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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
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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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DISCOUNT CARD CLIENT SERVICES AGREEMENT <br />BETWEEN <br />INFORMEDRX, INC. <br />AND <br />THE CITY OF SANTA ANA <br />This Client Services Agreement (this "Agreement") is entered on between InformedRx, Inc. ("IRx") a <br />Delaware corporation, and the City of Santa Ana ("Client"), a municipal corporation and charter city organized <br />under the constitution and laws of the State of California, each a "Party" and together the "Parties". <br />Defined terms used throughout this Agreement are provided in Exhibit C attached hereto and incorporated herein by <br />reference. <br />The Parties agree: <br />1. Obligations of IRx. <br />(a) Prescription Drug Card Services. IRx shall provide "Prescription Drug Card Services", as set <br />forth in IRx Proposal for Pharmacy Benefit Management Services, dated July 12, 2011, attached hereto and <br />incorporated by this reference, through which individuals may utilize identification cards entitling them and their <br />dependents access to contracted, discount pricing for prescription drugs and drug products dispensed at participating <br />pharmacies on or after the Activation Date. Individuals will be responsible for proper co-payment. <br />(b) Retail Participating Pharmacy Network. <br />(i) National Network. IRx will work with subcontractor, ParamountRx to provide a national <br />network of Participating Pharmacies ("National Network") to provide Prescription Drug Card Services to Members. <br />(ii) Customer Service for Participating Pharmacies and Provider Inquiries. IRx will provide a <br />call center telephone line available to all Participating Pharmacies 24-hours per day, 7 days per week. <br />(c) Mail Service Pharmacy. IRx shall provide the following services from its mail service pharmacy: <br />(i) receive prescriptions from Members via U.S. mail or commercial carrier, facsimile or <br />telephone at an address or phone number as specified by IRx from time to time, subject to and in accordance with <br />the Plan Design Document. <br />(ii) fill prescriptions during normal business hours, subject to the professional judgment of the <br />dispensing pharmacist, provided that the prescription is accompanied by the correct copay, deductible, or coinsurance <br />amount as applicable; <br />(iii)., -provide Members toll-free telephone access to a pharmacist and customer service <br />representative; <br />(iv) provide to Client for review, any promotional materials that explain to Members how to use <br />the mail service program, as well as any other materials Members may require to begin using the mail service <br />program. At the direction of Client, IRx shall make available or distribute, upon request, mutually agreed upon <br />standard materials to Members at no additional cost. Client will be responsible for all costs associated with the <br />distribution of custom materials to Members; <br />(v) ship all prescription orders to Members via U.S. Postal Service or other appropriate carrier to <br />the address provided by Client and/or the Member, as long as such addresses are located in the United States; and <br />Discount Card Client Services Agreement-Template 01.2011 <br />i <br />25D-3
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