DISPENSING GUIDELINES definition

DISPENSING GUIDELINES means: • the prescription order or refill must be limited to the quantities authorized by your doctor not to exceed the quantity listed in the Summary of Pharmacy Benefits; • the prescription must be medically necessary, consistent with the doctor's diagnosis, ordered by a doctor whose license allows him or her to order it, filled at a pharmacy whose license allows such a prescription to be filled, and filled according to state and federal laws; • the prescription must consist of legend drugs that require a doctor's prescription under law or compound medications made up of at least one legend drug requiring a doctor's prescription under law; and • the prescription must be dispensed at the proper place of service as determined by our Pharmacy and Therapeutics Committee. For example, certain prescription drugs may only be covered when obtained from a provider. Quantity limits may apply. Some prescription drugs are subject to additional quantity limits based on criteria that we have developed. You may obtain a current list of prescription drugs that have been assigned maximum quantity levels for dispensing by visiting our Web site at XXXXXX.xxx or calling our Customer Service Department at (000) 000-0000 or 0-000-000-0000.
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DISPENSING GUIDELINES means: • the prescription order or refill must be limited to the quantities authorized by your doctor not to exceed the quantity listed in the Summary of Pharmacy Benefits; • the prescription must be medically necessary, consistent with the doctor’s diagnosis, ordered by a doctor whose license allows him or her to order it, filled at a pharmacy whose license allows such a prescription to be filled, and filled according to state and federal laws; • the prescription must consist of legend drugs that require a doctor’s prescription under law or compound medications made up of at least one legend drug requiring a doctor’s prescription under law; • bulk powders and chemicals used in compound prescriptions, not approved by the FDA, are not covered unless listed on our formulary; and • the prescription must be dispensed at the proper place of service as determined by our Pharmacy and Therapeutics Committee. For example, certain prescription drugs may only be covered when obtained from a pharmacy. Quantity limits may apply to certain Prescription Drugs: ▪ Certain prescription drugs are subject to additional quantity limits based on criteria that we have developed, subject to our periodic review and modification. ▪ Quantity limits may restrict the amount of pills dispensed per thirty (30) day period, the number of prescriptions orders or refills in a specified time period, or the number of prescriptions orders or refills ordered by a provider or multiple providers. ▪ You may obtain a current list of prescription drugs that have been assigned maximum quantity levels for dispensing by visiting our Web site at XXXXXX.xxx or calling our Customer Service Department at (000) 000-0000 or 0-000-000-0000.
Sample 1
DISPENSING GUIDELINES means: • the prescription order or refill must be limited to the quantities authorized by your doctor not to exceed the quantity listed in the Summary of Pharmacy Benefits; • the prescription must be medically necessary, consistent with the doctor's diagnosis, ordered by a doctor whose license allows him/her to order it, filled at a pharmacy whose license allows such a prescription to be filled, and filled according to state and federal laws; • the prescription must consist of legend drugs that require a doctor's prescription under law or compound medications made up of at least one legend drug requiring a doctor's prescription under law; and • the prescription must be dispensed at the proper place of service as determined by our Pharmacy and Therapeutics Committee. For example, certain drugs may only be covered when obtained from a physician.
Sample 1

More Definitions of DISPENSING GUIDELINES

DISPENSING GUIDELINES means guidelines developed and approved by the County for medication dispensary by pharmacies.
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Related to DISPENSING GUIDELINES

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