Retail Pharmacy Network Sample Clauses

Retail Pharmacy Network. C.6.5.1. The Contractor shall establish and maintain a retail pharmacy network throughout the 50 United States, the District of Columbia, Puerto Rico, the U.S. Virgin Islands, and Guam. The Contractor shall provide network retail pharmacy services in American Samoa and the Northern Mariana Islands when they become eligible. The Contractor’s retail pharmacy network shall meet the following four minimum access standards (see definitions (Access Standards)XXX, Appendix B):
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Retail Pharmacy Network. S2 The name of your pharmacy network is listed above. To find a network pharmacy, or find up‑to‑date information about our network pharmacies, please call Member Services at the number on the back of your member ID card or consult the online Pharmacy Directory at XxxxxXxxx.xxx/Xxxxxxxxx. Every drug on the plan’s Drug List is in one of the cost‑sharing tiers described below: To find out which cost‑sharing tier your drug is in, look it up in the plan’s Drug List. If your covered drug costs less than the copayment amount listed in the chart, you will pay that lower price for the drug. You pay either the full price of the drug or the copayment amount, whichever is lower. Important Message About What You Pay for Vaccines — Our plan covers most Part D vaccines at no cost to you. Call Member Services for more information. Initial Coverage Stage: Amount you pay, up to $5,030 in total covered prescription drug expenses. Initial Coverage One‑Month Supply Extended Supply Standard retail cost sharing (in‑network) (up to a 30‑day supply) Long‑term care (LTC) cost sharing (up to a 31‑day supply) Out‑of‑ network cost sharing* (up to a 30‑day supply) Standard retail or standard mail order cost sharing (up to a 90‑day supply) Preferred mail order cost sharing (up to a 90‑day supply) Tier 1 Preferred Generic drugs You pay $2 You pay $2 You pay $2 You pay $4 You pay $4 Tier 2 Generic drugs You pay $10 You pay $10 You pay $10 You pay $20 You pay $20 Tier 3 Preferred Brand drugs You pay $40 You pay $40 You pay $40 You pay $80 You pay $80 Tier 4 Non‑Preferred Brand drugs You pay $75 You pay $75 You pay $75 You pay $150 You pay $150 Tier 5 Specialty drugs ‑ Includes high‑cost/unique brand and generic drugs You pay 25%, but not more than $350, for your drug You pay 25%, but not more than $350, for your drug You pay 25%, but not more than $350, for your drug Limited to one‑month supply Limited to one‑month supply You won't pay more than $35 for a one‑month supply or $105 for up to a three‑month supply of each covered insulin product regardless of the cost‑sharing tier. *Out‑of‑network coverage is limited to certain situations. See the Evidence of Coverage Chapter 5, Section
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Retail Pharmacy Network. Both parties agree to offer a comprehensive network of retail pharmacies which shall provide access, in accordance with Benefit Program requirements, to Medicare Part D beneficiaries.
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Retail Pharmacy Network 
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Related to Retail Pharmacy Network

  • Pharmacy Pharmacy hereby represents that neither Pharmacy, nor, to the best of Pharmacy’s knowledge, Pharmacist, Pharmacy’s employees, agents or independent contractors involved in the provision of services have been excluded from participation in any Federally-funded health care programs, including, but not limited to, Medicare and Medicaid.

  • Pharmacy Services The Contractor shall establish a network of pharmacies. The Contractor or its PBM must provide at least two (2) pharmacy providers within thirty (30) miles or thirty (30) minutes from a member’s residence in each county, as well as at least two (2) durable medical equipment providers in each county or contiguous county.

  • Purchase Order Flip via Ariba Network (AN) The online process allows suppliers to submit invoices via the AN for catalog and non- catalog goods and services. Contractors have the ability to create an invoice directly from their Inbox in their AN account by simply “flipping” the purchase order into an invoice. This option does not require any special software or technical capabilities. For the purposes of this section, the Contractor warrants and represents that it is authorized and empowered to and hereby grants the State and the third-party provider of MFMP the right and license to use, reproduce, transmit, distribute, and publicly display within the system the information outlined above. In addition, the Contractor warrants and represents that it is authorized and empowered to and hereby grants the State and the third-party provider the right and license to reproduce and display within the system the Contractor’s trademarks, system marks, logos, trade dress, or other branding designation that identifies the products made available by the Contractor under the Contract.

  • Online Services Microsoft warrants that each Online Service will perform in accordance with the applicable SLA during Customer’s use. Customer’s remedies for breach of this warranty are in the SLA. The remedies above are Customer’s sole remedies for breach of the warranties in this section. Customer waives any breach of warranty claims not made during the warranty period.

  • Telemedicine Services This plan covers clinically appropriate telemedicine services when the service is provided via remote access through an on-line service or other interactive audio and video telecommunications system in accordance with R.I. General Law § 27-81-1. Clinically appropriate telemedicine services may be obtained from a network provider, and from our designated telemedicine service provider. When you seek telemedicine services from our designated telemedicine service provider, the amount you pay is listed in the Summary of Medical Benefits. When you receive a covered healthcare service from a network provider via remote access, the amount you pay depends on the covered healthcare service you receive, as indicated in the Summary of Medical Benefits. For information about telemedicine services, our designated telemedicine service provider, and how to access telemedicine services, please visit our website or contact our Customer Service Department.

  • Customer Services Customer Relationship Management (CRM): All aspects of the CRM process, including planning, scheduling, and control activities involved with service delivery. The service components facilitate agencies’ requirements for managing and coordinating customer interactions across multiple communication channels and business lines. Customer Preferences: Customizing customer preferences relative to interface requirements and information delivery mechanisms (e.g., personalization, subscriptions, alerts and notifications).

  • Support Services HP’s support services will be described in the applicable Supporting Material, which will cover the description of HP’s offering, eligibility requirements, service limitations and Customer responsibilities, as well as the Customer systems supported.

  • Hospice Services Services are available for a Member whose Attending Physician has determined the Member's illness will result in a remaining life span of six months or less.

  • Verizon OSS Services Access to Verizon Operations Support Systems functions. The term “Verizon OSS Services” includes, but is not limited to: (a) Verizon’s provision of Reconex Usage Information to Reconex pursuant to Section 8.1.3 below; and, (b) “Verizon OSS Information”, as defined in Section 8.1.4 below.

  • Products and Services General Information The Vendor Agreement (“Agreement”) made and entered into by and between The Interlocal Purchasing System (hereinafter “TIPS”) a government cooperative purchasing program authorized by the Region 8 Education Service Center, having its principal place of business at 0000 XX Xxx 000 Xxxxx, Xxxxxxxxx, Xxxxx 00000 and the TIPS Vendor. This Agreement consists of the provisions set forth below, including provisions of all attachments referenced herein. In the event of a conflict between the provisions set forth below and those contained in any attachment, the provisions set forth shall control unless otherwise agreed by the parties in writing and by signature and date on the attachment. A Purchase Order (“PO”), Agreement or Contract is the TIPS Member’s approval providing the authority to proceed with the negotiated delivery order under the Agreement. Special terms and conditions as agreed between the Vendor and TIPS Member should be added as addendums to the Purchase Order, Agreement or Contract. Items such as certificate of insurance, bonding requirements, small or disadvantaged business goals are some, but not all, of the possible addendums.

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