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INS-049: Improving the Formulary Deviation Request Process for Everyone

 
Improving the Formulary Deviation Request Process for Everyone: The Wisconsin Medical Society supports requiring that all health insurance companies doing business in Wisconsin provide:

  • An easy to navigate, up-to-date online formulary for approved prescriptions and deviations.
  • That Formulary Deviation Request forms and a list of formulary alternatives be both available online and faxed to the physician’s office within 24 hours of a denial.
  • That the forms faxed to the physician’s office by the insurance company contain all of the patient information, insurance identification numbers, claim number and other relevant patient information that the insurance company needs so that the physicians and their staff can easily determine the alternative medication and dosage. (HOD, 0412)