Specialty Pharmacy and Pharmacy Drugs. The Contractor will comply with industry standards for the management of specialty pharmacy drugs. Characteristics of specialty drugs may include the following: A. Drugs that are used to treat and diagnose rare and complex diseases; B. Drugs that require close clinical monitoring and management; C. Drugs that frequently require special handling; D. Drugs of a high dollar amount for a standard dosage; or E. Drugs that may have limited access or distribution. The Contractor may establish a Specialty Pharmacy Network, subject to any willing provider specifications outlined in federal and/orstate regulations. The Contractor’s criteria for network participation shall be readily available.
Appears in 2 contracts
Samples: Medicaid Managed Care Contract, Medicaid Managed Care Contract
Specialty Pharmacy and Pharmacy Drugs. The Contractor will comply with industry standards for the management of specialty pharmacy drugs. Characteristics of specialty drugs may include the following:
A. Drugs that are used to treat and diagnose rare and complex diseases;
B. Drugs that require close clinical monitoring and management;
C. Drugs that frequently require special handling;
D. Drugs of a high dollar amount for a standard dosage; or
E. Drugs that may have limited access or distribution. The Contractor may establish a Specialty Pharmacy Network, subject to any willing provider specifications outlined in federal and/orstate and/or state laws or regulations. The Contractor’s criteria for network participation shall be readily available.
Appears in 2 contracts
Samples: Medicaid Managed Care Contract, Medicaid Managed Care Contract
