58809-501-30 HUMAN OTC DRUG

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We cover both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration FDA to be as safe and effective as brand name vanahist pd liquid 30ml bottles.

A formulary is a list of covered drugs which represents the prescription therapies believed to be a necessary part of a quality treatment program. We will generally cover vanahist pd liquid 30ml bottles drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a network pharmacy, and other plan rules are followed.

For more information on how to fill your prescriptions, please review your Evidence of Coverage. The following files require Adobe Acrobat. You can ask us to make an exception to our coverage rules. There are several types of exceptions that you can ask us to make:. You should contact us to ask us for an initial coverage decision for a formulary, tiering or utilization restriction exception.

When you are requesting a formulary, tiering or utilization restriction exception you should submit a statement from your physician supporting vanahist pd liquid 30ml bottles request. You can request an expedited fast exception if you or your doctor believe that your health could be seriously harmed by waiting up to 72 hours for a decision.

Drug Name Search Enter a drug name to begin. By Therapeutic Class Please select a therapy subclass to continue. What is a Formulary? Vanahist pd liquid 30ml bottles Files The following files require Adobe Acrobat. Search by typing part of the generic vanahist pd liquid 30ml bottles and brand trade names. Search by selecting the therapeutic class of the medication you are looking for. How to Request an Exception You can ask us to make an exception to our coverage rules.

There are several types of exceptions that you can ask us to make: You can ask us to cover your drug even if it is not on our formulary. You can ask us to waive coverage restrictions or limits on your drug. You can ask us to provide a higher level of coverage for your drug. The brand name version is not covered. The generic version is in Tier 1.

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