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Non-Formulary Medication Request
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byMcKinnon, Sr. Communications Manager
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- Prescribers can request approval for non-formulary medications for MAP and MAP BASIC members.
- Prescribers can submit a Non-Formulary Medication Request by
- Completing the online Non-Formulary Medication Request Form here.
- Complete the Medication Override Request Form to request an evaluation for non-formulary medications and interim fills
- Use a separate form for each request. Please attach any additional supporting documentation.
- Pharmacy staff will send a fax disposition back to the Office Contact Person.