Specialty Pharmacy Drug definition

Specialty Pharmacy Drug means any prescription drug regardless of dosage form, identified as a Specialty Pharmacy Drug on the drug formulary or a drug which requires at least one of the following in order to provide optimal patient outcomes:
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Specialty Pharmacy Drug means those injectable and non-injectable drugs on the BCBSLA’s contracted PBM's Specialty Drug List. Specialty Pharmacy Drugs typically have one or more of several key characteristics, including frequent dosing adjustments and intensive clinical monitoring to decrease the potential for drug toxicity and increase the probability for beneficial treatment outcomes; intensive patient training and compliance assistance to facilitate therapeutic goals; limited or exclusive product availability and distribution; specialized product handling and/or administration requirements.
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Examples of Specialty Pharmacy Drug in a sentence

  • The Specialty Pharmacy Drug Management List is subject to change at any time.

  • Specialty medication prescriptions on the Specialty Pharmacy Drug Management List are to be filled through the Preferred Specialty Pharmacy by calling (877) 627‐6337.

  • Specialty medication prescriptions on the Specialty Pharmacy Drug Management List are to be filled through the Preferred Specialty Pharmacy by calling (877) 627‐6337.Tier 4: Consists of Specialty drugs; most are highest-cost Brand Specialty medications, but some may also be Generic Specialty medications.

  • Specialty Pharmacy Drug source discount will be updated on an annual basis.

  • If your prescription is on the Specialty Pharmacy Drug List, your doctor should provide the Specialty Pharmacy Vendor with your prescription by telephone, fax or mail.

  • For any new drug that is not yet listed on the Specialty Pharmacy Drug list, is considered a specialty medication as defined by Blue Cross NC, and is added mid-year, then the default allowed amount will be ASP+12% or AWP-14% as applicable per hierarchy above.

  • Please note that the Formulary Exception / Prior Authorization process is an independent process and is not in conjunction with the Specialty Pharmacy Drug Program.

  • For any new drug that is not yet listed on the Specialty Pharmacy Drug list and is considered a specialty medication as defined by Blue Cross NC, and is added mid-year, then the default allowed amount will be ASP+12% or AWP-14% as applicable per hierarchy above.

  • In this instance, Blue Cross Blue Shield of Wyoming will make accommodations for prescription fulfillment at an alternative pharmacy that carries the limited distribution drug.Specialty medication prescriptions on the Specialty Pharmacy Drug Management List are to be filled through the Preferred Specialty Pharmacy by calling (877) 627‐6337.

  • New specialty pharmacy drugs to be added to the scope of products covered under the Specialty Pharmacy Drug Program.

Related to Specialty Pharmacy Drug

  • Specialty drug means a prescription drug that:

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

  • Pharmacy services means the practice of pharmacy as defined in chapter 18.64 RCW and includes any drugs or devices as defined in chapter 18.64 RCW.

  • Retail pharmacy means a pharmaceutical facility dispensing prescription drugs and devices to the general public.

  • Pharmacy means prescribed drugs and medicines dispensed by a pharmacist and/or travel and allergy vaccines dispensed by a pharmacist or doctor.

  • Pharmacy care means medications prescribed by a licensed physician and any health-related services considered medically necessary to determine the need or effectiveness of the medications.

  • Hospital pharmacy means a pharmacy providing pharmaceutical care to

  • Specialty fertilizer means a fertilizer distributed primarily for nonfarm use.

  • Tobacco product manufacturer means an entity that after the date of enactment of this Act directly (and not exclusively through any affiliate):

  • Chain pharmacy warehouse means a physical location for prescription drugs that acts as a central warehouse and performs intracompany sales or transfers of the prescription drugs to a group of chain pharmacies that have the same common ownership and control.

  • Wholesale drug distributor means anyone engaged in the

  • Mail order pharmacy means a pharmacy licensed by this

  • Collaborative drug therapy management means participation by an authorized pharmacist and a physician in the management of drug therapy pursuant to a written community practice protocol or a written hospital practice protocol.

  • Medical marijuana product means a product that contains cannabinoids that have been extracted from plant material or the resin therefrom by physical or chemical means and is intended for administration to a licensed patient, including but not limited to concentrates, oils, tinctures, edibles, pills, topical forms, gels, creams, and other derivative forms, except that this term does not include live plant forms.

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

  • Pharmacist services means products, goods, and services, or any combination of products, goods, and services, provided as a part of the practice of pharmacy.

  • Hospital pharmacist means an Iowa-licensed pharmacist who meets the requirements for participating in a hospital practice protocol as determined by the hospital’s P&T committee.

  • Central fill pharmacy means a pharmacy contracting with an originating pharmacy, or having the same owner as an originating pharmacy, that provides centralized prescription drug order filling on behalf of the originating pharmacy pursuant to these rules.

  • Tobacco products means cigars, cigarettes, cheroots, stogies, periques, granulated, plug cut, crimp cut, ready rubbed, and other smoking tobacco, snuff, snuff flour, moist snuff, cavendish, ping and twist tobacco, fine-cut and other chewing tobaccos, shorts, refuse scraps, clippings, cuttings and sweepings of tobacco, and other kinds and forms of tobacco, prepared in such manner as to be suitable for chewing or smoking in a pipe or otherwise, or both for chewing and smoking.

  • Clinical peer means a physician or other health care professional who holds a non-restricted license in a state of the United States and in the same or similar specialty as typically manages the medical condition, procedure or treatment under review.

  • Cannabis wholesaler means any licensed person or entity that purchases or otherwise obtains, stores, sells or otherwise transfers, and may transport, cannabis items for the purpose of resale or other transfer to either another cannabis wholesaler or to a cannabis retailer, but not to consumers.

  • Drug store means a place whose principal business is, the

  • Pharmaceutical care means the provision of drug therapy and

  • SPECIALTY HOSPITAL means a hospital or the specialty unit of a general hospital that is licensed by the state. It must be designed to care for patients with injuries or special illnesses. This includes, but is not limited to, a long-term acute care unit, an acute mental health or acute short-term rehabilitation unit or hospital. Hospital does not mean: • convalescent home; • rest home; • nursing home; • home for the aged; • school and college infirmary; • residential treatment facility; • long-term care facility; • urgent care center or freestanding ambulatory surgical center; • facility providing mainly custodial, educational or rehabilitative care; or • a section of a hospital used for custodial, educational or rehabilitative care, even if accredited by the JCAHO or listed in the AHA directory.

  • Hospice patient s family" means a hospice patient's immediate family members, including a spouse, brother, sister, child, or parent, and any other relative or individual who has significant personal ties to the patient and who is designated as a member of the patient's family by mutual agreement of the patient, the relative or individual, and the patient's interdisciplinary team.

  • Pre-Licensed Therapist means an individual who has obtained a Master’s Degree in Social Work or Marriage and Family Therapy and is registered with the BBS as an Associate CSW or MFT Intern acquiring hours for licensing. An individual’s registration is subject to regulations adopted by the BBS.