Pharmacy benefit means the benefit portion that establishes coverage for pharmaceuticals and services on an outpatient basis to qualifying Members.

Pharmacy benefit means the payment for or reimbursement of an enrollee’s cost for

Pharmacy benefit means the payment for or reimbursement of an enrollee’s cost for pre-

Examples of Pharmacy benefit in a sentence

These benefits are administered by our Pharmacy Benefit Manager (PBM).
Prescription drugs and diabetic equipment and supplies bought at a pharmacy are administered by our Pharmacy Benefit Manager (PBM).
In order to promote the usage of generic prescription drugs to reduce costs while maintaining the quality of care, the Pharmacy Benefit Manager (PBM) will automatically substitute an approved generic drug for prescriptions written for multi-source brand name drugs, except for a list of narrow therapeutic index agents, e.g.
Additional FDR requirements specific to Pharmacy Benefit Manager agreements are described in Appendix R of this Agreement.
Spread Pricing means the Pharmacy Benefit Manager charges the CONTRACTOR an agreed upon unit price amount for prescriptions which may differ from what is paid to the pharmacy.

More Definitions of Pharmacy benefit

Pharmacy benefit means a health care benefit plan that

Pharmacy benefit means the payment for or reimbursement of an enrollee’s cost for prescription drugs.

Pharmacy benefit means the inclusions, limitations, and exclusions in coverage of Eligible Members, Participating Pharmacies, Physicians, and Covered Medications as set forth in the Plan and as may be amended from time to time by the Plan Sponsor.

Pharmacy benefit. = typically means the retail drug coverage, copays, formulary status, associated policies

Pharmacy benefit means the terms of the Plan that govern coverage and care/utilization management of drugs and related supplies dispensed to Members and charged to the Plan by the Mail Service Pharmacy or Retail Pharmacies through CHLIC’s pharmacy claim processing system.

Pharmacy benefit means a drug benefit of a patient's healthcare insurance under which patients can obtain diabetes products and diabetes ancillary supplies for a co-payment and the Third Party providing coverage is at financial risk for the majority of the cost of the benefit and for which a claim for reimbursement is submitted via retail and/or mail pharmacy channels (e.g., using NCPDP standards) as a drug benefit claim and not under the patient's Medical Benefit.

Pharmacy benefit means the payment for or reimbursement