Tier 2 Copayment definition

Tier 2 Copayment. Thirty dollar ($30) copayment per prescription or refill for a Tier 2 drug dispensed in a thirty (30) day supply.
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Tier 2 Copayment. Thirty dollar ($30) copayment per prescription or refill for a Tier 2 drug dispensed in a thirty (30) day supply. Tier 3 copayment: Fifty-five dollar ($55) copayment per prescription or refill for a Tier 3 drug dispensed in a thirty (30) day supply. Out of pocket maximum: There is an annual maximum eligible out-of-pocket expense limit for prescription drugs of one thousand and fifty dollars ($1,050) per person or two thousand one hundred dollars ($2,100) per family.
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Examples of Tier 2 Copayment in a sentence

  • For up to a 30-day supply of a Tier 2 drug listed on the Formulary, you pay one Drug Tier 2 Copayment or Coinsurance.

  • For up to a 30-day supply of a Tier 2 drug on the Formulary, you pay one Drug Tier 2 Copayment or Coinsurance.

  • If a generic equivalent exists but a brand name drug is requested, you must pay an ancillary charge equal to the difference between the cost of the generic drug and the brand name drug in addition to the Tier 2 Copayment.

  • For up to a 30-day supply of a Tier 2 drug on the Drug List, you pay one Tier 2 Copayment or Coinsurance.

  • What Are Your Covered Benefits?one Drug Tier 2 Copayment or Coinsurance.

  • For up to a 30-day supply of a Tier 2 drug listed on the Drug Formulary, you pay one Tier 2 Copayment or Coinsurance.

  • For up to a 30-day supply of a Tier 2 drug on the Drug Formulary, you pay one Tier 2 Copayment or Coinsurance.

  • For up to a 30-day supply of a Tier 2 drug on the Formulary, you pay one Tier 2 Copayment or Coinsurance.

  • If a member does not satisfy the Tier 0 criteria, the drug shall be subject to a Tier 1 or Tier 2 Copayment, as applicable.

  • The Plan participant must present his/her ID card and pay the dispensing pharmacy (within CDPHN’s designated pharmacy benefit manager’s network) a $10 Tier 1 Copayment; a $35 Tier 2 Copayment; or a $55 Tier 3 Copayment (for a covered Prescription Drug that is neither Tier 1 nor Tier 2).

Related to Tier 2 Copayment

  • Copayment means that you pay a fixed amount each time you fill a prescription.

  • Tier 3 Wire Centers are those Embarq Wire Centers that are not Tier 1 or Tier 2 Wire Centers.

  • Tier 2 means the portion of the design- related information contained in the generic DCD that is approved but not certified by this appendix (Tier 2 information). Compli- ance with Tier 2 is required, but generic changes to and plant-specific departures from Tier 2 are governed by Section VIII of this appendix. Compliance with Tier 2 pro- vides a sufficient, but not the only accept- able, method for complying with Tier 1. Compliance methods differing from Tier 2 must satisfy the change process in Section VIII of this appendix. Regardless of these dif- ferences, an applicant or licensee must meet the requirement in Section III.B of this ap- pendix to reference Tier 2 when referencing Tier 1. Tier 2 information includes:

  • Tier 2 Support means the Esri Technical Support provided to the Tier 1 Help Desk when a Case cannot be resolved through Tier 1 Support.

  • Tier 1 Help Desk means Customer's point of contact(s) to provide all Tier 1 Support within Customer's organization(s).

  • Tier 1 Support means the Technical Support provided by the Tier 1 Help Desk.

  • Tier 2 Capital has the meaning given to the term “Tier 2 capital” in 12 C.F.R. Part 217, as amended, modified and supplemented and in effect from time to time or any replacement thereof.

  • Qualifying patient means a person who:

  • Tier 1 means the portion of the design-related information contained in the generic DCD that is approved and certified by this appendix (Tier 1 information). The design descriptions, interface requirements, and site parameters are derived from Tier 2 information. Tier 1 information includes:

  • Adult basic education means education or instruction

  • Alternative education program means a school or separate class group designed to best serve students’ educational needs and interests and assist students in achieving the academic standards of the district and the state.

  • Tier 2 Wire Centers means those Qwest Wire Centers that are not Tier 1 Wire Centers, but contain at least three (3) Fiber-based Collocators, at least twenty-four thousand (24,000) Business Lines, or both. Once a Wire Center is determined to be a Tier 2 Wire Center, that Wire Center is not subject to later reclassification as a Tier 3 Wire Center.

  • Eligible patient means an individual who meets all of the following conditions:

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

  • Participating Marriage and Family Therapist means a Marriage and Family Therapist who 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.

  • Tier 1 Wire Centers means those Qwest Wire Centers that contain at least four (4) Fiber- based Collocators, at least thirty-eight thousand (38,000) Business Lines, or both. Tier 1 Wire Centers also are those Qwest tandem switching locations that have no line-side switching facilities, but nevertheless serve as a point of traffic aggregation accessible by CLEC. Once a Wire Center is determined to be a Tier 1 Wire Center, that Wire Center is not subject to later reclassification as a Tier 2 or Tier 3 Wire Center.

  • Continuing education provider or “CE provider” means an individual or entity that is approved to offer continuing education courses pursuant to [insert reference in State law or regulations governing producer continuing education course approval].

  • Multiple Bill/Single Tariff means the billing method used when Switched Exchange Access Services is jointly provided by the Parties. As described in the MECAB document, each Party will render a bill in accordance with its own tariff for that portion of the service it provides. Each Party will bill its own network access service rates.

  • Continuing treatment means ongoing medical treatment or supervision by a health care provider.

  • Declared pregnant woman means a woman who has voluntarily informed the licensee or registrant, in writing, of her pregnancy and the estimated date of conception. The declaration remains in effect until the declared pregnant woman withdraws the declaration in writing or is no longer pregnant.

  • secondary education means attendance at a public or private school offering instruction at grade levels 9-12, or equivalent. (interim eff. 6/6/2010 TL:SR-735; final eff. 7/4/2010 TL:SR-737)

  • Standard reference compendia means the American Medical Association Drug Evaluations, the

  • Automatic Investment Plan means a program in which regular periodic purchases (or withdrawals) are made automatically in (or from) investment accounts in accordance with a predetermined schedule and allocation. An Automatic Investment Plan includes a dividend reinvestment plan.