Medication Formulary Clause Samples

A Medication Formulary clause defines the list of prescription drugs that are covered under a specific health plan or insurance policy. It typically outlines which medications are included, any restrictions or requirements for coverage (such as prior authorization or step therapy), and may categorize drugs into different tiers with varying copayment levels. This clause ensures that both providers and patients understand which medications are accessible and under what conditions, helping to control costs and manage the use of pharmaceuticals within the plan.
Medication Formulary. 1.12.5.3.1 Contractor shall make available in electronic or paper form, the following information about the County’s formulary as outlined in 42 C.F.R. § 438.10(i): 1) Which medications are covered (for both generic and name brand); 2 What tier each medication resides on. 1.12.5.3.2 Contractor shall inform clients about County’s formulary drug lists availability in a machine-readable file and format on the County’s website.
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Medication Formulary. 61.5.1. CONTRACTOR shall make available in electronic or paper form, the following information about the COUNTY’s formulary as outlined in 42 C.F.R. § 438.10(i): 61.5.1.1. Which medications are covered (for both generic and name brand). 61.5.1.2. What tier each medication resides on.
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Medication Formulary a. The Provider shall provide medications in compliance with the preapproved DDOC formulary. b. Approval for the use of non-formulary medications shall follow pre-approved processes involving the Provider and the contractual medical and behavioral health leadership. c. The Provider shall propose a format for a non-formulary exception report that includes medication name and strength, date of service, patient’s name, prescribing provider, and medication costs. The Provider shall describe the proposed process, and the method of generation. d. The Provider shall review the formulary and advise the P&T Committee of recommended changes on a quarterly basis.
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Medication Formulary. The following pharmaceuticals shall be made available at the Health Center: a. Anti-Infective Agents o Azithromycin (Zithromax) 250mg tablets #6 o Amoxicillin (Amoxil) 500mg capsules #28 o Amoxicillin (Amoxil) 875mg tablets #20 o Amoxicillin and Clavulanate (Augmentin) 875-125 mg tablets #20 o Cephalexin (Keflex) 500mg capsules #28 o Ciprofloxacin (Cipro) 500mg tablets #14 o Doxycycline 100mg capsules #20 o Fluconazole (Diflucan) 150mg tablet #1 o Nitrofurantoin (Macrobid) 100mg capsules #14 o Penicillin V Potassium 500mg tablets #24 o Sulfamethoxazole-Trimethoprim (Bactrim DS) 800-160mg tablets #14 b. Respiratory Agents o Benzonatate (Tessalon perles) 100mg capsules #24 o Benzonatate (Tessalon perles) 200mg capsules #24 o Ventolin inhaler 90mcg (60 doses per inhaler) o Fluticasone propionate (Flonase) 50mcg/spray nasal spray 16grams #1 c. Analgesic Agents o Cyclobenzaprine Hydrochloride (Flexeril) 5mg tablets #30 o Cyclobenzaprine Hydrochloride (Flexeril) 10mg tablets #30 o Diclonfenac sodium (Voltaren) 75mg enteric coated tablets #24 o Naproxen (Aleve) 500mg tablets #30
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Medication Formulary. The following pharmaceuticals shall be made available at the Health Centers: Pantoprazole Acid Reflux Amoxicillin Antibiotic Amoxicillin-Clavulanate Antibiotic Azithromycin Antibiotic Cephalexin Antibiotic Ciprofloxacin Antibiotic Doxycycline Antibiotic Levofloxacin Antibiotic Nitrofurantoin Antibiotic Sulfamethoxazole/Trimethoprim Antibiotic Fluconazole Antifungal Diphenhydramine Antihistamine Loratadine Antihistamine Dicyclomine Antispasmodic (abdomen) Ventolin Asthma/Breathing Benzonatate Cough Medicine Meclizine Dizziness/motion sickness Cyclobenzaprine Muscle relaxer Fluticasone Nasal Steroid/Allergies Ibuprofen NSAID Meloxicam NSAID Naproxen NSAID Prednisone Steroid Vitamin D Supplement
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Related to Medication Formulary

  • Medication 1. ▇▇▇▇▇▇▇’s physician shall prescribe and monitor adequate dosage levels for each Client. 2. ▇▇▇▇▇▇▇’s physician shall not impose and/or limit dosage capitations for any prescribed medication for the treatment of opioid use disorder.

  • Medications Psychotropic medications and medications associated with treating a diagnosed mental health condition.

  • label Prescription Drugs This plan covers off label prescription drugs for cancer or disabling or life-threatening chronic disease if the prescription drug is recognized as a treatment for cancer or disabling or life-threatening chronic disease in accepted medical literature, in accordance with R.I. General Law § 27-55-1.

  • Prescription Claims against the Issuer or any Guarantor for the payment of principal or Additional Amounts, if any, on the Notes will be prescribed ten years after the applicable due date for payment thereof. Claims against the Issuer or any Guarantor for the payment of interest on the Notes will be prescribed five years after the applicable due date for payment of interest.