Covered Prescription Drug definition

Covered Prescription Drug means a Prescription Drug included in the CareFirst BlueChoice Formulary.
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Covered Prescription Drug means a Prescription Drug included in the CareFirst Formulary.
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Covered Prescription Drug means any prescription drug which meets the requirements for coverage set forth in the CarePlus benefit design after applying all conditions and exclusions set forth therein, when dispensed by a participating pharmacy to an Enrollee. A Covered Prescription Drug shall include but not be limited to both legend prescription medications and over-the-counter medications appearing on the New York State list of Medicaid, the New York State Child Health Plus Program Reimbursable Drugs, or any other drugs designated by CarePlus.
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Examples of Covered Prescription Drug in a sentence

  • Members or health care providers must obtain prior authorization by providing information to support Medical Necessity before prescribing any Covered Prescription Drug in the Prescription Guidelines.

  • If You receive financial assistance for a Covered Prescription Drug (e.g., a coupon) from a pharmaceutical manufacturer or other entity and a medically appropriate generic equivalent is available, We may not allow the amount of the financial assistance to apply toward Your cost- sharing obligations under this EOC, such as Your Deductible, or toward Your Out-of-Pocket Maximum.

  • Covered Prescription Drug Expenses: Participating pharmacies (“Participating Pharmacies”) have contracted with the Plan to charge Participants reduced fees for covered Drugs.

  • Should you need to obtain a Covered Prescription Drug prior to obtaining your Member ID card, you may file a claim form to obtain reimbursement.

  • Prescription Drug Benefits will be payable, subject to the conditions herein, if an employee, retired employee, surviving spouse or eligible dependent, while Prescription Drug Coverage is in effect with respect to such individual, incurs Covered Prescription Drug Expense.

  • Covered Prescription Drug Benefits A valid prescription is required to obtain all prescription drug benefits.

  • If the Covered Drug or Supply is dispensed by a Non-Participating Pharmacy, it is the lesser of (a) the Non-Participating Pharmacy’s charges for the Covered Drug or Supply or(b) 150% of the Average Wholesale Price for the Covered Prescription Drug.

  • Please refer to Section VI, Subsection E (Covered Prescription Drug Benefits) as certain over-the-counter drugs and supplements may be provided under the ACA preventive mandate.

  • Prescription Drug Services and Supplies That Are NOT CoveredIn addition to the exclusions and limitations listed under YOUR MEDICAL BENEFITS - Medical Care That is NOT Covered, Prescription Drug benefits are not provided for or in connection with the following:1.

  • Termination of this Agreement shall not affect the continuing obligations of either Party with respect to claims by Participants or Rebates earned for Covered Prescription Drug Services while this Agreement was in effect.


More Definitions of Covered Prescription Drug

Covered Prescription Drug means those drugs covered by
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Covered Prescription Drug means a prescription drug as defined in section 151.44, paragraph (d), that is covered under medical assistance as described in section 256B.0625, subdivision 13, and that is provided by a participating manufacturer that has a fully executed rebate agreement with the commissioner under this section and complies with that agreement.
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Covered Prescription Drug means a prescription drug as defined in section 151.44, paragraph (d), that is:
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Covered Prescription Drug means any drug included in the categories listed in Section 126.110 for which the Department on Aging approves a claim for
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Covered Prescription Drug means: (1) those drugs covered for Eligibility Group 2 that are also covered by the Medicare Part D Prescription Drug Plan in which the beneficiary is enrolled; and (2) those drugs included in the formulary of the Illinois AIDS Drug Assistance Program operated by the Illinois Department of Public Health that are also covered by the Medicare Part D Prescription Drug Plan in which the beneficiary is enrolled. For Eligibility Group 5, for individuals otherwise described in Eligibility Group 3, "covered prescription drug" means those drugs covered by the Medicare Part D Prescription Drug Plan in which the beneficiary is enrolled.
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Related to Covered Prescription Drug

  • Prescription drug means any drug required by federal law or regulation to be dispensed only

  • Prescription drugs means drugs, medicine and controlled substances which by law can only be prescribed for human use by persons authorized by law.

  • Nonprescription drug or "over-the-counter drug" means any

  • Nonprescription drugs means nonnarcotic medicines or drugs which may be sold without a prescription and are prepackaged and labeled for use by the consumer in accordance with the requirements of the statutes and regulations of this state and the federal government;

  • Prescription drug order means a lawful order of a practitioner for a drug or device for a specific patient that is communicated to a pharmacist.

  • Participating Prescription Drug Provider means an independent retail Pharmacy, chain of retail Pharmacies, mail-order Pharmacy or specialty drug Pharmacy which has entered into an agreement to provide pharmaceutical services to participants in the benefit program. A retail Participating Pharmacy may or may not be a select Participating Pharmacy as that term is used in the Vaccinations Obtained Through Participating Pharmacies section.

  • Drug abuse means any pattern of pathological use of drugs that causes impairment in social or occupational functioning, or that produces physiological dependency evidenced by physical tolerance or by physical symptoms when it is withdrawn.

  • Prescription means an order for drugs or medical supplies, written or signed or transmitted by word

  • Drug means (i) articles or substances recognized in the official United States Pharmacopoeia

  • Substance abuse treatment means outpatient or inpatient services or participation in Alcoholics Anonymous or a similar program.

  • Declared pregnant woman means a woman who has voluntarily informed the licensee or registrant, in writing, of her pregnancy and the estimated date of conception. The declaration remains in effect until the declared pregnant woman withdraws the declaration in writing or is no longer pregnant.

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • Prescription monitoring program means the electronic system within the Department of Health Professions that monitors the dispensing of certain controlled substances.

  • Participating Clinical Laboratory means a Clinical Laboratory which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Covered drug means any prescription drug that:

  • Drug test means a test designed to detect the illegal use of a controlled substance.

  • Biological safety cabinet means a containment unit suitable for the preparation of low to moderate risk agents where there is a need for protection of the product, personnel, and environment, according to National Sanitation Foundation (NSF) Standard 49.

  • Prescription device means an instrument, apparatus, implement, machine,

  • Basic health plan means the plan described under chapter

  • Clinical laboratory means a facility for the microbiological, serological, chemical, hematological, radiobioassay, cytological, immunohematological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of a disease or assessment of a medical condition.

  • Phase III Clinical Trials means a Clinical Trial for the Product on sufficient numbers of patients to generate safety and efficacy data to support Regulatory Approval in the proposed therapeutic indication, conducted in accordance with current good clinical practices and in accordance with a protocol that has been reviewed by the FDA and reflects any comments or concerns raised by the same.

  • Phase I Clinical Trial means a study in humans which provides for the first introduction into humans of a product, conducted in normal volunteers or patients to generate information on product safety, tolerability, pharmacological activity or pharmacokinetics, or otherwise consistent with the requirements of U.S. 21 C.F.R. §312.21(a) or its foreign equivalents.

  • Substance Abuse Professional (SAP) means a qualified person who evaluates employees who have violated a DOT drug and alcohol regulation and makes recommendations concerning education, treatment, follow-up testing, and aftercare.

  • Drug addiction means a disease characterized by a

  • Phase III Clinical Trial means a large, controlled or uncontrolled Clinical Study that would satisfy the requirements of 21 CFR 312.21(c), intended to gather the additional information about effectiveness and safety that is needed to evaluate the overall benefit-risk relationship of the drug and to provide an adequate basis for physician labeling.

  • Approved clinical trial means a phase I, phase II, phase III, or phase IV clinical trial that is conducted in relation to the prevention, detection, or treatment of cancer or other life-threatening disease or Condition and is described in any of the following: