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Non-Formulary Medication Request

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      1. Complete the Medication Override Request Form to request evaluation for non-formulary medications and interim fills: [form hyperlink]
      2. Use a separate form for each request. Please attach any additional supporting documentation.
      3. Fax the form(s) to 512-901-9763.
      4. Pharmacy staff will send a fax disposition back to the Office Contact Person.