How to Use formulary in a Sentence
formulary
noun-
If your state drops your drugs from its formulary, well, that’s that.
— Libby Watson, The New Republic, 27 Sep. 2019 -
The daily pills that were saving his life cost $6,000 a month, but Jakafi was not on his insurer’s formulary.
— Francesca Paris, New York Times, 7 Feb. 2023 -
Medicare drug plans can change their list of covered drugs, called formularies.
— Michelle Andrews, Washington Post, 27 Feb. 2018 -
That won’t work for Medicare or the commercial market, where customers want and need access to a broader formulary.
— Michael Hiltzik, Los Angeles Times, 18 Oct. 2019 -
Find out whether there are any other prescription drugs in your plan’s formulary that would be effective.
— Diane Omdahl, Forbes, 14 Sep. 2021 -
If drugs are not on the formulary, the drug company loses business since the drug will either not be covered by the health insurance plan or the patient will have to pay much more out of pocket to get it.
— Scott Knoer, STAT, 29 June 2018 -
As rebate incentives grow, so does the misplacement of drugs in formularies.
— Annalisa Merelli, Quartz, 23 Mar. 2023 -
Doctors and patients can get medications that are not on the formulary, but are necessary for care.
— Julie Washington, cleveland.com, 25 July 2019 -
Walter’s concerns led him to petition the hospital to remove Seroquel from its formulary, the suit says.
— Time, 8 Dec. 2017 -
The company will likely have to offer significant rebates to get on formulary, and those rebates will drag down the speed of uptake and revenues.
— Harris Kaplan, Forbes, 10 Mar. 2021 -
The formulary is everything, so do the homework and compare, compare, compare.
— Michelle Singletary, Washington Post, 28 Oct. 2019 -
The alternative is that PBMs place drugs on non-preferred tiers or don’t cover medications on their formulary at all.
— Jaclyn Cosgrove, latimes.com, 12 Mar. 2018 -
The physician’s statement must prove that the noncovered drug is necessary to treat the medical condition and no alternatives on the plan’s formulary would work.
— Diane Omdahl, Forbes, 14 Sep. 2021 -
With doctors able to charge well above the government rate, and a non-exhaustive drug formulary, Australia certainly doesn’t set the perfect example.
— David Boettiger, STAT, 1 Nov. 2019 -
PBMs decide which drugs are listed on a formulary, how much pharmacies are reimbursed and how much insurers pay.
— The Editorial Board, WSJ, 29 May 2018 -
For example, PBMs secure rebates from drug companies as a condition of putting their products on the formulary, the list of reimbursable drugs for their network.
— Charles P. Pierce, Esquire, 29 Mar. 2017 -
Insurers have formularies with different co-pays for different drugs, and some may not be covered.
— Liz Weston, The Seattle Times, 22 Oct. 2018 -
All the while, Horizon funded and cultivated the patient advocacy groups that can help lobby for a drug to be approved by the FDA and placed on insurers’ formularies, the lists of drugs health plans cover for patients.
— Arthur Allen, Fortune, 13 Apr. 2023 -
If you are insured through Medicaid, check your state’s formulary to see if GLP-1 medications are covered.
— Fran Kritz, Verywell Health, 17 May 2024 -
The Annual Notice of Change may reveal that your doctor is no longer in network, for example, or the plan’s drug formulary doesn’t include your prescription anymore.
— Jaime Catmull, Forbes, 11 Oct. 2021 -
Evernorth, the health care services arm of Cigna, announced an expansion of its digital health formulary.
— Mario Aguilar, STAT, 16 Sep. 2022 -
But because Part D involves a welter of different plans and formularies, some requiring patients to pay for the vaccine and then seek reimbursement, the cost and co-pays can discourage use.
— Paula Span, New York Times, 2 Dec. 2016 -
In addition, most antibiotics, unlike many other medicines, need to be added to hospital formularies, which can require three or four rounds of review from the hospital.
— Megan Blewett, Fortune, 14 Nov. 2019 -
The cruise line operator has a formulary – a list of medications needed to treat most diagnoses made on the ships – and stocks the vessels with those, though supplies are limited given the finite storage on board.
— Nathan Diller, USA TODAY, 9 Feb. 2023 -
To win coveted placement on formularies – the list of medicines covered by insurers – drug companies pay rebates to Medicare Part D and commercial health plans.
— Ed Silverman, STAT, 14 Sep. 2023 -
Often drugs to treat a rare genetic disease are not included in the formulary of a health insurance plan’s pharmacy benefit and are not covered.
— Patrick Skerrett, STAT, 3 Aug. 2024 -
Instead, the legislation would permit the state to create a drug formulary, which the program’s unelected board would likely use to restrict access to treatments to contain spending.
— Chris Jacobs, WSJ, 28 Jan. 2022 -
Naturally, the most expensive drugs end up on the formularies even when there are cheaper alternatives.
— Mirna Alsharif, NBC News, 21 Sep. 2024 -
Meanwhile, changes for both Part D and Advantage plans can include eliminating drugs or dosages from the formulary and increasing premiums and other out-of-pocket costs.
— David Haass, Forbes, 23 Sep. 2021 -
Because of that market power, PBMs can demand significant discounts from drug makers in exchange for prime placement on a health plan's formulary.
— Sally Pipes, Forbes, 16 Sep. 2024
Some of these examples are programmatically compiled from various online sources to illustrate current usage of the word 'formulary.' Any opinions expressed in the examples do not represent those of Merriam-Webster or its editors. Send us feedback about these examples.
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