Cigna Home Delivery Pharmacy definition

Cigna Home Delivery Pharmacy means a duly licensed pharmacy operated by Company or its affiliates, where prescriptions are filled and delivered via the mail service, which may include Tel-Drug of Pennsylvania LLC and Tel-Drug, Inc.
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Cigna Home Delivery Pharmacy refers to Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc.
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Cigna Home Delivery Pharmacy refers to Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. SUMMARY OF BENEFITS Cigna Health and Life Insurance Co. For - Simsbury, Town and Board of Education Open Access Plus IN Plan Selection of a Primary Care Provider - your plan may require or allow the designation of a primary care provider. You have the right to designate any primary care provider who participates in the network and who is available to accept you or your family members. If your plan requires designation of a primary care provider, Cigna may designate one for you until you make this designation. For information on how to select a primary care provider, and for a list of the participating primary care providers, visit xxx.xxxxxxx.xxx or contact customer service at the phone number listed on the back of your ID card. For children, you may designate a pediatrician as the primary care provider. Direct Access to Obstetricians and Gynecologists - You do not need prior authorization from the plan or from any other person (including a primary care provider) in order to obtain access to obstetrical or gynecological care from a health care professional in our network who specializes in obstetrics or gynecology. The health care professional, however, may be required to comply with certain procedures, including obtaining prior authorization for certain services, following a pre-approved treatment plan, or procedures for making referrals. For a list of participating health care professionals who specialize in obstetrics or gynecology, visit xxx.xxxxxxx.xxx or contact customer service at the phone number listed on the back of your ID card. Plan Highlights In-Network Lifetime Maximum Unlimited Coinsurance Plan pays 100%
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Examples of Cigna Home Delivery Pharmacy in a sentence

  • The Target Pricing assumes an estimated level and distribution of utilization across the relevant Book of Business of covered drugs in less than an 83-day supply and greater than or equal to 83 day supplies at Retail Pharmacies and Cigna Home Delivery Pharmacy, respectively.

  • Claims and Customer Service Drug claim forms are available upon written request to: For Retail Pharmacy claims: Cigna Pharmacy Service Center P.O. 188053 Chattanooga TN 37422-8053 For mail-order Pharmacy claims: Cigna Home Delivery Pharmacy P.O. Box 1019 Horsham PA 19044-1019 0-000-000-0000 Forms are also available online at xxXxxxx.xxx.

  • Moreover, Cigna Home Delivery Pharmacy may maintain product purchase discount arrangements and/or fee-for-service arrangements with pharmaceutical manufacturers and wholesale distributors in its capacity as a mail service and/or specialty pharmacy.

  • Accordingly, Cigna Home Delivery Pharmacy retains the sole and exclusive benefit of any difference between its acquisition cost for a pharmaceutical product and the amount charged to Client under this Agreement for the same.

  • Cigna Home Delivery Pharmacy contracts for these arrangements on its own account in support of its pharmacy operations, and not on behalf of, or for the benefit of, Client or the Plan.

  • The Target Pricing includes (i) separate aggregate, average AWP drug discount targets for three drug categories: Brand Drugs, Generic Drugs, and Specialty Drugs dispensed by Retail Pharmacies and Cigna Home Delivery Pharmacy, and (ii) an aggregate, average Dispensing Fee target for Brand Drugs, Generic Drugs, and Specialty Drugs dispensed by Retail Pharmacies and Cigna Home Delivery Pharmacy.

  • Discounts on certain prescription and non-prescription dental products are available through Cigna Home Delivery Pharmacy only, and you are required to pay the entire discounted charge.

  • Cigna Home Delivery Pharmacy (a CHLIC affiliated company) Specialty drugs dispensed by Cigna Home Delivery Pharmacy and administered under the Plan’s medical benefit.

  • Cigna Home Delivery Pharmacy and any other licensed pharmacy affiliate of CHLIC may maintain product purchase discount arrangements and/or fee-for-service arrangements with pharmaceutical manufacturers and wholesale distributors in its capacity as a mail service and/or specialty pharmacy.

  • Discounts and fee-for-service payments received by Cigna Home Delivery Pharmacy or any other licensed pharmacy affiliate of CHLIC are not part of the administrative fees or other charges paid to CHLIC in connection with CHLIC's services hereunder.


More Definitions of Cigna Home Delivery Pharmacy

Cigna Home Delivery Pharmacy means a duly licensed pharmacy operated by CHLIC or its affiliates, where prescriptions are filled and delivered via the mail service, which may include Tel-Drug of Pennsylvania LLC and Tel-Drug, Inc. ● "Claim", for purposes of this Appendix A, is a claim or request for coverage under the Pharmacy Benefit. ● "Compound Drug shall mean a medication that (a) is comprised of two or more gaseous, solid, semi-solid, or liquid ingredients (other than water or flavoring added to any preparation) that are weighed or measured at a pharmacy and then prepared according to the prescriber’s order and the pharmacist’s art; (b) contains at least one FDA-approved federal legend drug as an active ingredient; (c) is not otherwise generally available in its compound form; and (d) is not a compound preparation administered by infusion or injection. ● "Covered Drugs" shall mean prescription drugs, including over-the-counter drugs dispensed pursuant to a prescription, biologics, medicines, agents, substances, devices, supplies, and other therapeutic products that are prescribed for Members and are covered under the Pharmacy Benefit and shall include all associated standard services usually and customarily rendered by a pharmacy or provider in the normal course of business, including dispensing, administration, counseling and product consultation. ● "Dispensing Fee" means an amount paid to a pharmacy for providing professional services necessary to dispense a Covered Drug to a Member. ● "FDA" shall mean the U.S. Food and Drug Administration. ● "Formulary" shall mean the list of FDA-approved prescription drugs and supplies developed and managed by CHLIC across its self-funded and insured group book of business and that is selected and adopted by Employer. The drugs and supplies included on the Formulary will be modified by CHLIC from time to time as a result of factors including, but not limited to, economic and clinical factors like clinical appropriateness, manufacturer Rebate arrangements and patent expirations. Any changes CHLIC makes to the Formulary are hereby adopted by Employer. ● "Generic Drug" means a pharmaceutical product, including a Covered Drug, whether identified by its chemical, proprietary, or non- proprietary name, that is accepted by the FDA as therapeutically equivalent and interchangeable with drugs having an identical amount of the same active ingredient(s), and which is identified as such in CHLIC's master drug file using indicators from First Databank, Med...
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Cigna Home Delivery Pharmacy means a duly licensed pharmacy operated by CHLIC or its affiliates, where prescriptions are filled and delivered via the mail service, which may include, for example, Accredo Health Group, Inc., Tel-Drug of Pennsylvania LLC and Tel- Drug, Inc. Cigna Home Delivery Pharmacy may maintain product purchase discount arrangements and/or fee-for-service arrangements with pharmaceutical manufacturers and wholesale distributors. Cigna Home Delivery Pharmacy contract for these arrangements on its own account in support of its pharmacy operations. These arrangements relate to services provided outside of this Agreement and other pharmacy benefit management arrangements and may be entered into without regard to whether a specific drug is on one of the formularies that CHLIC offers to entities like Employer that sponsor group health plans. Discounts and fee-for-service payments received by Cigna Home Delivery Pharmacy are not part of the administrative fees or other charges paid to CHLIC in connection with XXXXX's services hereunder. This provision shall survive termination or expiration of the Agreement. The drug's charge under a national specialty drug discount schedule that generates a 12.5% annual average aggregate discount off AWP across specialty drug claims dispensed at Cigna Home Delivery Pharmacy to CHLIC's self-funded and insured group-client book of business. FEES FOR PROCESSING RUN-OUT CLAIMS HRA OAP and OAPIN Run-Out Period of twelve (12) months No Additional Cost CHLIC MEDICAL COST CONTAINMENT FEES CHLIC administers the programs listed below to contain costs with respect to charges for health care service/supplies that are covered by the Plan (the “Cost-Containment Programs”).In administering these Cost-Containment Programs, CHLIC may contract with vendors to perform various Cost-Containment Program related services. CHLIC’s charge for administering a Cost-Containment Program is the percentage indicated in the table below of the: 1) “gross savings” (i.e., the difference between the charge the provider made and the allowable amount resulting from the Cost-Containment Program); 2) “net savings” (i.e., the gross savings less the applicable vendor charge); or 3) "gross recovery" (i.e., the amount recovered as a result of the Cost-Containment Program) as applicable. CHLIC will make a per claim charge that includes both CHLIC’s applicable Cost Containment Program charge, as shown in the table below, and the applicable vendor charge. CHLIC will pay the vendor its...
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Related to Cigna Home Delivery Pharmacy

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