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25D - AGMT - DISCOUNT PHARMACY CARD PRGM
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25D - AGMT - DISCOUNT PHARMACY CARD PRGM
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Last modified
1/3/2012 3:39:53 PM
Creation date
9/29/2011 3:12:32 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Parks, Recreation, & Community Services
Item #
25D
Date
10/3/2011
Destruction Year
2016
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EXHIBIT B <br />DISCOUNT CASH PROGRAM - CLIENT CONTRACT RATES* <br />Participating Pharmacies will collect from Members the Client Contract Rates. <br />Brand Generic <br />1) Lower of AWP minus contracted discount + 1) Lower of ParamountRx MAC + Dispensing Fee + <br />Dispensing Fee + Processing Fee; OR; Processing Fee; OR <br />2) U&C charges 2) AWP minus contracted discount+ Dispensing Fee <br /> + Processing Fee; OR <br /> 3) U&C charges <br />Client Contract Rates for Eligible Members using the IRx Mail Service Pharmacy are as follows <br />Brand Generic <br />AWP minus contracted discount + Dispensing <br />Fee Lower of informedRx MAC + Dispensing Fee; OR <br />AWP minus contracted discount + Dispensing Fee. <br />B. ADDITIONAL SERVICES. Certain services as indicated below are not included in the standard <br />Administrative Fee and are available for an additional charge. This is not an inclusive list. InformedRx may charge <br />for any products or services not specifically represented herein. <br />General Anc illarv CPrvnoPc <br />Claims Processing Services Included <br />National Pharmacy Network Services' Included <br />Client and Member Services Included <br />ID Cards Production and Mailing TBD <br />Online Standard Reporting Included <br />Online Member Website Access Included <br />Mail Service Pharmacy Included <br />Group Set U Fees Included <br />On-line Access / Query Included <br />Standard Management Re ortin Included <br />Member/Participant ID Cards - Customized TBD <br />Client Directed Member Communication - Mailing Postage, shipping & handling <br />'Charges applicable if ID Cards are provided by IRx. <br />IRx reserves the right to modify or amend the financial provisions of this Agreement upon prior notice to Client <br />in the event of (a) any changes in Client's third party administrator or insurance carrier that results in a change <br />in any of the services provided by IRx under the terms of this Agreement; (b) any government imposed change <br />in federal, state or local laws or interpretation thereof or industry wide change that would make IRx's <br />performance of its duties hereunder materially more burdensome or expensive; (c) a change in the scope of <br />services to be performed under this Agreement upon which the financial provisions included in this Agreement <br />are based, including a change in the plan design and the exclusion of a service line (ie. retail, mail) from <br />Client's service selection; or (e) changes made to the AWP benchmark (or other pricing benchmark used <br />hereunder) or the methodology by which AWP (or other pricing benchmark used hereunder) is calculated or <br />reported. <br />Discount Card Client Services Agreement-Template 01.2011 <br />9 <br />25D-11
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