Drug Benefits definition

Drug Benefits means those drugs, drug products and/or products discussed, described and/or defined in writing, from time to time, in the Coverage including, without limitation, those which must be Dispensed.
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Drug Benefits. Drug Benefits means drugs that have been:
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Drug Benefits means drugs as defined in Section 3.1.
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Examples of Drug Benefits in a sentence

  • If your Employer selected the optional Prescription Drug Benefits Rider, and Blue Shield denies an exception request for coverage of a non-Formulary Drug, you may submit a grievance requesting an external exception request review.

  • Family planning services may also be covered under the Preventive Health Services Benefit and the Prescription Drug Benefits Rider, if your Employer selected it as an optional Benefit.

  • Asthma inhalers and inhaler spacers are covered under the Prescription Drug Benefits Rider, if your Employer selected it as an optional Benefit.

  • All claim types are eligible to be processed through Inter-Plan Arrangements, as described above, except for all Dental Care Benefits, and those Prescription Drug Benefits or Vision Care Benefits that may be administered by a third party contracted by us to provide the specific service or services.

  • Prescription Drug Benefits* Your Cost Plan-year out-of-pocket maximum $1,000 per member $2,000 per family At designated retail pharmacies (up to a 30-day formulary supply for each prescription or refill) No deductible $10 for Tier 1** $30 for Tier 2 $65 for Tier 3 Through the designated mail service pharmacy (up to a 90-day formulary supply for each prescription or refill) No deductible $25 for Tier 1** $75 for Tier 2 $165 for Tier 3 * Cost share waived for certain orally-administered anticancer drugs.

  • For grievances due to denial of coverage for a Non-Formulary Drug: If your Employer selected the optional Outpatient Prescription Drug Benefits Supplement as a Benefit and Blue Shield denies an exception request for coverage of a Non-Formulary Drug, the Member, representative, or the Provider may submit a grievance requesting an external ex- ception request review.

  • Inter-Plan Arrangements Eligibility – Claim Types All claim types are eligible to be processed through Inter-Plan Arrangements, as described above, except for all Dental Care Benefits except when paid as medical claims/benefits, and those Prescription Drug Benefits or Vision Care Benefits that may be administered by a third party contracted by BCN to provide the specific service or services.

  • Note: If medications are prescribed, and your Employer selected the optional Outpatient Pre- scription Drug Benefits Supplement as a Bene- fit, the applicable Copayment or Coinsurance will apply.

  • Prescription Drug Benefits - All of the health care plans offer prescription benefits.

  • The contribution will provide active employees with the following benefits pursuant to and in accord with the Benefit Plan maintained by the Teams Local Union No. 856 Health and Welfare Trust Fund: Health & Welfare Plan D Prescription Drug Benefits Vision Care Benefits Domestic Partner Coverage Retiree Health & Welfare The employer shall not be liable for any increase in health and welfare contributions in excess of the amount set forth in this Section.


More Definitions of Drug Benefits

Drug Benefits. The current prescription drug benefits for each plan administered by Medco will remain in effect for 2006. • Requirements: PG&E can only receive the subsidy for Medicare eligible retirees and dependents who do not enroll in a Medicare Part 0 plan. In addition, PG&E must have the Social Security Number of each retiree and each dependent to receive the Medicare Part 0 SUbsidy for the individual. Therefore, if a retiree or dependent enrolls in a Part 0 plan or PG&E does not have his or her Social Security Number, s/he will be disenrolled from the PG&E retiree medical plans. Retirees who are disenrolled can reenroll the following year by 1) dropping Medicare Part 0 and 2) notifying the PG&E HR Service Center by September 1 of their intent to enroll in PG&E medical in the upcoming Open Enrollment period. • Administration: PG&E will determine and manage the administrative processes associated with Medicare Part D. October 10, 2005 • LTO Members: PG&E will reduce the premium equivalent of Medicare eligible LTOers by the value of the net subsidy. LTOers will pay their agreed-to medical premium contribution based on the reduced premium.
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Drug Benefits. HMO Medicare members will receive the Medicare approved plan option that is closest to the current prescription plan option. • LTO Members: Both LTO-Medicare eligible members as well as Medicare retirees are eligible to participate in a Medicare Part 0 enhanced HMO plan. • Federal Government Changes: Both the Federal Government and the HMOs are still finalizing processes and benefits. If this lack of finalization materially changes the Parties' agreement, the parties will re-open discussions. If you are in accord with the foregoing and agree thereto, please so indicate in the space provided and return one executed copy of this letter to the company. LOCAL UNION NO. 1245, INTERNATIONAL BROTHERHOOD OF ELECTRICAL WORKERS, AFL-CIO BY:~"~' PerryZi an
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Related to Drug Benefits

  • Health Benefits means health maintenance organization, insured or self-funded medical, dental, vision, prescription drug and behavioral health benefits.

  • Medical Benefits means medical, optical, or dental benefits, including, but not limited to, hospital and physician services, prescription drugs, and related benefits.

  • Essential Health Benefits means, under section 1302(b) of the Patient Protection and Affordable Care Act, those health benefits to include at least the following general categories and the items and services covered within the categories: ambulatory patient services; Emergency Services; hospitalization; maternity and newborn care; mental health and substance abuse disorder services, including behavioral health treatment; prescription drugs; rehabilitative and habilitative services and devices; laboratory services; preventive and wellness services and chronic disease management; and pediatric services, including oral and vision care.

  • Gap medical benefits means the benefits (if any) payable in respect of medical expenses that are less than, greater than or equal to the schedule fee, provided always that the medical expenses relate to a professional service that:

  • Fringe benefits means the amount of:

  • Health and Welfare Benefits means any form of insurance or similar benefit programs, which may include but not be limited to, medical, hospitalization, surgical, prescription drug, dental, optical, psychiatric, life, or long-term disability.

  • Severance Benefits mean the payment of severance compensation as provided in Section 2.3 herein.

  • Health benefits plan means a benefits plan which pays or

  • Medical Benefits Schedule means the Medicare Schedule of Benefits produced by the Department of Health to which all fees and benefits relate for inpatient hospital services.

  • Separation Benefits has the meaning accorded such term in Section 3.04.

  • Employment benefits means all benefits provided or made

  • Covered benefits or “benefits” means those health care services to which a covered person is entitled under the terms of a health benefit plan.

  • Welfare Benefits means the types of benefits described in Section 3(1) of ERISA (whether or not covered by ERISA).

  • Additional gap medical benefits means the benefits (if any) payable in respect of medical expenses that are more than the schedule fee and which otherwise meet the requirements of the fund’s no or known gap policy, provided always that the medical expenses relate to a professional service that:

  • Social Security Benefits means any social insurance, pension insurance benefits, medical insurance benefits, work-related injury insurance benefits, maternity insurance benefits, unemployment insurance benefits and public housing reserve fund benefits or similar benefits, in each case as required by any applicable Law or contractual arrangements.

  • Compensation and Benefits Programs means all compensation and benefit plans, policies, and programs of the Debtors, and all amendments and modifications thereto, applicable to the Debtors’ employees, former employees, retirees, and non-employee directors and the employees, former employees and retirees of their subsidiaries, including all savings plans, retirement plans, health care plans, disability plans, and incentive plans, deferred compensation plans, and life, accidental death, and dismemberment insurance plans.

  • Retirement Benefits means benefits paid by reference to reaching, or the expectation of reaching, retirement or, where they are supplementary to those benefits and provided on an ancillary basis, in the form of payments on death, disability, or cessation of employment or in the form of support payments or services in case of sickness, indigence or death. In order to facilitate financial security in retirement, these benefits may take the form of payments for life, payments made for a temporary period, a lump sum, or any combination thereof;

  • Basic health benefit plan means any plan offered to an individual, a small group,

  • Basic Conditions of Employment Act means the Basic Conditions of Employment Act, 1997 (Act No. 75 of 1997);

  • Disability benefits means any cash payments which are payable to a covered individual for all or part of a period of disability pursuant to P.L.1948, c.110 (C.43:21-25 et al.).

  • Severance Benefit means the payment of severance compensation as provided in Article III.

  • superannuation benefits means pensions, gratuities and other allowances payable on resignation, retirement or death;

  • Additional Benefits means quantifiable and verifiable enhancement of conservation of biodiversity and/or improvement of local livelihoods realized as a result of implementation of the REDD activities;

  • Regular benefits ’ means benefits payable to an individual under this act or under any other state law, including benefits payable to federal civilian employees and to ex-servicemen pursuant to 5 U.S.C. chapter 85, other than extended benefits.

  • Change in Control Benefits means the following benefits:

  • Termination Benefits means the benefits described in Section 4.1(b).