2005 - 10-17-05 Regular Meeting - Laserfiche WebLink

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0 0 BACK 20 WE 665 further described below. AdvancePCS shall fill prescriptions for Participants and shall mail such drugs or medications to such Participants subject to the following terms and conditions: a. Distribution of Information. AdvancePCS shall provide Participants with its standard informational material explaining the mail service and the forms necessary for Participants to utilize mail service. Participants will have toll-free telephone access to a pharmacist and customer service representative. Access to a pharmacist will be available 24 hours per day, seven days per week. b. Delivery and Dispensing. AdvancePCS shall dispense through its mail service pharmacy new or refill prescription orders upon receipt from a Participant of (i) a valid prescription order or a completed refill order form and (ii) the applicable payment. AdvancePCS shall cause the filled prescriptions to be mailed to each Participant via common carrier at the address appearing on the face of the prescription so long as such addresses are in the United States. AdvancePCS shall not be liable to Member County, Customer or Participant for any delay in delivery resulting from circumstances beyond AdvancePCS' control as set forth in Section 6.2. AdvancePCS' mail order pharmacies may dispense drugs even if the prescription is not accompanied by the correct amount however, Member County and Customer acknowledge and agree that AdvancePCS may refuse to fill any prescription that is either not accompanied by the correct amount and/or for any Participant who has an unpaid balance with AdvancePCS. 1.11 Preferred Drug Program. AdvancePCS and the retail Participating Pharmacies will work together to encourage the use of Preferred Drugs by (i) identifying appropriate opportunities for converting a prescription from a non-Preferred Drug to a Preferred Drug, and (ii) contacting the Participant and the prescriber to request that the prescription be changed to the Preferred Drug. A Preferred Drug is one on the Performance Drug List, which has been developed by AdvancePCS as a clinically appropriate and economically advantageous subset of the AdvancePCS Formulary, as revised by AdvancePCS from time to time. 1.12 specialty Pharmacy. AdvancePCS' specialty pharmacy service will be provided by an AdvancePCS specialty pharmacy entity or its affiliate ("A(IvancePCS SpecialtyRx"), and offers a distribution channel for certain pharmaceutical products that are generally biotechnological in nature, are given by injection, or otherwise require special handling ("Specialty Medications"). AdvancePCS SpecialtyRx shall provide prescription fulfillment and distribution of Specialty Medications and supplies, pharmaceutical care management services, as well as the types of Service that Member County receives under this Agreement, including but not limited to customer services, utilization and clinical management, integrated reporting and Claims processing ("SpecialtyRx Services'). AdvancePCS SpecialtyRx may receive prescriptions from Participants through an affiliated AdvancePCS mail facility or directly via the U.S. Mail or commercial carrier at the address specified by AdvancePCS from time to time and may also receive prescriptions from physicians by fax or by U.S. Mai l/commercial carrier. In accordance with the Consumer Card Program, AdvancePCS SpecialtyRx shall dispense Covered Items in accordance with those prescriptions and mail the Covered Items to Participants at the designated address, so long as such address is located within the United States. AdvancePCS SpecialtyRx may not dispense drugs to Participants who fail to submit the correct payment with their prescription. AdvancePCS SpecialtyRx pharmaceutical care management services include but may not be limited to: (t) patient profiling focusing on the appropriateness of Specialty Medication therapy and care and the prevention of drug-drug interactions; (2) patient education materials; and (3) disease management and compliance programs with respect to Specialty Medications. As part of these services. Participants will be asked to participate in various surveys. AdvancePCS will provide Member County and Customer with a list of the Specialty Medications and their corresponding rates (which may vary from Network Rates) upon request. Routine supplies (needles, syringes, alcohol swabs) in a sufficient quantity will be included at no additional expense. NAOC t2_,2 doc (07/0612005) 1 R,CIaiml Pace3of 15 This documern cuniains propoetar' intormotion of Adv ancePCS. and may not be used for an) purpose other than to evaluate entering into a relationship yeah AdvancePCS. nor may it be duplicated or disclosed to others for am' purpose.