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open formulary

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open formulary
Managed care A relatively unrestricted list of drug choices available through an HMO's drug plan


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In BlueCross BlueShield of South Carolina's open formulary benefit design, "once a drug is FDA approved, we will cover it.
Also, while formularies (restricted lists of drugs that Medicare drug plans will cover) are allowed by the law, we do know so far that at least one Medicare drug plan--the AARP-sponsored United plan, which is member- and consumer-run and has for years served AARP members well, has 59,000 participating drug stores, a mail-order service and a good price discount record--will offer an open formulary and will cover all FDA-approved drugs.
Aetna will enhance coverage in its Medicare Part D prescription drug plans for 2008 by offering an open formulary in all three of its individual Part D and Medicare Advantage Part D products, as well as first-dollar coverage for generic medications (meaning a waiver of the deductible for generic drugs), and coverage for all generics on the lowest co-pay tier.
 
 
 
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