Mail Order Plan Pharmacy definition

Mail Order Plan Pharmacy means a duly licensed pharmacy that has an independent contractor agreement with SHL to provide certain Covered Drugs to Insureds by mail.
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Mail Order Plan Pharmacy means a duly licensed pharmacy that has an independent contractor agreement with HPN to provide certain Covered Drugs to Members by mail.
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Examples of Mail Order Plan Pharmacy in a sentence

  • When a Drug is dispensed through the Mail Order Plan Pharmacy, benefits are subject to the applicable tier Copayment and/or Coinsurance per Mail Order Therapeutic Supply.

  • Benefits for Covered Drugs are available when dispensed by an HPN Mail Order Plan Pharmacy subject to the applicable Tier I, Tier II, Tier III or Tier IV Mail Order benefit.

  • Benefits for Covered Drugs are available when dispensed by an HPN Mail Order Plan Pharmacy subject to the applicable Mail Order benefit..

  • When a Drug is dispensed through the Mail Order Plan Pharmacy, the applicable Tier I, Tier II, Tier III or Tier IV Mail Order Plan Pharmacy benefit tier will apply per Therapeutic Supply.

  • When a Drug is dispensed through the Mail Order Plan Pharmacy, benefits are subject to any applicable CYD and associated Tier Cost-share per Mail Order Therapeutic Supply.

  • When a Drug is dispensed through the Mail Order Plan Pharmacy, the applicable CYD and Tier I, Tier II, Tier III or Tier IV Mail Order Plan Pharmacy benefit tier will apply per Therapeutic Supply.

  • The difference in the amount between such Brand Name and Generic Covered Drug paid by the Member does not accumulate to any otherwise applicable plan Calendar Year Prescription Drug Deductible, overall plan CYD or annual Out of Pocket Maximum.(f).When a Drug is dispensed through the Mail Order Plan Pharmacy, the applicable CYD and Mail Order Plan Pharmacy Cost-share benefit tier will apply per Therapeutic Supply.

  • The Directors may decide the terms, conditions and manner of redemption of any of those shares and must do so before the shares are allotted.

  • Benefits for Covered Drugs are available when dispensed by an SHL Retail(1) and Mail Order Plan Pharmacy and are subject to the applicable tier Cost-share.

  • Benefits for Covered Drugs are available when dispensed by an HPN Retail(1) and Mail Order Plan Pharmacy subject to the applicable tier Copayment.

Related to Mail Order Plan Pharmacy

  • Mail order pharmacy means a pharmacy licensed by this

  • Managed Care Plans means all health maintenance organizations, preferred provider organizations, individual practice associations, competitive medical plans and similar arrangements.

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

  • Managed care plan means a health benefit plan that either requires a covered person to use, or creates incentives, including financial incentives, for a covered person to use health care providers managed, owned, under contract with or employed by the health carrier.

  • Diagnostic clinical procedures manual means a collection of written procedures that describes each method (and other instructions and precautions) by which the licensee performs diagnostic clinical procedures; where each diagnostic clinical procedure has been approved by the authorized user and includes the radiopharmaceutical, dosage, and route of administration.

  • Network pharmacy means any pharmacy that has an agreement to accept our pharmacy allowance for prescription drugs and diabetic equipment/supplies covered under this agreement. All other pharmacies are NON-NETWORK PHARMACIES. The one exception and for the purpose of specialty Prescription Drugs, only specialty pharmacies that have an agreement to accept our pharmacy allowance are network pharmacies and all others pharmacies are non-network pharmacies.

  • Database Management System (DBMS) A system of manual procedures and computer programs used to create, store and update the data required to provide Selective Routing and/or Automatic Location Identification for 911 systems. Day: A calendar day unless otherwise specified. Dedicated Transport: UNE transmission path between one of CenturyLink’s Wire Centers or switches and another of CenturyLink’s Wire Centers or switches within the same LATA and State that are dedicated to a particular customer or carrier. Default: A Party’s violation of any material term or condition of the Agreement, or refusal or failure in any material respect to properly perform its obligations under this Agreement, including the failure to make any undisputed payment when due. A Party shall also be deemed in Default upon such Party’s insolvency or the initiation of bankruptcy or receivership proceedings by or against the Party or the failure to obtain or maintain any certification(s) or authorization(s) from the Commission which are necessary or appropriate for a Party to exchange traffic or order any service, facility or arrangement under this Agreement, or notice from the Party that it has ceased doing business in this State or receipt of publicly available information that signifies the Party is no longer doing business in this State.

  • Chain pharmacy warehouse means a physical location for prescription drugs that acts as a central warehouse and performs intracompany sales or transfers of the prescription drugs to a group of chain pharmacies that have the same common ownership and control.

  • Job-order-contracting means a project delivery method in which:

  • Retail pharmacy means a pharmaceutical facility dispensing prescription drugs and devices to the general public.

  • Diagnosis of autism spectrum disorders means assessments, evaluations, or tests, including the autism diagnostic observation schedule, performed by a licensed physician or a licensed psychologist to diagnose whether an individual has 1 of the autism spectrum disorders.

  • 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.

  • Voice over internet protocol service means any service that:

  • Mobile food vendor means every corporation, association, joint stock association, person, firm or partnership, their lessees, directors, receivers, trustees, appointees by any court whatsoever, or the heirs, executors, administrators, or personal representatives or assignees of any deceased owner, owning, controlling, operating or managing any mobile food vending unit.

  • Pharmacy means prescribed drugs and medicines dispensed by a pharmacist and/or travel and allergy vaccines dispensed by a pharmacist or doctor.

  • Routine patient care costs means Covered Medical Expenses which are typically provided absent a clinical trial and not otherwise excluded under the Policy. Routine patient care costs do not include:

  • Central fill pharmacy means a pharmacy contracting with an originating pharmacy, or having the same owner as an originating pharmacy, that provides centralized prescription drug order filling on behalf of the originating pharmacy pursuant to these rules.

  • CMS means the Centers for Medicare and Medicaid Services.

  • Provider network means an affiliated group of varied health care providers that is established to provide a continuum of health care services to individuals;

  • Medical cannabis card means the same as that term is defined in Section 26-61a-102.

  • Pharmacy care means medications prescribed by a licensed physician and any health-related services considered medically necessary to determine the need or effectiveness of the medications.

  • Diagnosis of autism spectrum disorder means medically necessary assessments, evaluations, or tests

  • ERCOT Protocols means the document adopted by ERCOT, including any attachments or exhibits referenced in that document, as amended from time to time, that contains the scheduling, operating, planning, reliability, and Settlement (including Customer registration) policies, rules, guidelines, procedures, standards, and criteria of ERCOT. For the purposes of determining responsibilities and rights at a given time, the ERCOT Protocols, as amended in accordance with the change procedure(s) described in the ERCOT Protocols, in effect at the time of the performance or non-performance of an action, shall govern with respect to that action.

  • Drug store means a place whose principal business is, the

  • Federal work authorization program means any of the electronic verification of work authorization programs operated by the United States Department of Homeland Security or any equivalent federal work authorization program operated by the United States Department of Homeland Security to verify information of newly hired employees, pursuant to the Immigration Reform and Control Act of 1986 (IRCA), D.L. 99-603.