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Pharmacy Access Sample Clauses

Pharmacy Access. Effective March 1, 2012, the MCO must meet the following minimum requirements. The MCO must ensure that all Members have access to at least one (1) Network Pharmacy within 15 miles of the Member's residence, and access to at least one (1) pharmacy with 24-hour coverage within 75 miles of the Member's residence. MCOs may request exceptions to this requirement on a case-by-case basis. Effective September 1, 2012, HHSC will apply additional benchmark performance standards. For purposes of this requirement only, the terms urban, suburban, and rural counties have the following meaning: Urban - Counties that have been designated as metropolitan by the Office of Management and Budget (OMB), and that contain the most populated city within a metropolitan area, also known as Metropolitan Statistical Area. HHSC Strategic Decision Support (SDS) classifies these counties as Metro Central City counties. A county meets the definition of metropolitan if it has a central city, or pair of twin cities in it, with a minimum population of 50,000. Suburban - Counties that have been designated as metropolitan by the OMB, and that are adjacent (share a boundary) to a Metro Central City county. The SDS classifies these counties as Metro Suburban counties. Rural - Non-metropolitan counties of the state, regardless of whether they are adjacent or non-adjacent to a metropolitan county. For counties included in the Medicaid Rural Service Area, the following standard applies to STAR effective September 1, 2012: • In urban counties, at least 75 percent of Members must have access to a Network Pharmacy within 2 miles of the Member's residence; • In suburban counties, at least 55 percent of Members must have access to a Network Pharmacy within 5 miles of the Member's residence; • In rural counties, at least 90 percent of Members must have access to a Network Pharmacy within 15 miles of the Member's residence; and • In urban, suburban, and rural counties, at least 90 percent of Members must have access to a 24-hour pharmacy within 75 miles of the Member's residence. For all other counties and Programs, the following standard applies effective September 1, 2012: • In urban counties, at least 80 percent of Members must have access to a Network Pharmacy within 2 miles of the Member's residence; • In suburban counties, at least 75 percent of Members must have access to a Network Pharmacy within 5 miles of the Member's residence; • In rural counties, at least 90 percent of Members must have acc...
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Pharmacy Access. Contractor shall ensure an Enrollee has access to at least one (1) pharmacy within a fifteen (15)–mile radius of or fifteen (15)–minute drive from the Enrollee’s residence. If an Enrollee lives in a Rural Area, the Enrollee shall have access to at least one (1) pharmacy within a sixty (60)–mile radius of or sixty (60)–minute drive from his or her residence.
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Pharmacy Access. At a minimum, the MCO must ensure that all Members have access to at least one (1) Network Pharmacy within 15 miles of the Member’s residence, and access to at least one (1) pharmacy with 24-hour coverage within 75 miles of the Member’s residence. MCOs may request exceptions to this requirement on a case-by-case basis. All other Covered Services, except for services provided in the Member’s residence: At a minimum, the MCO must ensure that all Members have access to at least one (1) Network Provider for each of the remaining Covered Services described in Attachments B-2, “STAR Covered Services,” B-2.1 “CHIP Covered Services,” and B-2.2, “STAR+PLUS Covered Services,” within 75 miles of the Member’s residence. This access requirement includes, but is not limited to, specialists, specialty Hospitals, psychiatric Hospitals, diagnostic and therapeutic services, and single or limited service health care physicians or Providers, as applicable to the MCO Program. The MCO is not precluded from making arrangements with physicians or providers outside the MCO’s Service Area for Members to receive a higher level of skill or specialty than the level available within the Service Area, including but not limited to, treatment of cancer, xxxxx, and cardiac diseases. HHSC may consider exceptions to the above access-related requirements when an MCO has established, through utilization data provided to HHSC, that a normal pattern for securing Health Care Services within an area does not meet these standards, or when an MCO is providing care of a higher skill level or specialty than the level which is available within the Service Area.
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Pharmacy Access. For purposes of this section, "prescription" shall include authorization for legend and over the counter drugs covered by Medicaid policy. a. Pharmacies must be available and accessible on a statewide basis. The MCO shall: 1. Maintain a comprehensive provider network of pharmacies that will within available resources assure twenty four (24) hour access to pharmaceutical goods and services; 2. Have established protocols to respond to urgent requests for medications; 3. Monitor and take steps to correct excessive utilization of regulated substances; and 4. Require pharmacists to utilize the Automated Eligibility Verification System (AEVS) to determine client eligibility and MCO affiliation when there is a discrepancy between the information in the MCO's eligibility system and information given to the pharmacists by the Member, the Member's physician or other third party. b. The MCO shall require that its provider network of pharmacies offer medically necessary goods and services to the MCO's Members. The MCO may have a drug management program that includes a prescription drug formulary. The MCO drug formulary must include only Food and Drug Administration approved drug products and must be broad enough in scope to meet the needs of all Members. The MCO drug formulary shall consist of a reasonable selection of drugs which do not require prior approval for each specific therapeutic drug class. c. The MCO shall submit a copy of its formulary to the DEPARTMENT no later than thirty (30) days after the effective date of this contract. The MCO shall submit any subsequent deletions to the formulary to the DEPARTMENT thirty (30) days prior to making the change. The MCO shall also submit subsequent additions to the formulary immediately without seeking prior approval by the DEPARTMENT. The DEPARTMENT reserves the right to identify deficiencies in the content or operation of the formulary. In this instance, the MCO shall have thirty (30) days to address in writing the identified deficiencies to the DEPARTMENT's satisfaction. The MCO may request to meet with the DEPARTMENT prior to submission of the written response. d. The MCO shall ensure that Members using maintenance drugs (drugs usually prescribed to treat long-term or chronic conditions including, but not limited to, diabetes, arthritis and high blood pressure) are informed in advance, but no less than thirty (30) days in advance of any changes to the prescription drug formulary related to such maintenance drugs i...
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Pharmacy Access. For purposes of this section, "prescription" shall include authorization for legend and over-the-counter drugs covered by Medicaid policy. a. Pharmacies must be available and accessible on a statewide basis. The MCO shall:
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Pharmacy Access. 8.2.1 The Customer shall not access or use the Pharmacy Access Solution for the purposes of operating a distance selling chemist operation, being a pharmacy business which provides pharmaceutical services from distance selling premises (as defined in the NHS (Pharmaceutical Services) Regulations 2012). 8.2.2 The Customer shall ensure that only persons with defined roles (including, the pharmacist(s)) are permitted to access the Pharmacy Access Solution. 8.2.3 The Customer shall notify EHCP as to the identity of any “Participating Practices” (being a GP practice using a compatible clinical system which has consented to participate in the delivery of the Pharmacy Access services) so that EHCP may endeavour to arrange for the relevant clinical system to be configured so as to enable the Pharmacy Access Solution. 8.2.4 The Customer acknowledges that EHCP shall not be responsible for: 8.2.4.1 securing the consent of any GP practice to enable the Pharmacy Access Solution; 8.2.4.2 the accuracy, completeness or suitability of data submitted by a Participating Practice to the Customer; or 8.2.4.3 supervising the adequacy of data submitted to the Participating Practices by the Customer and any impact this may have on their ability to request repeat prescriptions. 8.2.5 The Customer shall ensure that at all times throughout the Term it remains compliant with the NHS Information Governance Toolkit in order to use the GP Record Viewer capability within the Pharmacy Access Solution. 8.2.6 The Customer acknowledges that in relation to the Medicines Manager and GP Record Viewer elements of the Pharmacy Access Solution that the relevant Participating Practices would be Data Controllers and that EHCP where acting as a Data Processor on their behalf would be required to comply with the lawful instructions of the relevant Participating Practice. Therefore, EHCP is entitled to immediately restrict the Customer’s access to any Personal Data if instructed to do so by the relevant Participating Practice. The Customer acknowledges that EHCP is not responsible for, and cannot, maintain the consent of the Participating Practices to allow the relevant Services to be provided to the Customer, and as a result EHCP shall in no way be liable in the event that a Participating Practice withdraws such consent. 8.2.7 The Customer shall ensure that it has appropriate consent from each patient before viewing such person's medical record(s), and should the Customer fail to obtain such consent t...
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Pharmacy Access a. The MCO shall be responsible for payment for pharmacy services and all associated charges, regardless of a Member's diagnosis. The only exception is that the Partnership shall be responsible for methadone costs that are part of the bundled reimbursement for methadone maintenance and ambulatory detox providers. Prescribing behavioral health providers participating in the Partnership will follow the applicable pharmacy program requirements, including the formulary, of the MCO. These providers will provide the MCO with any clinical information needed to support requests for authorization or the preparation of summaries for administrative hearings. The MCO shall promptly inform the Department of any changes to its pharmacy program requirements. b. Pharmacies must be available and accessible on a statewide basis. The MCO shall: 1. Maintain a comprehensive provider network of pharmacies that will within available resources assure twenty-four (24) hour access to a full range of pharmaceutical goods and services; 2. Have established protocols to respond to urgent requests for medications; 3. Monitor and take steps to correct excessive utilization of regulated substances; 4. Have established protocols in place to assure the timely provision of pharmacy goods and to determine client eligibility and MCO affiliation services (by contacting the DEPARTMENT or its agent via telephone or fax) when there is a discrepancy between the information in the MCO's eligibility system and information given to the pharmacists by the Member, the Member's physician or other third party; and 5. Monitor quality assurance measures to assure that Member abuse of pharmacy benefits is corrected in a timely fashion.
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Related to Pharmacy Access

  • Technology Access Contractor expressly acknowledges that state funds may not be expended in connection with the purchase of an automated information system unless that system meets certain statutory requirements relating to accessibility by persons with visual impairments. Accordingly, Contractor represents and warrants to System Agency that the technology provided to System Agency for purchase (if applicable under this Contract or any related Solicitation) is capable, either by virtue of features included within the technology or because it is readily adaptable by use with other technology, of: • providing equivalent access for effective use by both visual and non-visual means; • presenting information, including prompts used for interactive communications, in formats intended for non-visual use; and • being integrated into networks for obtaining, retrieving, and disseminating information used by individuals who are not blind or visually impaired. For purposes of this Section, the phrase “equivalent access” means a substantially similar ability to communicate with or make use of the technology, either directly by features incorporated within the technology or by other reasonable means such as assistive devices or services which would constitute reasonable accommodations under the Americans With Disabilities Act or similar state or federal laws. Examples of methods by which equivalent access may be provided include, but are not limited to, keyboard alternatives to mouse commands and other means of navigating graphical displays, and customizable display appearance. In accordance with Section 2157.005 of the Texas Government Code, the Technology Access Clause contract provision remains in effect for any contract entered into before September 1, 2006.

  • ICANN Access Registry Operator shall provide bulk access to the zone files for the TLD to ICANN or its designee on a continuous basis in the manner ICANN may reasonably specify from time to time. Access will be provided at least daily. Zone files will include SRS data committed as close as possible to 00:00:00 UTC.

  • User Access Transfer Agent shall have a process to promptly disable access to Fund Data by any Transfer Agent personnel who no longer requires such access. Transfer Agent will also promptly remove access of Fund personnel upon receipt of notification from Fund.

  • Data Access Access to Contract and State Data The Contractor shall provide to the Client Agency access to any data, as defined in Conn. Gen Stat. Sec. 4e-1, concerning the Contract and the Client Agency that are in the possession or control of the Contractor upon demand and shall provide the data to the Client Agency in a format prescribed by the Client Agency and the State Auditors of Public Accounts at no additional cost.

  • Data Access Services State Street agrees to make available to the Fund the Data Access Services subject to the terms and conditions of this Addendum and such data access operating standards and procedures as may be issued by State Street from time to time. The Fund shall be able to access the System to (i) originate electronic instructions to State Street in order to (a) effect the transfer or movement of cash or securities held under custody by State Street or (b) transmit accounting or other information (the transactions described in (i)(a) and (i)(b) above are referred to herein as “Client Originated Electronic Financial Instructions”), and (ii) access data for the purpose of reporting and analysis, which shall all be deemed to be Data Access Services for purposes of this Addendum.

  • Network Access During its performance of this Contract, Contractor may be granted access to Purchaser’s computer and telecommunication networks (“Networks”). As a condition of Network use, Contractor shall: (a) use the Networks in compliance with all applicable laws, rules, and regulations; (b) use software, protocols, and procedures as directed by Purchaser to access and use the Networks; (c) only access Network locations made available to Contractor by Purchaser; (d) not interfere with or disrupt other users of the Networks;

  • Technology Access Fee In consideration of the licenses and rights granted to Regado herein, Regado shall, as of the date immediately preceding the closing (the “Closing’) of the first equity financing of Regado in which Regado is assigned a pre-money valuation of not less than three million dollars ($3,000,000), issue to Archemix fully-paid and non-assessable shares of common stock of Regado equal to three and three-quarters percent (3.75%) of the total number of equity shares of Regado, on a fully diluted basis, immediately prior to the issuance of shares at the Closing. Regado shall deliver written notice of the Closing to Archemix at least ten (10) business days prior to such Closing in accordance with the notice provisions contained in Section 14.1 of this Agreement. Archemix and Regado shall enter into such agreements relating to the issuance of the common stock as are customary under such circumstances. For the purpose of this Agreement, “fully diluted basis” shall mean the aggregate of (a) the number of shares of common stock issued and outstanding on the determination date, (b) the number of shares of common stock issuable upon exercise, exchange or conversion of all exercisable, exchangeable or convertible securities outstanding on the determination date, assuming such securities were exercised, exchanged or converted on the determination date (without regard to whether such securities are actually exercisable, exchangeable or convertible on the determination date) and (c) the number of shares of common stock issuable pursuant to any other obligation or agreement of, or right granted by, Regado, whether vested or unvested, contingent or otherwise.

  • Emergency Access Landlord shall have the right to enter the Premises at any time without notice in the event of an emergency.

  • Supplier Diversity Seller shall comply with Xxxxx’s Supplier Diversity Program in accordance with Appendix V.

  • Internet Access Hotels and Airports Employees who travel may need to access their e-mail at night. Many hotels provide free high speed internet access and Tyler employees are encouraged to use such hotels whenever possible. If an employee’s hotel charges for internet access it is reimbursable up to $10.00 per day. Charges for internet access at airports are not reimbursable.

Most Referenced Clauses

Most Referenced Definitions