Common use of Cost-Sharing and Refilling Prescriptions Clause in Contracts

Cost-Sharing and Refilling Prescriptions. Your retail Prescription Drug coverage includes up to a 30- day supply of a medication for the cost-sharing amounts shown in your Schedule of Benefits. Your prescription may be refilled via retail or mail order after 75% of your previous fill has been used and subject to a maximum of 13 refills per year. You also have the opportunity to obtain a 90-day supply of Prescription Medications used for chronic Conditions including asthma, cardiovascular disease, and diabetes, from a retail Participating Pharmacy or via mail order for the applicable cost-sharing per 30-day supply.

Appears in 28 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract

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Cost-Sharing and Refilling Prescriptions. Your retail Prescription Drug coverage includes up to a 30- day supply of a medication for the cost-sharing amounts shown in your Schedule of BenefitsPrescription Medication Amendment. Your prescription may be refilled via retail or mail order after 75% of your previous fill has been used and subject to a maximum of 13 refills per year. You also have the opportunity to obtain a 90-day supply of Prescription Medications used for chronic Conditions including asthma, cardiovascular disease, and diabetes, from a retail Participating Pharmacy or via mail order for the applicable cost-sharing per 30-day supply.

Appears in 9 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract With Point of Service Rider, Medical and Hospital Service Contract

Cost-Sharing and Refilling Prescriptions. Your retail Prescription Drug coverage includes up to a 30- 30-day supply of a medication for the cost-sharing amounts shown in your Schedule of BenefitsPrescription Medication Amendment. Your prescription may be refilled via retail or mail order after 75% of your previous fill has been used and subject to a maximum of 13 refills per year. You also have the opportunity to obtain a 90-day supply of Prescription Medications used for chronic Conditions including asthma, cardiovascular disease, and diabetes, from a retail Participating Pharmacy or via mail order for the applicable cost-sharing per 30-day supply.

Appears in 5 contracts

Samples: Medical and Hospital Service Contract, Large Group Choice Plan Medical and Hospital Service Contract, Medical and Hospital Service Contract

Cost-Sharing and Refilling Prescriptions. Your retail Prescription Drug coverage includes up to a 30- day supply of a medication for the cost-sharing amounts shown in your Schedule of Benefits. Your prescription may be refilled via retail or mail order after 75% of your previous fill has been used and subject to a maximum of 13 refills per year. You also have the opportunity to obtain a 90-day supply of Prescription Medications used for chronic Conditions including asthma, cardiovascular disease, and diabetes, from a retail Participating In-Network Pharmacy or via mail order for the applicable cost-sharing per 30-day supply.

Appears in 5 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract

Cost-Sharing and Refilling Prescriptions. Your retail Prescription Drug coverage includes up to a 30- day supply of a medication for the cost-sharing amounts shown in your Schedule of BenefitsPrescription Medication Amendment. Your prescription may be refilled via retail or mail order after 75% of your previous fill has been used and subject to a maximum of 13 refills per year. You also have the opportunity to obtain a 90-day supply of Prescription Medications used for chronic Conditions including asthma, cardiovascular disease, and diabetes, from a retail Participating In-Network Pharmacy or via mail order for the applicable cost-sharing per 30-day supply.

Appears in 3 contracts

Samples: Medical and Hospital Service Contract, Medical and Hospital Service Contract, Medical and Hospital Service Contract With Point of Service Rider

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Cost-Sharing and Refilling Prescriptions. Your retail Prescription Drug coverage includes up to a 30- 30-day supply of a medication for the cost-sharing amounts shown in your Schedule of Benefits. Your prescription may be refilled via retail or mail order after 75% of your previous fill has been used and subject to a maximum of 13 refills per year. You also have the opportunity to obtain a 90-day supply of Prescription Medications used for chronic Conditions including asthma, cardiovascular disease, disease and diabetes, from a retail Participating Pharmacy or via mail order for the applicable cost-sharing per 30-day supply.

Appears in 3 contracts

Samples: Non Group Medical and Hospital Service Contract, Non Group Medical and Hospital Service Contract, Medical and Hospital Service Contract

Cost-Sharing and Refilling Prescriptions. Your retail Prescription Drug coverage includes up to a 30- day supply of a medication for the cost-sharing amounts shown in your [Schedule of Benefits]. Your prescription may be refilled via retail or mail order after 75% of your previous fill has been used and subject to a maximum of 13 refills per year. You also have the opportunity to obtain a 90-day supply of Prescription Medications used for chronic Conditions including asthma, cardiovascular disease, and diabetes, from a retail Participating In-Network Pharmacy or via mail order for the applicable cost-sharing per 30-day supply.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

Cost-Sharing and Refilling Prescriptions. Your retail Prescription Drug coverage includes up to a 30- 30-day supply of a medication for the cost-sharing amounts shown in your Schedule of Benefits. Your prescription may be refilled via retail or mail order after 75% of your previous fill has been used and subject to a maximum of 13 refills per year. You also have the opportunity to obtain a 90-day supply of Prescription Medications used for chronic Conditions including asthma, cardiovascular disease, and diabetes, diabetes from a retail Participating Pharmacy or via mail order for the applicable cost-sharing per 30-day supply.

Appears in 1 contract

Samples: Medical and Hospital Service Contract

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