Managed Pharmacy definition

Managed Pharmacy means any Person for or on behalf of which the Company or any of its Subsidiaries provide any management, administrative, consulting, health care, billing, or business support services. To the extent a representation or warranty is made in ARTICLE III with respect to a Managed Pharmacy such representation or warranty shall only relate to the pharmacy operations of such Managed Pharmacy for which the Company or any such Subsidiary are providing such management, administrative, or business support services.
Managed Pharmacy means any Person for or on behalf of which the Company or any of its Subsidiaries provide any management, administrative, consulting, health care, billing, or business support services. To the extent a representation or warranty is made in Article III with respect to a Managed Pharmacy such representation or warranty shall only relate to the pharmacy operations of such Managed Pharmacy for which the Company or any such Subsidiary are providing such management, administrative, or business support services.
Managed Pharmacy. Top Drug Utilization Ranked by Cost &Top Drug Utilization Ranked by Volume Managed Pharmacy - Top Therapeutic Class Utilization Ranked by Cost & Top Therapeutic Class Utilization Ranked Volume Managed Pharmacy Utilization by Gender and Age Network Utilization Network Utilization (including Capitation) Network Utilization by Provider Type Network Utilization by Provider Type (including Capitation) Outpatient Utilization by Diagnosis Chapters Surgical Utilization by Procedure Category and Place of Service Surgical Utilization by Procedure CPT Codes Top Hospitals Ranked by Total Net Paid & Top Physicians Ranked by Total Net Paid Utilization by Age Group Utilization and Costs by Provider Type Bill Count by Month Annual Customer Reporting & Analysis Exxxxxive Summary Report

Examples of Managed Pharmacy in a sentence

  • Pre-service claims for Prescription Medications should be submitted to Arkansas Blue Cross and Blue Shield Managed Pharmacy, FAX(501) 378-6980, or mailed to Post Office Box 2181, Little Rock, Arkansas 72203.If the Company is able to process your pre-service claim without requesting additional information, it will notify you of its determination in a time appropriate for the medical exigencies, but in no case later than 2 days from the date it received the pre-service claim.

  • These edits were developed by Xxxxxx’x Managed Pharmacy Practice based on published literature, industry standard practices, clinical appropriateness review, professional expertise, and information gathered during the review of several Medicaid managed care pharmacy programs across the country.

  • This conclusion elides critical distinctions between the issue actually decided in Managed Pharmacy Care and the case presented here.

  • Appellee does not argue that the Secretary considered information comparing beneficiary access to services with that of the general public.2 Rather, Appellee points to our holding in Managed Pharmacy Care that § 30(A) does not “prescribe any particular methodology a State must follow before its proposed rates may be approved,” but rather employs “broad and diffuse” language in describing a required “substantive result.” See Managed Pharmacy Care, 716 F.3d at 1245, 1247.

  • The Sellers have the right to use all Intellectual Property Rights as are necessary to enable the Sellers to conduct all phases of the Business in the manner presently conducted, and the use of the trade names "Greenwood," "Managed Pharmacy Services" and "MPS" and, to the Knowledge of Sellers, the use of any other Intellectual Property Rights, has not conflicted with, infringed, or otherwise violated any rights of any Person.

  • The specific question addressed in Managed Pharmacy Care was whether the Secretary must take provider costs into consideration before approving a rate-reducing SPA.

  • Unlike the situation in Managed Pharmacy Care, this straightforward comparison of data under the equal-access requirement would derive little benefit from the Secretary’s expertise.

  • Appellee quotes Managed Pharmacy Care’s statement that “by its terms § 30(A) requires a substantive result—reimbursement rates must be .

  • See, e.g., Shah, 920 F.3d at 998 (“[P]articipation in the federal Medicare reimbursement program is not a property interest.”); Managed Pharmacy Care v.

  • If to the Company or any Principal Shareholder, to: Continental Managed Pharmacy Services, Inc.

Related to Managed Pharmacy

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

  • Managed Care Program means the process that determines Medical Necessity and directs care to the most appropriate setting to provide quality care in a cost-effective manner, including Prior Authorization of certain services.

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

  • 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.

  • Managed care plan means a health benefit plan that either requires a covered person to use, or

  • Institutional pharmacy means the physical portion of an institutional facility that is engaged in the compounding, dispensing, and distribution of drugs, devices, and other materials, hereinafter referred to as ‘drugs’, used in the diagnosis and treatment of injury, illness, and disease and which is permitted by the State Board of Pharmacy.

  • Hospital pharmacy means a pharmacy providing pharmaceutical care to

  • HMO a health maintenance organization doing business as such (or required to qualify or to be licensed as such) under HMO Regulations.

  • 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.

  • Managed care means a system that provides the coordinated delivery of services and supports that are necessary and appropriate, delivered in the least restrictive settings and in the least intrusive manner. Managed care seeks to balance three factors: achieving high-quality outcomes for participants, coordinating access, and containing costs.

  • Managed health care system means: (a) Any health care

  • Nuclear pharmacy means a pharmacy providing radio-pharmaceutical service.

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

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

  • Managed care entity means either a managed care organization licensed by the department of insurance (e.g., HMO or PHP) or a primary care case management program (i.e., MediPASS).

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

  • Mail order pharmacy means a pharmacy licensed by this

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

  • Managed Device means any device on which any Affiliate in the Enterprise directly or indirectly controls one or more operating system environments. Examples of Managed Devices can be found in the Product Terms.

  • Pharmacist means an individual licensed by this state to compound and dispense drugs, prescriptions, and poisons.

  • Provider network means an affiliated group of varied health care providers that is established to provide a continuum of health care services to individuals;

  • Transplant hospital means a hospital that furnishes organ transplants and other medical and surgical specialty services required for the care of transplant patients.

  • Orthodontic means a type of specialist dental treatment carried out by an orthodontist that diagnoses, prevents and corrects mispositioned teeth and jaws and misaligned bite patterns.

  • ODJFS means the Ohio Department of Job and Family 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.

  • Retailer means every person engaged in the business of making sales at retail, or for distribution,