Common use of Pharmacy Benefits Administrator Clause in Contracts

Pharmacy Benefits Administrator. An entity contracted to or included in a health plan accepting pharmacy prescription claims for enrollees in the plan, assuring these claims conform to coverage policy and determining the allowed payment.

Appears in 5 contracts

Samples: Health Care Services Contract (Wellcare Health Plans, Inc.), Health Care Services Contract (Wellcare Health Plans, Inc.), Health Care Services Contract (Amerigroup Corp)

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Pharmacy Benefits Administrator. An entity contracted to or included in a health managed care plan accepting that accepts pharmacy prescription claims for enrollees in the managed care plan, assuring ; assures these claims conform to coverage policy policy; and determining determines the allowed payment.

Appears in 2 contracts

Samples: Standard Contract, Long Term Care Health Plan Model Contract

Pharmacy Benefits Administrator. An entity contracted to or included in a health plan accepting Managed Care Plan that accepts pharmacy prescription claims for enrollees in the plan, assuring Managed Care Plan; assures these claims conform to coverage policy policy; and determining determines the allowed payment.

Appears in 2 contracts

Samples: Core Contract Provisions, Core Contract Provisions

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Pharmacy Benefits Administrator. An entity contracted to or included in a health plan Health Plan accepting pharmacy prescription claims for enrollees in the planHealth Plan, assuring these claims conform to coverage policy and determining the allowed payment.

Appears in 1 contract

Samples: Standard Contract (Amerigroup Corp)

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