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2005 - 10-17-05 Regular Meeting
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2005 - 10-17-05 Regular Meeting
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Minutes
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Board of Commissioners
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BOOK PAGE 663 <br />ADVANCEPCS HEALTH, L.P. <br />MANAGED PHARMACY BENEFIT SERVICES AGREEMENT <br />CONSUMER CARD PROGRAM <br />THIS AGREEMENT (the "Agreement") is made as of July 1, 2005 (the "Effective Date") among National <br />Association of Counties ("Customer"), counties that are members of the National Association of Counties ("Member <br />County") and AdvancePCS Health, L.P. ("AdvancePCS"), for the purpose of delineating the terms and conditions <br />under which AdvancePCS will provide certain managed pharmacy benefit services to Member County and Customer. <br />Customer agrees that it will require each Member County to execute an individual agreement with AdvancePCS in the <br />form attached hereto as Exhibit C (the "Member County Agreement") prior to AdvancePCS' providing Services to <br />such Member County. AdvancePCS will not provide Services to Member County prior to the receipt of the Member <br />County's execution of the Member County Agreement. <br />STATEMENT OF SERVICES / OBLIGATIONS. <br />1.1 Services. AdvancePCS will provide Member County the services as set forth in this Section 1, <br />and the services described in any attachment, addendum or amendment hereto (collectively the "Services"). <br />AdvancePCS may make changes to the Services from time to time so long as such changes do not materially alter <br />any of the provisions of this Agreement. <br />1.2 Participating Pharmacies. AdvancePCS has created a network of Participating Pharmacies, <br />which will perform pharmacy services for Participants. <br />1.3 Pharmacy Help Desk and Voice Response Unit. AdvancePCS will provide Participating <br />Pharmacies with help desk assistance and access to AdvancePCS' voice response unit during AdvancePCS' hours of <br />operation. <br />1.4 Claims Processing. <br />a. Submission of Claims. AdvancePCS will adjudicate Claims submitted by Participating <br />Pharmacies to AdvancePCS in accordance with the Participating Pharmacy's agreement with AdvancePCS <br />and the Consumer Card Program. <br />b. Collection at Point of Sale. Customer and Member County acknowledge that <br />Participating Pharmacies will collect from the Participant one hundred percent (100%) of the applicable <br />prescription price, discounted at the rates set forth on Exhibit B as applicable, plus a transaction fee from <br />the Participant. <br />1.5 Customer Service. AdvancePCS will make available to Customer, Member County and <br />Participants a toll free number during those hours of operation maintained by AdvancePCS. Staff will be available <br />to answer questions on the Consumer Card Program and Consumer Card Program guidelines. <br />1.6 Identification Cards. AdvancePCS will, at its own cost, produce identification cards for <br />Participants, which contain Member County's and Customer's logo(s). Identification cards will be available to any <br />individual the Member County or Customer deem appropriate. AdvancePCS will work with Member County on the <br />distribution method for identification cards; provided, however if Member County requests that AdvancePCS mail <br />the identification cards to Members, postage and handling charges will apply. The Participant shall be responsible <br />for paying for any prescriptions obtained while using the identification card. <br />1.7 Clinical Services and Drug Utilization ReN iew ("DUR"). <br />NAOC k2 e2.doc (07/06/2005) IRxClaiml Paec I of 15 <br />This document contains proprietan information of AdvancePCS, and mac not be used tor amt purpose other than to evaluate entering into a <br />relationship with Ad,ane,PCS, nor Inj v it tic duplicated of discloxcd to other for am purpose. <br />
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