Retail Pharmacy Network Sample Clauses

Retail Pharmacy Network. The Contractor shall establish and maintain a retail pharmacy network throughout the 50 United States, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and Guam. The Contractor shall provide network retail pharmacy services in American Samoa and the Northern Mariana Islands when they become eligible. The Contractor’s retail pharmacy network shall meet the following four minimum access standards (see definitions (Access Standards)XXX, Appendix B):
Sample 1Sample 2
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Retail Pharmacy Network. S2 The name of your pharmacy network is listed above. To find a network pharmacy, or find up‑to‑date information about our network pharmacies, please call Member Services at the number on the back of your member ID card or consult the online Pharmacy Directory at XxxxxXxxx.xxx/Xxxxxxxxx. To find out which cost‑sharing tier your drug is in, look it up in the plan’s Drug List. If your covered drug costs less than the copayment amount listed in the chart, you will pay that lower price for the drug. You pay either the full price of the drug or the copayment amount, whichever is lower. Tier 1 Preferred Generic drugs You pay $2 You pay $2 You pay $2 You pay $4 You pay $4 Tier 2 Generic drugs You pay $10 You pay $10 You pay $10 You pay $20 You pay $20 Tier 3 Preferred Brand drugs You pay $40 You pay $40 You pay $40 You pay $80 You pay $80 Tier 4 Non‑Preferred Brand drugs You pay $75 You pay $75 You pay $75 You pay $150 You pay $150 Tier 5 Specialty drugs ‑ Includes high‑cost/unique brand and generic drugs You pay 25%, but not more than $350, for your drug You pay 25%, but not more than $350, for your drug You pay 25%, but not more than $350, for your drug Limited to one‑month supply Limited to one‑month supply You won't pay more than $35 for a one‑month supply or $105 for up to a three‑month supply of each covered insulin product regardless of the cost‑sharing tier. *Out‑of‑network coverage is limited to certain situations. See the Evidence of Coverage Chapter 5, Section
Sample 1
Retail Pharmacy Network. Caremark shall create and maintain a national network of Participating Pharmacies, which are independent contractors, and Participating Group selects Caremark’s national network of Participating Pharmacies as its retail network, to provide prescription drugs and related products and Services with respect to the Plan. Caremark shall: (a) Require Participating Pharmacies to service Plan Participants during their normal business hours, in all applicable geographic areas; (b) Provide information to Participating Pharmacies concerning drug interaction, safety edits, and generic substitution and therapeutic intervention programs; (c) Direct Participating Pharmacies to collect all applicable Cost Shares or the lesser of co- payment or U&C from Plan Participants; (d) Provide and maintain toll-free telephone access to Participating Pharmacies to address claim submission and clinical drug utilization review issues; (e) Maintain a database of Participating Pharmacies so that Plan Participants and Participating Group may locate a Participating Pharmacy using Caremark’s website; (f) Maintain a claims adjudication system to process payments of paper and electronic claims in accordance with the PDD; and (g) Be solely responsible for payment to the Participating Pharmacies of the charge for prescriptions dispensed (exclusive of Cost Shares), provided that the foregoing shall not release Participating Group from any payment obligation to Caremark under this Agreement. (h) As required by applicable federal, state or local law, Caremark shall not limit a Participating Pharmacy’s ability to disclose to a Plan Participant whether their Cost Share exceeds the retail price for a Covered Drug, or the availability of a more affordable alternative drug.
Sample 1
Retail Pharmacy Network. S2 The name of your pharmacy network is listed above. When you get a 90-day fill of covered drugs at a retail pharmacy, your network includes pharmacies that offer standard cost sharing and pharmacies that offer preferred cost sharing: you will pay a lower cost share at CVS Pharmacy retail locations for up to a 90-day fill of covered drugs compared to other network retail pharmacies. To find a network pharmacy, you can look in your Pharmacy Directory, visit our website (xxx.XxxxxXxxxxxxXxxxx.xxx), or call Customer Service (phone numbers are printed on your member ID card).
Sample 1
Retail Pharmacy Network. Both parties agree to offer a comprehensive network of retail pharmacies which shall provide access, in accordance with Benefit Program requirements, to Medicare Part D beneficiaries.
Sample 1

Related to Retail Pharmacy Network

  • Pharmacy Pharmacy hereby represents that neither Pharmacy, nor, to the best of Pharmacy’s knowledge, Pharmacist, Pharmacy’s employees, agents or independent

  • Pharmacy Services The Contractor shall establish a network of pharmacies. The Contractor or its PBM must provide at least two (2) pharmacy providers within thirty (30) miles or thirty (30) minutes from a member’s residence in each county, as well as at least two (2) durable medical equipment providers in each county or contiguous county.

  • Online Services Microsoft warrants that each Online Service will perform in accordance with the applicable SLA during Customer’s use. Customer’s remedies for breach of this warranty are described in the SLA.

  • Telemedicine Services This plan covers clinically appropriate telemedicine services when the service is provided via remote access through an on-line service or other interactive audio and video telecommunications system in accordance with R.I. General Law § 27-81-1. Clinically appropriate telemedicine services may be obtained from a network provider, and from our designated telemedicine service provider. When you seek telemedicine services from our designated telemedicine service provider, the amount you pay is listed in the Summary of Medical Benefits. When you receive a covered healthcare service from a network provider via remote access, the amount you pay depends on the covered healthcare service you receive, as indicated in the Summary of Medical Benefits. For information about telemedicine services, our designated telemedicine service provider, and how to access telemedicine services, please visit our website or contact our Customer Service Department.

  • Customer Services Customer Relationship Management (CRM): All aspects of the CRM process, including planning, scheduling, and control activities involved with service delivery. The service components facilitate agencies’ requirements for managing and coordinating customer interactions across multiple communication channels and business lines. Customer Preferences: Customizing customer preferences relative to interface requirements and information delivery mechanisms (e.g., personalization, subscriptions, alerts and notifications).

  • Support Services Rehabilitation, counselling and EAP’s. Support is strictly non- punitive, and can be accessed at anytime (self-identification of the need for help is strongly encouraged).

  • Hospice Services Services are available for a Member whose Attending Physician has determined the Member's illness will result in a remaining life span of six months or less.

  • Verizon OSS Services Access to Verizon Operations Support Systems functions. The term “Verizon OSS Services” includes, but is not limited to: (a) Verizon’s provision of ECI Usage Information to ECI pursuant to Section 8.3 of this Attachment; and, (b) “Verizon OSS Information”, as defined in Section 8.1.4 of this Attachment.

  • Products and Services General Information

  • Program Services a) Personalized Care Practice agrees to provide to Program Member certain enhancements and amenities to professional medical services to be rendered by Personalized Care Practice to Program Member, as further described in Schedule 1 to these Terms. Upon prior written notice to Program Member, Personalized Care Practice may add or modify the Program Services set forth in Schedule 1, as reasonably necessary, and subject to such additional fees and/or terms and conditions as may be reasonably necessary. b) Program Member acknowledges that the Program Services are services that are not covered services under any insurance contract to which Program Member may be a party, including, without limitation, Medicare, and are not reimbursable by Program Member’s insurer, health plan or any governmental entity, including Medicare. Program Member agrees to bear sole financial responsibility for the Member Amenities Fee and agrees not to submit to Program Member’s insurer, health plan or governmental entity any xxxx, invoice or claim for payment or reimbursement of such Member Amenities Fee. c) Personalized Care Practice or its designated affiliate will separately charge Program Member or Program Member’s insurer, health plan or governmental entity for medical, clinical, diagnostic or therapeutic services rendered by Personalized Care Practice or its designated affiliate to Program Member, and Program Member may seek payment or reimbursement from Program Member’s insurer or health plan for any such service to the extent covered by Program Member’s insurer, health plan or governmental entity. d) Program Member understands, agrees and covenants that this Agreement is a service contract, and not a contract for insurance.

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