Common use of Summary of Your Costs Clause in Contracts

Summary of Your Costs. 5. Do I have to use certain pharmacies to pay the least out of my own pocket under this plan? Yes. You only receive benefits when you have your prescriptions filled by participating pharmacies. The majority of pharmacies in Washington are part of our pharmacy network. Also, specialty drugs are only covered when dispensed by our designated specialty pharmacies. See “Specialty Pharmacy Program” earlier in this benefit. You can find a participating pharmacy near you by consulting your provider directory, or calling the Pharmacy Locator Line at the toll-free telephone number found on the back of your Premera ID card.

Summary of Your Costs. 5. Do I have to use certain pharmacies to pay the least out of my own pocket under this plan? Yes. You only receive benefits when you have your prescriptions filled by participating pharmacies. The majority of pharmacies in Washington are part of our pharmacy network. Also, specialty drugs are only covered when dispensed by our designated specialty pharmacies. See “Specialty Pharmacy Program” earlier in this benefit. You can find a participating pharmacy near you by consulting your provider directory, or calling the Pharmacy Locator Line at the toll-free telephone number found on the back of your Premera LifeWise ID card.

Summary of Your Costs. 5. Do I have to use certain pharmacies to pay the least out of my own pocket under this plan? Yes. You only receive benefits when you have your prescriptions filled by participating pharmacies. The majority of pharmacies in Washington are part of our pharmacy network. Also, specialty drugs are only covered when dispensed by our designated specialty pharmacies. See “Specialty Pharmacy Program” earlier in this benefit. You can find a participating pharmacy near you by consulting your provider directory, or calling the Pharmacy Locator Line at the toll-free telephone number found on the back of your Premera Blue Cross ID card.