medicines

Drug Formulary

処方薬リスト (shohōyaku risuto)

A drug formulary is a list of prescription medications covered by a health insurance plan. Formularies are organized into tiers, typically ranging from Tier 1 (generic, lowest cost) to Tier 4 or 5 (specialty drugs, highest cost). Drugs not on the formulary require an exception or prior authorization. Formularies change annually and sometimes mid-year; patients should verify their medications are covered before enrolling in a plan or filling a new prescription. Generic substitutes are often available for off-formulary drugs.

Checking the formulary before selecting a plan is especially important for patients who take regular prescription medications.

In 9 languages

Language	Term
English	Drug Formulary
Japanese (日本語)	処方薬リスト
Chinese (中文)	药品目录
Korean (한국어)	의약품 목록
Portuguese	Formulário de Medicamentos
Spanish	Formulario de Medicamentos
Filipino	Drug Formulary
Thai	บัญชียาที่ครอบคลุม
Vietnamese	Danh sách thuốc được bảo hiểm
Romanization	shohōyaku risuto

Related terms

• Generic Drug 後発医薬品
• Prior Authorization 事前承認
• Generic Drug 後発医薬品（ジェネリック）
• Brand-Name Drug 先発医薬品（先発品）
• Step Therapy 段階的治療（ステップセラピー）

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