Common use of Non-Plan Pharmacy Benefit Payments Clause in Contracts

Non-Plan Pharmacy Benefit Payments. In order for claims for Covered Drugs obtained at a Non-Plan Pharmacy to be eligible for benefit payment, the Insured must complete and submit a Pharmacy Reimbursement Claim Form with the prescription label and register receipt to SHL or its designee. Benefit payments are subject to the limitations and exclusions set forth in the SHL AOC as follows:

Non-Plan Pharmacy Benefit Payments. In order for claims for Covered Drugs obtained at a Non-Plan Pharmacy to be eligible for benefit payment, the Insured must complete and submit a Pharmacy Reimbursement Claim Form with the prescription label and register receipt to SHL or its designee. Benefit payments are subject to the limitations and exclusions set forth in the SHL AOC COC as follows: