San Diego County Medical Services Drug Formulary
San Diego County Medical Services Drug Formulary
San Diego County Medical Services Drug Formulary
- No tags were found...
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Denials and Appeals<strong>San</strong> <strong>Diego</strong> <strong>County</strong> <strong>Medical</strong> <strong>Services</strong> <strong>Drug</strong> <strong>Formulary</strong>When a product is excluded or is not medically justified, NMHC Professional <strong>Services</strong>* will issue a provisionaldenial to the pharmacy and/or the prescriber. If the CMS Program <strong>Medical</strong> Director completes the denial,the prescriber and the patient are issued written notification. Appeals are made directly to the CMSProgram and instructions are incorporated in the denial notice.<strong>Formulary</strong> DatesThis formulary is published on the Web and is updated on a quarterly basis. The most recent document islocated at: www2.sdcounty.ca.gov/hhsa/documents/<strong>Formulary</strong>.pdf*NMHC* Professional <strong>Services</strong> is transitioning into informedRx®June 2009 Page 3 of 42