Formulary for Prescription Medication Explained 

You explained exactly what I needed - thank you so much for being so professional, well-versed and highly thorough.

Currently a CVS pharmacy tech and student. Insurance makes me feel rabid but this explanation will definitely help me calm my even more rabid patients. Thanks so much.

Love your videos. Keep them coming!

It looks like a few others already beat me to it so I won’t comment on the fact that retail pharmacists are almost completely in the dark about the formulary. On the bright side, EHRs incorporate Real Time Prescription Benefits functionality in what OP prescribers use now!

I work at bcbs and I’m having a hard time understanding this

Can you do a video on 340b pricing and how they tie in to the PBM industry?

Thanks for your videos. You explained doctors does not know formulary. But, when it comes to specialty drug, such as Humira that usually PA drug or step therapy drug, does doctors usually know that these kind of drugs need to confirm patient's formulary or call PBM/insurance before prescribing? Otherwise, likewise other drugs, does the pharmacy notice prescriped specialty drugs should confirmed PA status?

Quite the upgrade!

If it's on the formulary and you a PA and it's still not being covered why is this ?

Pharmacist don’t actually know the formulary. They need to bill patient’s insurance to see if a given drug is covered