PHARMACY ALLOWANCE definition

PHARMACY ALLOWANCE means the lower of: • the amount the pharmacy charges for the prescription drug; • the amount we or our PBM have negotiated with a network pharmacy; or • the maximum amount we pay any pharmacy for that prescription drug.
PHARMACY ALLOWANCE means the lower of: • the amount the pharmacy charges for the prescription drug; or • the amount we or our PBM have negotiated with a network pharmacy . PHYSICIAN means any person licensed and registered as an allopathic or osteopathic physician (i.e. D.O or M.D.). For purposes of this plan, the term physician also includes a licensed dentist, podiatrist, chiropractic physician, nurse practitioner, or a physician assistant practicing.
PHARMACY ALLOWANCE means the lower of: • the amount the pharmacy charges for the prescription drug; • the amount we or our PBM have negotiated with a network pharmacy; or • the maximum amount we pay any pharmacy for that prescription drug. We may receive rebates for certain prescription drugs on our formulary. When you buy a prescription drug for which we receive a rebate, we may pass a portion of that rebate to you, through a reduction to the amount we or our PBM have negotiated with the network pharmacy. This reduction may result in a lower cost for you. We reserve the right to stop passing rebates to you any time if there is a change in our ability to receive these rebates, or there is a change in our contract with our PBM that impacts rebates.

More Definitions of PHARMACY ALLOWANCE

PHARMACY ALLOWANCE means the lower of:  the amount the pharmacy charges for the prescription drug;  the amount we or our PBM have negotiated with a network pharmacy; or  the maximum amount we pay any pharmacy for that prescription drug. We may receive rebates for certain prescription drugs on our formulary. When you buy a prescription drug for which we receive a rebate, we may pass a portion of that rebate to you, through a reduction to the amount we or our PBM have negotiated with the network pharmacy. This reduction may result in a lower cost for you. We reserve the right to stop passing rebates to you any time if there is a change in our ability to receive these rebates, or there is a change in our contract with our PBM that impacts rebates. PHYSICIAN means any person licensed and registered as an allopathic or osteopathic physician (i.e. D.O or M.D.). For purposes of this plan, the term physician also includes a licensed dentist, podiatrist, chiropractic physician, nurse practitioner, or a physician assistant.

Related to PHARMACY ALLOWANCE

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  • disability living allowance means a disability living allowance under section 71 of the SSCBA;

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  • Matching Contribution means Employer contributions made to this Plan or any other defined contribution plan by reason of Thrift Contributions or Elective Deferrals under this Plan.

  • Employer Contribution means the amount paid by an employer, as determined by the employer rate, including the normal and deficiency rates, contributions, and funds wherever used in this chapter.

  • Annual Payment The total amount payable to the Settlement Fund Administrator by the Settling Distributors on the Payment Date each year, as calculated by the Settlement Fund Administrator pursuant to Section IV.B.1.e. For the avoidance of doubt, this term does not include the Additional Restitution Amount or amounts paid pursuant to Section X.

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  • Annual Additions means the sum of the following amounts credited to a Participant for a Limitation Year:

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  • Employer Matching Contributions means the Employer matching contributions made to the Trust Fund pursuant to Article V (Employer Matching Contributions).

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