Special cost-sharing rule when there’s a clinical necessity to be used of a non-formulary pharmaceutical agent. Pharmaceutical agents prescribed for smoking cessation aren’t out there for protection when obtained via a retail pharmacy. This consists of network and non-network retail pharmacies. A group of pharmaceutical agents which are related in chemical structure, pharmacological impact, and/or clinical use. Has a court docket order for payment of any portion of the retired or retainer pay or has a written settlement which supplies for an election by the member or former member to supply an annuity to the previous partner.
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