Participating Network Pharmacy definition

Participating Network Pharmacy. Any pharmacy with whom we have entered into an agreement to provide pharmaceutical Services to Members. Plan: Xxxxxx Permanente.

Participating Network Pharmacy. Any pharmacy that has entered into an agreement with Health Plan or the Health Plan’s agent to provide pharmacy services to its Members. Plan Pharmacy: A pharmacy that is owned and operated by the Health Plan. Preferred Brand Drugs: A Brand Name Drug that is on the Preferred Drug List.

Participating Network Pharmacy means a pharmacy that has entered into a contract with CVS Caremark to participate in its network and to provide prescription drugs at discounted rates.

Examples of Participating Network Pharmacy in a sentence

• You must obtain these drugs from a Plan Pharmacy or a Participating Network Pharmacy.

• We cover prescribed drugs only when purchased at a Plan Pharmacy, a Participating Network Pharmacy or through Health Plan’s Mail Service Delivery Program.

• Members may obtain prescribed drugs and accessories from either a Participating Network Pharmacy or a Non-Participating Network Pharmacy that has previously notified Health Plan, by facsimile or otherwise, of its agreement to accept as payment in full for its services the rates applicable to Participating Network Pharmacies, including any RX Copayment and Rx Coinsurance consistently imposed by the Plan.

• Drugs required to be covered by the Affordable Care Act (ACA) without Cost Sharing, including over-the-counter medications when prescribed by a Plan Provider, and obtained at a Plan or Participating Network Pharmacy for no charge.

• Members may obtain prescribed drugs and accessories from either a Participating Network Pharmacy or a Non-Participating Pharmacy that has previously notified Health Plan, by facsimile or otherwise, of its agreement to accept as payment in full reimbursement for its services at rates applicable to Participating Network Pharmacies, including any Rx Copayment and Rx Coinsurance consistently imposed by the Plan.

• Members may obtain prescribed drugs and accessories from either a Participating Network Pharmacy or a Non-Participating Pharmacy that has previously notified Health Plan, by facsimile or otherwise, of its agreement to accept as payment in full reimbursement for its services at rates applicable to Participating Network Pharmacies, including any Rx Copayment and Rx Coinsurance consistently imposed by the Plan, as payment in full.

• Members may obtain prescribed drugs and accessories from either a Participating Network Pharmacy or a Non- Participating Network Pharmacy that has previously notified Health Plan, by facsimile or otherwise, of its agreement to accept as payment in full for its services the rates applicable to Participating Network Pharmacies, including any RX Copayment and Rx Coinsurance consistently imposed by the Plan.

More Definitions of Participating Network Pharmacy

Participating Network Pharmacy means an independent Pharmacy or chain of Pharmacies that have contracted with the PBM to provide Pharmacy services to Participants covered under this Prescription Drug Program.

Participating Network Pharmacy. Any pharmacy that has entered into an agreement with the Health Plan or the Health Plan’s agent to provide pharmacy services to its Members. Plan Pharmacy: A pharmacy that is owned and operated by Health Plan. Prescription Drug (“Rx”) Coinsurance: A percentage of the Allowable Charge that you must pay for each prescription or prescription refill. Prescription Drug (“Rx”) Copayment: The specific dollar amount that you must pay for each prescription or prescription refill.