Tier 3 Copayment definition

Tier 3 Copayment. Fifty-five dollar ($55) copayment per prescription or refill for a Tier 3 drug dispensed in a thirty (30) day supply.
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Tier 3 Copayment. Thirty-eight dollar ($38) 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 eight hundred dollars ($800) per person or one thousand six hundred dollars ($1,600) per family.
Sample 1

Examples of Tier 3 Copayment in a sentence

  • For up to a 30-day supply of a Tier 3 drug (if covered), you pay one Drug Tier 3 Copayment or Coinsurance.

  • For up to a 30-day supply of a Tier 3 drug on the Formulary, you pay one Drug Tier 3 Copayment or Coinsurance.

  • For up to a 30-day supply of a Tier 3 drug on the Drug List, you pay one Tier 3 Copayment or Coinsurance.

  • You pay the Tier 3 Copayment or Coinsurance for covered compounded medications.

  • For up to a 30-day supply of a Tier 3 drug (if covered), you pay one Tier 3 Copayment or Coinsurance.

  • For all other Drugs, the Tier 3 Copayment or Coinsurance applies when prior authorization is obtained.

  • You must pay the Tier 3 Copayment or Coinsurance for cov- ered compound Drugs.

  • For up to a 30-day supply of a Tier 3 drug on the Drug Formulary, you pay one Tier 3 Copayment or Coinsurance.

  • For up to a 30-day supply of a Tier 3 drug on the Formulary, you pay one Tier 3 Copayment or Coinsurance.

  • Contraceptive Drugs and devices $0 Tier 1 Drugs $10/prescription Tier 2 Drugs $40/prescription Tier 3 Drugs $60/prescription Tier 4 Drugs 30% up to$250/prescription Applicable Tier 1, Tier 2, or Tier 3 Copayment ✔ 25% plus $10/prescription ✔ ✔ 25% plus $40/prescription ✔ ✔ 25% plus $60/prescription ✔ ✔ 30% up to $250/prescription plus 25% of purchase price ✔ Retail pharmacy prescription Drugs Per prescription, up to a 90-day supply from a 90-day retail pharmacy.

Related to Tier 3 Copayment

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

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

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

  • Assigned Annual Special Tax means the Special Tax of that name described in Section D.

  • Premium payment plan means a benefit plan whereby state and

  • Capitation Payment means a payment the STATE makes periodically to the MCO for each Enrollee covered under the Contract for the provision of services as defined in Article 6 regardless of whether the Enrollee receives these services during the period covered by the payment.

  • Continuing education means planned, organized learning acts designed to maintain, improve, or expand a licensee’s knowledge and skills in order for the licensee to develop new knowledge and skills relevant to the enhancement of practice, education, or theory development to improve the safety and welfare of the public.

  • 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.

  • Premium pay Per the statute, recipients have broad latitude to designate critical infrastructure sectors and make grants to third-party employers for the purpose of providing premium pay or otherwise respond to essential workers. While the interim final rule generally preserves the flexibility in the statute, it does add a requirement that recipients give written justification in the case that premium pay would increase a worker’s annual pay above a certain threshold. To set this threshold, Treasury analyzed data Federal Register / Vol. 86, No. 93 / Monday, May 17, 2021 / Rules and Regulations 26817 from the Bureau of Labor Statistics to determine a level that would not require further justification for premium pay to the vast majority of essential workers, while requiring higher scrutiny for provision of premium pay to higher- earners who, even without premium pay, would likely have greater personal financial resources to cope with the effects of the pandemic. Treasury believes the threshold in the interim final rule strikes the appropriate balance between preserving flexibility and helping encourage use of these resources to help those in greatest need. The interim final rule also requires that eligible workers have regular in-person interactions or regular physical handling of items that were also handled by others. This requirement will also help encourage use of financial resources for those who have endured the heightened risk of performing essential work.

  • Adult education means all education or instruction,