Specialty Pharmacy Drug definition

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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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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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.

  • 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.

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

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

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

  • The Department’s goal for the Specialty Pharmacy Drug Program is to maintain access to quality care for MA recipients who have a medical need for specialty pharmacy drugs, appropriate ancillary items and services and clinical supports in the Fee-for-Service delivery system while at the same time, enhancing administrative efficiencies.

  • If you are out of a Specialty Pharmacy Drug which must be obtained through the specialty pharmacy program, we will authorize an override of the specialty pharmacy program requirement for 72 hours, or until the next business day following a holiday or weekend, to allow you to get an emergency supply of medication if your Physician decides that it is appropriate and Medically Necessary.

  • If we deny your request for an exception, it will be in writing and will tell you why we did not approve the exception.Urgent or emergency need of a Specialty Pharmacy Drug subject to the specialty pharmacy program.

  • Please refer to the Specialty Pharmacy Drug listing to determine which drugs may require Prior Authorization or have other limitations.

Related to Specialty Pharmacy Drug

  • Retail pharmacy means any pharmacy where drugs are compounded, dispensed, stored or sold or where prescriptions are filled or dispensed to the general public.

  • Pharmacy means a drug store in which drugs and medicines are exposed for sale and sold at retail, or in which prescriptions of licensed physicians and surgeons, dentists, prescribing psychologists, or veterinarians are compounded and sold by a registered pharmacist.

  • Pharmacy care means medications prescribed by a licensed physician and related services performed by a licensed pharmacist 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

  • 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.

  • Mail order pharmacy means a pharmacy licensed by this

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

  • 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.

  • Pharmaceutical care means the provision of drug therapy and

  • Nuclear pharmacy means a pharmacy providing radiopharmaceutical services.

  • Pharmaceutical Product shall have the meaning ascribed to such term in Section 3.1(hh).

  • Tobacco product means any substance containing tobacco leaf, including but not limited to, cigarettes, cigars, pipe tobacco, hookah tobacco, snuff, chewing tobacco, dipping tobacco, bidis, blunts, clove cigarettes, or any other preparation of tobacco; and any product or formulation of matter containing biologically active amounts of nicotine that is manufactured, sold, offered for sale, or otherwise distributed with the expectation that the product or matter will be introduced into the human body by inhalation; but does not include any cessation product specifically approved by the U.S. Food and Drug Administration for use in treating nicotine or tobacco dependence.

  • Product Manufacturer means the entity that assembles the component parts to manufacture the final Product;

  • Participating Pharmacy means a pharmacy (retail, mail order or specialty pharmacy) that has entered into an agreement to provide Prescription Medications to AvMed Members and has been designated as a Participating Pharmacy. Except for emergencies, covered Prescription Medications must be obtained at Participating Pharmacies.

  • Marijuana products means concentrated marijuana products and marijuana products that are comprised of marijuana and other ingredients and are intended for use or consumption, such as, but not limited to, edible products, ointments, and tinctures.

  • Outpatient hospital services means preventive, diagnostic, therapeutic, observation, rehabilitation, or palliative services provided to an outpatient by or under the direction of a physician, dentist, or other practitioner by an institution that:

  • Product means any deliverable under the Contract, which may include commodities, services, technology or software.