(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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Yes
Generic
Default Duration (12/31/13)
Drugs on specialty tier, Non-Formulary, Compounds, Tier 1, Part B medications
Continuation of therapy
Come up with alternatives ourselves using clinical pharmacology and Formulary Lookup
FDA-approved for the diagnosis
NF, PA required, BvsD for immuno-suppressants (transplant meds only), QL
Edit Team
Brand
*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
Transitional Override
No
Shared Verbiage
The Appeals and Grievance Department Address
PA Required or BvsD
60 Days
Tier-Cost Grid
Tier 3
TIERX
"Good" diagnosis (FDA-approved OR approvable off-label)
