Mail Order Pharmacy Program Sample Clauses
Mail Order Pharmacy Program. The Contractor may propose to develop a voluntary mail order pharmacy program for the Contractor’s Enrollees in accordance with EOHHS requirements. Pharmacy co-payments must be in the same amounts as the pharmacy co-payments established by EOHHS for Members not enrolled in an Accountable Care Partnership Plan or MassHealth-contracted MCO. See 130 CMR 450.130. The Contractor must continue to assure adequate access to pharmacy services for all Enrollees, regardless of whether the Enrollee chooses to receive mail order pharmacy services.
a. As a part of its proposal, the Contractor must submit to EOHHS a description of the mail order pharmacy program. At a minimum, such description shall include:
Mail Order Pharmacy Program. The mail-order prescription 22 medication program offered through Merck-Medco, Inc., shall be offered to 23 MTEA-represented employees enrolled in the comprehensive indemnity/PPO plan 24 and shall require a five dollar ($5) generic and seven dollars ($7) brand name co- 25 payment by employees/dependents for a ninety (90)-day supply of medication per
Mail Order Pharmacy Program. Effective November 1, 18 2005, the mail-order prescription medication program offered through Medco 19 shall be offered to MTEA-represented employees enrolled in the PPO 20 indemnity health plan and shall require a $10 generic and $20 brand name co- 21 payment by employees/dependents for a 90-day supply of medication per 22 prescription. Medication shipments shall continue to be provided at no cost to 23 employees/dependents. 25 If it is determined by the Board's consultant that a majority of the 75 most 26 utilized prescription medications are more expensive when obtained from the 27 mail-order program than when obtained from the pharmacy management 28 prescription drug program (8 above) and the MTEA's consultant concurs with 29 this finding, the MTEA agrees to reopen negotiations on the mail-order 30 pharmacy program, within ten workdays of such concurrence, to explore and 31 agree upon ways to control costs in this program. 33 Dispute Resolution Procedure:
Mail Order Pharmacy Program. Pharmacy Benefit Manager will provide a Mail Order Pharmacy Program as further described in Exhibit A.
Mail Order Pharmacy Program