Prescription Drug Charge definition

Prescription Drug Charge means, prior to application of Member cost-share requirements, if any, the discounted rate payable by Client for a drug covered under the Plan’s pharmacy benefit.
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Prescription Drug Charge means the amount that, prior to application of the Plan’s cost-share requirement(s), Employer is obligated to pay for a Covered Drug dispensed at a Retail Pharmacy or Cigna Home Delivery Pharmacy, including any applicable Dispensing Fee, service fee, and tax. The Prescription Drug Charge may be expressed as, for example, a discount off of AWP or other benchmark price, or a MAC.
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Examples of Prescription Drug Charge in a sentence

  • Copayment and/or Coinsurance Amount For Prescription Drug Products at a retail Network Pharmacy, Insured Persons are responsible for paying the lowest of:• The applicable Copayment and/or Coinsurance.• The Network Pharmacy’s Usual and Customary Fee for the Prescription Drug Product.• The Prescription Drug Charge for that Prescription Drug Product.

  • The amount you are reimbursed will be based on the Prescription Drug Charge, less the required Co-payment and/or Co-insurance and any deductible that applies.

  • Our contracted rates (our Prescription Drug Charge) will not be available to you.

  • Co-insurance Co-insurance for a Prescription Drug Product at a Network Pharmacy is a percentage of the Prescription Drug Charge.

  • AMOUNTS SHOWN ARE YOUR COST RESPONSIBILITY AFTER ANY APPLICABLE DEDUCTIBLE HAS BEEN MET The amounts you are required to pay as shown below are based on the Prescription Drug Charge.

  • For Prescription Drug Products from a mail order Network Pharmacy, Insured Persons are responsible for paying the lower of:• The applicable Copayment and/or Coinsurance; or• The Prescription Drug Charge for that Prescription Drug Product.

  • Copayment and/or Coinsurance Amount For Prescription Drug Products at a retail Network Pharmacy, Insured Persons are responsible for paying the lowest of: The applicable Copayment and/or Coinsurance. The Network Pharmacy’s Usual and Customary Fee for the Prescription Drug Product. The Prescription Drug Charge for that Prescription Drug Product.

  • For Prescription Drug Products from a mail order Network Pharmacy, Insured Persons are responsible for paying the lower of: The applicable Copayment and/or Coinsurance; or The Prescription Drug Charge for that Prescription Drug Product.

  • When the plan includes the mail order option, for Prescription Drug Products from a mail order Network Pharmacy, Insured Persons are responsible for paying the lower of:• The applicable Copayment and/or Coinsurance; or• The Prescription Drug Charge for that Prescription Drug Product.

  • For Prescription Drug Products from a mail order Network Pharmacy, Insured Persons are responsible for paying the lower of: The applicable Copayment; or The Prescription Drug Charge for that Prescription Drug Product.

Related to Prescription Drug Charge

  • Prescription drug means any drug required by federal law or regulation to be dispensed only

  • Prescription drug order means a lawful order of a practitioner for a drug or device for a specific patient that is communicated to a pharmacist.

  • Prescription drugs means drugs, medicine and controlled substances which by law can only be prescribed for human use by persons authorized by law.

  • Nonprescription drug or "over-the-counter drug" means any

  • Nonprescription drugs means nonnarcotic medicines or drugs which may be sold without a prescription and are prepackaged and labeled for use by the consumer in accordance with the requirements of the statutes and regulations of this state and the federal government;

  • Participating Prescription Drug Provider means an independent retail Pharmacy, chain of retail Pharmacies, mail-order Pharmacy or specialty drug Pharmacy which has entered into an agreement to provide pharmaceutical services to participants in the benefit program. A retail Participating Pharmacy may or may not be a select Participating Pharmacy as that term is used in the Vaccinations Obtained Through Participating Pharmacies section.

  • Drug abuse means any pattern of pathological use of drugs that causes impairment in social or occupational functioning, or that produces physiological dependency evidenced by physical tolerance or by physical symptoms when it is withdrawn.

  • New Drug Application means a New Drug Application filed with the FDA in accordance with Applicable Law.

  • Drug means (i) articles or substances recognized in the official United States Pharmacopoeia

  • Prescription monitoring program means the electronic system within the Department of Health Professions that monitors the dispensing of certain controlled substances.

  • Drug addiction means a disease characterized by a

  • Basic health plan means the plan described under chapter

  • Routine patient care costs means Covered Medical Expenses which are typically provided absent a clinical trial and not otherwise excluded under the Policy. Routine patient care costs do not include:

  • Land use application means an application required by a municipality's land use

  • Brand Name Drug means a Prescription Drug that has been given a name by a manufacturer or distributor to distinguish it as produced or sold by a specific manufacturer or distributor and may be used and protected by a trademark.

  • Brand Name or Equal Specification means a specification which uses one or more manufacturer’s names or catalogue numbers to describe the standard of quality, performance, and other characteristics needed to meet District requirements, and which provides for the submission of equivalent products.

  • New drug means: (i) any drug, except a new animal drug or an animal feed bearing or containing

  • Prescription means an order for drugs or medical supplies, written or signed or transmitted by word

  • Biological safety cabinet means a containment unit suitable for the preparation of low to moderate risk agents where there is a need for protection of the product, personnel, and environment, according to National Sanitation Foundation (NSF) Standard 49.

  • COVID-19 symptoms means fever of 100.4 degrees Fahrenheit or higher, chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea, unless a licensed health care professional determines the person’s symptoms were caused by a known condition other than COVID-19.

  • Substance abuse treatment means outpatient or inpatient services or participation in Alcoholics Anonymous or a similar program.

  • Alcohol abuse means any pattern of pathological use of alcohol that causes impairment in social or occupational functioning, or that produces physiological dependency evidenced by physical tolerance or by physical symptoms when it is withdrawn.

  • Prescription device means an instrument, apparatus, implement, machine,

  • Drug Application means a new drug application, an abbreviated drug application, or a product license application for any Product, as appropriate, as those terms are defined in the FDCA.

  • Clinical laboratory means a facility for the microbiological, serological, chemical, hematological, radiobioassay, cytological, immunohematological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of a disease or assessment of a medical condition.

  • Brand Name Specification means a specification limited to one or more items by manufacturers’ names or catalogue number.