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A formulary is a list of prescription drugs that are covered under a health insurance plan. A "non formulary brand name" is a brand name drug that is not in the formulary and may have different cost involved since it is not covered under the plan.

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15y ago
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15y ago

Most places have a formulary of medication, which include the cheapest list of medications or any special deals their pharmacy will give them for cheaper. Any drugs that people are on that are not on the formulary are either substituted for the formulary medication or a non-formulary request must be submitted and can take 1-2 weeks for approval. This is in the context of a medical facility.

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13y ago

A formulary is a list of medicines. A hospital or clinic might have a formulary that comprises typical medications they use. A pharmacy insurance plan may also have a formulary, which lists preferred medicines. A non-formulary medicine is not on the list. In health insurance terms, this usually means that you pay an increased copay if filling that prescription. You may also need to get prior approval from the insurer to start the medication if you want them to cover it.

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16y ago

That's it's not on the list of approved medications.

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Q: What does non-formulary brand name mean?
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