What should be selected first when using the formulary lookup tool?

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Selecting the member's plan first when using the formulary lookup tool is essential because the formulary is dependent on the specific details of the member's health plan. Each insurance plan may have different covered medications, co-pays, and specific rules regarding formularies. By identifying the member's plan upfront, you ensure that the information you retrieve is accurate and relevant to that individual. This step helps streamline the lookup process and improves the likelihood of providing the member with correct and actionable information regarding their medication options.

Subsequently, entering the drug name, reviewing the pharmacy network, or contacting customer service are steps that follow the identification of the member’s plan and are contingent upon knowing which plan you are working with. Without this initial context, any subsequent information retrieved may not be applicable or could lead to confusion regarding coverage and availability.

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