Exclusive Specialty Pharmacy definition

Exclusive Specialty Pharmacy means the Participating Specialty Pharmacy designated by Contractor as the primary Participating Specialty Pharmacy to dispense and deliver Prescription Drugs in accordance with the Specialty Pharmacy Program to Members or Prescribing Providers for Members.

Examples of Exclusive Specialty Pharmacy in a sentence

  • Benefits will be provided for Covered Specialty Drugs only when obtained from a Pharmacy that is part of the Exclusive Specialty Pharmacy Network.

  • Exclusive Specialty Pharmacy- a program that requires plan members to purchase specialty medications through the pharmacy benefit manager's exclusive specialty pharmacy arrangement.

  • Specialty drugs will be dispensed via the PBM’s Exclusive Specialty Pharmacy.

  • Generic $10.00 Preferred Brand $30.00 Non-Preferred Brand $50.00 Generic $20.00 Preferred Brand $60.00 Non-Preferred Brand $100.00 Programs applied Maintenance Choice, Exclusive Specialty Pharmacy 1Maximum family deductible.

  • Exclusive Specialty Pharmacy - a program that requires plan members to purchase specialty medications through the pharmacy benefit manager’s exclusive specialty pharmacy arrangement.

  • Benefits will be provided for Specialty Pharmacy Prescription Drugs only when obtained from a Pharmacy that is part of the Exclusive Specialty Pharmacy Network.

  • Generic $10.00 Preferred Brand $25.00 Non-Preferred Brand $40.00 Generic $20.00 Preferred Brand $50.00 Non-Preferred Brand $80.00 Programs applied Maintenance Choice, Exclusive Specialty Pharmacy 1Maximum family deductible.

  • Generic 90% after deductible Preferred Brand 90% after deductible Non-Preferred Brand 90% after deductible Generic 90% after deductible Preferred Brand 90% after deductible Non-Preferred Brand 90% after deductible Programs applied Maintenance Choice, Exclusive Specialty Pharmacy, Generic Step Therapy 1Maximum family deductible.

  • Tier 5 Non-Preferred Specialty Covered – 20% Coinsurance of the BCN Approved Amount (Maximum Copayment $300) – Specialty drugs are covered only when obtained from the BCN Exclusive Specialty Pharmacy Network.