NON-COMMUNITYCARE PROVIDERS: Medications restricted to CUC Prescribers and/or CUC in-house pharmacies are considered non-formulary outside of CUC. These medications may be obtained via Prescription Assistance Programs (PAP). If the patient does not qualify for PAP, the provider may submit a Non-Formulary Drug Request (NFDR) form. Documentation of PAP ineligibility or rejection should be submitted with the NDFR form.
To request an addition tot he formulary complete the form linked below.
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