Usual and Customary Price definition

Usual and Customary Price means a pharmacy's charge to the general public that reflects all advertised savings, discounts, special promotions, or other programs including membership based discounts initiated to reduce prices for product costs available to the general public, a special population, or an inclusive category of customers;
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Usual and Customary Price or “U&C” means the retail price charged by a Participating Pharmacy for the particular drug in a cash transaction on the date the drug is dispensed as reported to ESI by the Participating Pharmacy.
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Usual and Customary Price means the price that a
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Examples of Usual and Customary Price in a sentence

  • Reimbursement for each Branded Covered Product, not requiring compounding, dispensed by a Participating Pharmacy will be based upon the lower of (1) AWP, less an average of the applicable percentage in the below table, plus an average dispensing fee of the applicable dispensing fee in the below table; (2) such pharmacy's Usual and Customary Price; or (3) the amount submitted by the pharmacy.

  • Reimbursement for each Generic Covered Product dispensed by a Participating Pharmacy will be the lower of (1) the Navitus MAC plus a dispensing fee, if applicable; (2) each Participating Pharmacy’s respective contracted price for such Covered Product, including a discount plus a dispensing fee; (3) such pharmacy's Usual and Customary Price; or (4) the amount submitted;.

  • Pharmacy Provider acknowledges that the co- payment/coinsurance or other direct payment is an integral part of the plan design selected by the Sponsor, and Pharmacy Provider will not waive or discount the applicable co-payment/ coinsurance or other direct payment under any circumstances.Pharmacy Provider ReimbursementPharmacy Providers may be paid an amount other than what was submitted as the ingredient cost, dispensing fee, or Usual and Customary Price.

  • The financial statements include the financial statements of Yamana Gold Inc.

  • Provider shall disclose to each Eligible Person Provider’s Usual and Customary Price if such Usual and Customary Price is less than the applicable Patient Pay Amount.


More Definitions of Usual and Customary Price

Usual and Customary Price means the amount charged to cash customers for a pharmacist service exclusive of sales tax or other amounts claimed.
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Usual and Customary Price or “U&C” – means the retail price charged by a Non-Participating Pharmacy or a Participating Pharmacy for a particular Prescription Drug in a cash or uninsured transaction on the date such drug is dispensed.
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Usual and Customary Price or "U&C" means the actual retail price charged by a Participating Pharmacy for a specified drug, if purchased in a cash transaction on the date the drug is dispensed, as reported to PBM by the Participating Pharmacy.
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Usual and Customary Price means the price that a pharmacist or
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Usual and Customary Price means the provider’s usual and customary charge to the public, as identified by the claim charge.
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Usual and Customary Price means the price for a Prescription Drug a Participating Pharmacy would charge to an individual who does not hold an identification card and does not participate in any plan or program that provides coverage for drugs or drug products.
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Usual and Customary Price. . . . means the lowest price Provider would charge to a particular customer if such customer were paying cash or utilizing a Promotional Pricing program for an identical prescription or on that particular location. For the purposes of this definition, “Promotional Pricing” means any discounts given or offered to the general public by Provider, including but not limited to:
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