Drug Benefit Clause Samples

Drug Benefit. Eligibility: After twelve (12) months of service with the Employer • Portion payable - 90% with a dispensing fee cap of $6.00 • Benefit maximum age - retirement • Dependent age coverage until 21 years • Student Age coverage until 26 if in school full-time • Maximum benefit per individual - $2,000 per calendar year • Fertility Treatment – lifetime max $2,400 • Smoking Cessation – lifetime max $500 • Drug Card Provided B-1.04 Vision Benefit • Eligibility: After twelve (12) months of service with the Employer • Co-Insurance at 100% • Eye Exams - $75 per calendar year (in Provinces where eye exams are not covered) • Glass Maximum - $300 every 24 months (Employees & Dependents) • Contact Lenses –Included • Laser Surgery Benefit – included • Benefit maximum age - retirement • Dependent age coverage until 21 years • Student Age coverage until 26 if in school full-time

Drug Benefit. Only drugs that legally require a written prescription and those drugs considered life sustaining will be considered as eligible expenses under the plan (change from formulary 2 to formulary 3). Over-the- counter drugs, that are purchased with a doctor’s prescription are no longer eligible for coverage. The eligible vision care will be $300 every twenty-four (24) months.

Drug Benefit. Effective June 1, 2016, 90% of charges for drugs, including oral contraceptives, sera and injectibles prescribed by a licensed doctor (MD) or licensed dentist and dispensed by a registered pharmacist, that regardless of their legal status are not normally obtainable except by prescription from a licensed doctor (MD) or licensed dentist. The drug plan is not subject to an annual deductible. Effective October 1, 1996 a generic drug plan will be established. Brand name drugs will be accepted when: (i) No generic substitute is available, or (ii) An allergic reaction to the generic drug is demonstrated. Effective January 01, 2023, the drug plan is subject to an annual prescription drug benefit cap of $10,000.00 per individual insured member. o Should an employee or dependent be subject to a change in the Ontario Trillium prescription drug plan, they will have the option to convert to a lifetime cap of $80,000. Such cap will start at $0 at time of conversation to the lifetime cap o The Company agrees to provide cash advancements upon request when an employee is applying for or is under the Ontario Trillium prescription drug plan o The Company agrees to provide assistance to any employee or their dependent through the application process entering a government drug program

Drug Benefit. Effective January 1, 2010 the following drug benefit amendments for eligible full time employees shall be implemented:

Drug Benefit. Effective March 22, 2015 90% of charges for drugs, including oral contraceptives, sera and injectable prescribed by a licensed doctor (MD) or licensed dentist and dispensed by a registered pharmacist, that regardless of their legal status are not normally obtainable except by prescription from a licensed doctor (MD) or licensed dentist. Where name brand prescriptions have been used in place of generic drugs, the eligible member shall be compensated up to the cost of the generic drugs. The drug plan is not subject to an annual deductible. Employees will be entitled to reimbursement for non-generic drugs only where no generic drug is available or the employee provides ONTC with medical documentation from the prescribing physician that confirms that the employee is unable to take the generic drug because it would cause an adverse reaction.

Drug Benefit. Effective November 1, 2014, the Plan shall include a three tier drug benefit with drug co-pays as follows; Tier One - $0.00 (30 day supply) Tier Two - $15.00 (30 day supply) Tier Three - $30.00 (30 day supply) Tier One Mail Order - $0.00 (90 day supply) Tier Two Mail Order - $30.00 (90 day supply) Tier Three Mail Order - $60.00 (90 day supply)

Drug Benefit. Only drugs that legally require a written prescription and those drugs considered life sustaining will be considered as eligible expenses under the plan (change from formulary to formulary 3). Over- the-counter drugs, that are purchased with a doctor’s prescription are no longer eligible for coverage.

Drug Benefit. 100% paid by Employer. Effective first day of the month following signing of the Collective Agreement.