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.
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Examples of Tier 3 Copayment in a sentence

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

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

  • The parties hereto acknowledge that serious and irreparable damage and harm will occur if any of the provisions of this Agreement were not performed in accordance with its specific terms or were otherwise breached and that remedies at law may be inadequate to protect against breach of this Agreement.

  • Contraceptive Drugs and devices Tier 1 Drugs Tier 2 Drugs Tier 3 Drugs Tier 4 Drugs $0 $10/prescription $35/prescription $60/prescription 30% up to $200/prescription Applicable Tier 1, Tier 2, or Tier 3 Copayment ✔ 25% plus $10/prescription ✔ ✔ 25% plus $35/prescription ✔ ✔ 25% plus $60/prescription ✔ ✔ 30% up to $200/prescription plus 25% of purchase price ✔ Mail service pharmacy prescription Drugs Per prescription, up to a 90-day supply.

  • 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.

  • PREFERRED PRESCRIPTION DRUG — Any Prescription Drug listed in Tier 3 of the First Priority Life Drug Formulary available with a Tier 3 Copayment.

  • If your combined expenditures for Tier 3 Copayment and Coinsurance reach $175.00 for a particular prescription, that prescription will then be covered at 100% of the remaining Allowable Charge.

  • Prescription Drug (Required for HSA)** • Tier 1 Copayment $ • Tier 2 Copayment $ • Tier 3 Copayment $ 2.

Related to Tier 3 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 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.

  • 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:

  • Subsidized Xxxxxxxx Loan means a Loan for which the interest rate is governed by Section 427A(a) or 427A(d) of the Higher Education Act.

  • Premium payment plan means a benefit plan whereby school em- ployees may pay their share of group health plan premiums with pretax dollars as provided in the salary reduction plan under chapter 41.05 RCW pursuant to 26 U.S.C. Sec. 125 or other sections of the Internal Revenue Code.

  • Issue Type Category means, with respect to a Municipal Obligation acquired by the Fund, for purposes of calculating S&P Eligible Assets as of any Valuation Date, one of the following categories into which such Municipal Obligation falls based upon a good faith determination by the Fund: health care issues (including issues related to teaching and non-teaching hospitals, public or private); housing issues (including issues related to single- and multi-family housing projects); educational facilities issues (including issues related to public and private schools); student loan issues; transportation issues (including issues related to mass transit, airports and highways); industrial development bond issues (including issues related to pollution control facilities); public power utilities issues (including issues related to the provision of electricity, either singly or in combination with the provision of other utilities, and issues related only to the provision of gas); water and sewer utilities issues (including issues related to the provision of water and sewers as well as combination utilities not falling within the public power utilities category); special utilities issues (including issues related to resource recovery, solid waste and irrigation as well as other utility issues not falling within the public power and water and sewer utilities categories); general obligation issues; lease obligations (including certificates of participation); Escrowed Bonds; and other issues (“Other Issues”) not falling within one of the aforementioned categories. The general obligation issue category includes any issuer that is directly or indirectly guaranteed by the State or its political subdivisions. Utility issuers are included in the general obligation issue category if the issuer is directly or indirectly guaranteed by the State or its political subdivisions. Municipal obligations in the utility issuer category will be classified within one of the three following sub-categories: (i) electric, gas and combination issues (if the combination issue includes an electric issue); (ii) water and sewer utilities and combination issues (if the combination issues does not include an electric issue); and (iii) irrigation, resource recovery, solid waste and other utilities, provided that Municipal Obligations included in this sub-category (iii) must be rated by S&P in order to be included in S&P Eligible Assets. Municipal Obligations in the transportation issue category will be classified within one of the two following sub-categories: (i) streets and highways, toll roads, bridges and tunnels, airports and multi-purpose port authorities (multiple revenue streams generated by toll roads, airports, real estate, bridges); (ii) mass transit, parking seaports and others.

  • Qualifying Educational Program means a program at a post-secondary school level of not less than three consecutive weeks duration that requires each student taking the program to spend not less than 10 hours per week on courses or work in that program.

  • Unsubsidized Xxxxxxxx Loan means a Loan made pursuant to Section 428H of the Higher Education Act.

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

  • Tier 2 Wire Centers means those CenturyLink 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.

  • Xxxxxxxx-Xxxxx Certification As defined in Section 11.05.

  • Sxxxxxxx-Xxxxx Certification As defined in Section 11.09.

  • Tier 3 Wire Centers means those Qwest Wire Centers that do not meet the criteria for Tier 1 or Tier 2 Wire Centers.

  • Alternative Clauses means the alternative Clauses specified in paragraph 2.2 of Annex A to this Contract that were requested in the Order by the CUSTOMER and that shall apply to this Contract.

  • Amount Generally Billed or “AGB” means, with respect to emergency and other medically necessary care, the amount generally billed to individuals who have insurance covering such care.

  • 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)

  • 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.

  • Adult basic education means education or instruction

  • Tier 1 Wire Centers means those CenturyLink 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 CenturyLink 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.

  • 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 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.