Nonpreferred drug definition

Nonpreferred drug means a specialty drug formulary classification for certain specialty drugs deemed nonpreferred and therefore subject to limits on eligibility for coverage or to higher cost-sharing amounts than preferred specialty drugs.
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Nonpreferred drug means a specialty drug formulary classification for certain specialty drugs
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Nonpreferred drug means)) - A drug that has not been selected as a preferred drug within the therapeutic class(es) of drugs on the preferred drug list.
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Examples of Nonpreferred drug in a sentence

  • Generic drugs are in plain type· Each covered drug is in 1 of 4 cost-sharing tiers· Drug tier description:Tier 1: Preferred generic Tier 2: Preferred brand Tier 3: Non-preferred drug Tier 4: Specialty tier· Each tier has a copay or coinsurance amount· For a description of the tiers, see the Summary of Benefits in this book· Some drugs may have coverage rules or limits on the amount you can get PAPrior authorizationThe plan requires you or your doctor to get prior approval for certain drugs.

  • New prescriptions may require pre-authorization or other limits.Aetna DAW: If a Preferred drug is available and an Alternative or Non-preferred drug is dispensed, you will be charged the applicable co-pay plus the diference in cost between the Alternative or Non-preferred drug and Preferred drug cost even if your provider requests the Alternative drug.

  • In most cases, the Preferred drug is the same chemical entity/ active ingredient as the Non-preferred drug.

Related to Nonpreferred drug

  • New drug means: (i) any drug, except a new animal drug or an animal feed bearing or containing

  • 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;

  • Narcotic drug means any of the following, whether produced directly or indirectly by extraction from substances of vegetable origin, or independently by means of chemical synthesis, or by a combination of extraction and chemical synthesis:

  • Criminal drug statute means a Federal or non-Federal criminal statute involving the manufacture, distribution, dispensing, possession or use of any controlled substance.

  • FDCA shall have the meaning ascribed to such term in Section 3.1(hh).

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

  • Automated drug dispensing system means a mechanical or electronic system that performs

  • Food and food ingredients means substances, whether in liquid, concentrated, solid, frozen, dried, or dehydrated form, that are sold for ingestion or chewing by humans and are consumed for their taste or nutritional value. Food and food ingredients do not include alcoholic beverages and tobacco.

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