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A formulary is a list of covered drugs. MVP currently maintains several formularies.
Formularies with Copay Descriptions
Members may benefit from lower copays if selecting a formulary preferred product. Use the formulary to find out if a particular drug is covered and at what tier.
Some medications require prior authorization or are subject to quantity limits or step therapy as described in MVP’s policies. Prior authorization forms, new and updated versions, can be found on the Provider Forms page.
Electronic version of the formulary
MVP offers providers access to drug formulary information via ePocrates Rx, the leading handheld drug reference guide. MVP has contracted with ePocrates to allow providers to download the MVP formulary to a PDA device. In addition to the formulary information, you can compare copay tiers, check for multiple drug interactions, view medication dosing and precaution information.
Through the ePocrates program, the MVP formulary information is downloaded onto a handheld device compatible with the system. You will then be able to view this information as needed. If you do not yet use ePocrates, you will need to register before you can access the formulary.
If you are already an ePocrates user, you can download the MVP formularies from the ePocrates website. The MVP formularies are available for free and you may also subscribe to other medical reference products offered by ePocrates.
MVP members who have prescription drug coverage may be able order maintenance drugs―drugs taken on a regular basis―from Express Scripts, MVP’s mail service pharmacy vendor. Up to a 90-day supply of medication can be ordered through this program. Once a member's prescription is on file with Express Scripts, members can order refills by mail, phone or online and have their medication delivered to their door. Note: This service is not available to all MVP members.
To find out if a medication is available from Express Scripts, choose the appropriate formulary; if a drug or drug class has an * next to it, that drug or all drugs in that class are available through mail service. An MVP member who is taking a maintenance drug may ask you to write two prescriptions, one for up to a 30-day supply to be filled at a local pharmacy, and one for up to a 90-day supply to be filled through Express Scripts.
Members interested in finding out more about the mail service program can contact MVP’s Customer Care Center at the phone number listed on the back of their Member ID card.