Pay Direct Drug Plan Sample Clauses

Pay Direct Drug Plan. The Company agrees to pay 100% of the premium cost for each full- time employee effective the first of the month upon completion of three
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Pay Direct Drug Plan. Employees who are eligible shall be entitled to a drug plan on a ninety percent (90%) co-pay basis. Eligible drugs are drugs which require a prescription by law and generic substitution is the first option. Pharmacy dispensing fees are capped at five dollars ($5.00) per prescription on a ninety percent (90%) co-pay basis. A no-deductible Major Medical Plan which includes a Vision Care package of two hundred dollars ($200.00) per twenty-four (24) months; travel assistance and paramedical practitioners coverage of six hundred dollars ($600.00) per year is also included. The Employer agrees to pay one hundred percent (100%) of the cost of these plans for its full-time employees and fifty percent (50%) of the cost of these plans for its part-time employees. An Employee & Family Assistance Plan will also be provided.
Sample 1Sample 2
Pay Direct Drug Plan. Employees who are eligible shall be entitled to a drug plan on a ninety percent (90%) co-pay basis. Eligible drugs are drugs which require a prescription by law and generic substitution is the first option. Reimbursement for prescribed drugs covered by the Plan will be based on the cost of the lowest cost interchangeable drug, unless the employee’s doctor stipulates in writing that there are medical reasons why the lowest cost interchangeable drug cannot be prescribed. Pharmacy dispensing fees are capped at seven dollars and fifty cents ($7.50) per prescription on a ninety percent (90%) co-pay basis. A no-deductible Major Medical Plan which includes a Vision Care package of two hundred dollars ($200.00) per twenty-four (24) months (eye exams continue outside of this amount). Effective April 2017, the vision allowance increases to two hundred and twenty-five dollars ($225.00); travel assistance and paramedical practitioners coverage of six hundred dollars ($600.00) per year is also included. The Employer agrees to pay one hundred percent (100%) of the cost of these plans for its full-time employees and fifty percent (50%) of the cost of these plans for its part-time employees. An Employee & Family Assistance Plan will also be provided. Dental: Employees who are eligible shall be entitled to a dental plan equivalent to Blue Cross #9 subject to the restriction that routine examinations are allowed once every nine (9) months and that benefit payments are based on the current ODA fee schedule. The Employer agrees to pay seventy-five percent (75%) of the cost of this plan for its full-time employees and fifty percent (50%) of the cost of this plan for its part-time employees.
Sample 1
Pay Direct Drug Plan. Employees who are eligible shall be entitled to a drug plan on a ninety percent (90%) co-pay basis. Eligible drugs are drugs which require a prescription by law and generic substitution is the first option. Pharmacy dispensing fees are capped at five dollars ($5.00) per prescription on a ninety percent (90%) co-pay basis. A no-deductible Major Medical Plan which includes a Vision Care package of two hundred dollars ($200.00) per twenty-four (24) months; travel assistance and paramedical practitioners coverage of six hundred dollars ($600.00) per year is also included. The Employer agrees to pay one hundred percent (100%) of the cost of these plans for its full-time employees and fifty percent (50%) of the cost of these plans for its part-time employees. An Employee & Family Assistance Plan will also be provided. Effective August 1, 2013 amend the benefit plan as follows: • Increase orthotics coverage by $100.00 • Implement a $7.50 prescription deductible fee cap
Sample 1

Related to Pay Direct Drug Plan

  • Drug Plan 42.01 The parties agree to the continuation of the Drug Care plan as follows:

  • Prescription Drug Plan Effective July 1, 2011, retail and mail order prescription drug copays for bargaining unit employees shall be as follows: Type of Drug Prescriptions for 1-45 Days (1 copay) Prescriptions for 46-90 Days (2 copays) Generic drug $10 $20 Preferred brand name drug $25 $50 Non-preferred brand name drug $40 $80 Effective July 1, 2011, for each plan year the Prescription Drug annual out-of- pocket copay maximum shall be $1,000 for individual coverage and $1,500 for employee and spouse, employee and child, or employee and family coverage.

  • COVID-19 Protocols Contractor will abide by all applicable COVID-19 protocols set forth in the District’s Reopening and COVID-19 Mitigation Plan and the safety guidelines for COVID-19 prevention established by the California Department of Public Health and the Ventura County Department of Public Health.

  • Prescription Drug Program 1. It is agreed that the State shall continue the Prescription Drug Benefit Program during the period of this Agreement. The program shall be funded and administered by the State. It shall provide benefits to all eligible unit employees and their eligible dependents. Each prescription required by competent medical authority for Federal legend drugs shall be paid for by the State from funds provided for the Program subject to a deductible provision which shall not exceed $5.00 per prescription or renewal of such prescription and further subject to specific procedural and administrative rules and regulations which are part of the Program.

  • Prescription Drug Quantity Limits We limit the quantity of certain prescription drugs that you can get at one time for safety, cost-effectiveness and medical appropriateness reasons. Our clinical criteria for quantity limits are subject to our periodic review and modification. Quantity limits may restrict: • the amount of pills dispensed per thirty (30) day period; • the number of prescriptions ordered in a specified time period; or • the number of prescriptions ordered by a provider, or multiple providers. Our formulary indicates which prescription drugs have a quantity limit. Types of Pharmacies Prescription drugs and diabetic equipment or supplies can be bought from the following types of pharmacies: • Retail pharmacies. These dispense prescription drugs and diabetic equipment or supplies. • Mail order pharmacies. These dispense maintenance and non-maintenance prescription drugs and diabetic equipment or supplies. • Specialty pharmacies. These dispense specialty prescription drugs, defined as such on our formulary. For information about our network retail, mail order, and specialty pharmacies, visit our website or call our Customer Service Department.

  • Drug and Alcohol Testing – Safety-Sensitive Functions A. Employees required to have a Commercial Driver’s License (CDL) are subject to pre-employment, post-accident, random and reasonable suspicion testing in accordance with the U.S. Department of Transportation rules, Coast Guard Regulations (46 CFR Part 16) or the Federal Omnibus Transportation Employee Testing Act of 1991. The testing will be conducted in accordance with current Employer policy.

  • DRUG/ALCOHOL TESTING 11.1 The parties agree that the maintenance of a drug/alcohol free work place is a goal of both the College and the Union. Employees are prohibited from possession, consumption and/or being under the influence of a controlled substance/alcohol while on the College’s premises or during time paid by the employer. Violations of this prohibition may result in a disciplinary action up to and including termination.

  • How to File an Appeal of a Prescription Drug Denial For denials of a prescription drug claim based on our determination that the service was not medically necessary or appropriate, or that the service was experimental or investigational, you may request an appeal without first submitting a request for reconsideration. You or your physician may file a written or verbal prescription drug appeal with our pharmacy benefits manager (PBM). The prescription drug appeal must be submitted to us within one hundred and eighty (180) calendar days of the initial determination letter. You will receive written notification of our determination within thirty (30) calendar days from the receipt of your appeal. How to File an Expedited Appeal Your appeal may require immediate action if a delay in treatment could seriously jeopardize your health or your ability to regain maximum function, or would cause you severe pain. To request an expedited appeal of a denial related to services that have not yet been rendered (a preauthorization review) or for on-going services (a concurrent review), you or your healthcare provider should call: • our Grievance and Appeals Unit; or • our pharmacy benefits manager for a prescription drug appeal. Please see Section 9 for contact information. You will be notified of our decision no later than seventy-two (72) hours after our receipt of the request. You may not request an expedited review of covered healthcare services already received.

  • Development Plan document specifying the work program, schedule, and relevant investments required for the Development and the Production of a Discovery or set of Discoveries of Oil and Gas in the Contract Area, including its abandonment.

  • Staffing Plan 8.l The Board and the Association agree that optimum class size is an important aspect of the effective educational program. The Polk County School Staffing Plan shall be constructed each year according to the procedures set forth in Board Policy and, upon adoption, shall become Board Policy.

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