What does non-formulary mean?
Each insurance plan has a preferred listing of drugs for the plan. That listing is called a formulary. If a drug is not on the health plan’s preferred listing it is considered a non-formulary drug. If you are prescribed a drug which is not on the plan’s formulary, you can still get that drug, however, you will pay more than for a drug which is on the formulary. If you are taking a drug that is not on the formulary, you may want to consult with your doctor to find out if there is a formulary drug that you could take instead.