Prescription thru Mail Sample Clauses

Prescription thru Mail. Maintenance drugs can be ordered through the mail at twice (2 times) the retail co-pay amounts for a ninety (90) day supply using a three (3) tier “Formulary” structure in which generic and formulary/preferred brand drugs are outlined on the formulary list designed and administered by the PBM. The co-pays are: $10 for generic drugs, $40 for brand drugs that are listed on the formulary (preferred) list with no equivalent generic drug available, and $70 for brand drugs that are not on the formulary (non-formulary/non- preferred) list. The Township will request that the PBM include at least one preferred brand name drug in each therapeutic group; that is, medications whose purpose is to treat a particular condition.
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Prescription thru Mail. The Mandatory Mail Program is required for maintenance drugs at twice (2 times) the retail co-pay amounts for a ninety (90) day supply using a three (3) tier “Formulary” structure in which generic and formulary/preferred brand drugs are outlined on the formulary list designed and administered by the PBM. The co- pays are: $10 for generic drugs, $40 for brand drugs that are listed on the formulary (preferred) list with no equivalent generic drug available, and $60 for brand drugs that are not on the formulary (non-formulary/non-preferred) list. Officers must use the mail order feature for maintenance medication which are prescriptions that require more than one refill. After the initial fill plus one (1) refill per medication per strength, the Plan will cover maintenance medication only through the Mail Order Program.
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Prescription thru Mail. The Mandatory Mail Program is required for maintenance drugs at two (2) times the retail co-pays for a ninety (90) day supply (generic drugs at $14, brand drugs on the formulary list at $28 and brand drugs not on the formulary list at $40). Employees must use the mail order feature for prescriptions that require more than one refill. After the initial fill plus one (1) refill per medication per strength, the Plan will cover maintenance medication only through the Mail Order Program.
Sample 1
Prescription thru Mail. 1. Effective January 1, 2017 through February 28, 2017: The Mandatory Mail Program is required for maintenance drugs at twice (2 times) the retail co-pay amounts for a ninety (90) day supply using a three (3) tier “Formulary” structure in which generic and formulary/preferred brand drugs are outlined on the formulary list designed and administered by the PBM. The co-pays are: $10 for generic drugs, $40 for brand drugs that are listed on the formulary (preferred) list with no equivalent generic drug available, and $60 for brand drugs that are not on the formulary (non-formulary/non-preferred) list. Officers must use the mail order feature for maintenance medication which are prescriptions that require more than one refill. After the initial fill plus one (1) refill per medication per strength, the Plan will cover maintenance medication through the Mail Order Program. 2. Effective March 1, 2017:
Sample 1
Prescription thru Mail. For Officers who retire January 1, 2017 through February 28, 2017: Maintenance drugs can be ordered through the mail at twice (2 times) the retail co-pay amounts for a ninety (90) day supply using a three (3) tier “Formulary” structure in which generic and formulary/preferred brand drugs are outlined on the formulary list designed and administered by the PBM. The co-pays are: $10 for generic drugs, $40 for brand drugs that are listed on the formulary (preferred) list with no equivalent generic drug available, and $70 for brand drugs that are not on the formulary (non- formulary/non-preferred) list. For Officers who retire on or after March 1, 2017: “Maintenance Medications” (medications taken on a monthly, continuing basis for chronic conditions) may be processed through the mail-order pharmacy or at a retail pharmacy of the Officer’s choice. The Township will request that the PBM include at least one preferred brand name drug in each therapeutic group; that is, medications whose purpose is to treat a particular condition.
Sample 1

Related to Prescription thru Mail

  • Prescription Glasses This plan covers prescription glasses as follows: • Frames - one (1) collection frame per plan year; • Lenses - one (1) pair of glass or plastic collection lenses per plan year. This includes single vision, bifocal, trifocal, lenticular, and standard progressive lenses. This plan covers the following lens treatments: • UV treatment; • tint (fashion, gradient, and glass-grey); • standard plastic scratch coating; • standard polycarbonate; and • photocromatic/transitions plastic. This plan covers one (1) supply of contact lenses as follows: • conventional contact lenses - one (1) pair per plan year from a selection of • extended wear disposable lenses - up to a 6-month supply of monthly or two- week single vision spherical or toric disposable contact lenses per plan year; or • daily wear disposable lenses - up to a 3-month supply of daily single vision spherical disposable contact lenses per plan year. This plan also covers the evaluation, fitting, or follow-up care related to contact lenses. This plan covers additional contact lenses if your prescribing network provider submits a verification form, with the regular claim form, verifying that you have one of the following conditions: • anisometropia of 3D in meridian powers; • high ametropia exceeding -10D or +10D in meridian powers; • keratoconus when the member’s vision is not correctable to 20/25 in either or both eyes using standard spectacle lenses; and • vision improvement for members whose vision can be corrected two lines of improvement on the visual acuity chart when compared to the best corrected standard spectacle lenses.

  • Prescription Safety Glasses Prescription safety glasses will be furnished by the employer. The employer retains the authority to establish reasonable rules and procedures regarding frequency of issue, replacement of damaged glasses, limits on reimbursement costs and coordination with the employer's vision plan.

  • Prescription Drugs The agreement may impose a variety of limits affecting the scope or duration of benefits that are not expressed numerically. An example of these types of treatments limit is preauthorization. Preauthorization is applied to behavioral health services in the same way as medical benefits. The only exception is except where clinically appropriate standards of care may permit a difference. Mental disorders are covered under Section A. Mental Health Services. Substance abuse disorders are covered under

  • Prescriptions and bottles of these medications may be sought by individuals with chemical dependency and should be closely safeguarded. It is expected that you will take the highest possible degree of care with your medication and prescription. They should not be left where others might see or otherwise have access to them.

  • Prescription Claims against the Issuer or any Guarantor for the payment of principal or Additional Amounts, if any, on the Notes will be prescribed ten years after the applicable due date for payment thereof. Claims against the Issuer or any Guarantor for the payment of interest on the Notes will be prescribed five years after the applicable due date for payment of interest.

  • Prescription Plan The PPO plan will include a comprehensive prescription 29 program:

  • CFR 200 328. Failure to submit such required Performance Reports may cause a delay or suspension of funding. 30 ILCS 705/1 et seq.

  • Prescription Drug Plan Retail and mail order prescription drug copays for bargaining unit employees shall be as follows:

  • Bilingual Pay Where the Employer currently pays bilingual pay or bonuses, it shall continue to do so. The Employer retains discretion to initiate bilingual pay or bonuses. The minimum bilingual bonus or hourly equivalent is $25 per pay period. The Employer may not require an employee to use bilingual skills without paying the appropriate bonus or pay. This does not apply to employees where such skills are in the classification specification.

  • Population The Population shall be defined as all Paid Claims during the 12-month period covered by the Claims Review.

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