Non-Covered Drugs. (A) The Contractor shall submit, no later than 60 calendar days after the end of each quarter, a report of drugs which the Contractor has elected to cover, but which are not indicated as being covered drugs on the PDL-Plus file. The report shall be in a format designated by the Department. (B) In calculating the Capitation Rate, the Department shall not include as service costs the drugs which the Contractor has elected to cover, but which are not indicated as being covered drugs on the PDL-Plus file. (C) In calculating the Capitation Rate, the Department shall not include as service costs drugs which have not been prescribed by an enrolled Utah Medicaid Provider.
Appears in 6 contracts
Samples: Accountable Care Organization (Aco) Contract, Accountable Care Organization (Aco) Contract, Contract
Non-Covered Drugs. (A) The Contractor shall submit, no later than 60 calendar days after the end of each quarter, a report of drugs which the Contractor has elected to cover, but which are not indicated as being covered drugs on the PDL-Plus file. The report shall be in a format designated by the Department.
(B) In calculating the Capitation Rate, the Department shall not include as service costs the drugs which the Contractor has elected to cover, but which are not indicated as being covered drugs on the PDL-Plus file.
(C) In calculating the Capitation Rate, the Department shall not include as service costs drugs which have not been prescribed by an enrolled Utah Medicaid Provider.
Appears in 3 contracts
Samples: Contract, Health Services Agreement, Contract
