Usual and Customary Retail Price definition

Usual and Customary Retail Price means the Provider's usual and customary retail price of a Covered Medication in a cash transaction (in the quantity dispensed) on the date that it is dispensed, including any discounts or special promotions offered on such date.

Usual and Customary Retail Price means the price that the pharmacy or Provider would charge a customer in the absence of the Card Program.

Usual and Customary Retail Price means the total price charged to a consumer who does not have prescription drug coverage under a health benefit plan.

Examples of Usual and Customary Retail Price in a sentence

• According to Omniplus, the relevant emphasis to be placed on this provision is that it “shall collect from Members the lesser of the Usual and Customary Retail Price amount or the applicable Copayment indicated by [Express Scripts], or when applicable, the full Copayment when indicated by [Express Scripts], through its online processing system or if online processing isunavailable, in accordance with the Provider Manual.” (emphasis supplied by Omniplus).

• Pharmacy agrees to submit its Usual and Customary Retail Price to Company’s designated claims processor.

• The Provider Manual’s PBM Glossary defines the Usual and Customary Retail Price of a drug as “the usual and customary retail price of a Covered Medication in a cash transaction at the Pharmacy dispensing the Covered Medication (in the quantity dispensed) on the date that it is dispensed.” In the event a party defaults in the performance of any of its obligations under this Agreement .

• Provider agrees that the administrative and billing practices applied and the prices charged for products and services to holders of Identification Cards shall be an amount no greater than the lower of (1) the Usual and Customary Retail Price or (2) the AWP plus six (6) dollars for dispensing charges.

• The Usual and Customary Retail Price of the Participating Pharmacy dispensing the prescription drugs, plus applicable sales or excise tax or other governmental surcharge, if any.

More Definitions of Usual and Customary Retail Price

Usual and Customary Retail Price or “U&C Price” means the cash price less all applicable Customer discounts which Participating Pharmacy usually charges customers for providing pharmaceutical services.

Usual and Customary Retail Price means the total price

Usual and Customary Retail Price means the total price charged to a

Usual and Customary Retail Price means: (i) in respect of any Covered Medication, the Provider’s retail price for cash paying customers dispensed such Covered Medication by Provider in the quantity dispensed and on the date dispensed including the ingredient cost (the Actual Acquisition Cost or the Wholesalers List Price), the mark-up and the Provider’s Dispensing Fee; and (ii) in respect of any Covered Services the Provider’s professional fee for a cash paying customer having the financial capacity to pay such fee for the provision of such Covered Services to such customer, given the nature of such Covered Service and the time involved in providing same.

Usual and Customary Retail Price means (i) in respect of any Covered Medication, the lowest retail price (including ingredient cost, markup and your Usual and Customary Professional Fee) which you will accept from any cash paying customer for such Covered Medication dispensed by you, in the quantity dispensed on the date it is dispensed, including any discounts or special promotions offered by you on such date, and (ii) in respect of any Covered Advice, the lowest professional fee which you will accept from any cash paying customer having the financial capacity to pay such fee for the provision of such Advice to such customer, given the nature of such Advice and the time involved in providing the same.

Usual and Customary Retail Price or “U&C” means the usual and customary retail price charged by a Participating Pharmacy or pharmacy in the Contractor’s applicable national pharmacy network outside of the Primary Service Area for a Covered Drug in a cash transaction (in the quantity dispensed) on the date the drug is dispensed as reported to the Contractor by such pharmacy, including any discounts or special promotions offered on such date.