Prescription Drugs and Diabetic Equipment and Supplies. Prescription drugs and diabetic Equipment and Supplies dispensed at a pharmacy. See Summary of Pharmacy Benefits for prescription drugs purchased at a retail, specialty, or mail order pharmacy. Prescription drugs dispensed and administered by a licensed health care provider (other than a pharmacist), and not purchased from a retail, specialty or mail order pharmacy: Injectable drugs* 0% - After deductible Not Covered Infused drugs* 0% - After deductible Not Covered Medications other than injected and infused rugs* Are included in the allowance for the medical service being rendered. Are included in the allowance for the medical service being rendered.
Appears in 1 contract
Samples: Subscriber Agreement
Prescription Drugs and Diabetic Equipment and Supplies. Prescription drugs and diabetic Equipment and Supplies dispensed at a pharmacy. See Summary of Pharmacy Benefits for prescription drugs purchased at a retail, specialty, or mail order pharmacy. Prescription drugs dispensed and administered by a licensed health care provider (other than a pharmacist), and not purchased from a retail, specialty or mail order pharmacy: Injectable drugs* 010% - After deductible Not Covered Infused drugs* 010% - After deductible Not Covered Medications other than injected and infused rugs* Are included in the allowance for the medical service being rendered. Are included in the allowance for the medical service being rendered.
Appears in 1 contract
Samples: Subscriber Agreement
Prescription Drugs and Diabetic Equipment and Supplies. Prescription drugs and diabetic Equipment equipment and Supplies supplies dispensed at a pharmacy. See Summary of Pharmacy Benefits for prescription drugs purchased at a retail, specialty, or mail order pharmacy. Prescription drugs dispensed and administered by a licensed health care provider (other than a pharmacist), and not purchased from a retail, specialty or mail order pharmacy: Injectable drugs* 020% 20% - After deductible Not Covered Infused drugs* 020% 20% - After deductible Not Covered Medications other than injected and infused rugsdrugs* Are included in the allowance for the medical service being rendered. Are included in the allowance for the medical service being rendered.
Appears in 1 contract
Samples: Subscriber Agreement
Prescription Drugs and Diabetic Equipment and Supplies. Prescription drugs and diabetic Equipment equipment and Supplies supplies dispensed at a pharmacy. See Summary of Pharmacy Benefits for prescription drugs purchased at a retail, specialty, or mail order pharmacy. Prescription drugs dispensed and administered by a licensed health care provider (other than a pharmacist), and not purchased from a retail, specialty or mail order pharmacy: Injectable drugs* 020% - After deductible Not Covered Infused drugs* 020% - After deductible Not Covered Medications other than injected and infused rugsdrugs* Are included in the allowance for the medical service being rendered. Are included in the allowance for the medical service being rendered.
Appears in 1 contract
Samples: Subscriber Agreement