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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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City Clerk
Doc Type
Agenda Packet
Agency
Parks, Recreation, & Community Services
Item #
25D
Date
10/3/2011
Destruction Year
2016
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(d) Client and Member Services. <br />(i) Account Management. IRx, or its subcontractor, shall provide trained, experienced account <br />service resources to serve as liaison between Client and IRx for the purpose of facilitating operational activities, <br />resolving issues, and providing consultative support. Account management support includes scheduling conference <br />calls to monitor and discuss outstanding priorities. Account management staff will act as the primary contact to <br />Client after the implementation process is completed. <br />(ii) Member Customer Service. IRx shall make available trained, experienced Member <br />Customer Service representatives to provide Eligible Members with information regarding pharmacy locations, <br />eligibility, claims status and general information regarding their Prescription Drug Card Services. Member <br />Customer Service is available 24 hours a day, 7 days a week, 365 days a year. <br />(e) Payment for Discount Card Program. IRx shall make payments to Client in the form of a single <br />check each month for compensable Claims under this Agreement.* Payments will occur thirty (30) days following <br />the end of each month. The first payment will be due on and continue each month thereafter until such time <br />as IRx no longer processes any Claims under this Agreement. IRx's payments made in any given month shall be <br />calculated by taking the sum of $1.50 times the number of compensable retail claims during the prior month plus <br />$1.50 times the number of compensable mail Claims for the prior month. (For example, if there were 100 retail <br />compensable Claims and 50 mail compensable Claims during the month of , 20 then the payment due <br />on would equal $ [(100 x $ ) + (50 x $ )].) Delinquent payments will incur late interest <br />charges at the rate equal to the lesser of one and one-half percent (I'/z%) per month or the highest rate allowed by <br />law, pro-rated on a daily basis for each day the payment is late. Unless otherwise directed by Client, IRx will send <br />monthly payments to: <br />Parks, Recreation and Community Services Administration <br />Robert Carroll <br />26 Civic Center Plaza (M-75) Santa Ana CA 92702 <br />Under no circumstances will IRx pay any fees or other payments on Claims where no Processing Fee has been <br />received by IRx. <br />* Subcontract service providers, brokers/consultants/administrators, and IRx may also be receiving/ <br />retaining a fee in connection with compensable Claims hereunder. <br />Client Responsibilities. <br />(a) Monthly Reports for Discount Card Program. IRx shall provide Client and, upon request, its <br />designated representatives with a monthly report electronically, which shall include utilization data showing generic <br />and brand utilization, and U&C breakdown of prescription drug use amongst Members. Such reports will not <br />include any reference to individual Members or contain Patient Health Information as defined under HIPAA. <br />(b) Non-pa went. If a Member fails to meet any co-payment obligations at the point of sale, the Member <br />will be unable to utilize Prescription Drug Card Services. <br />Term and Termination. <br />(a) Term. This Agreement will become effective on the date hereof and continue for two (2) years <br />after the Activation Date (the "Initial Term"). Thereafter, this Agreement may be extended up to two additional <br />two-year terms (each a "Renewal Term"), upon the mutual agreement of the Parties. Notwithstanding any <br />provision in this Agreement to the contrary, in no event may either party terminate this Agreement without cause <br />prior to the expiration of the Initial Term. <br />Discount Card Client Services Agreement_Template_01.2011 <br />2 <br />25D-4
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