(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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No
Tier 3
One Touch and Accucheck
Tier 2
*Level of care change at anytime during eligibility, *New member or has changed plans in the last 90 days, *Current member affected by formulary change and is in the first 90 days of new contract year
Yes
Tier-Cost Grid
PA Required or BvsD
Lowest possible tier
Continuation of therapy
Shared Verbiage
Come up with alternatives ourselves using clinical pharmacology and Formulary Lookup
60 Days
Drugs on specialty tier, Non-Formulary, Compounds, Tier 1, Part B medications
"Good" diagnosis (FDA-approved OR approvable off-label)
NF, PA required, BvsD for immuno-suppressants (transplant meds only), QL
