Pharmacy Rider definition

Pharmacy Rider means that rider to the Covered Person's Benefit Contract that in addition to the Benefit Contract, states the details of Covered Person's prescription drug coverage. The Benefit Contract and Pharmacy Rider are used by PBM in processing outpatient prescription drug claims in connection with this Agreement.
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Examples of Pharmacy Rider in a sentence

  • In the event of a claim denial by PBM, PBM shall promptly communicate to the Covered Person the right to appeal according to the Covered Person's Benefit Contract and Pharmacy Rider and applicable law.

  • PBM agrees that all written communications sent to United HealthCare Covered Persons, participating providers or facilities that relate in any way to United HealthCare's Benefit Contract or Pharmacy Rider must be reviewed and approved by United HealthCare before such communications are sent out to any such individuals or groups.

  • PBM agrees to provide to United HealthCare customized installation materials for United HealthCare that are accurate and support the specific language in the Benefit Contract and Pharmacy Rider.

  • PBM is responsible for administering the Benefit Contract and Pharmacy Rider accurately and in accordance with all regulatory requirements.

  • The plan will also include the Pharmacy Rider and the optical benefit.

  • The producer using this facilitation shall furnish a sworn declaration for the quantity of products considered as originating and keep all documentary evidence of origin of the materials.