Pharmacy Network — Qualifications Sample Clauses

Pharmacy Network — Qualifications. If the Applicant currently offers a prescription drug benefit under its Medicare managed care plan, the Applicant must provide access to negotiated prices through a pharmacy network that is at least equivalent to the pharmacy network it currently uses to dispense prescription drugs to its Medicare managed care plan members. • If the Applicant does not currently offer a prescription drug benefit under its Medicare managed care plan, the Applicant provides access to negotiated prices through a network of pharmacies that meets Medicare managed care provider access requirements at 42 CFR 422.112 (in the case of Part C organizations) and 417.416(e) (in the case of Medicare cost plans). • NOTE: Applicants may offer a mail order option in addition to their contracted pharmacy network. (Mail order option only is precluded.) CMS expects drug cards offering mail order services to provide beneficiaries with access to a licensed pharmacist to answer questions, should there be inquiries that require clinical attention.
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Related to Pharmacy Network — Qualifications

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