Specialty Drugs definition

Specialty Drugs means drugs listed on the Approved Drug List meeting certain criteria, such as:

Specialty Drugs means high-cost injectables, infused, oral, or inhaled Prescription Drugs for the ongoing treatment of a chronic condition, including but not limited to, the following: Hemophilia, Hepatitis C, Multiple Sclerosis, Rheumatoid Arthritis, Psoriasis, Crohn’s Disease, Cancer (oral medications), and Growth Hormones. These Prescription Drugs usually require specialized handling (such as refrigeration). Spouse means a person of the same or opposite sex who is legally married to Subscriber under the laws of the state or jurisdiction in which the marriage took place. A marriage legally entered into in another jurisdiction will be recognized as a marriage in the District of Columbia.

Specialty Drugs mean those scientifically engineered Covered Medications deemed specialty by SOUTHERN SCRIPTS used to treat certain complex and rare medical conditions and are often self-injected or self-administered, which are set forth on Exhibit “B” and may be updated periodically by SOUTHERN SCRIPTS.

Examples of Specialty Drugs in a sentence

• Specialty Pharmacy Network Paramount’s Specialty Pharmacy Network is available to Members who use Specialty Drugs.

• Members may obtain a printed list of the Specialty Network Pharmacies, and covered Specialty Drugs, by calling the Member Services telephone number on the back of their Identification Card, or by reviewing the listson the internet at www.paramountinsurancecompany.com.

• Specialty Drugs and Medicines supplied through a Specialty Provider (at a retail pharmacy) are payable under the Prescription Drug Benefit of the Plan.

• NOTE: Specialty Drugs and Medicines received in a Hospital setting are payable under the Inpatient Hospital or Outpatient Facility benefits of the Plan.

• Tier and Formulary Assignment Process Your Copayment/Coinsurance amount varies based on how the Prescription Drug, including covered Specialty Drugs, has been classified by the Plan’s formulary and the type of Copayment/Coinsurance tier structure per the Summary of Benefits.

More Definitions of Specialty Drugs

Specialty Drugs means Prescription Drugs generally prescribed for use in limited patient populations or diseases. These drugs are typically injected, but may also include drugs that are high cost oral medications and/or that have special storage requirements. In addition, patient support and/or education may be required for these drugs. The list of Specialty Drugs is subject to change. To determine which drugs are Specialty Drugs, a Covered Person should contact his/her Pharmacy, refer to the Drug List by accessing the website at www.bcbsil.com or contact customer service at 1-855-267-0214.

Specialty Drugs means high-cost prescription medications used to treat complex, chronic conditions including, but not limited to cancer, rheumatoid arthritis and multiple sclerosis. Specialty Drugs often require special handling (like refrigeration during shipping) and administration (such as injection or infusion). Please contact the Prescription Drug Plan Administrator to determine specific drug coverage.

Specialty Drugs means those covered drugs that typically are high in cost and have one or more of the following characteristics: 1) complex therapy for complex disease; 2) specialized patient training and coordination of care (services, supplies, or devices) required prior to therapy initiation and/or during therapy; 3) unique patient compliance and safety monitoring requirements; 4) unique requirements for handling, shipping and storage; and 5) potential for significant waste due to the high cost of the drug. In addition, a follow-on-biologic or generic product will be considered a Specialty Drug if the innovator drug is a Specialty Drug.

Specialty Drugs means high-cost injectables, infused, oral or inhaled Prescription Drugs that:

Specialty Drugs means drugs determined by the department pursuant to subdivision (f) of Section 14105.3 to generally require special handling, complex dosing regimens, specialized self-administration at home by a beneficiary or caregiver, or specialized nursing facility services, or may include extended patient education, counseling, monitoring, or clinical support.

Specialty Drugs means medications that (i) treat unique populations, (ii) require close therapy management and monitoring, (iii) require special handling and/or storage, (iv) are produced through biotechnologies, (v) are expensive and may involve complex reimbursement processes, or

Specialty Drugs means a high cost prescription drug that meets any of the following criteria: