Prescription Drug Claim definition

Prescription Drug Claim means a Member Submitted Claim, Subrogation Claim or claim for payment submitted to ESI by a Participating Pharmacy, Mail Service Pharmacy, or ESI Specialty Pharmacy as a result of dispensing Covered Drugs to a Member.
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Prescription Drug Claim means an EGWP Enrollee Submitted Claim or claim for payment of a Covered Drug submitted to MCLIC by a Pharmacy.
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Prescription Drug Claim means a Member Submitted Claim, Medicaid Subrogation Claim or claim for payment submitted to ESI by a Pharmacy as a result of dispensing Covered Drugs to a Member.
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Examples of Prescription Drug Claim in a sentence

  • When Drugs are obtained at a non-Participating Pharmacy for a covered emergency, the Member must first pay all charges for the prescription, and then submit a completed Prescription Drug Claim Form noting “emergency request” on the form to Blue Shield Pharmacy Services -Emergency Claims, P.

  • If You buy covered Prescription Drugs and supplies outside of the United States, fill out Our Prescription Drug Claim Form and submit it.

  • To file, You must use the Prescription Drug Claim Form and have Your pharmacist sign it (or an attachment that We accept).

  • The Prescription Drug Claim Form, or an attachment acceptable to Us, may require the signature of the dispensing pharmacist.

  • Members may obtain the Prescription Drug Claim form by accessing the pharmacy section of Our website, xxx.xxxxxx.xxx/xxxxxxxx.

  • When Drugs are obtained at a Non-Participating Pharmacy for a covered emergency, the Member must first pay all charges for the prescription, and then submit a completed Prescription Drug Claim Form noting “emergency request” on the form to Blue Shield Pharmacy Services - Emergency Claims, P.

  • Prescription Drugs at a Non- Participating Pharmacy When the Member obtains Drugs from a Non- Participating Pharmacy for Emergency Services: • The Member must first pay all charges for the prescription, • Submit a completed Prescription Drug Claim Form to Blue Shield of California Argus Health Systems, Inc.

  • However, if You must file a claim to access Your Prescription Drug benefit, You must use the Prescription Drug Claim Form.

  • Prescription Drugs at a Non- Participating Pharmacy When you obtain Drugs from a Non-Participating Phar- macy for a covered emergency:  You must first pay all charges for the prescription,  Submit a completed Prescription Drug Claim form for reimbursement to: Blue Shield of California P.O. Box 419019, Dept.

  • When the Member obtains Drugs from a Non- Participating Pharmacy for Emergency Services:  The Member must first pay all charges for the prescription,  Submit a completed Prescription Drug Claim Form to Blue Shield of California Argus Health Systems, Inc.


More Definitions of Prescription Drug Claim

Prescription Drug Claim means an Enrollee Submitted Claim, a Medicaid Subrogation Claim or any other transaction submitted to ESI for payment or processing or other handling and which involves the dispensing of a Covered Drug to an Enrollee; a “generic claim” relates to the dispensing of a Generic Drug, a “brand claim” relates to the dispensing of a Brand Drug and a “specialty claim” relates to the dispensing of a Specialty Product.
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Prescription Drug Claim means an EGWP Enrollee Submitted Claim or claim for payment of a Covered Product submitted to Express Scripts by a Participating Pharmacy, Mail Service Pharmacy, or Specialty Pharmacy as a result of dispensing Covered Drugs to a EGWP Enrollee.
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Prescription Drug Claim means a claim submitted by a Member or pharmacy, whether submitted electronically or manually, for payment for a Covered Product.
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Prescription Drug Claim means a claim for payment submitted to Contractor by a Participating Pharmacy through Contractor’s claims processing system, or submitted by a Member, as a result of dispensing Prescription Drugs, Non-Drug Items, vaccine administration, or other covered benefits listed in the Benefit Plan Design.
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Prescription Drug Claim means a Member Submitted Claim, Subrogation Claim, or claim for payment submitted by a Participating Pharmacy as a result of dispensing a Covered Drug to a Member.
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Prescription Drug Claim means a Member Submitted Claim or a claim
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Related to Prescription Drug Claim

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

  • Drug addiction means a disease characterized by a

  • Prescription device means an instrument, apparatus, implement, machine,

  • Phase III Clinical Trial means a large, controlled or uncontrolled Clinical Study that would satisfy the requirements of 21 CFR 312.21(c), intended to gather the additional information about effectiveness and safety that is needed to evaluate the overall benefit-risk relationship of the drug and to provide an adequate basis for physician labeling.

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

  • Phase III Clinical Study means a human clinical study of a product on a sufficient number of subjects that is designed to establish that such product is safe and efficacious for its intended use, and to determine warnings, precautions, and adverse reactions that are associated with such product in the dosage range to be prescribed, which trial is intended to support Regulatory Approval of such product, as described in 21 C.F.R. 312.21(c). 1.185. [***] 1.186. [***]

  • Biological safety cabinet means a containment unit suitable for the preparation of low to moderate risk agents where there is a need for protection of the product, personnel, and environment, according to National Sanitation Foundation (NSF) Standard 49.

  • FDA means the United States Food and Drug Administration.

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

  • Approved clinical trial means a phase I, phase II, phase III, or phase IV clinical trial that is conducted in relation to the prevention, detection, or treatment of cancer or other life-threatening disease or Condition and is described in any of the following: