Usual and Customary Retail Price definition

Usual and Customary Retail Price means the Provider's usual and customary retail price of a Covered Medication in a cash transaction (in the quantity dispensed) on the date that it is dispensed, including any discounts or special promotions offered on such date.
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Usual and Customary Retail Price means the price that the pharmacy or Provider would charge a customer in the absence of the Card Program.
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Usual and Customary Retail Price means the total price charged to a consumer who does not have prescription drug coverage under a health benefit plan.
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Examples of Usual and Customary Retail Price in a sentence

  • According to Omniplus, the relevant emphasis to be placed on this provision is that it “shall collect from Members the lesser of the Usual and Customary Retail Price amount or the applicable Copayment indicated by [Express Scripts], or when applicable, the full Copayment when indicated by [Express Scripts], through its online processing system or if online processing isunavailable, in accordance with the Provider Manual.” (emphasis supplied by Omniplus).

  • Pharmacy agrees to submit its Usual and Customary Retail Price to Company’s designated claims processor.

  • The Provider Manual’s PBM Glossary defines the Usual and Customary Retail Price of a drug as “the usual and customary retail price of a Covered Medication in a cash transaction at the Pharmacy dispensing the Covered Medication (in the quantity dispensed) on the date that it is dispensed.” In the event a party defaults in the performance of any of its obligations under this Agreement .

  • Provider agrees that the administrative and billing practices applied and the prices charged for products and services to holders of Identification Cards shall be an amount no greater than the lower of (1) the Usual and Customary Retail Price or (2) the AWP plus six (6) dollars for dispensing charges.

  • The Usual and Customary Retail Price of the Participating Pharmacy dispensing the prescription drugs, plus applicable sales or excise tax or other governmental surcharge, if any.


More Definitions of Usual and Customary Retail Price

Usual and Customary Retail Price or “U&C Price” means the cash price less all applicable Customer discounts which Participating Pharmacy usually charges customers for providing pharmaceutical services.
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Usual and Customary Retail Price means the total price
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Usual and Customary Retail Price means the total price charged to a
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Usual and Customary Retail Price means: (i) in respect of any Covered Medication, the Provider’s retail price for cash paying customers dispensed such Covered Medication by Provider in the quantity dispensed and on the date dispensed including the ingredient cost (the Actual Acquisition Cost or the Wholesalers List Price), the mark-up and the Provider’s Dispensing Fee; and (ii) in respect of any Covered Services the Provider’s professional fee for a cash paying customer having the financial capacity to pay such fee for the provision of such Covered Services to such customer, given the nature of such Covered Service and the time involved in providing same.
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Usual and Customary Retail Price means (i) in respect of any Covered Medication, the lowest retail price (including ingredient cost, markup and your Usual and Customary Professional Fee) which you will accept from any cash paying customer for such Covered Medication dispensed by you, in the quantity dispensed on the date it is dispensed, including any discounts or special promotions offered by you on such date, and (ii) in respect of any Covered Advice, the lowest professional fee which you will accept from any cash paying customer having the financial capacity to pay such fee for the provision of such Advice to such customer, given the nature of such Advice and the time involved in providing the same.
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Usual and Customary Retail Price or “U&C” means the usual and customary retail price charged by a Participating Pharmacy or pharmacy in the Contractor’s applicable national pharmacy network outside of the Primary Service Area for a Covered Drug in a cash transaction (in the quantity dispensed) on the date the drug is dispensed as reported to the Contractor by such pharmacy, including any discounts or special promotions offered on such date.
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Related to Usual and Customary Retail Price

  • Usual and Customary (U&C) shall mean covered expenses which are identified by the Plan Administrator, taking into consideration the fee(s) which the Provider most frequently charges the majority of patients for the service or supply, the cost to the Provider for providing the services, the prevailing range of fees charged in the same “area” by Providers of similar training and experience for the service or supply, and the Medicare reimbursement rates. The term(s) “same geographic locale” and/or “area” shall be defined as a metropolitan area, county, or such greater area as is necessary to obtain a representative cross-section of Providers, persons or organizations rendering such treatment, services, or supplies for which a specific charge is made. To be Usual and Customary, fee(s) must be in compliance with generally accepted billing practices for unbundling or multiple procedures.

  • Usual and Customary Charges means those comparable charges for similar treatment, services and supplies in the geographic area where treatment is performed.

  • Usual and customary charge means the average amount charged by most providers for treatment, service or supplies in the geographic area where the treatment, service or supply is provided.

  • Retail Price As set forth in Exhibit A.

  • Beer retailer means a business that:

  • Established geographic service area means a geographic area, as approved by the Commissioner and based on the carrier's certificate of authority to transact insurance in this state, within which the carrier is authorized to provide coverage;

  • Eligible business means a business located within the counties of Cook, DuPage, Kane, Lake, McHenry or Will in the State of Illinois (the “Six County Region”), and as to which: (1) a majority of the business' fleet is located and used within the Six County Region; and (2) a majority of those vehicles located and used within the Six County Region are alternatively powered vehicles.

  • Finished Services means complete end-to-end services offered by CenturyLink to wholesale customers or retail End User Customers. Finished Services do not include Unbundled Network Elements or combinations of Unbundled Network Elements. Finished Services include Access Services, private lines, retail services, and resold services.

  • Goods/Services means the goods and/or services detailed in the Purchase Order issued by Versuni Supplier; “Intellectual Property Rights” (or “IPR”) means all intellectual property rights of any nature applied for or existing anywhere in the world for their full term and together with any revivals, renewals or extensions. “Purchase Order” means the Versuni purchase order issued by Versuni to procure Goods/Services from the Supplier, to which these conditions are attached by reference;;

  • Reasonable and Customary Charges means the charges for services or supplies, which are the standard charges for the specific provider and consistent with the prevailing charges in the geographical area for identical or similar services, taking into account the nature of the illness / injury involved.

  • Semi-annual (2/Year) sampling frequency means the sampling shall be done during the months of June and December, unless specifically identified otherwise.

  • Indigent Customer means the head of an indigent household:-

  • Participating Retail Store means any one of the Australian retail stores trading under the following trading names that is authorised by Breville to sell Participating Products and has been invited by the Promoter to participate in the Promotion:

  • Basic generation service or "BGS" means electric generation

  • Semi-annual (2/Year) sampling frequency means the sampling shall be done during the months of June and December, unless specifically identified otherwise.

  • Selling Retailer The entity selling the Covered Product and this Agreement.

  • Reasonable and Customary means, in relation to a charge for Medical Service, such level which does not exceed the general range of charges being charged by the relevant service providers in the locality where the charge is incurred for similar treatment, services or supplies to individuals with similar conditions, e.g. of the same sex and similar Age, for a similar Disability, as reasonably determined by the Company in utmost good faith. The Reasonable and Customary charges shall not in any event exceed the actual charges incurred.

  • Extended services means ongoing support services provided to individuals with the most significant disabilities, including youth with the most significant disabilities, after the time-limited vocational rehabilitation services have been completed and job stabilization has been achieved. They consist of specific services, including natural supports, needed to maintain the supported employment placement. Extended services are paid from funding sources other than DRS and are specifically identified in the IPE, except that DRS may provide and pay for extended services for youth with the most significant disabilities for a period not to exceed 4 years or extend beyond the date when the youth reaches age 25.

  • Travel retailer means a business entity that makes, arranges, or offers travel services and may offer and disseminate travel insurance as a service to its customers on behalf of and under the direction of a limited lines travel insurance producer.

  • Yearly (1/Year) sampling frequency means the sampling shall be done in the month of September, unless specifically identified otherwise in the effluent limitations and monitoring requirements table.

  • Excluded Services has the meaning set forth in Section 2.1(a).

  • Eligible Services means only those services detailed in the sub-section titled Eligible Services.

  • Basic generation service provider or "provider" means a

  • Retail customer means any person that purchases retail electric energy for its own consumption at

  • Tobacco retailer means any Person who sells, offers for sale, or does or offers to exchange for any form of consideration, tobacco, Tobacco Products or Tobacco Paraphernalia. “Tobacco Retailing” shall mean the doing of any of these things. This definition is without regard to the quantity of Tobacco Products or Tobacco Paraphernalia sold, offered for sale, exchanged, or offered for exchange.

  • DMA Customer means a Customer of a Sponsoring Broker where representatives of the Customer that are natural persons are designated by the Sponsoring Broker to have Trading Access to the SEF Platform using the Participant ID of the Sponsoring Broker and where such Customer signs the DMA Customer Documentation.