Examples of Non-Preferred Drug in a sentence

What We pay is subject to all the terms of the [Contract.] [A[ Member] and his or her Practitioner may request that a Non-Preferred Drug be covered subject to the applicable copayment for a Preferred Drug.
The Practitioner states that all Preferred Drugs used to treat the Illness or Injury have been ineffective in the treatment of the Member's Illness or Injury, or that all drugs have caused or are reasonably expected to cause adverse or harmful reactions in the [Member.] We shall respond to the request for approval of a Non-Preferred Drug within one business day and shall provide written confirmation within 5 business days.
Non-Preferred Drug means a drug that makes up the formulary drug list and may have a higher out-of-pocket cost.
Non-Preferred Drug: a Prescription Drug that does not appear on the list of Preferred Drugs.
What We pay is subject to all the terms of the [Contract.][A[ Member] and his or her Practitioner may request that a Non-Preferred Drug be covered subject to the applicable copayment for a Preferred Drug.

More Definitions of Non-Preferred Drug

Non-Preferred Drug means a non-covered drug, that may include both brand-name and generic drugs considered as non-formulary (also called a “Non-Preferred Drug”) and is not included on a Preferred Drug List (PDL). Non-Quantitative Treatment Limits (NQTLs) NQTLs are limitations on benefits or services that are not expressed numerically, but otherwise limit the scope or duration of benefits. Not Otherwise Medicaid Eligible refers to individuals not eligible for Medicaid services under New Mexico’s Medicaid State Plan. Nursing Facility (NF) means a licensed Medicare/Medicaid facility certified in accordance with 42 C.F.R. § 483 to provide inpatient room, board and nursing services to Members who require these services on a continuous basis, but who do not require hospital care or direct daily care from a physician.

Non-Preferred Drug means a prescription drug that is included in the preferred drug program and is not one of the drugs on the preferred drug list because it is either: (a) in a therapeutic class that is included in the preferred drug program and is not one of the drugs on the preferred drug list in that class or (b) manufactured by a pharmaceutical manufacturer with whom the commissioner is negotiating or has negotiated a manufacturer agreement and is not a preferred drug under a manufacturer agreement.

Non-Preferred Drug means a specialty drug formulary classification for certain specialty drugs that are subject to limits on eligibility for coverage or to higher cost- sharing amounts than preferred specialty drugs.

Non-Preferred Drug means a Specialty drug formulary classification for certain Specialty drugs deemed non-preferred and therefore subject to limits on eligibility for coverage or to higher cost-sharing amounts than preferred Specialty drugs.

Non-Preferred Drug a Prescription Drug that bears a recognized brand name of a particular manufacturer but does not appear on the list of Preferred Brand Drugs and has not been chosen by the Corporation or its designated Pharmacy Benefit Manager to be a Preferred Drug, including any Brand Name Drug with an “A” rated Generic Drug available. Orthopedic Device: any ridged or semi-ridged leg, arm, back or neck brace and casting materials that are directly used for the purpose of supporting a weak or deformed body member or restricting or eliminating motion in a diseased or injured part of the body. Orthotic Device: any device used to mechanically assist, restrict or control function of a moving part of the Member’s body. Out-of-Pocket Maximum: the maximum amount (listed on the Schedule of Benefits) incurred during a Benefit Year that a Member will be required to pay. Over-the-Counter Drug: a drug that does not require a prescription.

Non-Preferred Drug means a prescription drug that is [in a thera

Non-Preferred Drug. – means a medication that is not listed on the AHCCCS Drug List. Non- preferred drugs require prior authorization.