Common use of Overview Clause in Contracts

Overview. Prescription drugs and diabetic equipment and supplies bought at a pharmacy are administered by our Pharmacy Benefit Manager (PBM). Prescription drugs bought at a pharmacy are subject to the benefit limits and the amount you pay as shown in the Summary of Pharmacy Benefits. For details, see Section A. Pharmacy Program for Prescription Drugs and Diabetic Equipment/Supplies Purchased at a Pharmacy listed below. Generic, preferred brand name, and non-preferred brand name prescription drugs dispensed and administered by a licensed health care provider (other than a pharmacy) are subject to the benefit limit and the amount you pay as shown in the Summary of Medical Benefits. Specialty prescription drugs are not separately reimbursed when dispensed by a professional provider unless bought from a Specialty Pharmacy. For details, see Section B. Generic, Preferred Brand Name, or Non-Preferred Brand Name Prescription Drugs Dispensed and Administered by a Licensed Health Care Provider (other than a Pharmacy) listed below.

Appears in 25 contracts

Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement

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Overview. Prescription drugs and diabetic equipment and supplies bought at a pharmacy are administered by our Pharmacy Benefit Manager (PBM). Prescription drugs bought at a pharmacy are subject to the benefit limits and the amount you pay as level of coverage shown in the Summary of Pharmacy Benefits. For details, see Section section A. Pharmacy Program for Prescription Drugs and Diabetic Equipment/Supplies Purchased at a Pharmacy listed below. Generic, preferred brand name, and non-preferred brand name prescription drugs dispensed and administered by a licensed health care provider (other than a pharmacy) are subject to the benefit limit and the amount you pay as level of coverage shown in the Summary of Medical Benefits. Specialty prescription drugs are not separately reimbursed when dispensed by a professional provider unless bought from a Specialty Pharmacy. For details, see Section section B. Generic, Preferred Brand Name, or Non-Preferred Brand Name Prescription Drugs Dispensed and Administered by a Licensed Health Care Provider (other than a Pharmacy) listed below.

Appears in 8 contracts

Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement

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