Covered drug definition

Covered drug means any prescription drug that:
Covered drug means a Brand Name or Generic Prescription Drug or diabetic supply or equipment which:
Covered drug means a Brand Name or Generic Prescription Drug or diabetic supply or equipment which:  can only be obtained with a prescription;  has been approved by the Food and Drug Administration (“FDA”) for general marketing;  is dispensed by a licensed pharmacist;  is prescribed by a Plan Provider, except in the case of Emergency Services and Urgently Needed Services;  is a Prescription Drug that does not have an over-the-counter Therapeutic Equivalent available; and  is not specifically excluded herein.

Examples of Covered drug in a sentence

  • Viagra is covered under the Enhanced Covered drug criteria, with a limit of 6 per month.

  • A Part D Covered drug is available only: 1) by prescription, 2) as approved by the Food and Drug Administration (“FDA”) (or is a drug described under Section 1927(k) (2) (A) (ii) or (iii) of the Social Security Act), 3) if used and sold in the United States, and used for a medically accepted indication (as defined in Section 1927(k) (6) of the Social Security Act).

  • Let’s look at Scenario 3.In this scenario, Cloudy Health PBP 001 submitted a PDE for a Covered drug on November 10, 2017 for Sarah Gray with DOS October 15, 2017.

  • This is called“spenddown.” Covered drug costs for spenddown will be tracked automatically.

  • PDE Date of ServicePDE Record Submission Date * PDE 4 was rejected, so it will not appear on these reports.For PDE1, since it is a Covered drug, it appears in the September Reports 40 and 41.


More Definitions of Covered drug

Covered drug means an outpatient drug as set forth in section 1927(k) of the Social Security Act. For purposes of coverage under the Agreement, all covered outpatient drugs are identified by the NDC number.
Covered drug means any substance recognized as a drug under 21
Covered drug means a drug sold in any form and used by covered entities, including prescription and nonprescription drugs, brand name and generic drugs, drugs for veterinary use, and drugs in medical devices and combination products, including pre-filled injector products with a retractable or otherwise securely covered needle. "Covered drug" does not include:
Covered drug means any substance recognized as a drug under 21 United States Code, Section 321(g)(1), as amended, and any regulations adopted pursuant to that provision, that is sold, offered for sale or dispensed in the State, whether directly or through a wholesaler, in any form, including, but not limited to, prescription and nonprescription drugs, drugs in medical devices and combination products, brand and generic drugs and drugs for veterinary use.
Covered drug means a drug dispensed subject to a legally
Covered drug means all drugs as defined in 21 U.S.C. § 321(g)(1) of the Federal Food, Drug and Cosmetic Act (FFDCA) covered under 21 U.S.C. § 353(b)(1) of the FFDCA, including both brand name and Generic Drugs.