Common use of NON-NETWORK Clause in Contracts

NON-NETWORK. If a member chooses to use a non-network pharmacy for non-special- ty prescriptions, s/he will be required to pay the full cost of the prescription and then file a claim with the PBM. The PBM will xxxx- xxxxx the cost of the drug based on the net- work discounted amount as determined by the PBM, less the applicable network copay- ment.