Brand Drug definition

Brand Drug or “Brand” shall mean a pharmaceutical product covered under the Plan’s pharmacy benefit that is a prescription drug, including over-the-counter drugs dispensed pursuant to a prescription, medicine, agent, substance, device, supply or other therapeutic product that is not a Generic Drug. For the purposes of the ingredient cost discount Target Pricing, a Brand Drug excludes, and a Specialty Drug includes, a Specialty Brand Drug.

Brand Drug means a prescription drug identified as such in ESI’s master drug file using indicators from First Databank (or other source nationally recognized in the prescription drug industry used by ESI for all clients) on the basis of a standard Brand/Generic Algorithm utilized by ESI for all of its clients, a copy of which may be made available for review by Administrator, Client, or its Auditor upon request. Notwithstanding the foregoing, certain prescription drug medications that are licensed and then currently marketed as brand name drugs, where there exists at least one (1) competing prescription medication that is a generic equivalent and interchangeable with the marketed brand name drug, may process as “Generic Drugs” for Prescription Drug Claim adjudication and Member Copayment purposes.

Brand Drug means a prescription drug product that is not a Generic Drug.

Examples of Brand Drug in a sentence

• Brand Drug or Non-Formulary Drug contraceptives may be covered with no Cost Sharing for Members who receive a Prior Authorization.

• If you select a Brand Drug when a Generic Drug equivalent is available, you are responsible for the difference between the cost to Claims Administrator for the Brand Drug and its Generic Drug equivalent plus the tier 1 Copayment or Coinsurance.

• Brand Drug retained as formulary when generic released: In the event of the launch of a new generic drug, the Sponsor elects whether to retain the brand on the formulary and not to add the generic to the formulary.

• If you, the Physician, or Health Care Provider, select a Brand Drug when a Generic Drug equivalent is available, you are responsible for the difference between the cost to Blue Shield for the Brand Drug and its Generic Drug equivalent plus the tier 1 Copayment or Coinsurance.

• If approved, the Brand Drug will be covered at the applicable Drug tier Copayment or Coinsurance.Short-Cycle Specialty Drug program.

More Definitions of Brand Drug

Brand Drug means, except as otherwise designated in the Additional Provisions of the BPA Addendum, a drug that may be protected by a patent and/or marketed under a trade name which the Pricing Source designates as a Brand Drug. The Pricing Source used on the effective date of this Exhibit, Medi-Span, typically designates Brand Drugs as M, N or O in their multi-source code indicator.

Brand Drug means a prescription drug designated by Medi-Span indicators as “M,” “N” or “O.”

Brand Drug or "brand drug" means a drug or non-drug product, whether identified by its chemical, proprietary, or non-proprietary name, that is approved by the Food and Drug Administration ("FDA") and consistent with the application of data definitions selected by Offeror in the "Drug Classification" section of this Offer.

Brand Drug means and refer to prescription drug(s) designated with either “M”, “N”, and “O” in Medispan’s Multi-Source Code field.

Brand Drug means a product whose national drug code number, depending on the applicable Drug Pricing

Brand Drug means a drug so reported by First DataBank®, Medi-Span®, or other third- party source or as otherwise agreed upon by Respondent and GLO/VLB.

Brand Drug means a drug so reported by First DataBank®, Medi-Span®, or other third-party source or as otherwise agreed upon by the Provider and the Board.