Non-Preferred definition

Non-Preferred means any product listed as “PA REQUIRED ‘NONPREFERRED’” on the UPDL.

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Non-Preferred means Agent/Broker has less than one thousand (1,000) Subscribers in its Small Group book of business as set forth in the Commission Schedule.

Non-Preferred means a Brand-Name or Generic Prescription Drug that is not designated by VIVA HEALTH’S Formulary as Preferred. The Formulary is subject to periodic review and modification by VIVA HEALTH or its designee. Members pay a higher Copayment or more Cost Sharing for Non-Preferred Prescription Drugs than for Preferred Prescription Drugs, regardless of the reason the Non-Preferred medication is selected.

Examples of Non-Preferred in a sentence

Generic, Preferred Brand Name, or Non-Preferred Brand Name Prescription Drugs Dispensed and Administered by a Licensed Health Care Provider (other than a Pharmacy) listed below.
Under the up to a 90-day at Retail Pharmacy benefit, Preferred Generic, Non-Preferred Generic, Preferred Brand and Non-Preferred Drugs can be obtained from an In-network Pharmacy.
The Subscriber Copayment for non-emergency Inpatient Hospital Services from a Non-Preferred Hospital is shown in the Summary of Benefits.
You are responsible for notifying the Plan within 24 hours, or by the end of the first business day, following an emergency admission at a Non-Preferred Hospital, or as soon as is reasonably possible to do so.
Note: Emergency Room Services resulting in an admission to a Non-Preferred Hospital which the Plan determines are not emergencies will be paid as part of the Inpatient Hospital Services.
Except as may be specifically indicated, for Services received from Non-Preferred and Non-Participating Provid- ers, Subscribers will be responsible for all charges above the Allowable Amount in addition to the indicated dollar or per- centage Subscriber Copayment.
No benefits are provided for Preventive Care Services pro- vided from Non-Preferred Providers.
If a Member receives Covered Services from Non-Contracting Vision or Non-Preferred Providers, CareFirst reserves the right to pay either the Member or the provider’.
Blue Shield of California will pay you at the Non-Preferred Provider benefit level.
Benefits differ depending on whether a Preferred Provider or a Non-Preferred Provider is selected.

More Definitions of Non-Preferred

Non-Preferred for purposes of this Rider, means those Covered Drugs not included on the Preferred Drug List.

Non-Preferred means a Brand-Name Prescription Drug that does not appear on the list of Brand-Name Drugs designated by VIVA HEALTH as Preferred or Custom. Members pay a higher Copayment for Non-Preferred Brand-Name Prescription Drugs than for Preferred Brand- Name Prescription Drugs, regardless of the reason the Non-Preferred Brand-Name medication is selected.