Drug Plan definition

Drug Plan. Prescription drug co-pays for Generic drugs are $5.00. The co-pays for Preferred Brand drugs will be $30.00. Non-Preferred co-pays will be $60.00. Maximum out-of-pocket expenses for drugs for each health care plan participant will be $1,200.00 per year. Coverage for mail order will also be provided, and a 90-day supply of any properly prescribed drug will only be available through mail order. Mail order Generic co-pays will be $10.00. Mail order Preferred Brand co-pays will be $60.00. Mail order Non-Preferred co-pays will $120.00. The formulary shall be subject to periodic review and revision. There are specific medications and medication classes that are subject to prior authorization requirements, prior notification requirements, daily and period quantity limits by CVS/Caremark. Appeals and override processes may be available for unusual or unique situations.
Sample 1Sample 2
Drug Plan. Prescription drug co-pays for Retail Generic drugs are $2.00. The co-pays for Retail Brand drugs will be based on a Formulary. Retail Brand co-pays will be 20%, but not more than $40.00. Retail Non- Formulary co-pays will be 25%, minimum $25.00 but not more than $50.00. Maximum out-of-pocket expenses for drugs for each health care plan participant will be $1,200.00 per year. Coverage for mail order will also be provided, and a 90-day supply of any properly prescribed drug will only be available through mail order. Mail order Generic co-pays will be $2.00. Mail order Brand co-pays will be based on a Formulary and the co-pays will be 7%, minimum $0.00 but no more than $40.00. Mail order Non-Formulary co-pays will be 8.25%, minimum $25.00 but no more than $50.00. The formulary shall be subject to periodic review and revision. There are specific medications and medication classes that are subject to prior authorization requirements, prior notification requirements, daily and period quantity limits by Medco. Appeals and override processes may be available for unusual or unique situations.
Sample 1Sample 2
Drug Plan. The Drug Plan will be modified as necessary to require Generic substitution unless specifically prescribed by the doctor. The parties will meet to discuss the implementation of this modification to the drug plan. Effective January 1st, 2008: Drug Card, with a co-payment of $1.00 per prescription, to cover prescription drugs which by law must be prescribed by a licensed physician. A dispensing fee cap of $7.50 per prescription (positive enrolment). No annual deductible or lifetime maximum for drugs.
Sample 1

Examples of Drug Plan in a sentence

  • You can get this coverage if you join a Medicare Prescription Drug Plan or join a Medicare Advantage Plan (like an HMO or PPO) that offers prescription drug coverage.

  • All documentation regarding any previous appeal, specific Prescription Drug Plan language, and any other relevant information the reviewer needs to properly evaluate each claim will also be forwarded.

  • The letter will include the final internal appeal decision, the reasons for the final decision, discussion, references to the Prescription Drug Plan provisions on which the decision is based, and a statement indicating that this is the final internal appeal decision.

  • Medicare retirees have the option of selecting one of two fully-insured Medicare Advantage/Prescription Drug Plan options or the self-funded Traditional 70/30 Preferred Provider Organization plan option that is also offered to non-Medicare members.

  • Your Prescription Drug Plan does not cover drugs dispensed by, or administered to you while you are confined in a hospital, skilled nursing facility, rest home, sanatorium, convalescent hospital, or similar facility.

  • Prescription Drugs that are prescribed by your Physician and purchased at a pharmacy by the Member, or a friend, relative or caregiver on your behalf while you are confined in a rest home, sanatorium, convalescent hospital or similar facility, are covered under this Prescription Drug Plan.

  • New drugs and changes in the Prescription Drugs covered by the Prescription Drug Plan change periodically.

  • The identification card is provided by Anthem Blue Cross and is used for both the Medical Plan and this Prescription Drug Plan.

  • Grievances relating to eligibility for coverage under the Prescription Drug Plan should be directed to your campus student health insurance office, in writing, within 60 days of the notification that you are not eligible for coverage.

  • This Plan Description provides an explanation of the University of California Student Health Insurance Plan (UC SHIP) Prescription Drug Plan (“Prescription Drug Plan” or “Plan”), the applicable limitations and other Prescription Drug Plan provisions which apply to you.


More Definitions of Drug Plan

Drug Plan. One Dollar ($1 deductible per prescription card plan. Generic Drugs definition. DENTAL PLAN The present Dental Care Plan will continue based on current Schedule for each year of the Collective Agreement in accordance with the provisions of the Company's Dental Plan. Effective, October OrthodonticCoveragewill be added to the plan (children coverageonly to age 21). * Co-insurance: * Lifetime maximum fifteen hundred dollars ($1,500.00) per child.
Sample 1
Drug Plan means the Xxxxxxxx/Truline Self-Insured Employee Prescription Drug Plan – Policy 9993088.
Sample 1

Related to Drug Plan

  • Commercialization Plan has the meaning set forth in Section 6.2.

  • Marketing Plan means a plan or system concerning a material aspect of conducting business. Indicia of a marketing plan include any of the following:

  • Supply Plan has the meaning set forth in the CAISO Tariff.

  • Program Plan means the tobacco settlement program plan dated February 14, 2001, including exhibits to the program plan, submitted by the authority to the legislative council and the executive council, to provide the state with a secure and stable source of funding for the purposes designated by section 12E.3A and other provisions of this chapter.

  • Development Plan has the meaning set forth in Section 3.2.

  • Flexi Plan means any individual indemnity hospital insurance plan under the VHIS framework with enhancement(s) to any or all of the protections or terms and benefits that the Standard Plan provides to the Policy Holder and the Insured Person, subject to certification by the Government. Such plan shall not contain terms and benefits which are less favourable than those in the Standard Plan, save for the exception as may be approved by the Government from time to time.

  • Quality Plan means the quality plan to be produced by the Contractor in accordance with Schedule S2-10 (Quality Plan);

  • Development Plans has the meaning set forth in Section 3.2.

  • Mining Plan means a mining plan drawn in accordance with clause (b) of sub-section

  • Safety Plan means a written document that has procedures, requirements, or standards related to safety which the pool staff shall follow. The safety plan shall include training and emergency response procedures.

  • Drug Master File or “DMF” is described in 21 C.F.R. Part 314.420. A DMF is a submission to the FDA that may be used to provide confidential detailed information about facilities, processes, or articles used in the manufacturing, processing, packaging, and storing of one or more human drugs.

  • Project Implementation Plan means the detail plan submitted by the Developer with regard to development of Project Facilities and its operation and management thereof in accordance with this Agreement and to be appended as Schedule 9 to this Agreement.

  • Program of study means a curriculum that requires a candidate to demonstrate and document competency in the specific knowledge, skills, and dispositions for a particular endorsement to an educator’s license, a licensure content area, or level of licensure, and is:

  • Training Plan means the plan that outlines what training and assessment will be conducted off-the-job and what will be conducted on-the-job and how the Registered Training Organisation will assist in ensuring the integrity of both aspects of the training and assessment process.

  • Redevelopment Plan means the “Lincoln Center Redevelopment Plan” passed, adopted and approved by the City pursuant to the Resolution, and shall include any amendment of said Redevelopment Plan heretofore or hereafter made by the City pursuant to law.

  • Prescription drug order means a lawful order of a practitioner for a drug or device for a specific patient that is communicated to a pharmacist.

  • Phase 2 Clinical Trial means a human clinical trial of a product in any country that would satisfy the requirements of 21 C.F.R. 312.21(b) and is intended to explore a variety of doses, dose response, and duration of effect, and to generate initial evidence of clinical safety and activity in a target patient population, or a similar clinical study prescribed by the relevant Regulatory Authorities in a country other than the United States.

  • EHC plan means an Education, Health and Care plan made under sections 37(2) of the Children and Families Act 2014.

  • Basic health plan model plan means a health plan as required in RCW 70.47.060(2)(e).

  • layout plan means a plan of the project depicting the division or proposed division of land into plots, roads, open spaces, amenities, etc. and other details as may be necessary;

  • Drug means (i) articles or substances recognized in the official United States Pharmacopoeia

  • Drug abuse means any pattern of pathological use of drugs that causes impairment in social or occupational functioning, or that produces physiological dependency evidenced by physical tolerance or by physical symptoms when it is withdrawn.

  • Procurement Plan means the Recipient’s procurement plan for the Project, dated April 2, 2010, and referred to in paragraph 1.16 of the Procurement Guidelines and paragraph 1.24 of the Consultant Guidelines, as the same shall be updated from time to time in accordance with the provisions of said paragraphs.

  • Statutory Plan means a plan required in terms of any legislation, including but not limited to, any structure plan, land use plan, zoning scheme, integrated development plan, water services plan, skills development plan and employment equity plan;

  • Phase 1 Clinical Trial means a Clinical Trial of a Product on sufficient numbers of normal volunteers and/or patients that is designed to establish that such Product is safe for its intended use and to support its continued testing in Phase 2 Clinical Trials. For purposes of this Agreement, ‘initiation’ of a Phase 1 Clinical Trial for a Product means the first dosing of such Product in a human subject in a Phase 1 Clinical Trial.

  • Clinical laboratory means a facility for the microbiological, serological, chemical, hematological, radiobioassay, cytological, immunohematological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of a disease or assessment of a medical condition.