Designated Specialty Pharmacy definition

Designated Specialty Pharmacy means a pharmacy that has entered into an agreement with Medco to provide specific Specialty Drugs/Medications. The Empire Plan’s Designated Specialty Pharmacy is Accredo Pharmacy.
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Designated Specialty Pharmacy has the meaning set forth in the recitals. ​
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Examples of Designated Specialty Pharmacy in a sentence

  • Effective October 1, 2014, Vaccination Network Pharmacy means an Empire Plan Network Pharmacy, other than a Mail Service Pharmacy or the Designated Specialty Pharmacy, that has entered into a contract with the Empire Plan Prescription Drug Program administrator to administer covered seasonal and non-seasonal preventive vaccinations when administered by a licensed pharmacist, or, when authorized by applicable law or regulation, a pharmacy intern.

  • Grace Fill for Specialty Drugs means that an enrollee is allowed to have the First Fill of certain Specialty Drugs/Medications dispensed from a Pharmacy other than the Designated Specialty Pharmacy.

  • Medical Exception Process” for information on how to appeal an excluded drug.M. Grace Fill for Specialty Drugs means that an enrollee is allowed to have the First Fill of certain Specialty Drugs/Medications dispensed from a Pharmacy other than the Designated Specialty Pharmacy.

  • See Contact Information, page 151, for details.If Your DAW Exception Request is granted and You fill Your Prescription for a non-preferred Brand-Name Drug at a Network Pharmacy or through a Mail Service Pharmacy or the Designated Specialty Pharmacy, You pay the non-preferred copayment.

  • Designated Specialty Pharmacy means a pharmacy that has entered into an agreement with the Prescription Drug Program administrator to provide specific Specialty Drugs/Medications.

  • If a Specialty Prescription Drug is obtained from a Pharmacy other than the Company's Designated Specialty Pharmacy, the drug will not be covered.

  • All terms, conditions, limitations and exclusions described in the “Prescription Drug Services” section of this COC except the requirement that specialty drugs be obtained at Fairview Specialty Pharmacy or other Designated Specialty Pharmacy apply when certain prescription drugs are administered or received during an outpatient hospital, ambulatory surgery center or surgical facility visit.

  • Effective October 1, 2014, Vaccination Network Pharmacy means an Empire Plan Pharmacy, other than a Mail Service Pharmacy or the Designated Specialty Pharmacy, that has entered into a contract with the Empire Plan Prescription Drug Program administrator to administer covered seasonal and non-seasonal preventive vaccinations when administered by a licensed pharmacist, or, when authorized by applicable law or regulation, a pharmacy intern.

  • If your appeal is approved, upon request, the insurer will adjust claims processed by a pharmacy within 30 days from the date UnitedHealthcare received all information needed to decide the appeal.If your appeal is granted and you fill your prescription for a Brand-Name Drug at a Network Pharmacy or through a Mail Service Pharmacy or the Designated Specialty Pharmacy, you pay the Non-Preferred copayment.

  • CopaymentsSubstitute the following for the “Copayments” section in “Your Benefits and Responsibilities” on page 245 of your Empire Plan Prescription Drug Program Certificate in your 2009 “NYSHIP General Information Book and Empire Plan Amendments”:Effective September 1, 2014:Copayments for covered drugs are based on the drug, the days’ supply and whether the Prescription is filled at a Network Pharmacy or a Mail Service Pharmacy or the Designated Specialty Pharmacy.

Related to Designated Specialty Pharmacy

  • Specialty contractor means a person who is licensed to conduct business as described in subsection 4 of NRS 624.215.

  • SPECIALTY HOSPITAL means a hospital or the specialty unit of a general hospital that is licensed by the state. It must be designed to care for patients with injuries or special illnesses. This includes, but is not limited to, a long-term acute care unit, an acute mental health or acute short-term rehabilitation unit or hospital. • convalescent home; • rest home; • nursing home; • home for the aged; • school and college infirmary; • residential treatment facility; • long-term care facility; • urgent care center or freestanding ambulatory surgical center; • facility providing mainly custodial, educational or rehabilitative care; or • a section of a hospital used for custodial, educational or rehabilitative care, even if accredited by the JCAHO or listed in the AHA directory.

  • Specialty fertilizer means a fertilizer distributed primarily for nonfarm use.

  • Retail pharmacy means a pharmaceutical facility dispensing prescription drugs and devices to the general public.

  • Specialty Drugs means high-cost injectables, infused, oral, or inhaled Prescription Drugs for the ongoing treatment of a chronic condition, including but not limited to, the following: Hemophilia, Hepatitis C, Multiple Sclerosis, Rheumatoid Arthritis, Psoriasis, Crohn’s Disease, Cancer (oral medications), and Growth Hormones. These Prescription Drugs usually require specialized handling (such as refrigeration). Spouse means a person of the same or opposite sex who is legally married to Subscriber under the laws of the state or jurisdiction in which the marriage took place. A marriage legally entered into in another jurisdiction will be recognized as a marriage in the District of Columbia.

  • Specialty drug means a prescription drug that:

  • Pharmacist services means products, goods, and services, or any combination of products, goods, and services, provided as a part of the practice of pharmacy.

  • Medical cannabis pharmacy means the same as that term is defined in Section 26-61a-102.

  • Pharmacy means prescribed drugs and medicines dispensed by a pharmacist and/or travel and allergy vaccines dispensed by a pharmacist or doctor.

  • Authorized medical physicist means an individual who:

  • Hospice services means palliative and supportive care and other services provided by an interdisciplinary team under the direction of an identifiable hospice administration to terminally ill hospice patients and their families to meet the physical, nutritional, emotional, social, spiritual, and special needs experienced during the final stages of illness, dying, and bereavement, as defined in Minnesota Statutes, § 144A.75, subd. 8, and includes the set of services as determined by the Medicare program under §1861(dd) of the Social Security Act and defined in 42 CFR § 418.3.

  • Participating Pharmacy means a pharmacy that has entered into a prescription drug plan agreement with the Pharmacy Benefit Manager listed on your identification card.

  • Pharmacy services means the practice of pharmacy as defined in chapter 18.64 RCW and includes any drugs or devices as defined in chapter 18.64 RCW.

  • Hospital pharmacist means an Iowa-licensed pharmacist who meets the requirements for participating in a hospital practice protocol as determined by the hospital’s P&T committee.

  • Hospital pharmacy means a pharmacy providing pharmaceutical care to

  • Outpatient hospital services means preventive, diagnostic, therapeutic, observation, rehabilitation, or palliative services provided to an outpatient by or under the direction of a physician, dentist, or other practitioner by an institution that:

  • Medical Specialist means any medical practitioner who is vocationally registered by the Medical Council under the Health Practitioners Competence Assurance Act 2003 in one of the approved branches of medicine and who is employed in either that branch of medicine or in a similar capacity with minimal oversight.

  • Inpatient hospital services means any health care service provided to a patient who has been admitted to a hospital and is required to remain in that hospital overnight, but does not include any secure forensic mental health services;

  • Central fill pharmacy means a pharmacy contracting with an originating pharmacy, or having the same owner as an originating phar- macy, that provides centralized prescription filling on behalf of the originating pharmacy pursuant to these rules.

  • Quality Management System means a set of interrelated or interacting elements that organisations use to direct and control how quality policies are implemented and quality objectives are achieved;

  • Major medical equipment means medical equipment which is used for the provision of medical and other health services and which costs in excess of the capital expenditure minimum, except that such term does not include medical equipment acquired by or on behalf of a clinical laboratory to provide clinical laboratory services if the clinical laboratory is independent of a physician's office and a hospital and it has been determined under Title XVIII of the Social Security Act to meet the requirements of paragraphs (10) and (11) of Section 1861(s) of such Act. In determining whether medical equipment has a value in excess of the capital expenditure minimum, the value of studies, surveys, designs, plans, working drawings, specifications, and other activities essential to the acquisition of such equipment shall be included.

  • Specialty means a broad, population-based focus of study encompassing the common health-related problems of a particular group of patients and the likely co-morbidities, interventions, and responses to those problems.

  • Clinical nurse specialist means a registered nurse with relevant post-basic qualifications and 12 months’ experience working in the clinical area of his/her specified post-basic qualification, or a minimum of four years’ post-basic registration experience, including three years’ experience in the relevant specialist field and who satisfies the local criteria.

  • Hospice patient s family" means a hospice patient's immediate family members, including a spouse, brother, sister, child, or parent, and any other relative or individual who has significant personal ties to the patient and who is designated as a member of the patient's family by mutual agreement of the patient, the relative or individual, and the patient's interdisciplinary team.

  • Commercial Services means any waste management service, relating or connected to accumulating, collecting, managing, recycling, sorting, storing, treating, transporting, disposing, buying or selling of waste or any other manner of handling waste excluding services rendered by the municipality;

  • Medical equipment means equipment used in a patient care environment to support patient treatment and diagnosis.