Common use of Designated Pharmacy Clause in Contracts

Designated Pharmacy. We may limit your selection of a pharmacy to one (1) pharmacy, referred to as Pharmacy Home Assignment. Those members subject to this designation include, but are not limited to, members that have a history of: • being prescribed prescription drugs by multiple physicians; • having prescriptions drugs filled at multiple pharmacies; • being prescribed certain long acting opioids and other controlled substances, either in combination or separately, that suggests a need for monitoring due to: o quantities dispensed; o daily dosage range; or o the duration of therapy exceeds reasonable and established thresholds. Covered Over-the-Counter (OTC) Drugs In accordance with PPACA, certain preventive over-the-counter (OTC) drugs when prescribed by a physician are covered. To obtain a specific list of the OTC drugs that are covered, call our Customer Service Department or visit our Web site at xxx.XXXXXX.xxx.

Appears in 6 contracts

Samples: Subscriber          Agreement, Subscriber          Agreement, Subscriber          Agreement

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Designated Pharmacy. We may limit your selection of a pharmacy to one (1) pharmacy, referred to as Pharmacy Home Assignment. Those members subject to this designation assignment include, but are not limited to, members that have a history of: • being prescribed prescription drugs by multiple physicians; • having prescriptions drugs filled at multiple pharmacies; • being prescribed certain long acting opioids and other controlled substances, either in combination or separately, that suggests a need for monitoring due to: o quantities dispensed; o daily dosage range; or o the duration of therapy exceeds reasonable and established thresholds. Covered Over-the-Counter (OTC) Drugs In accordance with PPACA, certain preventive over-the-counter (OTC) drugs when prescribed by a physician are covered. To obtain a specific list of the OTC drugs that are covered, call our Customer Service Department or visit our Web site at xxx.XXXXXX.xxx.

Appears in 3 contracts

Samples: Subscriber          Agreement, Subscriber          Agreement, Subscriber          Agreement

Designated Pharmacy. We may limit your selection of a pharmacy to one (1) pharmacy, referred to as Pharmacy Home Assignment. Those members subject to this designation include, but are not limited to, members that have a history of: • being prescribed prescription drugs by multiple physicians; • having prescriptions drugs filled at multiple pharmacies; • being prescribed certain long acting opioids and other controlled substances, either in combination or separately, that suggests a need for monitoring due to: o quantities dispensed; o daily dosage range; or o the duration of therapy exceeds reasonable and established thresholds. Covered Over-the-Counter (OTC) Drugs In accordance with PPACA, certain preventive over-the-counter (OTC) drugs when prescribed by a physician are covered. To obtain a specific list of the OTC drugs that are covered, call our Customer Service Department or visit our Web site at xxx.XXXXXX.xxxwebsite.

Appears in 1 contract

Samples: Subscriber    Agreement

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Designated Pharmacy. We may limit your selection of a pharmacy to one (1) pharmacy, referred to as Pharmacy Home Assignment. Those members subject to this designation assignment include, but are not limited to, members that have a history of: being prescribed prescription drugs by multiple physicians; having prescriptions drugs filled at multiple pharmacies; being prescribed certain long acting opioids and other controlled substances, either in combination or separately, that suggests a need for monitoring due to: o quantities dispensed; o daily dosage range; or o the duration of therapy exceeds reasonable and established thresholds. Covered Over-the-Counter (OTC) Drugs In accordance with PPACA, certain preventive over-the-counter (OTC) drugs when prescribed by a physician are covered. To obtain a specific list of the OTC drugs that are covered, call our Customer Service Department or visit our Web site at xxx.XXXXXX.xxx.

Appears in 1 contract

Samples: Subscriber Agreement

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