Standard reference compendia definition

Standard reference compendia means the American Medical Association Drug Evaluations, the
Standard reference compendia means the United States pharmacopoeia drug information, the American Hospital formulary service drug information, or the American Medical Association drug evaluation or other sources that We deem credible.
Standard reference compendia means the American Medical Association Drug Evaluations, the American Hospital Formulary Service Drug Information, or the United States Pharmacopoeia Dispensing Information.

Examples of Standard reference compendia in a sentence

Standard reference compendia or substantially accepted peer-reviewed medical literature.

Each article must use generally acceptable scientific standards and must not use case reports to satisfy this criterion.(c) "Off-label use of drugs" means when drugs are prescribed for treatments other than those stated in the labeling approved by the federal Food and Drug Administration.(d) "Standard reference compendia" means any authoritative compendia as identified by the Medicare program for use in the determination of a medically accepted indication of drugs and biologicals used off-label.Subd.

Standard reference compendia shall mean: (1) the United States Pharmacopeia Drug Information, (2) the American Medical Association Drug Evaluations, and (3) the American Hospital Formulary Service Drug Information.

Standard reference compendia means: The "United States Pharmacopoeia Drug Information"; or The "American Hospital Formulary Service Drug Information”.


More Definitions of Standard reference compendia

Standard reference compendia means (a) the United States Pharmacopeia Drug Information; (b) the American Medical Association Drug Evaluations; or (c) the American Hospital Formulary Service Drug Information.
Standard reference compendia means the American Hospital Formulary Service-Drug Information; the American Medical Association Drug Evaluation; the United States Pharmacopoeia-Drug Information, or other authoritative compendia as identified from time to time by the federal secretary of Health and Human Services. “Peer-reviewed medical literature” means scientific studies printed in healthcare journals or other publications in which original manuscripts are published only after having been critically reviewed for scientific accuracy, validity and reliability by unbiased independent experts. Peer-reviewed medical literature does not include in-house publications of pharmaceutical manufacturing companies.
Standard reference compendia means (a) the United States Pharmacopeia Drug Information; (b) the American Medical Association Drug Evaluations; or (c) the American Hospital Formulary Service Drug Information. “Medical literature” means published scientific studies published in at least two (2) articles from major peer-reviewed medical journals that present data supporting the proposed off-label use or uses as generally safe and effective unless there is clear and convincing contradictory evidence presented in a major peer reviewed medical journal.
Standard reference compendia means (a) The American Hospital Formulary Service Drug Information,
Standard reference compendia means (a) The American Hospital Formulary Service Drug Information (b) The American Medical Association Drug Evaluation (c) The United States Pharmacopoeia-Drug Information or (d) Other authoritative compendia as identified from time to time by the Federal Secretary of Health and Human Services or the insurance commissioner. Peer-Reviewed Medical Literature means scientific studies printed in journals or other publications in which original manuscripts are published only after having been critically reviewed for scientific accuracy, validity, and reliability by unbiased independent experts. Peer-reviewed medical literature does not include in-house publications of pharmaceutical manufacturing companies. Prior Authorization and Step Therapy for Prescription Drugs Prior authorization is required for certain Prescription Drugs. Our Contract uses different types of restrictions to help our Members use drugs in the most effective ways. For certain drugs, you or your Provider need to get approval from us before we will agree to cover the drug for you. This is called “Prior Authorization.” Drugs or other prescriptions not on the Formulary but determined to be Medically Necessary and appropriate by the Provider, may be submitted for prior authorization to Member Services via fax, phone or mail with appropriate documentation to support medical necessity. Sometimes the requirement for getting approval in advance helps guide appropriate use of certain drugs. If you do not get this approval, your drug might not be covered by the Contract. Once a Prescription Drug has been approved for use by a Member for a specific condition we will not later withdraw our approval. Our Contract also uses a requirement of Step Therapy for certain Prescription Drugs. We employ clinical pharmacists who review, research and analyze the efficacy and value of various drugs. Based on their reviews of clinical practice guidelines and recommended treatment of diseases, they recommend specific drugs as the first ones to try when a Member begins or requires a change in medication therapy. For most people, these medications work well. In the limited instances where one of these medications isn't effective and/or appropriate for a particular Member, the prescribing Provider contacts us about approving coverage for a different medication. Trying medications in this “step-by-step” fashion is called Step Therapy. This also ensures that drugs are used in the appropriate clinical order for your medical...
Standard reference compendia means any authoritative compendia as identified by the Medicare program for use in the determination of a medically accepted indication of drugs and biologicals used off-label.