Examples of Specialty drug in a sentence
Specialty drug medical benefitBenefits may be subject to dispensing limits, prior authorization or step therapy requirements, if any.
For the Specialty drug copay calculator input, we calculated the approximate average copay for specialty drugs as the weighted average of the copays in the other 3 tiers, based on the distribution of specialty drugs among those tiers in our data.
Upon medical review authorization and referral (and upon Deductible being met), Specialty drug member cost-share shall be 20% coinsurance.
Upon medical review authorization and referral, Specialty drug member cost-share shall be 20% coinsurance.
Specialty drug injectables used in conjunction with oncology and their administration.
More Definitions of Specialty drug
Specialty drug means a prescription drug outpatient specialty drug covered under Medicare Part D program established pursuant to Public Law 108-73, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, as amended from time to time, that exceeds the specialty tier cost threshold established by the Centers for Medicare and Medicaid Services.
Specialty drug means pharmaceutical products that are typically expensive and require special handling and monitoring such as patient training, care coordination, adherence monitoring. They can be administered orally or through injection, infusion, inhalation, or other non-oral methods. Many are biologically developed (biologics) and can be used to treat chronic, life threatening, and rare conditions.
Specialty drug means and includes any substance that is biologic, subsequent-entry biologic, biosimilar, or any medication that requires special handling, administration or monitoring as defined by the carrier.