Exclusive Specialty Pharmacy definition

Exclusive Specialty Pharmacy means the Participating Specialty Pharmacy designated by Contractor as the primary Participating Specialty Pharmacy to dispense and deliver Prescription Drugs in accordance with the Specialty Pharmacy Program to Members or Prescribing Providers for Members.
Sample 1

Examples of Exclusive Specialty Pharmacy in a sentence

  • Benefits will be provided for Covered Specialty Drugs only when obtained from a Pharmacy that is part of the Exclusive Specialty Pharmacy Network.

  • Benefits will be provided for Specialty Pharmacy Prescription Drugs only when obtained from a Pharmacy that is part of the Exclusive Specialty Pharmacy Network.

  • Exclusive Specialty Pharmacy- a program that requires plan members to purchase specialty medications through the pharmacy benefit manager's exclusive specialty pharmacy arrangement.

  • Specialty drugs will be dispensed via the PBM’s Exclusive Specialty Pharmacy.

  • Exclusive Specialty Pharmacy - a program that requires plan members to purchase specialty medications through the pharmacy benefit manager’s exclusive specialty pharmacy arrangement.

  • Generic $10.00 Preferred Brand $30.00 Non-Preferred Brand $50.00 Generic $20.00 Preferred Brand $60.00 Non-Preferred Brand $100.00 Programs applied Maintenance Choice, Exclusive Specialty Pharmacy 1Maximum family deductible.

  • Generic 90% after deductible Preferred Brand 90% after deductible Non-Preferred Brand 90% after deductible Generic 90% after deductible Preferred Brand 90% after deductible Non-Preferred Brand 90% after deductible Programs applied Maintenance Choice, Exclusive Specialty Pharmacy, Generic Step Therapy 1Maximum family deductible.

  • Generic $10.00 Preferred Brand $25.00 Non-Preferred Brand $40.00 Generic $20.00 Preferred Brand $50.00 Non-Preferred Brand $80.00 Programs applied Maintenance Choice, Exclusive Specialty Pharmacy 1Maximum family deductible.

  • Tier 5 Non-Preferred Specialty Covered – 20% Coinsurance of the BCN Approved Amount (Maximum Copayment $300) – Specialty drugs are covered only when obtained from the BCN Exclusive Specialty Pharmacy Network.

  • Deb Cherry stated there are issues that need to be addressed before any decision can be made.

Related to Exclusive Specialty Pharmacy

  • 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.

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

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

  • Contract Manufacturer means a company that produces goods under contract for another company under the label or brand name of that company.

  • Chain pharmacy warehouse means a physical location for prescription drugs that acts as a central warehouse and performs intracompany sales or transfers of the prescription drugs to a group of chain pharmacies that have the same common ownership and control.

  • Drug store means a place whose principal business is, the

  • 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.

  • 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.

  • Specialty drug means a prescription drug that:

  • Mail order pharmacy means a pharmacy licensed by this

  • Pharmacy care means medications prescribed by a licensed physician and any health-related services considered medically necessary to determine the need or effectiveness of the medications.

  • Tobacco product manufacturer means an entity that after the date of enactment of this Act directly (and not exclusively through any affiliate):

  • 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.

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

  • Cannabis wholesaler means any licensed person or entity that purchases or otherwise obtains, stores, sells or otherwise transfers, and may transport, cannabis items for the purpose of resale or other transfer to either another cannabis wholesaler or to a cannabis retailer, but not to consumers.

  • Product Manufacturer means the entity that assembles the component parts to manufacture the final Product;

  • Network pharmacy means any pharmacy that has an agreement to accept our pharmacy allowance for prescription drugs and diabetic equipment/supplies covered under this agreement. All other pharmacies are NON-NETWORK PHARMACIES. The one exception and for the purpose of specialty Prescription Drugs, only specialty pharmacies that have an agreement to accept our pharmacy allowance are network pharmacies and all others pharmacies are non-network pharmacies.

  • 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;

  • 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.

  • Child support services means any civil, criminal or administrative action taken by the Division of

  • Pharmaceutical care means the provision of drug therapy and

  • Mobile food vendor means every corporation, association, joint stock association, person, firm or partnership, their lessees, directors, receivers, trustees, appointees by any court whatsoever, or the heirs, executors, administrators, or personal representatives or assignees of any deceased owner, owning, controlling, operating or managing any mobile food vending unit.

  • Third Party Manufacturer means any person, firm or company which carries out the reproduction of Work and/or manufactures and/or prints the Licensed Publication on behalf of the Licensee;

  • Medical equipment supplier means any person, as defined in § 1-230, engaged in the delivery to the ultimate consumer, pursuant to the lawful order of a practitioner, of hypodermic syringes and needles, medicinal oxygen, Schedule VI controlled devices, those Schedule VI controlled substances with no medicinal properties that are used for the operation and cleaning of medical equipment, solutions for peritoneal dialysis, and sterile water or saline for irrigation.