Eligible drugs Sample Clauses

Eligible drugs. The prescription drugs reimbursed by the Insurer must meet all of the following conditions: a) They bear a valid Drug Identification Number (DIN) issued by Health Canada and are available in the insured’s province of residence; b) They are obtained from a pharmacy only and dispensed by a legally authorized healthcare professional; c) They must be prescribed in accordance with the manufacturer’s directions for use, or in the absence of such directions, with the directions for use approved by the competent authorities in the insured’s province of residence. The Insurer reimburses prescription drugs and pharmaceutical services that may only be obtained on prescription from a healthcare professional legally authorized to prescribe such drugs. Also eligible for reimbursement are drugs obtained on prescription with directions for use specifically related to treatment of the following pathological conditions: heart disease, pulmonary disease, diabetes, arthritis, Xxxxxxxxx'x disease, epilepsy, cystic fibrosis and glaucoma. However, eligible drugs under the Quebec Public Prescription Drug Insurance Plan are not covered under this contract. EXCLUSIONS AND REDUCTION OF COVERAGE: • Eligible drugs under the Quebec Public Prescription Drug Insurance Plan; • Products considered to be food substitutes, cosmetic products, soaps, tanning oils, skin emollients, shampoos and other products for scalp treatment; • Dietetic substances or foods, anti-obesity products; • Drugs administered primarily for preventive purposes; for the purposes of this exclusion, a drug used to stabilize or regulate a pathological condition diagnosed by a healthcare professional is not considered to be used for preventive purposes; • Over-the-counter laxatives and antacids; • Products used to treat hair loss, wrinkles or any other treatment administered primarily for aesthetic purposes; • Smoking cessation products; • Drugs or substances used for the treatment of infertility or erectile dysfunction; • Any substances used for the purpose of artificial insemination, contraceptive and prophylactic jellies and foams; • Drugs provided during a period of hospitalization; • Any treatments or drugs of an experimental nature; • Items related to the use of injectable drugs, such as rubbing alcohol, cotton swabs, automatic jet injectors or other similar equipment. Furthermore, the Insurer may deny reimbursement of any drugs prescribed for a condition other than those listed in the manufacturer’s directions for ...
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Related to Eligible drugs

  • Prescription Drugs The agreement may impose a variety of limits affecting the scope or duration of benefits that are not expressed numerically. An example of these types of treatments limit is preauthorization. Preauthorization is applied to behavioral health services in the same way as medical benefits. The only exception is except where clinically appropriate standards of care may permit a difference. Mental disorders are covered under Section A. Mental Health Services. Substance abuse disorders are covered under

  • Prescription Drug Plan Retail and mail order prescription drug copays for bargaining unit employees shall be as follows:

  • Eligible Population 5.1 Program eligibility is determined by applicable law set forth in Program rules and the requirements established in the Program Policy Manual. 5.2 The unduplicated number of Clients for PHC services is 430. This represents the Grantee’s projected number of unduplicated Clients to be served during the Contract period. If during the Contract period it is foreseen that the Grantee might be unable to serve the contracted number of children, HHSC may reduce the Grantee’s grant award amount.

  • Eligible Products For the purpose of this Campaign, any MICHELIN passenger car, SUV, or Commercial Light Truck tyre models are individually referred to as “Eligible Product”.

  • Eligible Goods and Related Services 4.1 All the Goods and Related Services to be supplied under the Contract shall have their origin in any country that is eligible in accordance with ITT 3.9. 4.2 For purposes of this ITT, the term “goods” includes commodities, raw material, machinery, equipment, and industrial plants; and “related services” include services such as insurance, installation, training, and initial maintenance.

  • Random Drug Testing All employees covered by this Agreement shall be subject to random drug testing in accordance with Appendix D.

  • Human Leukocyte Antigen Testing This plan covers human leukocyte antigen testing for A, B, and DR antigens once per member per lifetime to establish a member’s bone marrow transplantation donor suitability in accordance with R.I. General Law §27-20-36. The testing must be performed in a facility that is: • accredited by the American Association of Blood Banks or its successors; and • licensed under the Clinical Laboratory Improvement Act as it may be amended from time to time. At the time of testing, the person being tested must complete and sign an informed consent form that also authorizes the results of the test to be used for participation in the National Marrow Donor program.

  • Eligible Applicants The rules of eligibility of project promoters and project partners are set in Article 7.2 of the Regulation.

  • Medicaid Enrollment Treatment Grantees shall enroll as a provider with Texas Medicaid and Healthcare Partnership (TMHP) and all Medicaid Managed Care organizations in Grantee’s service region within the first quarter of this procurement term and maintain through the procurement term.

  • Alcohol and Drug Testing Employee agrees to comply with and submit to any Company program or policy for testing for alcohol abuse or use of drugs and, in the absence of such a program or policy, to submit to such testing as may be required by Company and administered in accordance with applicable law and regulations.

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