Pharmaceutical Benefit definition

Pharmaceutical Benefit has the meaning given to the term ‘pharmaceutical benefit’ in subsection 84(1) of the Act.
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Pharmaceutical Benefit means any medicine listed in the PBS that is dispensed to the Member.
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Pharmaceutical Benefit has the meaning given in the Act which, at the date of this Agreement, is:
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Examples of Pharmaceutical Benefit in a sentence

  • For information please call the State Pharmaceutical Benefit Program (SPBP) customer service at 1-800- 922-9384.

  • See also Health Care Financing Admin., Study of Pharmaceutical Benefit Management Industry, at 24 (June 2001) (“By 1994, the PBM business began to mature, and manufacturers were generally not recognizing the anticipated value from their contracting practices, despite the dramatic increases in total rebate payments.

  • E3.13.2 A Pharmaceutical Benefit is only payable on the amount over the standard Pharmaceutical Benefit Scheme (PBS) co- payment charge.

  • For the supply of Pharmaceutical Benefit Scheme items (per item) the community co-payment rate for pharmaceuticals as set under the Commonwealth National Health Act 1953 each year on 1 January.

  • Requirements for the Development and Maintenance of Prescription Drug Formularies and Other Pharmaceutical Benefit Management Procedures A.

  • For information, please call the State Pharmaceutical Benefit Program (SPBP) customer service at 1-800-922-9384.

  • Pharmaceutical Benefit Scheme, Department of Health: Canberra, 2016.

  • PricewaterhouseCoopers, HCFA Study of the Pharmaceutical Benefit Management Industry, Contract No. 500-97-0399/0097, at 5 (June 2001) (noting that by the end of the 1990s, PBMs were managing about 95% of all drug benefit plans).

  • Analysis has found that of the 136 innovative new prescription-only medicines listed on the Pharmaceutical Benefit Scheme in Australia between 2000 and 2009, only 59 (43 percent) received reimbursement in New Zealand.55 Many of these 59 products have restricted reimbursement, such as reimbursement for limited indications.

  • Pharmaceutical Benefit Policy And Legislative Issues in Medicaid Programs.


More Definitions of Pharmaceutical Benefit

Pharmaceutical Benefit has the meaning given in Part VII of the Act.
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Pharmaceutical Benefit means a drug or medicinal preparation in relation to which, by virtue of section 85 of the Act, Part VII of the Act applies;
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Pharmaceutical Benefit means a drug or medicinal preparation in relation to which, because of section 85 of the National Health Act 1953, Part VII of that Act applies;
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Pharmaceutical Benefit has the same meaning as it has in Part VII of the National Health Act 1953 (Cth). Public Key Infrastructure/PKI means the combination of hardware, software, people, policies and procedures needed to create, manage, store and distribute keys and certificates based on public key cryptography. PKI Site Certificate means a PKI certificate issued under the Department of Human Services Site Certificate for Practices Community of Interest (CoI) Certificate Policy (CP).
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Related to Pharmaceutical Benefit

  • Radiopharmaceutical service means, but is not limited to, the procurement, storage, handling preparation, labeling, quality assurance testing, dispensing, delivery, recordkeeping, and disposal of radiopharmaceuticals and other drugs.

  • Pharmaceutical means a drug intended for use in the diagnosis, cure, mitigation, treatment, therapy, or prevention of disease in humans or animals.

  • Pharmaceutical Product shall have the meaning ascribed to such term in Section 3.1(hh).

  • Medical Benefits means the monthly fair market value of benefits provided to the Employee and the Employee’s dependents under the major medical, dental and vision benefit plans sponsored and maintained by the Company, at the level of coverage in effect for such persons immediately prior to the Employee’s termination of employment date. The “monthly fair market value” of such benefits shall be equal to the monthly cost as if such persons elected COBRA continuation coverage at such time at their own expense.

  • Pharmaceutical care means the provision of drug therapy and

  • Therapeutic diet means meals served that are soft, low-fat, low-sodium or controlled calorie.

  • Medical benefit plan means a plan established and maintained by a carrier, a voluntary employees' beneficiary association described in section 501(c)(9) of the internal revenue code of 1986, 26 USC 501, or by 1 or more public employers, that provides for the payment of medical benefits, including, but not limited to, hospital and physician services, prescription drugs, and related benefits, for public employees or elected public officials. Medical benefit plan does not include benefits provided to individuals retired from a public employer or a public employer's contributions to a fund used for the sole purpose of funding health care benefits that are available to a public employee or an elected public official only upon retirement or separation from service.

  • Active Pharmaceutical Ingredient or “API” means the active pharmaceutical substance of the Drug in bulk form prior to incorporation into the Product.

  • Gap medical benefits means the benefits (if any) payable in respect of medical expenses that are less than, greater than or equal to the schedule fee, provided always that the medical expenses relate to a professional service that:

  • Radiopharmaceutical means any drug that exhibits spontaneous disintegration of unstable nuclei with the emission of nuclear particles or photons and includes any non-radioactive reagent kit or radionuclide generator that is intended to be used in the preparation of any such substance, but does not include drugs such as carbon-containing compounds or potassium-containing salts that include trace quantities of naturally occurring radionuclides. The term also includes any biological product that is labeled with a radionuclide or intended solely to be labeled with a radionuclide.

  • Pharmacy benefit manager means a person, business or other

  • Participating Retail Health Clinic means a Retail Health Clinic which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.

  • Public benefit means making capital available, or facilitating the availability of capital, to businesses in this state that have 750 or fewer employees, the intent of which is to create or retain employment opportunities for residents of this state, stabilize or increase the tax base of this state, or support the redevelopment of facilities for use by small businesses.

  • Pharmacy benefits management means the administration or management of prescription drug

  • Additional gap medical benefits means the benefits (if any) payable in respect of medical expenses that are more than the schedule fee and which otherwise meet the requirements of the fund’s no or known gap policy, provided always that the medical expenses relate to a professional service that:

  • Pharmacy benefits manager means a person that performs pharmacy benefits management.

  • Therapeutic school means a residential group living facility:

  • veterinary surgeon means a veterinary surgeon within the meaning of the Veterinary Surgeons Act 1936.

  • Therapeutically equivalent drug products means drug products that contain the same active

  • Dental laboratory means a person, firm or corporation

  • Life insurance producer means any person licensed in this state as a resident or nonresident insurance producer who has received qualification or authority for life insurance coverage or a life line of coverage pursuant to chapter 522B.

  • Dental hygienist means an individual licensed under this chapter to practice as a dental hygienist.

  • Therapeutic care means services provided by licensed or certified speech pathologists, Occupational Therapists and Physical Therapists.

  • Therapeutic Equivalent means that a Covered Drug can be expected to produce essentially the same therapeutic outcome and toxicity.

  • medical food means a food that is intended for the dietary treatment of a disease or condition for which nutritional requirements are established by medical evaluation and is formulated to be consumed or administered enterally under the direction of a Practitioner.

  • Participating Clinical Laboratory means a Clinical Laboratory which has a written agreement with the Claim Administrator or another Blue Cross and/or Blue Shield Plan to provide services to you at the time services are rendered.