open formulary

open formulary

Managed care A relatively unrestricted list of drug choices available through an HMO's drug plan
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Affected Fox enrollees must receive their drugs through LI-NET through March 31, although they can remain in LI-NET, which has an open formulary, through April 30.
In BlueCross BlueShield of South Carolina's open formulary benefit design, "once a drug is FDA approved, we will cover it.
Dual eligibles have gotten used to the open formulary under Medicaid, but some of Medicare's formularies might be closed, "and we don't know what those will be.
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.
An open formulary is one in which prescribed products are reimbursable regardless of whether or not they are on the formulary.
The original consent order, the groups point out, required that PCS maintain an open formulary to ensure that other pharmaceutical manufacturers be given access to the PCS-administered patient base.
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.
He says the company's open formulary satisfies concerns over the confidentiality of manufacturer pricing.
Two of the plans will offer an open formulary and one will provide access to generic prescription drugs through the coverage gap.
multi-tiered plans and open formulary plans (when there should
Not only are both cards easy to use, but unlike some other plans, we offer an open formulary where virtually all drugs are covered.
This simple, open formulary approach means that Medicare beneficiaries won't have to switch physicians to get discounts on all of their medications and can continue to fill prescriptions at a local pharmacy.