Prescription Medications. Medications whose sale and use are legally restricted to the order of a physician.
Prescription Medications. Retail Prescription Medications may be covered when accompanied by a prescription from your Attending Physician, subject to the cost-sharing shown in the Schedule of Benefits. Allergy serums and chemotherapy for cancer patients are covered under your medical benefits. Coverage for insulin and other diabetic supplies is described in Part IX., under Diabetic Supplies. Certain preventive medications that have an ‘A’ or ‘B’ rating in current recommendations of the USPSTF, may be covered at no cost to you when deemed Medically Necessary and accompanied by a prescription from your Attending Physician. See Part XII.
Prescription Medications. Retail Prescription Medications may be covered when accompanied by a prescription from your Attending Physician, subject to the cost-sharing shown in your Schedule of Benefits. Certain preventive medications that have an ‘A’ or ‘B’ rating in current recommendations of the USPSTF, may be covered at no cost to you when deemed Medically Necessary and accompanied by a prescription from your Attending Physician. Coverage for insulin and other diabetic supplies is described in Part IX., under Diabetic Supplies. Allergy serums and chemotherapy for cancer patients are covered under your medical benefits. See Part XII.
Prescription Medications. (a) The Authority may publish and from time to time amend a list of medications whose usage by an employee must be reported by him/her to a designated Authority representative.
Prescription Medications. Commercial vehicle drivers taking legally prescribed medication issued by a licensed health care professional familiar with the driver’s work related responsibilities must report such to their immediate supervisor or dispatcher, and may be required to present written evidence from the health care professional which describes the effects such medications may have on the driver’s ability to perform his/her tasks. In the sole discretion of the Alcohol and Drug Program Administrator, a driver may be temporarily removed, with pay, from a safety sensitive position if deemed appropriate.
Prescription Medications. Coverage of Prescription Medication benefits is applicable under this Contract if the Subscribing Group elected, through the Master Application, to add coverage of AvMed pharmacy medication benefits. Retail Prescription Medications may be covered when accompanied by a prescription from your Attending Physician. Coverage of retail Prescription Medications is subject to the cost-sharing shown in your Prescription Medication Amendment. Allergy serums and chemotherapy for cancer patients are covered. Coverage for insulin and other diabetic supplies is described in Section 9.14. Certain preventive medications that have an ‘A’ or ‘B’ rating in current recommendations of the USPSTF may be covered at no cost to you when deemed Medically Necessary and accompanied by a prescription from your Attending Physician. See Part XII. PHARMACY MEDICATION BENEFITS for additional information.
Prescription Medications. Retail Prescription Medications may be covered when accompanied by a prescription from your Attending Physician. Coverage of retail Prescription Medications is subject to the cost-sharing shown in your Schedule of Benefits. Allergy serums and chemotherapy for cancer patients are covered. Coverage for insulin and other diabetic supplies is described in Section 9.14. Certain preventive medications that have an ‘A’ or ‘B’ rating in current recommendations of the USPSTF may be covered at no cost to you when deemed Medically Necessary and accompanied by a prescription from your Attending Physician. See Part XII. PHARMACY MEDICATION BENEFITS for additional information.
Prescription Medications. Retail Prescription Medications may be covered when accompanied by a prescription from your Attending Physician, subject to the cost-sharing shown in the Prescription Medication Amendment to this Contract. Allergy serums and chemotherapy for cancer patients
Prescription Medications. Medications ordered by a PCP, attending physician or dentist, other authorized prescriber and dispensed under the direction of a licensed pharmacist are covered subject to limitations related to prescription supply amounts, Contractor formularies and prior authorization requirements. An Appropriate over-the-counter medication may be prescribed as defined in the AMPM when it is determined to be a lower- cost alternative to a prescription medication. Medicare Part D: AHCCCS covers those drugs ordered by a PCP, attending physician, dentist or other authorized prescriber and dispensed under the direction of a licensed pharmacist subject to limitations related to prescription supply amounts, and the Contractor’s prior authorization requirements if they are excluded from Medicare Part D coverage. Medications that are covered by Part D, but are not on a specific Part D Health Plan’s formulary are not considered excluded drugs and will not be covered by AHCCCS. This applies to members who are enrolled in Medicare Part D or are eligible for Medicare Part D. See AMPM Chapter 300, Section 310-V. Primary Care Provider (PCP): PCP services are covered when provided by a physician, physician assistant or nurse practitioner selected by, or assigned to, the member. The PCP provides primary health care and serves as a coordinator in referring the member for specialty medical services [42 CFR 438.208(b)]. The PCP is responsible for maintaining the member’s primary medical record, which contains documentation of all health risk assessments and health care services of which they are aware whether or not they were provided by the PCP.
Prescription Medications. Retail Prescription Medications may be covered when accompanied by a prescription from your Attending Physician, subject to the cost-sharing shown in the Prescription Medication Amendment to this Contract. Allergy serums and chemotherapy for cancer patients are covered under your medical benefits. Coverage for insulin and other diabetic supplies is described in Part IX., under Diabetic Supplies. Certain preventive medications that have an ‘A’ or ‘B’ rating in current recommendations of the USPSTF, may be covered at no cost to you when deemed Medically Necessary and accompanied by a prescription from your Attending Physician. See Part XII.
