What is formulary inclusion?
Formulary inclusion refers to the process by which a medication is added to a payer’s list of approved and reimbursable products. These formularies are maintained by public or private healthcare systems, hospitals, or insurers, and guide prescribing behavior and reimbursement eligibility. Inclusion depends on assessments of clinical benefit, cost-effectiveness, therapeutic alternatives, and health system priorities.
Why is formulary inclusion important in market access?
Without inclusion on formularies, access to a medication may be limited or entirely blocked. Achieving formulary inclusion requires strong supporting evidence and alignment with payer needs. It plays a central role in determining how widely a product is prescribed, reimbursed, and adopted across different healthcare settings.
