Examples of Specialty Program in a sentence
A Specialty Care Representative may contact you to facilitate your enrollment in the Specialty Program.
Medications in the Specialty Program may only be obtained through contracted retail pharmacies or through the PBM’s home delivery service.
The Master of Education degree programs that lead to new certification areas are accredited by the State of Oklahoma and by the Specialty Program Associations affiliated with The Council for the Accreditation of Education Preparation (CAEP).
Other than the accommodation described in (3) above, drugs included in the Specialty Program that are purchased without contacting the Specialty Referral Line will be treated as a subscriber submitted claims and will be reimbursed in the same manner as subscriber submitted claims under the Empire Plan Prescription Drug Program: the enrollee will be reimbursed the lesser of the pharmacy charge or the amount the Program would have paid through the Specialty Drug Program less the appropriate copayment.
This Agreement applies to all in-force, new and renewal Policies, except as hereinafter excluded, written and classified by the Company as Fire and Allied Perils, Commercial Multiple Peril, Homeowners Multiple Peril and Liability, Workers’ Compensation, Inland Marine and Automobile Liability and Physical Damage and Umbrella, with an inception date effective during the term of this Agreement and which are classified by the Company as Specialty Program Business and Insurance Risk Sharing Business.
Enrollees currently using, and physicians currently prescribing drugs that will be included in the Specialty Program will be notified in writing at least 30 days in advance of the implementation date.
Beyond the initial fill(s) described in (3) above, enrollees must contact the Specialty Referral Line, accessible through the NYSHIP toll-free telephone line, prior to obtaining a drug included in the Specialty Program, in order to receive the maximum available benefit.
Medications in the Specialty Program may only be obtained through contracted retail pharmacies store or through the PBM’s home delivery service.
If this Pooling Agreement is terminated pursuant to this Article XIII, all rights and obligations of the Participating Companies with respect to Specialty Program Business ceded pursuant to this Pooling Agreement prior to such termination shall continue to be governed by the terms of this Pooling Agreement.
However, in the event that regulatory authorities do not approve an intercompany transaction containing these ceding commissions, the pariticipating companies shall use their best good faith effort to structure the transaction for the Participating Companies in order that the sum of the Net Loss Ratio plus ceding commission percentage equals 93% for the Specialty Program Business and Insurance Risk Sharing Business.