A list of preferred drugs chosen by a panel of doctors and pharmacists. Both brand and generic medications are included on the formulary. E Effective Date of Coverage The date your coverage begins or the date a change in your coverage takes effect. For example, if you get married and add ...
(Generic) Before deductible is met After deductible is met $11.44 $1.14 $30.29 $3.02 2025 Plan Document and Summary Plan Description 27 Section 4 – IRMP Anthem HDHP - Non-Medicare Medical (typically under age 65) Intel Corporation Formulary Drug List A formulary is a list of brand-name ...
+ 95962 each additional hour of attendance by a physician or other qualified health care professional (List separately in addition to code for primary procedure) 95970 Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of ...
Except as provided in this Paragraph 14.2 and in Paragraphs 1.5 and 5.2, this Agreement may be amended only by mutual, written consent of Blue Shield and Group’s duly authorized representatives. Notwithstanding the foregoing, or if Blue Shield’s legal counsel determines in good faith that this...