Prescription benefit definition

Prescription benefit means the prescription drugs that may be purchased with a $5 or $15 payment by a SeniorCare par- ticipant with low income or who has spent at least the dollar amount specified in s. DHS 109.13 (3) on the purchase of pre- scription drugs during the current benefit period.
Sample 1
Prescription benefit means the prescription drugs that may be purchased with a $5 or $15 payment by a SeniorCare par- ticipant with low income or who has spent at least $500 on the pur- chase of prescription drugs during the current benefit period.
Sample 1Sample 2

Examples of Prescription benefit in a sentence

  • Coverage does not include paper (script) claims obtained at a retail pharmacy, which are covered under the Prescription benefit.

  • Treatment is subject to all other Plan provisions as applicable (such as Prescription benefit coverage, behavioral/mental health coverage, and/or coverage of therapy services).

  • Treatment is subject to all other plan provisions as applicable (such as Prescription benefit coverage, Behavioral/Mental Health coverage and/or coverage of therapy services).

  • This does not include paper (script) claims obtained at a retail pharmacy, which are covered under the Prescription benefit.

  • For the most up-to-date information, call the toll-free Member Services number on your member ID card or log on to your Aetna Navigator® secure member website at www.aetna.com.For drugs Covered under your Prescription drug Plan, contact your Prescription benefit manager for more information.

  • The final results chapter concentrates on the use and investigation of a metabolic model consisting of a reaction network developed originally by Edwards and Palsson (2000).

  • The Specialty Drug Prescription benefit only applies to Specialty Drugs in Tier 4, dispensed by Participating Specialty Pharmacies.

  • All other self-injectable specialty drugs are covered under the Specialty Drug Prescription benefit.

  • Prescription benefit services are covered with mandatory generic substitution, including oral contraceptives.

  • The vendor’s medical case management shall include, but is not limited to: o Nurse case managers (telephonic and field)o Medical bill reviewo Prescription benefit managemento Utilization managemento Referral to Independent Medical Exams (IMEs) and Functional Capacity Evaluations (FCEs)o Durable Medical Equipment (DME) programo Provide medical data analysis to determine cost drivers, such as duplicate billing and overutilization and measure State costs against comparable benchmarks.

Related to Prescription benefit

  • superannuation benefit means any payment, other than a refund of contributions, made to a dentist by virtue of the application of the (a) National Health Service Pension Scheme Regulations 1995; or (b) the National Health Service Superannuation Scheme (Scotland) Regulations 1995 or (c) the corresponding provisions of the law in force in Northern Ireland; as a result of his providing general dental services;

  • Plan Benefit means the benefit payable to a Participant as calculated in Article V.

  • Termination Benefit means the benefit set forth in Article 7.

  • SERP Benefit means the benefit described in Section 5.1.

  • Pension Benefit means a pension, annuity, gratuity or similar allowance which is payable—

  • Public benefit means making capital available, or facilitating the availability of capital, to businesses in this state that have 750 or fewer employees, the intent of which is to create or retain employment opportunities for residents of this state, stabilize or increase the tax base of this state, or support the redevelopment of facilities for use by small businesses.

  • Retirement Benefit means the benefit set forth in Article 5.

  • Death Benefit means the insurance amount payable under the Certificate at death of the Insured, subject to all Certificate provisions dealing with changes in the amount of insurance and reductions or termination for age or retirement. It does not include any amount that is only payable in the event of Accidental Death.

  • Retirement Benefits means benefits paid by reference to reaching, or the expectation of reaching, retirement or, where they are supplementary to those benefits and provided on an ancillary basis, in the form of payments on death, disability, or cessation of employment or in the form of support payments or services in case of sickness, indigence or death. In order to facilitate financial security in retirement, these benefits may take the form of payments for life, payments made for a temporary period, a lump sum, or any combination thereof;

  • Supplemental Benefit means the monthly benefit payable to the Executive under this Agreement.

  • Normal Retirement Benefit means the benefit described in Section 2.1.

  • Monthly Benefit means the monthly amount payable by Liberty to you if you are Disabled or Partially Disabled.

  • Separation Benefits has the meaning accorded such term in Section 3.04.

  • Net Benefit means the present value of the Covered Payments net of all federal, state, local, foreign income, employment and excise taxes.

  • Fringe benefit means health insurance, a retirement benefit received under a pension plan or defined contribution plan, a paid vacation day, a paid holiday, sick leave, or any other similar employee benefit provided by an employer.

  • Regular benefits ’ means benefits payable to an individual under this act or under any other state law, including benefits payable to federal civilian employees and to ex-servicemen pursuant to 5 U.S.C. chapter 85, other than extended benefits.

  • Termination Benefits means the benefits described in Section 4.1(b).

  • SERP has the meaning assigned thereto in Section 5(c) hereof.

  • Accrued Benefit have the meanings specified in ERISA.

  • Supplemental Retirement Benefit means the benefit determined under Article V of this Plan.

  • Lump Sum means the total sum which will have become payable to the Contractor by the Principal upon completion of the Works.

  • Severance Benefit means the payment of severance compensation as provided in Article III.

  • Supplemental Retirement Income Benefit means an annual amount (before taking into account federal and state income taxes), payable in monthly installments throughout the Payout Period. Such benefit is projected pursuant to the Agreement for the purpose of determining the Contributions to be made to the Retirement Income Trust Fund (or Phantom Contributions to be recorded in the Accrued Benefit Account). The annual Contributions and Phantom Contributions have been actuarially determined, using the assumptions set forth in Exhibit A, in order to fund for the projected Supplemental Retirement Income Benefit. The Supplemental Retirement Income Benefit for which Contributions (or Phantom Contributions) are being made (or recorded) is set forth in Exhibit A.

  • Annual Benefit means an annual sum of fifty thousand dollars ($50,000) multiplied by the Applicable Percentage (defined below) and then reduced to the extent required: (i) under the other provisions of this Agreement; (ii) by reason of the lawful order of any regulatory agency or body having jurisdiction over the Employer; and (iii) in order for the Employer to properly comply with any and all applicable state and federal laws, including, but not limited to, income, employment and disability income tax laws (eg., FICA, FUTA, SDI).

  • Actuarial equivalent means a benefit of equal value when

  • relevant benefit means any benefit specified in paragraph 21(2); and