Common use of Prescription Drugs Administered by a Provider Clause in Contracts

Prescription Drugs Administered by a Provider. (other than a pharmacy) This plan covers prescription drugs dispensed and administered by a licensed healthcare provider (other than a pharmacy) with preauthorization. Coverage varies based upon how the prescription drug is administered, as described below. When a prescription drug is provided through inhalation, nasal, ocular, oral, rectal, vaginal, sublingual, topical, or transdermal administration, coverage for the prescription drug is included in our allowance for the medical service being rendered. If the only service you receive is administration of the drug, the prescription drug is not covered. When a prescription drug is administered by injection or infusion, this plan covers the prescription drug separately from the medical service being rendered. See the Summary of Medical Benefits for benefit limits and the amount you pay. Specialty prescription drugs are not separately reimbursed when dispensed by a professional provider unless bought from a network pharmacy.

Prescription Drugs Administered by a Provider. (other than Other Than a pharmacyPharmacy) This plan covers prescription drugs dispensed and administered by a licensed healthcare provider (other than a pharmacy) with preauthorization. Coverage varies based upon how the prescription drug is administered, as described below. When a prescription drug is provided through inhalation, nasal, ocular, oral, rectal, vaginal, sublingual, topical, or transdermal administration, coverage for the prescription drug is included in our allowance for the medical service being rendered. If the only service you receive is administration of the drug, the prescription drug is not covered. When a prescription drug is administered by injection or infusion, this plan covers the prescription drug separately from the medical service being rendered. See the Summary of Medical Benefits for benefit limits and the amount you pay. Specialty prescription drugs are not separately reimbursed when dispensed by a professional provider unless bought from a network participating pharmacy.