Drug List Sample Clauses

Drug List. Drugs listed on the Drug List are selected by the Plan based upon the recom­ mendations of a committee, which is made up of current and previously practicing Physicians and pharmacists from across the country, some of whom are employed by or affiliated with the Plan. The committee considers drugs reg­ ulated by the FDA for inclusion on the Drug List. As part of the process, the committee reviews data from clinical studies, published literature and opinions from experts who are not part of the committee. Some of the factors committee members evaluate include each drug's safety, effectiveness, cost and how it compares with drugs currently on the Drug List. The committee considers drugs that are newly approved by the FDA, as well as those that have been on the market for some time. Entire drug classes are also reg­ ularly reviewed. Changes to this list can be made from time to time. Positive changes, such as adding drugs to the Drug List, occur quarterly after review by our committee. Changes to the Drug List that could have an adverse financial im­ pact to you (e.g., drug exclusion, drugs moving to a higher payment tier, or drugs requiring step therapy or prior authorization) occur only annually. The Drug List and any modifications will be made available to you. The Plan may offer multiple Drug Lists. By accessing the Plan's website at xxx.xxxxxx.xxx or calling the customer service toll‐free number on your identification card, you will be able to determine the Drug List that applies to you and whether a particular drug is on the Drug List. PRIOR AUTHORIZATION/STEP THERAPY REQUIREMENT Prior Authorization (PA): Your benefit plan requires prior authorization for cer­ tain drugs. This means that your doctor will need to submit a prior authorization request for coverage of these medications and the request will need to be approved before the medication will be covered under the Plan. You and your Physician will be notified of the prescription drug administrator's determination. If medical ne­ cessity criteria is not met, coverage will be denied and you will be responsible for the full charge incurred.
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Drug List. Prescriptions for drugs included on the emergency first-fill drug list see included Exhibit 1 will be dispensed without prior approval. Updates to the drug list will be provided to the vendor for timely incorporation and a hard copy of the updated list will be provided to the VA for verification. The vendor will have a workable system to facilitate timely VA pharmacy approvals for prescriptions for medications that are not listed on the drug list. Flu and Zostavax vaccinations will be authorized under this Order for Qualified Veterans.
Sample 1
Drug List. Within thirty (30) days after the Agreement Date (defined below), MTS and Customer will prepare a mutually agreeable list of drugs to be dispensed using the OnDemand System (the “Drug List”). The Drug List shall include information and specifications sufficient to permit dispensing through cassettes designed specifically to work with the OnDemand System. If necessary, Customer agrees to supply MTS with drug samples (up to 50/each drug) for calibration purposes. Customer may elect to provide MTS with information regarding Customer’s monthly medication usages and Customer’s filling patterns by day or week to allow optimization of the OnDemand System load balance. Customer may provide updated Drug Lists to MTS from time to time, and MTS shall recalibrate or provide additional cassettes (as necessary) in accordance with applicable terms set forth in Addendum A.
Sample 1
Drug List. ...means a list of all drugs that may be covered under the OUTPATIENT PRESCRIPTION DRUG PROGRAM BENEFITS and related services section of this Certificate. A current list is available on our website at xxxxx://xxx.xxxxxx.xxx/member/prescription-drugplan-information/drug -lists other website. You may also contact a Customer Service Representative at the telephone number shown on the back of your Identification Card for more information.
Sample 1

Related to Drug List

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