Specialty pharmacy network definition

Specialty pharmacy network means a network of pharmacies designated to fill
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Specialty pharmacy network means a network of specialty pharmacies established by a health insurance entity for the purpose of making clinician-administered drugs available to covered persons.
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Specialty pharmacy network means BlueCross’ network of Participating Pharmacies that are permitted to dispense Self-Administered Specialty Pharmacy Products to Members.
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Examples of Specialty pharmacy network in a sentence

  • Benefits will be provided for Covered Specialty Drugs only when obtained from a Pharmacy that is part of the Exclusive Specialty Pharmacy Network.

  • Specialty Pharmacy Network – select Participating Pharmacies contracted by Blue Shield of California to provide covered Home Self-Administered Injectables.

  • Members must fill all subsequent Specialty Drug prescriptions at Specialty Pharmacy Network.

  • Tier 5 Non-Preferred Specialty Covered – 20% Coinsurance of the BCN Approved Amount (Maximum Copayment $300) – Specialty drugs are covered only when obtained from the BCN Exclusive Specialty Pharmacy Network.

  • Benefits will be provided for Specialty Pharmacy Prescription Drugs only when obtained from a Pharmacy that is part of the Exclusive Specialty Pharmacy Network.

  • The Negotiated Charge may reflect amounts HMO has agreed to pay directly to the Participating Retail, Mail Order, or Specialty Pharmacy Network Pharmacy, or to a third party vendor for the prescription drug, and may include an additional service or risk charge set by HMO.

  • Specialty Pharmacy Network — select Participating Pharma- cies contracted by Blue Shield to provide covered Specialty Drugs.

  • Please be aware that administration of the definition of “negotiated charge” for Prescription Drug Expense Coverage for most plans has been changed to support the following: As to the Prescription Drug Expense Coverage: The amount HMO has established for each prescription drug obtained from a Participating Retail, Mail Order, or Specialty Pharmacy Network Pharmacy.

  • The Client shall pay the greater of (A) the actual price charged by the LDP; or (B) the Specialty Pharmacy Network rate set forth on Exhibit E.

  • Pricing guarantees set forth in Exhibit D (Retail Pharmacy Network, Mail Order Pharmacy Network and Specialty Pharmacy Network Prescription Drug Claims Pricing) and Rebate guarantees set forth in Exhibit E (Rebate Guarantees) shall not apply during the Claims Runout Period.


More Definitions of Specialty pharmacy network

Specialty pharmacy network means BCBSLA’s contracted PBM’s network of Participating Pharmacies that are permitted to dispense Specialty Pharmacy Drugs to Members.
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Related to Specialty pharmacy network

  • Network pharmacy means any pharmacy that has an agreement to accept our pharmacy allowance for prescription drugs and diabetic equipment/supplies covered under this agreement. All other pharmacies are NON-NETWORK PHARMACIES. The one exception and for the purpose of specialty Prescription Drugs, only specialty pharmacies that have an agreement to accept our pharmacy allowance are network pharmacies and all others pharmacies are non-network pharmacies.

  • Pharmacy means prescribed drugs and medicines dispensed by a pharmacist and/or travel and allergy vaccines dispensed by a pharmacist or doctor.

  • Pharmacy care means medications prescribed by a licensed physician and any health-related services considered medically necessary to determine the need or effectiveness of the medications.

  • Hospice services means palliative and supportive care and other services provided by an interdisciplinary team under the direction of an identifiable hospice administration to terminally ill hospice patients and their families to meet the physical, nutritional, emotional, social, spiritual, and special needs experienced during the final stages of illness, dying, and bereavement, as defined in Minnesota Statutes, § 144A.75, subd. 8, and includes the set of services as determined by the Medicare program under §1861(dd) of the Social Security Act and defined in 42 CFR § 418.3.

  • Mail order pharmacy means a pharmacy licensed by this

  • Provider network means an affiliated group of varied health care providers that is established to provide a continuum of health care services to individuals;

  • Homemaker services means the professionally directed or supervised simple household maintenance or management services provided by trained homemakers or individuals to families in their own homes.

  • Outpatient hospital services means preventive, diagnostic, therapeutic, observation, rehabilitation, or palliative services provided to an outpatient by or under the direction of a physician, dentist, or other practitioner by an institution that:

  • Specialty drug means a prescription drug that:

  • Program services means services that include all of the following provided they are pursuant to a program agreement: program needs assessment and development, job task analysis, curriculum development and revision, instruction, instructional materials and supplies, computer software and upgrades, instructional support, administrative and student services, related school to career training programs, skill or career interest assessment services and testing and contracted services.

  • Support Services the support services, as described in the Support Services Description, that We provide to You in respect of the Cloud Service.

  • Online Services means Microsoft-hosted services to which Customer subscribes under this Agreement. It does not include software and services provided under separate license terms.

  • Inpatient hospital services means any health care service provided to a patient who has been admitted to a hospital and is required to remain in that hospital overnight, but does not include any secure forensic mental health services;