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. This plan covers treatment of pre-exposure prophylaxis (PrEP) for the prevention of HIV and post-exposure prophylaxis (PEP) to prevent HIV infection in accordance with RIGL § 27-18-91. Under this law, certain PrEP and PEP prescription drugs are covered with no copayment as indicated on our formulary. These prescription drugs also do not require preauthorization or step therapy. Please see our website or contact our Customer Service Department for details.
Appears in 8 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
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. This plan covers treatment of pre-exposure prophylaxis (PrEP) for the prevention of HIV and post-exposure prophylaxis (PEP) to prevent HIV infection in accordance with RIGL § 27-18-91. Under this law, certain PrEP prescription drugs are available with no copayment and certain PEP prescription drugs are covered with no copayment copayment, after deductible as indicated on our formulary. These prescription drugs also do not require preauthorization or step therapy. Please see our website or contact our Customer Service Department for details.
Appears in 4 contracts
Samples: Subscriber Agreement, Subscriber Agreement, Subscriber Agreement
