Specialty Drug List definition
Examples of Specialty Drug List in a sentence
Changes to the approved Specialty Drug List shall be reviewed annually on January 1 or before if recommended by the P&T Committee.
Any specialty prescription drug that is not on the January 1, 2012 Specialty Drug List is subject to the terms of this agreement.
Any member who receives a prescription for a new FDA approved specialty drug that is not on the approved Specialty Drug List as of January 1, 2012 (attachment A), and therefore not covered by the Health Care Plan, may submit a request to the Plan Administrator who in turn will submit the request to the P&T Committee for a review and recommendation.
Specialty Prescription drug coverage under the plan will be limited to those specialty drugs approved by the FDA and included in the attached Specialty Drug List maintained by the Health Plan’s Pharmacy Benefit Manager (PBM) as of January 1, 2012 (Reference Attachment A).
For Network Benefits, specialty drugs are limited to drugs on the Specialty Drug List and must be obtained from a designated vendor.
The Specialty Drug List will be provided to Client upon request may be updated from time to time.
Members may fill prescriptions for HIV Medications that are not on the Specialty Drug List at any in-network retail pharmacies.
Most, but not all, HIV Medications on the Specialty Drug List can be filled at in-network retail pharmacies.
Trial drugs are indicated on the formulary and/or the Specialty Drug List.
For HPDSC Veterans, the VLB does not pay for certain Specialty Drugs if the drugs are on the on the Specialty Drug List and are prescribed or furnished by a specialty physician (i.e. a physician who is not a TSVH primary care physician).