Common use of Pharmacy Benefits Clause in Contracts

Pharmacy Benefits. a. Pharmacy benefits are available to all State of Ohio employees and their dependents enrolled in a health plan. b. The JHCC will review the procedure for obtaining biotech drugs and upon recommendation of the JHCC, the Director of DAS may require that such biotech drugs be obtained from specialty pharmacies. Furthermore, upon recommendation from the JHCC, the Director of DAS may establish a separate cost-sharing structure for biotech or lifestyle drugs. c. After consultation with the JHCC, the Director of DAS may review the following: (1) Alternative pharmacy cost-sharing plan options such as co- insurance. (2) Coverage of certain Over-the-Counter (OTC) drugs. (3) Alternative pharmacy procurement and distribution channels. (4) A special retail generic program. (5) A retail 90 day maintenance drug program. d. The pharmacy benefit manager may not remove from its formulary or require preauthorization for any prescription drug that is among its ten (10) most frequently prescribed drugs unless the pharmacy vendor has notified the Employer and consulted with the JHCC, including in that consultation a review of the health plan research recommending that the drug be excluded or put on preauthorization status.

Pharmacy Benefits. a. Pharmacy benefits are available to all State of Ohio employees and their dependents enrolled in a health plan. b. The JHCC will review the procedure for obtaining biotech drugs and upon recommendation of the JHCC, the Director of DAS may require that such biotech drugs be obtained from specialty pharmacies. Furthermore, upon recommendation from the JHCC, the Director of DAS may establish a separate cost-sharing structure for biotech or lifestyle drugs. c. After consultation with the JHCC, the Director of DAS may review implement the following: (1) Alternative pharmacy cost-sharing plan options such as co- co-insurance. (2) Coverage of certain Over-the-Counter (OTC) drugs. (3) Alternative pharmacy procurement and distribution channels. (4) A Establishment of a special retail generic program. (5) A Establishment of a retail 90 ninety (90) day maintenance drug program. d. The pharmacy benefit manager vendor may not remove from its formulary or require preauthorization for any prescription drug that is among its ten (10) most frequently prescribed drugs unless the pharmacy vendor has notified the Employer and consulted with the JHCC, including in that consultation a review of the health plan research recommending that the drug be excluded or put on preauthorization status.

Pharmacy Benefits. a. Pharmacy benefits are available to all State of Ohio employees and their dependents enrolled in a health plan. b. The JHCC will review the procedure for obtaining biotech drugs and upon recommendation of the JHCC, the Director of DAS may require that such biotech drugs be obtained from specialty pharmacies. Furthermore, upon recommendation from the JHCC, the Director of DAS may establish a separate cost-sharing structure for biotech or lifestyle drugs. c. After consultation with the JHCC, the Director of DAS may review implement the following: (1) Alternative pharmacy cost-sharing plan options such as co- co-insurance. (2) Coverage of certain Over-the-Counter (OTC) drugs. (3) Alternative pharmacy procurement and distribution channels. (4) A Establishment of a special retail generic program. (5) A Establishment of a retail 90 day maintenance drug program. d. The pharmacy benefit manager vendor may not remove from its formulary or require preauthorization for any prescription drug that is among its ten (10) most frequently prescribed drugs unless the pharmacy vendor has notified the Employer and consulted with the JHCC, including in that consultation a review of the health plan research recommending that the drug be excluded or put on preauthorization status.

Pharmacy Benefits. a. Pharmacy benefits are available to all State of Ohio employees and their dependents enrolled in a health plan. b. The JHCC will review the procedure for obtaining biotech drugs and upon recommendation of the JHCC, the Director of DAS may require that such biotech drugs be obtained from specialty pharmacies. Furthermore, upon recommendation from the JHCC, the Director of DAS may establish a separate cost-sharing structure for biotech or lifestyle drugs. c. After consultation with the JHCC, the Director of DAS may review the following: (1) Alternative pharmacy cost-sharing plan options such as co- co-insurance. (2) Coverage of certain Over-the-Counter (OTC) drugs. (3) Alternative pharmacy procurement and distribution channels. (4) A special retail generic program. (5) A retail 90 day maintenance drug program. d. The pharmacy benefit manager may not remove from its formulary or require preauthorization for any prescription drug that is among its ten (10) most frequently prescribed drugs unless the pharmacy vendor has notified the Employer and consulted with the JHCC, including in that consultation a review of the health plan research recommending that the drug be excluded or put on preauthorization status.

Pharmacy Benefits. a. Pharmacy benefits are available to all State of Ohio employees and their dependents enrolled in a health plan. b. The JHCC will review the procedure for obtaining biotech drugs and upon recommendation of the JHCC, the Director of DAS may require that such biotech drugs be obtained from specialty pharmacies. Furthermore, upon recommendation from the JHCC, the Director of DAS may establish a separate cost-sharing structure for biotech or lifestyle drugs. c. After consultation with the JHCC, the Director of DAS may review the following: (1) Alternative pharmacy cost-sharing plan options such as co- co-insurance. (2) Coverage of certain Over-the-Counter (OTC) drugs. (3) Alternative pharmacy procurement and distribution channels. (4) A special retail generic program. (5) A retail 90 ninety (90) day maintenance drug program. d. The pharmacy benefit manager may not remove from its formulary or require preauthorization for any prescription drug that is among its ten (10) most frequently prescribed drugs unless the pharmacy vendor has notified the Employer and consulted with the JHCC, including in that consultation a review of the health plan research recommending that the drug be excluded or put on preauthorization status.

Pharmacy Benefits. a. Pharmacy benefits are available to all State of Ohio employees and their dependents enrolled in a health plan. b. The JHCC will review the procedure for obtaining biotech drugs and upon recommendation of the JHCC, the Director of DAS may require that such biotech drugs be obtained from specialty pharmacies. Furthermore, upon recommendation from the JHCC, the Director of DAS may establish a separate cost-sharing structure for biotech or lifestyle drugs. c. After consultation with the JHCC, the Director of DAS may review the following: (1) Alternative pharmacy cost-sharing plan options such as co- insurance. (2) Coverage of certain Over-the-Counter (OTC) drugs. (3) Alternative pharmacy procurement and distribution channels. (4) A special retail generic program. (5) A retail 90 day maintenance drug program. d. The pharmacy benefit manager may not remove from its formulary or require preauthorization for any prescription drug that is among its ten (10) most frequently prescribed drugs unless the pharmacy vendor has notified the Employer and consulted with the JHCC, including in that consultation a review of the health plan research recommending that the drug be excluded or put on preauthorization status.

Pharmacy Benefits. a. Pharmacy benefits are available to all State of Ohio employees and their dependents enrolled in a health plan. b. The JHCC will review the procedure for obtaining biotech drugs and upon recommendation of the JHCC, the Director of DAS may require that such biotech drugs be obtained from specialty pharmacies. Furthermore, upon recommendation from the JHCC, the Director of DAS may establish a separate cost-sharing structure for biotech or lifestyle drugs. c. After consultation with the JHCC, the Director of DAS may review implement the following: (1) Alternative pharmacy cost-sharing plan options such as co- insurance. (2) Coverage of certain Over-the-Counter (OTC) drugs. (3) Alternative pharmacy procurement and distribution channels. (4) A Establishment of a special retail generic program. (5) A Establishment of a retail 90 day maintenance drug program. d. The pharmacy benefit manager vendor may not remove from its formulary or require preauthorization for any prescription drug that is among its ten (10) most frequently prescribed drugs unless the pharmacy vendor has notified the Employer and consulted with the JHCC, including in that consultation a review of the health plan research recommending that the drug be excluded or put on preauthorization status.