Prescription Drug Charge definition

Prescription Drug Charge means, prior to application of Member cost-share requirements, if any, the discounted rate payable by Client for a drug covered under the Plan’s pharmacy benefit.
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Prescription Drug Charge means the amount that, prior to application of the Plan’s cost-share requirement(s), Employer is obligated to pay for a Covered Drug dispensed at a Retail Pharmacy or Cigna Home Delivery Pharmacy, including any applicable Dispensing Fee, service fee, and tax. The Prescription Drug Charge may be expressed as, for example, a discount off of AWP or other benchmark price, or a MAC.
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Examples of Prescription Drug Charge in a sentence

  • Our contracted rates (our Prescription Drug Charge) will not be available to you.

  • Co-insurance Co-insurance for a Prescription Drug Product at a Network Pharmacy is a percentage of the Prescription Drug Charge.

  • The amount you are reimbursed will be based on the Prescription Drug Charge, less the required Co-payment and/or Co-insurance and any deductible that applies.

  • Copayment and/or Coinsurance Amount For Prescription Drug Products at a retail Network Pharmacy, Insured Persons are responsible for paying the lowest of:• The applicable Copayment and/or Coinsurance.• The Network Pharmacy’s Usual and Customary Fee for the Prescription Drug Product.• The Prescription Drug Charge for that Prescription Drug Product.

  • AMOUNTS SHOWN ARE YOUR COST RESPONSIBILITY AFTER ANY APPLICABLE DEDUCTIBLE HAS BEEN MET The amounts you are required to pay as shown below are based on the Prescription Drug Charge.

  • For Prescription Drug Products from a mail order Network Pharmacy, Insured Persons are responsible for paying the lower of:• The applicable Copayment and/or Coinsurance; or• The Prescription Drug Charge for that Prescription Drug Product.

  • The amounts you are required to pay as shown below are based on the Prescription Drug Charge.

  • The amount you are reimbursed will be based on the Prescription Drug Charge (for Prescription Drug Products from a Network Pharmacy), less the required Copayment and/or Coinsurance and any Deductible that applies.

  • When the plan includes the mail order option, for Prescription Drug Products from a mail order Network Pharmacy, Insured Persons are responsible for paying the lower of:• The applicable Copayment and/or Coinsurance; or• The Prescription Drug Charge for that Prescription Drug Product.

  • Copayment Amount For Prescription Drug Products at a retail Network Pharmacy, Insured Persons are responsible for paying the lowest of: The applicable Copayment. The Network Pharmacy’s Usual and Customary Fee for the Prescription Drug Product. The Prescription Drug Charge for that Prescription Drug Product.

Related to Prescription Drug Charge

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

  • Prescription drug order means an original or new order from a practitioner for drugs, drug-related devices or treatment for a human or animal, including orders issued through collaborative care agreements. Lawful prescriptions result from a valid practitioner-patient relationship, are intended to address a legitimate medical need, and fall within the prescribing practitioner's scope of professional practice;

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

  • Nonprescription drug or "over-the-counter drug" means any

  • 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;

  • Participating Prescription Drug Provider means an independent retail Pharmacy, chain of retail Pharmacies, mail-order Pharmacy or specialty drug Pharmacy which has entered into an agreement to provide pharmaceutical services to participants in the benefit program. A retail Participating Pharmacy may or may not be a select Participating Pharmacy as that term is used in the Vaccinations Obtained Through Participating Pharmacies section.

  • Drug abuse means any pattern of pathological use of drugs that causes impairment in social or occupational functioning, or that produces physiological dependency evidenced by physical tolerance or by physical symptoms when it is withdrawn.

  • New Drug Application means a new drug application in the United States for authorization to market a product, as defined in the applicable laws and regulations and submitted to the FDA.

  • Drug means (i) articles or substances recognized in the official United States Pharmacopoeia

  • Prescription monitoring program “PMP,” or “program” means the program established pursuant to 657—Chapter 37 for the collection and maintenance of PMP information and for the provision of PMP information to authorized individuals.

  • Drug addiction means a disease characterized by a

  • Basic health plan means the plan described under chapter

  • Routine patient care costs means Covered Medical Expenses which are typically provided absent a clinical trial and not otherwise excluded under the Policy. Routine patient care costs do not include:

  • Brand Name Drug means a Prescription Drug that has been given a name by a manufacturer or distributor to distinguish it as produced or sold by a specific manufacturer or distributor and may be used and protected by a trademark.

  • Brand Name or Equal Specification means a specification which uses one or more manufacturer’s names or catalogue numbers to describe the standard of quality, performance, and other characteristics needed to meet District requirements, and which provides for the submission of equivalent products.

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

  • Prescription means an order for drugs or medical supplies, written or signed or transmitted by word

  • COVID-19 symptoms means fever of 100.4 degrees Fahrenheit or higher, chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea, unless a licensed health care professional determines the person’s symptoms were caused by a known condition other than COVID-19.

  • Substance abuse treatment means outpatient or inpatient services or participation in Alcoholics Anonymous or a similar program.

  • Alcohol abuse means any pattern of pathological use of alcohol that causes impairment in social or occupational functioning, or that produces physiological dependency evidenced by physical tolerance or by physical symptoms when it is withdrawn.

  • Prescription device means an instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article, and any component part or accessory, which is required under federal or state law to be prescribed by a practitioner and dispensed by or through a person or entity licensed under this chapter or exempt from licensure under this chapter.

  • Drug Application means a new drug application, an abbreviated drug application, or a product license application for any Product, as appropriate, as those terms are defined in the FDCA.

  • Clinical laboratory means a facility for the microbiological, serological, chemical, hematological, radiobioassay, cytological, immunohematological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of a disease or assessment of a medical condition.

  • Brand Name Specification means a specification limited to one or more items by manufacturers’ names or catalogue number.

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • Centralized prescription processing means the processing by a pharmacy of a request from another pharmacy to fill or refill a prescription drug order or to perform processing functions such as dispensing, drug utilization review, claims adjudication, refill authorizations, and therapeutic interventions.