Formulary Status
Each formulary assigns a specific status to a medication. Formulary Search displays the status for each of the available medications. The following is a list of definitions used in formularies:
| Status | Definition |
|---|---|
| Preferred | This drug is favorable over all other drugs in the same therapeutic category. |
| On Formulary | This drug is authorized for reimbursement for the payer. |
| Prior Authorization | Reimbursement is allowed only when the claim is submitted by physician to the payer for review prior to the issuance of a prescription. |
| Approved | The medication is approved to be dispensed. |
| Unknown | The selected payer does not provide information for the medication under the selected formulary. |
| Not Covered | The medication is not covered. |
| Non Formulary | Specified by the payer as not on the formulary or is on the formulary at a higher co-pay level. This may or may not be reimbursable. |
| Not Reimbursed | The payer does not pay for this drug. The patient will be required to pay for the medication if he or she chooses to do so. |