MAINTENANCE DRUG Clause Samples
The "Maintenance Drug" clause defines what constitutes a maintenance drug within the context of a contract, typically referring to medications prescribed for long-term, ongoing treatment of chronic conditions. This clause often specifies criteria such as the duration of use, the types of conditions covered (like diabetes or hypertension), and may outline requirements for prescription refills or mail-order pharmacy use. Its core function is to clearly delineate which drugs are subject to special handling or benefits, ensuring both parties understand coverage terms and reducing disputes over medication eligibility.
MAINTENANCE DRUG. Only a Prescription Drug used for the treatment of chronic medical conditions.]
MAINTENANCE DRUG. Only a Prescription Drug used for the treatment of chronic medical conditions. MEDICALLY NECESSARY AND APPROPRIATE. Services or supplies provided by a recognized health care Provider that We Determine to be:
MAINTENANCE DRUG. A drug meant to sustain the health of a patient over a long period of time. This can be over several months or years. Maintenance Drugs should have an established and defined dosage for this long period of time. Regular doses of a Maintenance Drug are needed to avoid the effects of a disease or illness. Drugs that meet this definition may be excluded from the maintenance list at the direction of the WHP Pharmacy and Therapeutics (P&T) Committee. A controlled drug (e.g., Ritalin®, Lortab®, Xanax®) is not a Maintenance Drug. A first time prescription is not a Maintenance Drug.
MAINTENANCE DRUG. A prescription drug anticipated to be required for 6 months or more to treat a chronic condition.