Brand Drugs definition

Brand Drugs means those pharmaceuticals designated by the PBM’s Pricing Source as having a multi-source indicator of M, N or O.

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Brand Drugs means those pharmaceuticals designated by the PBM’s pricing source as having a multi-source code field that contains an “M’ (co-branded product), “O” (originator brand), or an “N” (single source brand), however, if the Multisource Code is “O” and there is a DAW Code of 3, 4, 5, 6 or 9, the drug shall be considered a generic drug.

Brand Drugs means those pharmaceuticals designated by the PBM’s Pricing Source as having a multi-source indicator of M, N or O. May include single source generics with less than three manufactures.

Examples of Brand Drugs in a sentence

• Blue Shield’s Drug Formulary is a list of Food and Drug Ad- ministration (FDA)-approved preferred Generic and Brand Drugs that assists Physicians and Health Care Providers to prescribe Medically Necessary and cost-effective Drugs.

• The Deductible applies to all other covered Brand Drugs, including Brand Specialty Drugs.

• The Calendar Year Brand Drug Deductible is the amount an individual Member must pay each year for covered Brand Drugs before Blue Shield begins payment in accordance with the Evidence of Coverage and Health Service Agreement.

• When the specified amount is reached, covered Brand Drugs will be paid at the contracted rate, less any applicable Copayment and Coinsurance, for the individual Member, for the remainder of the Calendar Year.

• Blue Shield’s Drug Formulary is a list of FDA-approved preferred Generic and Brand Drugs.

• Preferred Brand Drugs (Tier 2) (up to a 34-day supply) $20 $30 $30 All preferred brand drugs are covered at this copay level.

• Non-Preferred Brand Drugs (Tier 3) (up to a 34-day supply) $40 $45 $45 All non-preferred brand drugs on this copay level are not on the Preferred Drug List.* Discuss using alternatives with your physician or pharmacist.

• This class will contain preferred medications that may be Generic, single source, or multi-source Brand Drugs.

• This class will contain low cost and preferred medications that may be Generic, single source Brand Drugs, or multi-source Brand Drugs.

• INGREDIENT COST Brand Drugs: [*CONFIDENTIAL TERMS HAVE BEEN OMITTED FROM THIS DOCUMENT AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION PURSUANT TO A REQUEST FOR CONFIDENTIAL TREATMENT*] plus applicable sales or excise tax or other governmental surcharge, if any.

More Definitions of Brand Drugs

Brand Drugs means the following: The Multisource Code field in Medi-Span contains a “M” (co-branded product), “O” (originator brand) (except where the Claim is submitted with a DAW Code of “3”,”5” or “6”, in which case it shall be considered a Generic Drug), or a “N” (single source brand). The Parties agree that when a drug is identified as a Brand Drug, it shall be considered a Brand Drug for all purposes by PBM, including but not limited to adjudicating the Claim, reimbursing the relevant pharmacy, invoicing NDPERS, determining the Copayment or Coinsurance to be paid by the Plan Beneficiary, calculating the satisfaction of Average Annual Guarantees as further described in Exhibit A of the Agreement, calculating the satisfaction of Financial Benefit Guarantees as further described in Exhibit A of the Agreement, and calculating the satisfaction of generic fill rates (if any).

Brand Drugs means those pharmaceuticals designated by the Pricing Source as having a multi- source indicator of M, N, or O or as otherwise defined by Pricing Source.