 Care1st
Health Plan Arizona, Inc. Formulary
A formulary is a list of all the drugs that are
covered for a specific insurance plan. Generally, drugs
listed in the formulary are covered as long as the drug
is medically necessary, the prescription is filled through
a network pharmacy or network mail order facility (when
applicable), and other coverage rules are followed. For
some drugs, there are additional requirements or limits
to coverage.
The drugs on formulary are selected by the drug plan
and health professionals. The formulary drugs are then
verified by a Pharmacy and Therapeutics Committee, consisting
of independent physicians and pharmacists.
Not all drugs are included on the plan formulary. In
some cases, drugs are excluded from benefit coverage.
In other instances, a combination of clinical and economic
criteria were used in making the determination not to
include a particular drug.
See the Care1st
Formulary
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