Common use of Covered Prescription Drugs Clause in Contracts

Covered Prescription Drugs.  FDA approved formulary prescription drugs. Federal law requires a prescription for these drugs. They are known as “legend drugs.”  Compound drugs when the main drug ingredient is a covered prescription drug  Oral drugs for controlling blood sugar levels, insulin and insulin pens  Throw-away diabetic test supplies such as test strips, testing agents and lancets  Drugs for shots you give yourself  Needles, syringes and alcohol swabs you use for shots  Glucagon emergency kits  Inhalers, supplies and peak flow meters  Drugs for nicotine dependency. Generic over the counter (OTC) also covered.  Human growth hormone drugs when medically necessary  All FDA approved oral contraceptive drugs and devices such as diaphragms and cervical caps are covered in full when provided by an in-network pharmacy, see Preventive Drugs in the Summary of Your Costs  Oral chemotherapy drugs  Drugs associated with an emergency medical condition (including drugs from a foreign country)

Appears in 5 contracts

Samples: Other Covered Services, www.premera.com, www.premera.com

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