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Evidence of Coverage Chapter 5

Across
Number of days we have to notify members of any changes on formulary
Drugs purchased outside of US and territories
Alternative where members could get their medicine from
Drug must be appropriate for member use
Letter group employer sends their members each year
Where members should receive their medicine
Letter sent to members who qualify for help on medicine
Down
Must show at pharmacy with member information
Member can ask for this if drug not on approved list
Member can ask for this on certain tiers if they feel their tier is to high
Where a member can find a list of IN-network pharmacies
Number of Tiers
Helps pay for drugs
List of covered drugs