RegenceRx Preferred Medication List/Formulary
RegenceRx Preferred Medication List/Formulary
RegenceRx Preferred Medication List/Formulary
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Q and A<br />
How can I use the PML/formulary<br />
to get the best benefit?<br />
Ask your doctor to prescribe<br />
generic medications whenever<br />
possible. If a generic is not available,<br />
ask your doctor to choose a<br />
preferred/formulary brand name<br />
medication. Take this list when you<br />
go to the doctor so you can discuss<br />
your options.<br />
How can I tell if a listed medication<br />
is a generic?<br />
Generic medications are listed<br />
in lower case bold, like this:<br />
fluconazole.<br />
How can I tell if a listed medication<br />
is a brand?<br />
Brand name medications start with<br />
a capital letter and are followed by<br />
a registered trademark symbol like<br />
this: ®.<br />
Brand name medications listed in<br />
parentheses after a generic are:<br />
• non-preferred/non-formulary<br />
• only listed as a reference for a<br />
generically available medication<br />
Please remember that not all brands<br />
are preferred/formulary.<br />
What if my medication is not on<br />
the PML/formulary?<br />
First, check with your doctor. There<br />
are preferred/formulary alternatives<br />
in most cases, and your doctor<br />
can determine an acceptable<br />
alternative for your medical<br />
condition. If you remain on a<br />
non-preferred/non-formulary brand<br />
name medication, your benefit will<br />
depend on your coverage.<br />
What if my medication needs<br />
prior authorization?<br />
Certain medications may need prior<br />
authorization. This means that we<br />
will need to review information from<br />
your doctor before the medication<br />
can be approved for coverage. For a<br />
list of medications that need prior<br />
authorization, please visit our Web<br />
site at www.regencerx.com or<br />
contact our Customer Service<br />
Department at the phone number<br />
listed on your member card.<br />
If you decide to purchase the<br />
medication without authorization, you<br />
will be responsible for the total cost of<br />
the prescription.<br />
What resources were used to<br />
determine what medications would<br />
be on the PML/formulary?<br />
Information from the US Food and<br />
Drug Administration (FDA), medical<br />
literature (including scientific studies),<br />
and national treatment guidelines<br />
were reviewed by the <strong>RegenceRx</strong><br />
Pharmacy and Therapeutics (P&T)<br />
Committee. This committee includes<br />
practicing doctors and pharmacists.<br />
When there are choices, medications<br />
with the best value were included on<br />
the PML/formulary.<br />
If you have questions, please<br />
contact our Customer Service<br />
Department at the phone number<br />
listed on your member card. Or<br />
visit us at www.regencerx.com.<br />
Effective February 1, 2008<br />
©2008. <strong>RegenceRx</strong>. All Rights Reserved.