Pharmacy benefit means the payment for or reimbursement of an enrollee’s cost for pre-

Pharmacy benefit means the benefit portion that establishes coverage for pharmaceuticals and services on an outpatient basis to qualifying Members.

Pharmacy benefit means a health care benefit plan that

Examples of Pharmacy benefit in a sentence

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.
Therefore, claims for the devices and associated supplies must be filed with HCPCS codes A4239 and E2103.• Dexcom G5 Mobile CGM• Dexcom G6 CGM System• Abbott Freestyle Libre Flash Glucose Monitoring SystemNOTE FOR COMMERCIAL PRODUCTS: Abbott Freestyle Libre and Dexcom branded glucose monitoring devices are covered and require authorization through BCBSRI’s Pharmacy Benefit Management Program vendor, when obtained under a Pharmacy benefit.
Pharmacy benefit place of service prior authorization requirements were also removed for Vivitrol (naltrexone ER) injection during the reporting period .Other injectable formulations of medications used to treat OUD require prior authorization for cases where eligible for billing under the pharmacy benefit.If “No,” please explain.During the reporting period, prior authorization requirements were removed for Suboxone (buprenorphine/naloxone) sublingual film.
Medicare approved continuous glucose monitoring devices:• Do not require authorization, and• Can be obtained through either the Durable Medical Equipment (DME) or Pharmacy benefit (if the member has pharmacy benefits through BCBSRI).
Pharmacy benefit managers, brand-name drug prices, and patient cost sharing.

More Definitions of Pharmacy benefit

Pharmacy benefit means the payment for or reimbursement of an enrollee’s cost

Pharmacy benefit means the payment for or reimbursement of an enrollee’s cost for prescription drugs.

Pharmacy benefit means the inclusions, limitations, and exclusions in coverage of Eligible Members, Participating Pharmacies, Physicians, and Covered Medications as set forth in the Plan and as may be amended from time to time by the Plan Sponsor.

Pharmacy benefit. = typically means the retail drug coverage, copays, formulary status, associated policies

Pharmacy benefit means the payment for or reimbursement

Pharmacy benefit means a drug benefit of a patient's healthcare insurance under which patients can obtain diabetes products and diabetes ancillary supplies for a co-payment and the Third Party providing coverage is at financial risk for the majority of the cost of the benefit and for which a claim for reimbursement is submitted via retail and/or mail pharmacy channels (e.g., using NCPDP standards) as a drug benefit claim and not under the patient's Medical Benefit.

Pharmacy benefit means the terms of the Plan that govern coverage and care/utilization management of drugs and related supplies dispensed to Members and charged to the Plan by the Mail Service Pharmacy or Retail Pharmacies through CHLIC’s pharmacy claim processing system.