Mail Service Pharmacy Sample Clauses

Mail Service Pharmacy. Members may have prescriptions filled through the Mail Service Pharmacy. Subject to applicable law, ESI may communicate with Members regarding benefit design, cost savings, availability and use of the Mail Service Pharmacy, as well as provide supporting services. If the prescription and applicable law do not prohibit substitution of a Generic Drug for the prescribed Brand Drug, or if the Mail Service Pharmacy obtains the consent of the prescriber, the Mail Service Pharmacy will dispense the Generic Drug substitute to the Member.
Sample 1
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Mail Service Pharmacy. Members may have prescriptions filled through the Mail Service Pharmacy. Subject to applicable law, ESI may communicate with Members regarding benefit design, cost savings, availability and use of the Mail Service Pharmacy, as well as provide supporting services. ESI may suspend Mail Service Pharmacy services to a Member who is in default of any Copayment amount due ESI. Sponsor will be responsible for the first unpaid Member Copayment if payment has not been received from the Member within one hundred twenty (120) days following dispensing. Thereafter, the floor limit for that Member will be set to one dollar ($1.00). Sponsor will be billed following the one hundred twenty (120) day collection period, with payment due in accordance with the payment terms set forth in Section 3.2 of this Agreement.
Sample 1
Mail Service Pharmacy. Caremark’s mail service pharmacies shall provide the following products and Services: (a) Dispense new or refill prescriptions upon receipt from a Plan Participant of (i) a prescription and a completed order or refill order form, and (ii) any applicable Cost Share; (b) Fill prescriptions subject to the professional judgment of the dispensing pharmacist, good pharmacy practices in accordance with local community standards, and product labeling and guidelines; (c) Provide certain utilization management and clinical Services as described in this Agreement; and (d) Ship all drugs to Plan Participants via U.S. Postal Service or other appropriate carriers to the address provided by Participating Group and/or the Plan Participant.
Sample 1
Mail Service Pharmacy. Client agrees that PBM will be the exclusive provider of Mail Service Pharmacy Services for Participating Group selecting PBM and PBM shall provide the following mail pharmacy services: (i) receive prescriptions from Members via U.S. mail or commercial carrier at an address as specified by PBM from time to time, subject to and in accordance with the Plan Design Document. (ii) fill prescriptions during normal business hours, subject to the professional judgment of the dispensing pharmacist, provided that the Member has paid the correct Cost Sharing amount as applicable; (iii) provide Members toll-free telephone access to a pharmacist and customer service representative; (iv) provide Participating Group specific promotional materials that explain to Members how to use the mail service program, as well as any other materials Members may require to begin using the mail service program and Participating Group(s) shall distribute such information to Members. All Participating Group communication materials will be approved by Participating Group prior to release; (v) provide computerized drug interaction monitoring of Members based upon the Member profile, programs for generic substitution and therapeutic intervention, pharmaceutical cost containment services and safety edits, and subject to prescriber approval, clinical appropriateness, the terms of the Participating Group Plan Design Document and applicable law; and (vi) ship all prescription orders to Members via U.S. Postal Service or other appropriate carrier to the address provided by Participating Group and/or the Member, as long as such addresses are located in the United States or country where it is legal toship prescriptions;
Sample 1
Mail Service Pharmacy. Epiq Scripts owns and operates a pharmacy licensed in the State of Texas, providing retail mail-order non-sterile compounding pharmaceuticals. Epiq Scripts shall provide mail service pharmacy services to the Customer on an exclusive basis during the term of this SOW. 1.1. Epiq Scripts shall ensure the mail service pharmacy is properly licensed and operates in accordance with all applicable laws and board of pharmacy regulations governing the practice of pharmacy. 1.2. The parties acknowledge that pharmacists exercise professional judgment in the filling of prescriptions and refill requests, and that pharmacists may refuse to fill prescriptions or refill requests based upon their professional judgment, including that the pharmacist believes the filling of a prescription or refill request may be harmful to the patient, the pharmacist has reason to doubt the authenticity of the prescription or refill request, or the pharmacist believes that filling of the prescription or refill request would otherwise be inappropriate.
Sample 1
Mail Service Pharmacy. Injured Workers may have prescriptions filled through the Mail Service Pharmacy. Subject to applicable law, ESI may communicate with Injured Workers regarding the availability and use of the Mail Service Pharmacy.
Sample 1
Mail Service Pharmacy. The copayment for prescription drugs purchased through the mail service pharmacy for a 31-90 day supply will be as follows: $5 Generic $20 Preferred Brand $55 Non-Preferred Brand When a brand-name prescription drug is dispensed and an FDA-approved generic equivalent is available, the member will be responsible for the difference in cost between the generic drug and the non-preferred brand-name drug, plus the non- preferred brand-name copayment ($55).
Sample 1
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Related to Mail Service Pharmacy

  • Mail Service 1. The Union shall be authorized to use the Agency’s internal mail distribution system, and the electronic mail system (e-mail), to conduct Union business which is necessary for the effective representation of bargaining unit employees. 2. Union representatives shall observe all Agency rules and regulations governing the use of mail distribution systems (electronic or otherwise). Failure to do so may result in denial of access of use.

  • Pharmacy Pharmacy hereby represents that neither Pharmacy, nor, to the best of Pharmacy’s knowledge, Pharmacist, Pharmacy’s employees, agents or independent

  • Pharmacy Services The Contractor shall establish a network of pharmacies. The Contractor or its PBM must provide at least two (2) pharmacy providers within thirty (30) miles or thirty (30) minutes from a member’s residence in each county, as well as at least two (2) durable medical equipment providers in each county or contiguous county.

  • Customer Service A. PRIMARY ACCOUNT REPRESENTATIVE. Supplier will assign an Account Representative to Sourcewell for this Contract and must provide prompt notice to Sourcewell if that person is changed. The Account Representative will be responsible for: • Maintenance and management of this Contract; • Timely response to all Sourcewell and Participating Entity inquiries; and • Business reviews to Sourcewell and Participating Entities, if applicable.

  • Medical Verification The Town may require medical verification of an employee’s absence if the Town perceives the employee is abusing sick leave or has used an excessive amount of sick leave. The Town may require medical verification of an employee’s absence to verify that the employee is able to return to work with or without restrictions.

  • Customer Services Customer Relationship Management (CRM): All aspects of the CRM process, including planning, scheduling, and control activities involved with service delivery. The service components facilitate agencies’ requirements for managing and coordinating customer interactions across multiple communication channels and business lines. Customer Preferences: Customizing customer preferences relative to interface requirements and information delivery mechanisms (e.g., personalization, subscriptions, alerts and notifications).

  • CONTRACTOR CUSTOMER SERVICE REPRESENTATIVE Contractor shall designate a customer service representative (and inform Enterprise Services of the same) who shall be responsible for addressing Purchaser issues pertaining to this Master Contract.

  • Autism Services This plan covers the following services for the treatment of autism spectrum disorders. • Applied behavior analysis when provided and/or supervised by an individual licensed by the state in which the service is rendered. See the Summary of Medical Benefits for the amount that you pay. • Physical therapy, occupational therapy, and speech therapy services when rendered as part of the treatment of autism spectrum disorder. A benefit limit will not apply to these services. • Psychological and psychiatric services, and prescription drugs are also covered. See Behavioral Health Services and Prescription Drugs and Diabetic Equipment or Supplies for additional information. Coverage for autism spectrum disorders does not affect any obligation of a school district, a state or other governmental entity to provide services to an individual under an individualized family service plan, an individualized education program, or similar services required under state or federal law. Services related to autism that are furnished by school personnel are not covered under this plan.

  • Provider Network The Panel of health service Providers with which the Contractor contracts for the provision of covered services to Members and Out-of-network Providers administering services to Members.

  • Telemedicine Services This plan covers clinically appropriate telemedicine services when the service is provided via remote access through an on-line service or other interactive audio and video telecommunications system in accordance with R.I. General Law § 27-81-1. Clinically appropriate telemedicine services may be obtained from a network or non- network provider, and from our designated telemedicine service provider. When you seek telemedicine services from our designated telemedicine service provider, the amount you pay is listed in the Summary of Medical Benefits. When you receive a covered healthcare service from a network or non-network provider via remote access, the amount you pay depends on the covered healthcare service you receive, as indicated in the Summary of Medical Benefits. For information about telemedicine services, our designated telemedicine service provider, and how to access telemedicine services, please visit our website or contact our Customer Service Department.

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