Examples of Prescription order in a sentence
When You submit a Prescription Order to a Participating Pharmacy for one of these designated medications, the pharmacist will be alerted if the online review of Your prescription claims history indicates an acceptable alternative medication has not been previously tried.
Extended Prescription Drug Supply Program (if allowed by the Prescription Order) – one Copayment amount per 30- day supply, up to a 90-day supply.
Tier 1 Tier 2 Tier 3 Tier 4 Out-of-Area Drug $10 Copay $20 Copay $70 Copay $120 Copay $120 Copay Mail-Order Program Extended Prescription Drug Supply Program (if allowed by the Prescription Order) - One Copayment amount per 90- day supply, up to a 90-day supply only.
If You elect to use the mail-order service, You must mail Your Prescription Order to the address provided on the mail-order prescription form and send in Your payment for each prescription filled or refilled.
Insulin Drug Program The total amount You may pay for a Covered Drug that contains insulin and is used to treat diabetes will not exceed the amount shown on Your SCHEDULE OF COPAYMENTS AND BENEFIT LIMITS, up to a 30-day supply, regardless of the amount or type of insulin needed to fill the Prescription Order.