Maximum allowable cost definition

Maximum allowable cost means the maximum amount that a pharmacy benefit manager will reimburse a pharmacy for the cost of a drug.
Maximum allowable cost or "MAC" means the list of drug
Maximum allowable cost means the maximum amount that a

Examples of Maximum allowable cost in a sentence

  • Discounts for retail generic prescriptions represent the average savings off AWP based on Maximum Allowable Cost (MAC) pricing for MAC generics and percentage discount savings off AWP for non-MAC generics.

  • The Covered Services are also subject to the Maximum Allowable Cost (MAC), as defined herein and all Contract exclusions will be taken into consideration to determine the Covered Service.

  • The Contractor may only set a Maximum Allowable Cost (MAC) rate on a multiple source drug available from at least two manufacturers.

  • Discounts for retail and mail order generic prescriptions represent the average AWP based on savings off Maximum Allowable Cost (MAC) pricing for MAC generics and percentage discount savings off AWP for non-MAC generics.

  • The new Maximum Allowable Cost is delineated below in the Fee and Expense Schedule.


More Definitions of Maximum allowable cost

Maximum allowable cost means the per unit drug product
Maximum allowable cost means the per unit amount that a pharmacy benefits
Maximum allowable cost means the maximum amount that a pharmacy benefit manager will reimburse a network pharmacy for the ingredient cost for a generic drug.
Maximum allowable cost means the maximum amount that a pharmacy benefits
Maximum allowable cost means the per unit amount that a pharmacy benefits manager reimburses a pharmacist for a prescription drug, excluding dispensing fees and copayments, coinsurance, or other cost-sharing charges, if any.
Maximum allowable cost means the maximum amount a health insurer will pay for a generic drug or brand-name drug that has at least one generic alternative available.
Maximum allowable cost means the per unit drug product reimbursement amount, excluding dispensing fees, for a group of equivalent multisource generic prescription drugs.