Mail Order. Matches retail
Mail Order. Drug Program
Mail Order. 1. Contractor shall be properly licensed, certified or credentialed to operate in the applicable states where dispensing mail order facilities and specialty operations reside.
Mail Order. You may not solicit or accept Card Not Present transactions, including email, internet, or telephone orders (also known as “MOTO”) without prior written consent from Processor. Card Not Present and MOTO orders completed without prior written consent of Processor constitute a breach of this Agreement and may result, in the sole discretion of Processor and/or Bank, in the immediate termination for cause of this Agreement, in addition to any other remedies available under the Operating Regulations, Laws and Rules. You may be required to use an address verification service (“AVS”) on Card Not Present and MOTO transactions. AVS is not a guarantee of payment and the use of AVS will not waive any provision of this Agreement, validate a fraudulent transaction, or otherwise relieve You in any way from any claim, cause of action or injury arising out of or relating to a Card Not Present or MOTO transaction. You will obtain the expiration date and CVV2 number of the Card for a Card Not Present or MOTO transaction and submit the expiration date when obtaining authorization of the Card transaction. For Card Not Present and MOTO transactions, You will type or legibly print or electronically enter on the signature line of the Sales Draft the following applicable words or letters: “telephone order” or “TO” or “mail order” or “MO.” No Sales Draft shall be submitted for processing prior to the shipping of the product or the provision of the services purchased by the Cardholder. You acknowledge and agree that MOTO and other Card Not Present transactions have a substantially higher risk of Chargeback. You agree to be solely responsible for any claims, causes of action, liabilities or damages arising out of or relating to a MOTO transaction or other Card Not Present transaction.
Mail Order. You are responsible for paying the lower of: • The applicable Cost-Sharing; or • The Prescription Drug Cost for the Prescription Drug. (Your Cost-Sharing will never exceed the Usual and Customary Charge of the Prescription Drug.) To maximize Your benefit, ask Your Provider to write Your Prescription Order or Refill for a 90- day supply, with Refills when appropriate (not a 30-day supply with three (3) Refills). You will be charged the mail order Cost-Sharing for any Prescription Orders or Refills sent to the mail order Pharmacy regardless of the number of days supply written on the Prescription Order or Refill. Prescription Drugs purchased through mail order will be delivered directly to Your home or office. We will provide benefits that apply to drugs dispensed by a mail order Pharmacy to drugs that are purchased from a retail Pharmacy when that retail Pharmacy has a participation agreement with Us or Our vendor in which it agrees to be bound by the same terms and conditions as a Network mail order Pharmacy. You or Your Provider may obtain a copy of the list of Prescription Drugs available through mail order by visiting Our website at xxx.xxxxxxx.xxx or by calling the number on Your ID card.
Mail Order. Covered 100% after combined medical/Rx plan deductible; Up to a 30 day supply at in-network pharmacies. Covered 100% after combined medical/Rx plan deductible; Up to a 31-90 day supply from Aetna Rx Home Delivery®. Covered 100% after combined medical/Rx plan deductible; Up to a 30 day supply at out of network pharmacies. Not Covered Pharmacy Managed Self Injectables (PMSI) First prescription fill at any retail or mail order drug facility. Subsequent fills must be through Aetna Specialty Pharmacy® GENERAL PROVISIONS For members age 19 or over this plan imposes a pre-existing condition exclusion, which may be waived in some circumstances and may not be applicable to you. A pre-existing condition exclusion means that if you have a medical condition before coming to this plan, you may have to wait a certain period of time before the plan will provide coverage for that condition. This exclusion applies only to conditions for which medical advice, diagnosis, care, or treatment was recommended or received or for which the individual took prescribed drugs within 90 days.Generally, this period ends the day before your coverage becomes effective. However, if you were in a waiting period for coverage, 90 days ends on the day before the waiting period begins. The exclusion period, if applicable, may last up to 365 days from your first day of coverage, or, if you were in a waiting period, from the first day of your waiting period. If you had prior creditable coverage within 90 days immediately before the date you enrolled under this plan, then the pre-existing conditions exclusion in your plan, if any, will be waived. If you had no prior creditable coverage within the 90 days prior to your enrollment date (either because you had no prior coverage or because there was more than a 90 day gap from the date your prior coverage terminated to your enrollment date), we will apply your plan's pre-existing conditions exclusion. In order to reduce or possibly eliminate your exclusion period based on your creditable coverage, you should provide us a copy of any certificates of creditable coverage you have.Please contact Aetna Member Services at 0-000-000-0000 if you need assistance in obtaining a certificate of creditable coverage from your prior carrier or if you have any questions on the information noted above. The pre-existing condition exclusion does not apply to pregnancy nor to a child who is enrolled in the plan within 31 days of birth, adoption, or placement for adoption...
Mail Order. Up to a 90-consecutive-calendar-day supply of covered Maintenance Drugs will be dispensed at the applicable mail order Copayment. However, when the retail Copayment is a percentage, the mail order Copayment is the same percentage of the cost to Health Net as the retail Copayment. Diabetic Supplies: Diabetic supplies (blood glucose testing strips, lancets, disposable needles and syringes) are packaged in 50, 100 or 200 unit packages. Packages cannot be "broken" (i.e., opened in order to dispense the product in quantities other than those packaged). When a prescription is dispensed, you will receive the size of package or number of packages required for you to test the number of times your Physician has prescribed for up to a 30-day period. Sexual Dysfunction Drugs: Drugs (including injectable medications) when Medically Necessary for treating sexual dysfunction are limited to quantities as specified in Health Net's Recommended Drug List. For information about Health Net’s Recommend- ed Drug List, please call the Customer Contact Center at the telephone number on your ID card. Sexual dysfunc- tion drugs are not available through the mail order program. Chiropractic Services and Supplies Chiropractic services and supplies are provided by Health Net. Health Net contracts with American Specialty Health Plans of California, Inc. (ASH Plans) to offer quality and affordable chiropractic coverage. With this program, you may obtain chiropractic care by selecting a Contracted Chiropractor from our ASH Plans Contracted Chiropractor Directory.
Mail Order. Contractor shall be properly licensed, certified or credentialed to operate in the applicable states where dispensing mail order facilities and specialty operations reside. Contractor shall maintain a mail order program for the life of the contract. Upon receipt of a complete and fully accurate shipping address, Contractor’s subcontracted mail order facility shall be financially responsible and Contractor shall not charge the County or the Participant for drug and reshipping costs where the shipment of the medication is to the wrong address or patient, is improperly packaged, or shipped by the wrong carrier. Contractor shall agree to transfer mail order prescriptions to a retail pharmacy in the case of emergency, vacation refills or if multiple prescriptions are requested and one is out-of-stock.
Mail Order. You may not solicit or accept Card Not Present transactions, including email, internet, or telephone orders (also known as “MOTO”) without prior written consent from Processor. Card Not Present and MOTO orders completed without prior written consent of Processor constitute a breach of this Agreement and may result, in the sole discretion of Processor and/or Bank, in the immediate termination for cause of this Agreement, in addition to any other remedies available under the Operating Regulations, Laws and Rules. You may be required to use an address verification service (“AVS”) on Card Not Present and MOTO transactions. AVS is not a guarantee of payment and the use of AVS will not waive any provision of this Agreement, validate a fraudulent transaction, or otherwise relieve You in any way from any claim, cause of action or injury arising out of or relating to a Card Not Present or MOTO transaction. You will obtain the expiration date and CVV2 number of the Card for a Card Not Present or MOTO transaction and submit the expiration date when obtaining authorization of the Card transaction. No Sales Draft shall be submitted for processing prior to the shipping of the product or the provision of the services purchased by the Cardholder without prior approval. You acknowledge and agree that MOTO and other Card Not Present transactions have a substantially higher risk of Chargeback. You agree to be solely responsible for any claims, causes of action, liabilities or damages arising out of or relating to a MOTO transaction or other Card Not Present transaction.
Mail Order. 7.12.1 The use of mail order pharmacies or the dispensing of prescription drugs by mail order is not permitted under GHP.
