Common use of Prescription Drugs and Diabetic Equipment and Supplies Clause in Contracts

Prescription Drugs and Diabetic Equipment and Supplies. Prescription drugs and diabetic equipment and supplies dispensed at a pharmacy. See Summary of Pharmacy Benefits for prescription drugs purchased at a retail, specialty, or mail order pharmacy. Prescription drugs dispensed and administered by a licensed health care provider (other than a pharmacist), and not purchased from a retail, specialty or mail order pharmacy: Injectable drugs* 0% - After deductible Not Covered Infused drugs* 0% - After deductible Not Covered Medications other than injected and infused rugs* Are included in the allowance for the medical service being rendered. Not Covered

Prescription Drugs and Diabetic Equipment and Supplies. Prescription drugs and diabetic equipment and supplies dispensed at a pharmacy. See Summary of Pharmacy Benefits for prescription drugs purchased at a retail, specialty, or mail order pharmacy. Prescription drugs dispensed and administered by a licensed health care provider (other than a pharmacist), and not purchased from a retail, specialty or mail order pharmacy: Injectable drugs* 030% - After deductible Not Covered Infused drugs* 030% - After deductible Not Covered Medications other than injected and infused rugs* Are included in the allowance for the medical service being rendered. Not Covered

Prescription Drugs and Diabetic Equipment and Supplies. Prescription drugs and diabetic equipment and supplies dispensed at a pharmacy. See Summary of Pharmacy Benefits for prescription drugs purchased at a retail, specialty, or mail order pharmacy. Prescription drugs dispensed and administered by a licensed health care provider (other than a pharmacist), and not purchased from a retail, specialty or mail order pharmacy: Injectable drugs* 020% - After deductible Not Covered Infused drugs* 020% - After deductible Not Covered Medications other than injected and infused rugs* Are included in the allowance for the medical service being rendered. Not Covered