Common use of Outpatient Prescription Drugs Clause in Contracts

Outpatient Prescription Drugs. 1. Benefits are provided for Covered Medications appearing on the Formulary when prescribed by a Professional Provider in connection with a Covered Service, when purchased at a Participating Pharmacy Provider upon presentation of a valid Identification Card and when dispensed on or after the Member’s Effective Date for Outpatient use. Benefits for Covered Medications are provided in the amounts specified in SECTION SB - SCHEDULE OF BENEFITS of this Agreement. Coverage is provided for: a. Prescription Drugs including Specialty Prescription Drugs obtained from a retail Participating Pharmacy Provider or through a mail service program from a Designated Mail-Order Pharmacy Provider; and b. Selected Prescription Drugs within, but not limited to, the following drug classifications only when such drugs are Covered Medications and when dispensed through an Exclusive Pharmacy Provider: i) Oncology related therapies; ii) Interferons;

Outpatient Prescription Drugs. 1. Benefits are provided for Covered Medications appearing on the Formulary when prescribed by a Professional Provider in connection with a Covered Service, when purchased at a Participating Pharmacy Provider upon presentation of a valid Identification Card and when dispensed on or after the Member’s Effective Date for Outpatient use. Benefits for Covered Medications are provided in the amounts specified in SECTION SB - SCHEDULE OF BENEFITS of this Agreement. Coverage is provided for: a. Prescription Drugs Drugs, including Specialty Prescription Drugs Drugs, obtained from a retail Participating Pharmacy Provider or through a mail service program from a Designated Mail-Order Pharmacy Provider; and b. Selected Prescription Drugs within, but not limited to, the following drug classifications only when such drugs are Covered Medications and when dispensed through an Exclusive Pharmacy Provider: i) Oncology related therapies; ii) Interferons;