Specialty drug definition

Specialty drug means a prescription drug that:

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Specialty drug means a drug that:

Specialty drug means a drug that provides treatment for serious, chronic, or life-threatening diseases that is covered under a patient's health plan or by a patient's carrier to which any of the following apply:

Examples of Specialty drug in a sentence

Agree to allow the County the flexibility to determine participation in the Specialty drug distribution and management services on an individual therapy and drug level with no impact to discounts or rebates and no additional charges.
Confirm that should the County elect to utilize alternate pharmacy for Specialty drug distribution and management, it will not affect non-specialty discounts, dispensing fees, rebates, or admin fees or impose additional charges.
TRRX (02/2022) Definition Specialty drug discount level based on actual specialty drug utilization for the specialty drugs dispensed through United's specialty Pharmacy Network.
Specialty drug utilization shall be as outlined in the supplemental agreement signed May 5, 2014.
The areas for review can include: • Pricing and discount guarantees • Benefit and plan design • Rebates • Fraud, waste and abuse • Retiree drug subsidy (RDS) year-end reconciliation • Employer group waiver plan (EGWP) prescription drug event • Formulary guidance and recommendations • Specialty drug diagnostic InsRis will utilize proprietary software application tools to monitor 100% of claims.

More Definitions of Specialty drug

Specialty drug means a prescription drug covered under Medicare Part D that exceeds

Specialty drug means a prescription drug outpatient specialty drug covered under Medicare Part D program established pursuant to Public Law 108-73, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, as amended from time to time, that exceeds the specialty tier cost threshold established by the Centers for Medicare and Medicaid Services.

Specialty drug means pharmaceutical products that are typically expensive and require special handling and monitoring such as patient training, care coordination, adherence monitoring. They can be administered orally or through injection, infusion, inhalation, or other non-oral methods. Many are biologically developed (biologics) and can be used to treat chronic, life threatening, and rare conditions.

Specialty drug means a prescription drug covered under Medicare Part D that exceeds the specialty tier cost threshold established by the Centers for Medicare and Medicaid Services.

Specialty drug means prescription medication that requires

Specialty drug means a prescription drug covered

Specialty drug means and includes any substance that is biologic, subsequent-entry biologic, biosimilar, or any medication that requires special handling, administration or monitoring as defined by the carrier.