MAC List definition

MAC List means a list of off-patent prescription drugs or supplies subject to maximum reimbursement payment schedules developed or selected by ESI.

MAC List means the list of unit prices established by Prime for multi-source Covered Drugs, each such unit price specified by Generic Product Identifier ("GPI") and including the dates for which such price was in effect. The MAC List is maintained by Prime and updated from time to time in accordance with this Exhibit and the BPA Addendum.

MAC List means a list of prescription drug products identified as readily available as Generic Drugs, generally equivalent to a Brand Drug (in which case the Brand Drug may also be on the MAC List) and which are deemed to require pricing management due to the number of manufacturers, utilization and pricing volatility. PBM shall provide WellPoint with a list of the drugs on the MAC List quarterly. Whether a Claim processes at the generic Ingredient Cost Charge is subject to the Covered Prescription’s inclusion on the MAC List and the application of “dispensed as written” protocols and Plan defined plan design and coverage policies. [*]

Examples of MAC List in a sentence

• ESI also maintains MRA price lists for drug products on the MAC List based on current price reference data provided by MediSpan or other nationally recognized pricing source, market pricing and availability information from generic manufacturers and on-line research of national wholesale drug company files, and client arrangements.

• The criteria for inclusion on the MAC List are based on whether the drug has readily available generic product(s), is generally equivalent to a brand drug, is cleared of any negative clinical implications, and has a cost basis that will allow for pricing below brand rates.

• Claim Administrator has contracted with Prime Therapeutics LLC (Prime) and/or other pharmacy benefit manager(s), mail order pharmacies, specialty pharmacies or other pharmacies to furnish certain pharmacy benefit management and other prescription drug benefit programs, including Rebate management and fee schedule management, including but not limited to MAC List management.

• Prime’s MAC List will only be made available for viewing at Prime’s corporate headquarters or another secured location designated by Prime.

• Paid Claims: average Brand Drug Dispensing Fee: $X.XX average Generic Drug Dispensing Fee: $X.XX average Brand Drug percentage discount off AWP (not including Dispensing Fees): -XX% average Non-MAC Generic Drug discount off AWP (not including Dispensing Fees): -XX% MAC priced Generic Drug equals MAC each as of the most current MAC List times metric quantity.

More Definitions of MAC List

MAC List means a list of multisource generic drugs, medical products, and devices for which a MAC has been established by a pharmacy benefits manager or a purchaser.

MAC List means Administrator’s Maximum Allowable Cost List(s) of Generic drugs that will be reimbursed to Network Pharmacies at the compensation levels established by Administrator. United acknowledges that Administrator has established more than one MAC and such MAC List(s) are subject to periodic review and modification by Administrator. Administrator shall provide the MAC List to United on a quarterly basis and shall provide notice to United of any changes to the medications on the MAC List selected by United.

MAC List means the list of Pharmaceutical Products that will be reimbursed at a generic product level established by Plan’s designated pharmacy claims administrator. The MAC list includes, adjacent to each Pharmaceutical Product listed, the corresponding maximum allowable cost per unit that will be used in the reimbursement calculation.. This list is subject to periodic review and modification by Plan.

MAC List means the list of unit prices established by PBM for multi-source Covered Drugs, each such unit price specified by Generic Code Number ("GCN") or Generic Product Identifier ("GPI") and including the dates for which such price was in effect. The MAC List is maintained by PBM and updated from time to time at PBM's sole discretion. A copy of such MAC List shall be provided in comma-separated values (".csv") format to the City/LCS prior to execution of the Agreement and thereafter upon the City's/LCS’s reasonable request.

MAC List means a list of Prescription Drug products identified as readily available as a Generic Drug, generally equivalent to a Brand Drug (in which case the Brand Drug may also be on the MAC List), which are deemed to require pricing management due to the number of manufacturers, utilization and pricing volatility and the prices for the Drugs; the MAC List may include payment schedules which specify the maximum unit Ingredient Cost payable by Sponsor for drugs on the MAC List.

MAC List means the list of Pharmaceutical Products that will be reimbursed at a generic product level established by Plan’s designated claims administrator. The MAC list includes, adjacent to each Pharmaceutical Product listed, the corresponding maximum allowable cost per unit that will be used in the reimbursement calculation.. This list is to periodic review and modification Plan.

MAC List means a list of prescription drug products identified as readily available as a Generic Drug, generally equivalent to a Brand Drug (in which case the Brand Drug may also be on the MAC List) and which are deemed to require pricing management due to the number of manufacturers, utilization and pricing volatility. The MAC List is intended to result in a weighted average discount range of 56% to 64%, but Sponsor’s actual experience may vary within, or above or below this range depending upon Sponsor’s Generic Drug and Brand Drug mix and plan design.