Step-TherapyNon-FormularyGridMA-OnlyTransitionalOverridePDPDecisionNotesSharedVerbiageNot FDA-approvedOveractiveBladder(OAB)Urgencyand casetypeMAPDNon-FormularyIncompleteNotesIncompleteDiagnosisReviewDefaultduration -12/31/13Strength ofrecommendationis III andevidence isinconclusive orineffectiveStrength ofrecommendationis class I, IIa, IIbwith any efficacyor III if evidencefavor efficacyBEERsListIncompleteSLA andSLAComplianceNF, ST,TCSE,QLMedicallyacceptedindicationPARequiredand BvsDBronchospasmrelated toCOPDStep-TherapyNon-FormularyGridMA-OnlyTransitionalOverridePDPDecisionNotesSharedVerbiageNot FDA-approvedOveractiveBladder(OAB)Urgencyand casetypeMAPDNon-FormularyIncompleteNotesIncompleteDiagnosisReviewDefaultduration -12/31/13Strength ofrecommendationis III andevidence isinconclusive orineffectiveStrength ofrecommendationis class I, IIa, IIbwith any efficacyor III if evidencefavor efficacyBEERsListIncompleteSLA andSLAComplianceNF, ST,TCSE,QLMedicallyacceptedindicationPARequiredand BvsDBronchospasmrelated toCOPD

Medicare Overview/Incomplete/NF/ST/Off-Label - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Step-Therapy
  2. Non-Formulary Grid
  3. MA-Only
  4. Transitional Override
  5. PDP
  6. Decision Notes
  7. Shared Verbiage
  8. Not FDA-approved
  9. Overactive Bladder (OAB)
  10. Urgency and case type
  11. MAPD
  12. Non-Formulary
  13. Incomplete Notes
  14. Incomplete
  15. Diagnosis Review
  16. Default duration - 12/31/13
  17. Strength of recommendation is III and evidence is inconclusive or ineffective
  18. Strength of recommendation is class I, IIa, IIb with any efficacy or III if evidence favor efficacy
  19. BEERs List
  20. Incomplete SLA and SLA Compliance
  21. NF, ST, TCSE, QL
  22. Medically accepted indication
  23. PA Required and BvsD
  24. Bronchospasm related to COPD