Common use of Mail Order Clause in Contracts

Mail Order. You are responsible for paying the lower of: • The applicable Cost-Sharing; or • The Prescription Drug Cost for the Prescription Drug. (Your Cost-Sharing will never exceed the Usual and Customary Charge of the Prescription Drug.) To maximize Your benefit, ask Your Provider to write Your Prescription Order or Refill for a 90- day supply, with Refills when appropriate (not a 30-day supply with three (3) Refills). You will be charged the mail order Cost-Sharing for any Prescription Orders or Refills sent to the mail order Pharmacy regardless of the number of days supply written on the Prescription Order or Refill. Prescription Drugs purchased through mail order will be delivered directly to Your home or office. We will provide benefits that apply to drugs dispensed by a mail order Pharmacy to drugs that are purchased from a retail Pharmacy when that retail Pharmacy has a participation agreement with Us or Our vendor in which it agrees to be bound by the same terms and conditions as a Network mail order Pharmacy. You or Your Provider may obtain a copy of the list of Prescription Drugs available through mail order by visiting Our website at ▇▇▇.▇▇▇▇▇▇▇.▇▇▇ or by calling the number on Your ID card.

Appears in 3 contracts

Sources: Exclusive Provider Organization Policy, Exclusive Provider Organization Policy, Exclusive Provider Organization Policy