Ingredient Cost definition

Ingredient Cost means the component of Prescription Drug Compensation associated with the reimbursement of the Covered Medication dispensed.

Ingredient Cost means the actual amount paid to a pharmacy provider by a carrier or the carrier’s pharmacy benefits manager for a prescription drug, not including the dispensing fee or cost-sharing amount.

Ingredient Cost means the negotiated rate (e.g., discount of AWP or MAC) for a prescription drug dispensed by a Network Participant and which, when combined with the applicable Dispensing Fee, constitutes the full amount payable for the given prescription drug and the professional service of dispensing such drug.

Examples of Ingredient Cost in a sentence

• X X X X X 9 N 66 Ingredient Cost The cost of the ingredients included in the prescription.

• Claims submitted without the provider’s 340B actual acquisition cost in the Ingredient Cost Field, a value of “8” in the Basis of Cost field, and a value of “20” in the Submission Clarification Code field indicate that the covered entity purchased the medication outside of the 340B program and Utah Medicaid will pursue the federal Medicaid drug rebate and supplemental rebate on those claims.

• The total prescription cost should be limited to covered Part D medications and be calculated using gross drug cost as follows: (Ingredient Cost Paid + Dispensing Fee + Sales Tax).

• Both the Aggregate Ingredient Cost and Aggregate AWP from the actual date of claim adjudication will be used.

• Dispensing Fees are not included in the Aggregate Ingredient Cost.

More Definitions of Ingredient Cost

Ingredient Cost means the price a provider has agreed to accept for a prescription drug, excluding

Ingredient Cost means the portion of a Claim's cost attributed to the actual Covered Drug, after application of any Claim Adjudication Rate or MAC or Specialty Drug discount, and excluding dispensing fees, ancillary fees, taxes, Copayment, and administration fees using the lesser of logic.

Ingredient Cost means the amount Contractor pays to the pharmacy on behalf of the Board, less any and all income streams, to reflect complete financial transparency as defined in the RFP.

Ingredient Cost means the ingredient cost amount charged to Group for each Claim subject to the provision set forth in section IV.

Ingredient Cost means the actual amount paid to a

Ingredient Cost means the portion of the total medicaid payment amount attributable to the cost of the drug product, or in the case of a compound drug, the sum of the cost of the ingredients that are covered in accordance with rule 5160-9-03 of the Administrative Code.

Ingredient Cost means the portion of a prescription's cost attributable to the drug ingredients, chemical components, and/or substances.