The Pharmacy Exception Center at Lovelace Health Plan helps ensure access to medically necessary and appropriate, cost effective drug therapy. We use the following utilization management tools:
Drug Formularies
Drug Formularies are lists of medication which are approved for reimbursement to ensure Lovelace Heath Plan provides the most appropriate, safe and effective prescription drug coverage to our members.
Formulary brands are considered preferred brands under the prescription drug benefit. Brands not listed in the formulary are considered non-preferred brands and are not covered by our health plans. Both formularies apply only to members who have a Lovelace Health Plan pharmacy benefit.
These are the formularies which have been approved by our P&T committee:
Click here for instructions on how to download Lovelace Health Plan Formularies to your mobile device.
Other forms
If you are unsure which formulary your plan utilizes, please contact the Customer Care Center at 505.727.LOVE or 800.808.7363.
For questions about coverage positions, medical necessity criteria requirements, step therapy requirements, or Pharmacy Claims processing assistance, contact:
Lovelace Health Plan Pharmacy Exception Center
Pharmacy Claims Override line: 505.727.5717
Clinical Pharmacist: 505.727.5774
Fax: 505.727.5390
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