The pharmacist tells a patient that the insurance company will pay for a new medication, but that the patient will have to pay an additional co-pay of $45. What type of formulary does this insurance company maintain?
1. Exclusionary
2. Open
3. Incentive
4. Closed
3
Explanation: 1. This is not a type of formulary discussed in the text.
2. In an open formulary, the enrollee pays extra premiums to use non-formulary drugs.
3. This formulary and additional co-pay situation is designed as an "incentive" for the patient and the patient's provider to stay within the formulary.
4. In a closed formulary, there is no reimbursement for drugs that are not in the formulary.
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