Compound Drugs definition

Compound Drugs means those drugs or inert ingredients that have been measured and mixed by a pharmacist to produce a unique formulation because commercial products either do not exist or do not exist in the correct dosage, size, or form.

Compound Drugs means drugs containing more than one active ingredient.

Compound Drugs means those drugs which meet the following requirements:

Examples of Compound Drugs in a sentence

• As listed on the Formulary, Generic and Brand Name Prescription Drugs, certain allowed Compound Drugs and Diabetic Supplies.

• Compound Drugs unless all of the ingredients are FDA-approved in the form in which they are used in the Compound Drug and as designated in the FDA’s Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations, require a prescription to dispense, and the compound medication is not essentially the same as an FDA-approved product from a drug manufacturer.

• Each of the Target Released Parties is an express third party beneficiary of this Section 6.7(a).

• Compound Drugs unless all of the ingredients are FDA- approved as designated in the FDA’s Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations, require a prescription to dispense, and the compound medication is not essentially the same as an FDA- approved product from a drug manufacturer.

• Compound Drugs unless all of the ingredients are FDA approved, require a prescription to dispense, and the compound medication is not essentially the same as an FDA- approved product from a drug manufacturer.

• We will review benefits for the Prescription Drug from time to time to make sure the Drug is still Medically Necessary.• Compound Drugs.

• It is only a Covered Service in other situations when allowed by Us through Prior Authorization.• Compound Drugs unless there is at least one ingredient that requires a prescription.• Treatment of Onchomycosis (toenail fungus).• Certain Prescription Legend Drugs are not Covered Services when any version or strength becomes available over the counter.

• Compound Drugs that have a claim cost to the Program that exceeds $200 will require prior authorization under this Program.

• Compound Drugs unless all of the ingredients are FDA-approved in the form in which they are used in the Compound Drug and as designated in the FDA’s Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations, require a prescription to dispense, and the Compound Drug is not essentially the same as an FDA-approved product from a Drug manufacturer.

• Compound Drugs unless all of the ingredients are FDA-approved in the form in which they are used in the Compound Drug and as designated in the FDA’s Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations, require a prescription to dispense, and theCompound Drug is not essentially the same as an FDA-approved product from a Drug manufacturer.

More Definitions of Compound Drugs

Compound Drugs means those drugs containing at least federal legend drug and multiple ingredients that are measured and mixed by a pharmacists duly licensed by the applicable state licensing boards.

Compound Drugs means those drugs which meet the following requirements: a. The drugs in the compounded product have to be Food and Drug Administration (FDA) approved; and b. The approved product must have an assigned National Drug Code (NDC).

Compound Drugs means a drug that needs to be made by a pharmacist because it is not commercially available in the required form and strength. A Compound Drug must consist of two or more solid, semi-solid or liquid ingredients, at least one of which is a Covered Item. PBM is obligated to provide Pass-Through Pricing for every Compound Drug. PBM’s invoiced Ingredient Cost to NDPERS for each Compound Drug shall be the same as PBM’s reimbursed Ingredient Cost to the retail pharmacy (and both shall be net of any Copayments, Coinsurance, and deductible). PBM may also invoice NDPERS for the precise professional or compounding fee that PBM has paid to the dispensing pharmacy, if any. However, PBM shall not be allowed to make any profit spread on any Compound Drugs and shall pass through to NDPERS the exact Ingredient Cost and professional or compounding fee that PBM pays the dispensing pharmacy. Compound Drugs are excluded from the calculation of all Average Annual Guarantees, Minimum Guaranteed Discounts, the Default Discount Guarantee, Maximum Guaranteed Prices, and Financial Benefit Guarantees. In submitting a Benefit Specification Form or a Benefit Change Form, NDPERS may state that if any pharmacy transmits a Claim for a Compound Drug where the total Ingredient Cost is above a dollar amount specified in the Form (e.g., $100), PBM will be required to (a) conduct a Prior Authorization evaluation to evaluate and verify that the cost of the Compound Drug is appropriate, and/or (b) block the dispensing of the Compound Drug.