Sep 25, 2025 · What does it mean if a medication is not in the formulary? Even though there are countless prescription medications on the market, your health plan covers only the ones it …

Jan 7, 2025 · What happens when you need a medication that is not on the formulary? Learn more about formulary exceptions and how to request coverage for non-formulary drugs.

Sep 18, 2025 · To define non formulary simply means to describe a drug that is not included in a health insurance plan's list of covered medications (formulary). This means your insurance …

Aug 28, 2025 · A non-formulary drug refers to any medication not included on a health insurance plan’s official list of covered prescriptions. Patients typically encounter this situation when a …

Non-formulary drugs are prescription medications not listed on a health plan’s approved formulary. These drugs may not be covered or may require prior authorization or a formulary …

Dec 18, 2023 · Your drug is off formulary: The drug is not on your plan’s list of covered drugs. Prior authorization: You must get approval in advance from your plan before it will cover a …

Jul 18, 2024 · Drug formularies hold significant power in determining which drugs members are prescribed and ultimately fill and take. This is because when a drug is ‘on’ formulary, the drug …

A health insurance company’s formulary lists medications covered under its policies. Non-formulary medications are not covered by an insurance company, and they are not included in …

Non-formulary drugs are medications that are not included in a health plan's approved list of preferred medications. These drugs have not been deemed by a committee of healthcare …

Purpose: This coverage guideline is used to address non-formulary medications that do not have a specific BCBSAZ drug coverage guideline or drug specific step therapy criteria.