Prescription Drug Coverage means Prescription Drugs that are covered under this Contract.
Prescription Drug Coverage health insurance that helps pay for prescription drugs and medications. Prescription drug coverage is not provided by the MCO. BMS provides prescription drug coverage directly to Medicaid members. Prescription Drugs – drugs and medication that, by law, require a prescription. Primary Care Physician – a doctor who directly provides and coordinates health care services to MCO members. Primary Care Provider (PCP) – a specific clinician responsible for treating and coordinating the health care needs of certain enrollees. Primary Services – basic or general health services rendered by general practitioners, family practitioners, internists, obstetricians, and pediatricians. Prior Authorization/Preauthorization – approval granted for payment purposes by the MCO for its active, specified enrollees, or the Medicaid Program to a provider to render specified services to a specified recipient. Provider – an individual or entity that is engaged in the delivery of health services, or ordering or referring for those services, who meets the requirements of the West Virginia Medicaid Program and is a member of the MCO’s network. Psychiatric Residential Treatment Facilities (PRTF) - a separate, standalone entity providing a range of comprehensive psychiatric services to treat the psychiatric condition of residents under age twenty-one (21) years on an inpatient basis under the direction of a physician. The purpose of such comprehensive services is to improve the resident’s condition or prevent further regression so that the services will no longer be needed. (42 CFR §483.352, subpart D of part 441). Pulmonary Rehabilitation - individually tailored multidisciplinary approach to the rehabilitation of members who have pulmonary disease. Recipient – see Eligible Recipient. Regulation – a Federal or State agency statement of general applicability designed to implement or interpret law, policy, or procedure. Rehabilitation Services and Devices – health care services and devices that help an individual keep, get back, or improve skills and functioning for daily living that have been lost or impaired because he was sick, hurt, or disabled including occupational therapy, speech therapy, and psychiatric rehabilitation services in inpatient and/ or outpatient settings. Request for Proposals (RFP) - a procurement method in which vendors submit proposals in response to the request for proposals published by the Purchasing Division. It requires an award to the highest scoring vendor, ra...
Prescription Drug Coverage means certain generic and name-brand drugs that are covered by Medicaid. Prescription Drugs means generic and name-brand drugs that are prescribed by a doctor. Primary Care means all health care services and laboratory services customarily furnished by or through a general practitioner, family physician, internal medicine physician, obstetrician/gynecologist, or pediatrician, to the extent the furnishing of those services is legally authorized in the State in which the practitioner furnishes them. Primary Care Case Management or PCCM means a system under which a PCCM contracts with the Department to furnish case management services (which include the location, coordination and monitoring of primary health care services) to Enrollees.
Examples of Prescription Drug Coverage in a sentence
For appeals of a decision that a prescription drug is not covered, please see the Prescription Drug Coverage Exception Process in the Prescription Drug and Diabetic Equipment and Supplies section.
Prescription Drug Coverage and Medicare: This benefit, for purposes of Creditable Coverage, is actuarially equal to or greater than the Medicare Part D prescription drug benefit.
HIV Prevention Prescription Drug Coverage This plan covers treatment of pre-exposure prophylaxis (PrEP) for the prevention of HIV and post-exposure prophylaxis (PEP) to prevent HIV infection in accordance with RIGL § 27-18-91.
For appeals of a decision that a prescription drug is not covered , please see the Prescription Drug Coverage Exception Process in the Prescription Drug and Diabetic Equipment and Supplies section.
Prescription Drug Coverage: Effective September 1, 2008 the Supplementary Health and Hospital Plan shall provide for the reimbursement of ninety percent of the cost of prescribed drugs and medicines that require a physician’s prescription.
More Definitions of Prescription Drug Coverage
Prescription Drug Coverage. Refers to how Members’ prescription drugs and medications are covered under the NC Medicaid and Health Choice State Plan.
Prescription Drug Coverage means a payment or discount applied toward prescription drugs purchased by or for a consumer as part of a health insurance benefit. 317:30-5-180.2. Eligibility In order to be eligible for the OPDDP, an individual must: (1) be an Oklahoma resident;(2) apply with the Pharmacy Benefit Manager (PBM); (3) not have insurance to cover all or part of prescriptions; (4) pay an enrollment fee when income is above 150% Federal Poverty Level (FPL); and (5) provide verification of income to determine enrollment fee, co-pay, and eligibility for the manufacturer's PAP. 317:30-5-180.3. Services
Prescription Drug Coverage means a health insurance or plan that helps pay for prescription drugs andmedications.
Prescription Drug Coverage. The Hospital shall offer prescription drug coverage, either through insurance carrier(s) selected by the Hospital or on a self-insured basis, as determined by the Hospital, to nurses who are covered under the basic medical coverage. Such prescription drug coverage will include a user co-pay of $15 per generic ($30 per brand name) prescription.
Prescription Drug Coverage means a health insurance or plan that helps pay for prescription drugs and medications.
Prescription Drug Coverage means health insurance or plan that helps pay for prescription drugs and medications.
Prescription Drug Coverage. Preferred Rx $10.00 generic, $20.00 name brand co-pay.