Prescription Drug Program. 1. It is agreed that the State shall continue the Prescription Drug Benefit Program during the period of this Agreement. The program shall be funded and administered by the State. It shall provide benefits to all eligible unit employees and their eligible dependents. Each prescription required by competent medical authority for Federal legend drugs shall be paid for by the State from funds provided for the Program subject to a deductible provision which shall not exceed $5.00 per prescription or renewal of such prescription and further subject to specific procedural and administrative rules and regulations which are part of the Program.
Prescription Drug Program. The State administered Prescription Drug Program shall be continued in keeping with the legislative appropriation.
Prescription Drug Program. The Hospital shall participate in the prescription program that is provided through the State Health Benefits Program during the life of this agreement in accordance with the Plan administered by the State Health Benefits Program. Participation is subject to continuation of the program by the State Health Benefits Plan, and subject to all applicable rules and regulations. Should negotiations or legislative action change these benefits for employees during the life of this contract, the benefits for eligible members of the unit shall change accordingly.
Prescription Drug Program. The Board will provide faculty members with a Prescription Drug Program. This program shall have a co-payment no greater than that agreed to by the State of New Jersey for its own employees.
Prescription Drug Program. A. General
Prescription Drug Program. University Hospital will participate in the Prescription Drug Program administered by the State.
Prescription Drug Program. A freestanding prescription drug program is offered with all three health insurance options. The benefit is a three-tier formulary program with a $10 co-pay for Tier One drugs, a $20 co-pay for Tier Two drugs, and a $35 co-pay for Tier Three drugs. The benefit is limited to a 30-day supply at retail pharmacies and a 90-day supply with 2 co-pays for Tier Two and Tier Three drugs and one co-pay for Tier One drugs through mail order. There are no lockouts, i.e., excluded drugs.
Prescription Drug Program. The Supplementary Health Plan will cover a prescription drug program, providing ninety (90%) percent coverage including a maximum limit of seven dollars and fifty cents ($7.50) for dispensing fees. The employee will be responsible for payment of all dispensing fees incurred over the seven dollar and fifty cent ($7.50) limit. This prescription drug program will cover cost of “generic equivalent” drugs which are prescribed by a legally licensed medical practitioner or chiropractor, and will cover drugs which require a legal prescription only as defined by the Ontario College of Pharmacy. Coverage for brand-name drugs will only be permitted with a doctor’s prescription that must state “no-substitutes”. No drugs which are deemed “over the counter” will be covered by this plan regardless of whether or not they are prescribed. Effective September 1, 2002, a pay direct prescription drug card will be issued to all eligible employees to be utilized at pharmacies who honour this card system. The employee or eligible dependent will be required to pay 10% of the cost of each prescription and any dispensing fee exceeding $7.50. In instances where the prescription drug card system cannot be utilized, the claim may be submitted to the insurance carrier on the prescribed form for reimbursement of 90% of the total cost, including the limit on the dispensing fee of $7.50. Coordination of benefits will apply to both the prescription drug card and the reimbursement system. Claims will be submitted to the insurance carrier on the forms prescribed for reimbursement.
Prescription Drug Program. Subject to 5 (a), (b), (c) and (d) the Company agrees to reimburse an employee for the full cost of prescription drugs not available over-the-counter (and excluding birth control pills or cigarette stop-smoking drugs or aids) required by the employee, his or her current spouse living at home and the employee's children under the age of twenty-one (21), living at home, attending school and not employed.
Prescription Drug Program. Non-Network If a covered individual does not use a network pharmacy, the covered individual must submit a claim to the Pharmacy Benefits Manager. If a covered individual's prescription was filled with a generic drug or a preferred brand-name or a non-preferred brand-name drug with no generic equivalent, the covered individual will be reimbursed up to the amount the program would reimburse a network pharmacy for that prescription. If the covered individual's prescription was filled with a preferred brand-name or a non-preferred brand-name drug that has a generic equivalent, the covered individual will be reimbursed up to the amount the program would reimburse a network pharmacy for filling the prescription with the drug's generic equivalent.
