Common use of Pharmacy Coverage Clause in Contracts

Pharmacy Coverage. a. Pharmacy Coverage Prescription, over-the-counter, diabetic and other drug related supplies (as defined by the Department), medication therapy management and provider administered drugs under Article IV, A.1.o, is carved out of the capitation rate for all BadgerCare Pus and/or Medicaid SSI members and will be paid on a fee-for-service basis. Per Article III, section C, the HMO must coordinate the services it provides to members with services a member receives through Medicaid Fee-for-Service.

Pharmacy Coverage. a. Pharmacy Coverage Prescription, over-the-counter, diabetic and other drug related supplies (as defined by the Department), medication therapy management and provider administered drugs under Article IV, A.1.o, is carved out of the capitation rate for all BadgerCare Pus and/or Medicaid SSI members and will be paid on a fee-for-service basis. Per Article III, section C, the HMO must coordinate the services it provides to members with services a member receives through Medicaid Fee-for-Service.