Network pharmacy definition
Examples of Network pharmacy in a sentence
Notes Tier Network pharmacy For a covered health care service you pay: Non-network pharmacy For a covered health care service you pay the difference between the charge amount and the allowance plus: Contraceptive methods • when purchased at a Mail Order Pharmacy Coverage includes barrier method (diaphragm or cervical cap), hormonal method (birth control pill), and emergency contraception.
As described in Texas Government Code § 533.005(a-2), a MAC price list that is specific to a Network pharmacy is confidential for all other purposes.
The MCO must provide a Network pharmacy the sources used to determine the MAC pricing at contract execution, renewal, and upon request.
No later than March 1, 2014, the MCO must implement a process that allows a Network pharmacy to readily access the pharmacy's MAC price through a website.
The MCO must allow HHSC or its designee to contact Network pharmacy Providers to verify information submitted on claims, and upon HHSC’s request, assist with this process.