InjectableDrugFormulary.com provides the user access to your Managed Care Organization's policies, procedures for formulary management and reimbursement rate for those for those medications a physician utilizes and administers in his/her office to a patient/member.
Your Managed Care Organization will provide information on plan specific
Policies & Procedures utilized during the P&T(PTherapy Committee) decision process.
Prior Authorization Guidelines and Forms.
How and Where to obtain required Medications.
Clinical Information relating to drugs contained on formulary.
your Managed Care Organization's Reimbursement rates for Administrative Services.
Your Managed Care Organization can either:
Pre-load all providers establishing a predetermined user name and password, or
Establish registration passwords allowing providers to 'register themselves' and establish their own unique user name and password.
Information can be found by utilizing the following search options.
Type in complete or partial Information in the following fields:
Drug Name (Brand or Generic)
What you'll find:
You'll find your Managed Care Organization's coverage, policy and reimbursement information.
Drugs that require Prior Authorization are linked to your Managed Care Organization's Authorization Policy, including criteria and duration of approval.
A code includes all drug names and manufactures that fit into that code.
NOC Coded drugs have current Reimbursement Rates with effective dating.
Code Related ICD9 and Diagnoses as well as related P&T decisions.
Our site provides regularly updated:
Covered & Non- Covered Drugs & Procedures.
Prior Authorization Forms and Criteria.
A product of
R•J Health Systems International, LLC PO Box 290616
Wethersfield, CT 06109