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If my doctor submits evidence that I must have a drug not on the formulary list for medical reasons, can I get the nonformulary drug by paying the formulary copayment?

April 26, 2017doctor drug formulary list medical nonformulary paying reasons submits

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If my doctor submits evidence that I must have a drug not on the formulary list for medical reasons, can I get the nonformulary drug by paying the formulary copayment?

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If your doctor provides documentation to Medco before the prescription is filled stating that you have tried the formulary drug and you must have the nonformulary drug for medical reasons, and if Medco approves the substitution, you will pay only the formulary copayment. Formulary information is available at www.medco.com or from your Human Resources office.