Common use of SPECIALTY PRESCRIPTION Clause in Contracts

SPECIALTY PRESCRIPTION. DRUG is a type of prescription drug in our formulary that generally is identified by, but not limited to, features such as:  being produced by DNA technology,  treats chronic or long term disease,  requires customized clinical monitoring and patient support, and  needs special handling. Generally, specialty pharmacies dispense specialty prescription drugs. Contact Customer Service for further details and information about specialty prescription drugs and specialty pharmacies. For the purposes of this agreement, we have designated certain prescribed prescription drugs to be specialty prescription drugs in our formulary. To obtain coverage information for any specific specialty prescription drug or to obtain a copy of the most current formulary listing, visit our Web site at XXXXXX.xxx. Or, you may call our Customer Service Department at (000) 000-0000 or 0-000-000-0000. Generic, Preferred Brand Name or Non-Preferred Brand Name Prescription Drugs Generic, preferred brand name, or non-preferred brand name prescription drugs we have approved that are dispensed and administered by a licensed health care provider (other than a pharmacy) are covered under this agreement, subject to the copayment and deductible (if any) shown in the Summary of Medical Benefits. The generic, preferred brand name, or non- preferred brand name prescription drug must be medically necessary and dispensed per our dispensing guidelines in order to be covered.

SPECIALTY PRESCRIPTION. DRUG is a type of prescription drug in our formulary that generally is identified by, but not limited to, features such as:  being produced by DNA technology,  treats chronic or long term disease,  requires customized clinical monitoring and patient support, and  needs special handling. Generally, specialty pharmacies dispense specialty prescription drugs. Contact Customer Service for further details and information about specialty prescription drugs and specialty pharmacies. For the purposes of this agreement, we have designated certain prescribed prescription drugs to be specialty prescription drugs in our formulary. To obtain coverage information for any specific specialty prescription drug or to obtain a copy of the most current formulary listing, visit our Web site at XXXXXX.xxx. Orwebsite, or you may call our Customer Service Department at (000) 000-0000 or 0-000-000-0000Department. Generic, Preferred Brand Name or Non-Preferred Brand Name Prescription Drugs Generic, preferred brand name, or non-preferred brand name prescription drugs we have approved that are dispensed and administered by a licensed health care provider (other than a pharmacy) are covered under this agreement, subject to the copayment and deductible (if any) shown in the Summary of Medical Benefits. The generic, preferred brand name, or non- preferred brand name prescription drug must be medically necessary and dispensed per our dispensing guidelines in order to be covered.

SPECIALTY PRESCRIPTION. DRUG is a type of prescription drug in our formulary that generally is identified by, but not limited to, features such as:  • being produced by DNA technology,  • treats chronic or long term disease,  • requires customized clinical monitoring and patient support, and  • needs special handling. Generally, specialty pharmacies dispense specialty prescription drugs. Contact Customer Service for further details and information about specialty prescription drugs and specialty pharmacies. For the purposes of this agreement, we have designated certain prescribed prescription drugs to be specialty prescription drugs in our formulary. To obtain coverage information for any specific specialty prescription drug or to obtain a copy of the most current formulary listing, visit our Web site at XXXXXX.xxx. Orwebsite, or you may call our Customer Service Department at (000) 000-0000 or 0-000-000-0000Department. Generic, Preferred Brand Name or Non-Preferred Brand Name Prescription Drugs Generic, preferred brand name, or non-preferred brand name prescription drugs we have approved that are dispensed and administered by a licensed health care provider (other than a pharmacy) are covered under this agreement, subject to the copayment and deductible (if any) shown in the Summary of Medical Benefits. The generic, preferred brand name, or non- preferred brand name prescription drug must be medically necessary and dispensed per our dispensing guidelines in order to be covered.

SPECIALTY PRESCRIPTION. DRUG is a type of prescription drug in our formulary that generally is identified by, but not limited to, features such as:  being produced by DNA technology,  treats chronic or long term disease,  requires customized clinical monitoring and patient support, and  needs special handling. Generally, specialty pharmacies dispense specialty prescription drugs. Contact Customer Service for further details and information about specialty prescription drugs and specialty pharmacies. For the purposes of this agreement, we have designated certain prescribed prescription drugs to be specialty prescription drugs in our formulary. To obtain coverage information for any specific specialty prescription drug or to obtain a copy of the most current formulary listing, visit our Web site at XXXXXX.xxx. Or, you may call our Customer Service Department at (000) 000-0000 or 0-000-000-0000. Generic, Preferred Brand Name Name, or Non-Preferred Brand Name Prescription Drugs Generic, preferred brand name, or non-preferred brand name prescription drugs we have approved that are dispensed and administered by a licensed health care provider (other than a pharmacy) are covered under this agreement, subject to the copayment and deductible (if any) shown in the Summary of Medical Benefits. The generic, preferred brand name, or non- preferred brand name prescription drug must be medically necessary and dispensed per our dispensing guidelines in order to be covered.

SPECIALTY PRESCRIPTION. DRUG is a type of prescription drug in our formulary that generally is identified by, but not limited to, features such as:  • being produced by DNA technology,  • treats chronic or long term disease,  • requires customized clinical monitoring and patient support, and  • needs special handling. Generally, specialty pharmacies dispense specialty prescription drugs. Contact Customer Service for further details and information about specialty prescription drugs and specialty pharmacies. For the purposes of this agreement, we have designated certain prescribed prescription drugs to be specialty prescription drugs in our formulary. To obtain coverage information for any specific specialty prescription drug or to obtain a copy of the most current formulary listing, visit our Web site at XXXXXX.xxx. Or, you may call our Customer Service Department at (000) 000-0000 or 0-0- 000-000-0000. Generic, Preferred Brand Name or Non-Preferred Brand Name Prescription Drugs Generic, preferred brand name, or non-preferred brand name prescription drugs we have approved that are dispensed and administered by a licensed health care provider (other than a pharmacy) are covered under this agreement, subject to the copayment and deductible (if any) shown in the Summary of Medical Benefits. The generic, preferred brand name, or non- non-preferred brand name prescription drug must be medically necessary and dispensed per our dispensing guidelines in order to be covered.

SPECIALTY PRESCRIPTION. DRUG is a type of prescription drug in our formulary that generally is identified by, but not limited to, features such as:  • being produced by DNA technology,  • treats chronic or long term disease,  • requires customized clinical monitoring and patient support, and  • needs special handling. Generally, specialty pharmacies dispense specialty prescription drugs. Contact Customer Service for further details and information about specialty prescription drugs and specialty pharmacies. For the purposes of this agreement, we have designated certain prescribed prescription drugs to be specialty prescription drugs in our formulary. To obtain coverage information for any specific specialty prescription drug or to obtain a copy of the most current formulary listing, visit our Web site at XXXXXX.xxx. Or, you may call our Customer Service Department at (000) 000-0000 or 0-000-000-0000. Generic, Preferred Brand Name Name, or Non-Preferred Brand Name Prescription Drugs Generic, preferred brand name, or non-preferred brand name prescription drugs we have approved that are dispensed and administered by a licensed health care provider (other than a pharmacy) are covered under this agreement, subject to the copayment and deductible (if any) shown in the Summary of Medical Benefits. The generic, preferred brand name, or non- preferred brand name prescription drug must be medically necessary and dispensed per our dispensing guidelines in order to be covered.

SPECIALTY PRESCRIPTION. DRUG is a type of prescription drug in our formulary that generally is identified by, but not limited to, features such as:  being produced by DNA technology,  treats chronic or long term disease,  requires customized clinical monitoring and patient support, and  needs special handling. Generally, specialty pharmacies dispense specialty prescription drugs. Contact Customer Service for further details and information about specialty prescription drugs and specialty pharmacies. For the purposes of this agreement, we have designated certain prescribed prescription drugs to be specialty prescription drugs in our formulary. To obtain coverage information for any specific specialty prescription drug or to obtain a copy of the most current formulary listing, visit our Web site at XXXXXX.xxx. Or, you may call our Customer Service Department at (000) 000-0000 or 0-0- 000-000-0000. Generic, Preferred Brand Name or Non-Preferred Brand Name Prescription Drugs Generic, preferred brand name, or non-preferred brand name prescription drugs we have approved that are dispensed and administered by a licensed health care provider (other than a pharmacy) are covered under this agreement, subject to the copayment and deductible (if any) shown in the Summary of Medical Benefits. The generic, preferred brand name, or non- non-preferred brand name prescription drug must be medically necessary and dispensed per our dispensing guidelines in order to be covered.

SPECIALTY PRESCRIPTION. DRUG is a type of prescription drug in our formulary that generally is identified by, but not limited to, features such as:  • being produced by DNA technology,  • treats chronic or long term disease,  • requires customized clinical monitoring and patient support, and  • needs special handling. Generally, specialty pharmacies dispense specialty prescription drugs. Contact Customer Service for further details and information about specialty prescription drugs and specialty pharmacies. For the purposes of this agreement, we have designated certain prescribed prescription drugs to be specialty prescription drugs in our formulary. To obtain coverage information for any specific specialty prescription drug or to obtain a copy of the most current formulary listing, visit our Web site at XXXXXX.xxx. Or, you may call our Customer Service Department at (000) 000-0000 or 0-000-000-0000. Generic, Preferred Brand Name or Non-Preferred Brand Name Prescription Drugs Generic, preferred brand name, or non-preferred brand name prescription drugs we have approved that are dispensed and administered by a licensed health care provider (other than a pharmacy) are covered under this agreement, subject to the copayment and deductible (if any) shown in the Summary of Medical Benefits. The generic, preferred brand name, or non- preferred brand name prescription drug must be medically necessary and dispensed per our dispensing guidelines in order to be covered.