AvMed Standard Formulary Sample Clauses

AvMed Standard Formulary. The current formularies in both HMO and POS plans will be removed and all member’s/dependent’(s) plans will use AvMed’s Standard Formulary. The member/dependent(s) whose medication is not on the AvMed Standard Formulary, with physician’s recommendation, will be transitioned to a similar medication that is on the AvMed Standard Formulary. For those members/dependents whose medication does not have a similar medication available, will be allowed to continue with current medication, “grandfathered,” until such time the course of treatment is completed and/or no longer needed.
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Related to AvMed Standard Formulary

  • Prescription Drugs The agreement may impose a variety of limits affecting the scope or duration of benefits that are not expressed numerically. An example of these types of treatments limit is preauthorization. Preauthorization is applied to behavioral health services in the same way as medical benefits. The only exception is except where clinically appropriate standards of care may permit a difference. Mental disorders are covered under Section A. Mental Health Services. Substance use disorders are covered under Section

  • Prescription Drug any drugs or medications ordered by a Professional Provider by means of a valid prescription order, bearing the Federal legend: “Caution - Federal law prohibits dispensing without a prescription,” or legend drugs under applicable state law and dispensed by a licensed pharmacist. Also included are prescribed insulin and other pharmacological agents used to control blood sugar, diabetic supplies and insulin syringes.

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