Specialty prescription drug definition

Specialty prescription drug is a type of prescription drug in our formulary that generally is identified by, but not limited to, features such as: • being produced by DNA technology; • treats chronic or long term disease; • requires customized clinical monitoring and patient support; and • needs special handling. Generally, specialty pharmacies dispense specialty Prescription Drugs. Contact Customer Service for further details and information about specialty prescription drugs and specialty pharmacies. For the purposes of this agreement, we have designated certain prescribed prescription drugs to be specialty prescription drugs in our formulary. To obtain coverage information for any specific specialty prescription drug or to obtain a copy of the most current formulary listing, visit our Web site at XXXXXX.xxx or you may call our Customer Service Department at (000) 000-0000 or 0-000-000-0000. TYPE OF SERVICE means, for the purposes of this agreement, the two kinds of prescription drugs that are defined as: • generic, preferred brand name, and non-preferred brand name Prescription Drugs; and • specialty Prescription Drugs.
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Specialty prescription drug means a prescription drug used to treat a rare, complex, or chronic medical condition that meets any of the following requirements:
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Specialty prescription drug means a prescription drug that
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Examples of Specialty prescription drug in a sentence

  • Modify the Plan to increase specialty prescription drug co-pays for all participants: Specialty prescription drug co-pays: Retail: $120 per 30-day supply Mail Order: $360 for up to a 90-day supply Effective January 1, 2020.

  • Specialty prescription drug purchases will be limited to a 30-day supply and subject to the applicable co-payment per prescription listed in the Schedule of Benefits.

  • Previously, the copayment was $100.- Specialty prescription drug coverage has a $70 copayment for a 30-day supply.

  • Previously, the copayment was $120.- Specialty prescription drug coverage has a $70 copayment for a 30-day supply.


More Definitions of Specialty prescription drug

Specialty prescription drug means Prescription Drugs or classes of Prescription Drugs that are designated by the Company as Specialty Drugs. These include, but are not limited to, drugs that are self- administered by injection, inhaled or taken orally; drugs that may require special handling and storage; drugs that may require strict compliance and patient support; and drugs that may be available through limited distribution arrangements. The list of Specialty Prescription Drugs is on the Formulary.
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Specialty prescription drug means a Prescription Drug which, as determined and communicated by Xxxxxxxx, may be characterized as a high cost biotechnology drug and/or may be a drug that requires special distribution service, handling and administration procedures. Due to high cost, drug perishability and varying degrees of patient tolerance and side effects associated with the metabolizing of such drugs the dispensing of such medications may be subject to special quantity limitations or limited to distribution by certain Specialty Drug pharmacies. USUAL AND CUSTOMARY PRICE or U&C – means the retail price charged to the general public by a Participating Pharmacy for a particular drug, strength and quantity on the date the drug is dispensed.
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Specialty prescription drug is a type of prescription drug in our formulary that generally is identified by, but not limited to, features such as: • being produced by DNA technology, • treats chronic or long term disease, • requires customized clinical monitoring and patient support, and • needs special handling. Generally, specialty pharmacies dispense specialty prescription drugs. Contact Customer Service for further details and information about specialty prescription drugs and specialty pharmacies. For the purposes of this agreement, we have designated certain prescribed prescription drugs to be specialty prescription drugs in our formulary. To obtain coverage information for any specific specialty prescription drug or to obtain a copy of the most current formulary listing, visit our Web site at XXXXXX.xxx. Or, you may call our Customer Service Department at (000) 000-0000 or 0-000-000-0000.
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Specialty prescription drug means Prescription Drugs or classes of Prescription Drugs that are designated by the Company as Specialty Drugs. These include, but are not limited to, drugs that are self- administered by injection, inhaled or taken orally; drugs that may require special handling and storage; drugs that may require strict compliance and patient support; and drugs that may be available through limited distribution arrangements. The list of Specialty Prescription Drugs is on the Formulary. To find this list, go to xxx.xxxxxx.xxx and log in to Your BlueAccess account. You may also contact Customer Service at the telephone number listed on Your Identification Card.
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Related to Specialty prescription drug

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

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

  • 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;

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

  • 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;

  • Specialty drug means a prescription drug that:

  • 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.

  • Specialty Drugs means high-cost injectables, infused, oral, or inhaled Prescription Drugs for the ongoing treatment of a chronic condition, including but not limited to, the following: Hemophilia, Hepatitis C, Multiple Sclerosis, Rheumatoid Arthritis, Psoriasis, Crohn’s Disease, Cancer (oral medications), and Growth Hormones. These Prescription Drugs usually require specialized handling (such as refrigeration). Spouse means a person of the same or opposite sex who is legally married to Subscriber under the laws of the state or jurisdiction in which the marriage took place. A marriage legally entered into in another jurisdiction will be recognized as a marriage in the District of Columbia.

  • 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.

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

  • In Patient Care means treatment for which the insured person has to stay in a hospital for more than 24 hours for a covered event.

  • Prescription medication means any medication that requires a physician prescription before it may be obtained from a pharmacist.

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

  • Nonprescription medication means a drug or medication authorized pursuant to federal or state law for general distribution and use without a prescription in the treatment of human disease, ailments, or injuries.

  • Procurement Plan means the Recipient’s procurement plan for the Project, dated April 2, 2010, and referred to in paragraph 1.16 of the Procurement Guidelines and paragraph 1.24 of the Consultant Guidelines, as the same shall be updated from time to time in accordance with the provisions of said paragraphs.

  • 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.

  • Medical cannabis pharmacy means the same as that term is defined in Section 26-61a-102.

  • Medical Specialist means any medical practitioner who is vocationally registered by the Medical Council under the Health Practitioners Competence Assurance Act 2003 in one of the approved branches of medicine and who is employed in either that branch of medicine or in a similar capacity with minimal oversight.

  • Nursing home-type patients means a patient who has been in hospital more than 35 days, no longer requires acute hospital care, cannot live independently at home or be looked after at home, and either cannot be placed in a nursing home or a nursing home place is not available.

  • Medical cannabis card means the same as that term is defined in Section 26-61a-102.

  • 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.

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

  • Formulary means a list of covered prescription drugs provided under this plan. The formulary includes generic, preferred brand name, non-preferred brand name, and specialty prescription drugs.

  • Pharmaceutical care means the provision of drug therapy and

  • Participating Clinical Laboratory means a Clinical Laboratory which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

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