Common use of Daily Cost Sharing Clause in Contracts

Daily Cost Sharing. Daily Cost Sharing reduces the patient pay for the prescription that is less than the standard defined days’ supply. Exclusions may include drug products for acute therapy, unbreakable packages and controlled substances. Renewal of prescription eye drops are allowed by the Plan when the member has utilized 75% of the prescription from the original or last renewal that was dispensed by a network pharmacy The Copayment amount for a preferred Formulary prescription insulin drug or a Medically Necessary alternative will be Covered at an amount not to exceed a total of $25.00 per 30-day supply.

Daily Cost Sharing. Daily Cost Sharing reduces the patient pay for the prescription that is less than the standard defined days’ supply. Exclusions may include drug products for acute therapy, unbreakable packages and controlled substances. Renewal of prescription eye drops are allowed by the Plan when the member has utilized 75% of the prescription from the original or last renewal that was dispensed by a network pharmacy The Copayment amount for a preferred Formulary prescription insulin drug or a Medically Necessary alternative will be Covered at an amount not to exceed a total of $25.00 per 30-day supplypharmacy.