Pharmacy benefit definition

Pharmacy benefit means the payment for or reimbursement of an enrollee’s cost for pre-
Pharmacy benefit means the benefit portion that establishes coverage for pharmaceuticals and services on an outpatient basis to qualifying Members.
Pharmacy benefit means a health care benefit plan that

Examples of Pharmacy benefit in a sentence

  • Under the up to a 90-day at Retail Pharmacy benefit, Preferred Generic, Non-Preferred Generic, Preferred Brand and Non-Preferred Drugs can be obtained from an In-network Pharmacy.

  • This Pharmacy benefit is provided to cover Medically Necessary Prescriptions associated with a covered condition.

  • Pharmacy benefit managers (PBMs) play a major role in the market, significantly impacting drug pricing and access.

  • Under the up to a 90-day Retail Pharmacy benefit, Preferred Generic, Non-Preferred Generic, Preferred Brand and Non-Preferred Drugs can be obtained from an In-network Pharmacy.

  • Items not covered under the Prescription Drug Benefit at a Retail or Home Delivery (Mail Order) Pharmacy benefit may be covered under the “Durable Medical Equipment and Medical Devices” benefit.


More Definitions of Pharmacy benefit

Pharmacy benefit means the payment for or reimbursement of an enrollee’s cost
Pharmacy benefit means the covered Vermont Medicaid services described in HCAR 4.207, titled “Prescribed Drugs.”
Pharmacy benefit means the inclusions, limitations, and exclusions in coverage of Eligible Members, Participating Pharmacies, Physicians, and Covered Medications as set forth in the Plan and as may be amended from time to time by the Plan Sponsor.
Pharmacy benefit means the payment for or reimbursement of an enrollee’s cost for pre- scription drugs.
Pharmacy benefit means the payment for or reimbursement of an enrollee’s cost for prescription drugs.
Pharmacy benefit. = typically means the retail drug coverage, copays, formulary status, associated policies
Pharmacy benefit means a drug benefit of a patient's healthcare insurance under which patients can obtain diabetes products and diabetes ancillary supplies for a co-payment and the Third Party providing coverage is at financial risk for the majority of the cost of the benefit and for which a claim for reimbursement is submitted via retail and/or mail pharmacy channels (e.g., using NCPDP standards) as a drug benefit claim and not under the patient's Medical Benefit.