Covered Prescription Drugs. The prescription drugs covered by this Section V.K.5. are: (i) Injectable insulin, or any Prescription Legend Drug for which a prescription is required; (ii) A compound medication of which at least one ingredient is a Prescription Legend Drug; (iii) Generic oral contraceptives that are a “preventive health service” as defined under PPACA, or a brand equivalent if no generic oral contraceptive is effective and safe for the Participant to use, in either case, such drug shall be covered with no cost sharing; and (iv) Any other drug which under applicable state law may only be dispensed upon the prescription of a Physician; provided that a prescription drug shall not be covered under this Section V.K.5. if (A) the cost thereof is included in the cost of other services or supplies provided to or prescribed for the Participants, or (B) such drug is consumed at the time and place the prescription is ordered; except, however, a drug dispensed by a licensed pharmacy doing business with the public will be covered.
Appears in 3 contracts
Samples: Pension and Insurance Agreement, Pension & Insurance Agreement, Pension and Insurance Agreement
Covered Prescription Drugs. The prescription drugs covered by this Section V.K.5. are:
(i) Injectable insulin, or any Prescription Legend Drug for which a prescription is required;
(ii) A compound medication of which at least one ingredient is a Prescription Legend Drug;
(iii) Generic oral contraceptives that are a “preventive health service” as defined under PPACA, or a brand equivalent if no generic oral contraceptive is effective and safe for the Participant to use, in either case, such drug shall be covered with no cost sharing; and
(iviii) Any other drug which under applicable state law may only be dispensed upon the prescription of a Physician; provided that a prescription drug shall not be covered under this Section V.K.5. if (A) the cost thereof is included in the cost of other services or supplies provided to or prescribed for the Participants, or (B) such drug is consumed at the time and place the prescription is ordered; except, however, a drug dispensed by a licensed pharmacy doing business with the public will be covered.
Appears in 2 contracts
Samples: Pension & Insurance Agreement, Pension & Insurance Agreement