the claims examiner before approval. Medications may have …
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WebMay 19, 2024 · Formulary exclusions — a decision by a PBM not to include a drug on its list of covered drugs, called a formulary — are not new, but they are increasingly in the spotlight, partly because the PBM industry is increasingly consolidated. WebA wide range of medication options. We realize that this formulary may not include every drug from every manufacturer. However, you can provide access to the medications your … rise of the worm sovereign
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WebJul 1, 2024 · Therapeutic Category Excluded Medications Preferred Alternatives DIABETES Rapid-acting insulins Admelog, Apidra, Fiasp, Insulin Aspart (M), Insulin Lispro (M), … Websavings, please call us at 1-877-309-5345 or visit www.optumrx.com. 1-877-309-5345 www.optumrx.com 2300 Main Street, Irvine, CA 92614 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. ORX2700_120501 ©2012 OptumRx, Inc. Specialty … WebPremium Formulary Exclusions & Preferred Specialty Prior Authorization Requirements July 1, 2024 Therapeutic Category Excluded Medications Preferred Alternatives ALLERGIC REACTIONS Anaphylaxis Treatment Auvi-Q (0.15mg, 0.3mg) epinephrine injection (0.15mg, 0.3mg) ANALGESICS Non-Steroidal Anti-Inflammatory Agents Oral Cambia, Diclofenac Cap rise of the wolf series