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Appendix C <br /> Rates, Claims & Payment Process for Direct Payment by Customer to Supplier <br /> Rates <br /> 1 . There will be no minimum order quantities for supplies. <br /> 2. K-Remedy on behalf of the Supplier will ship items to all diabetic members as <br /> identified by Customer and who have registered on the Supplier's program. <br /> 3. Prices for supplies shipped are as follows: $58.00 per box of 50 strips and lancets. <br /> All other supplies (including glucometer) and services are included (with the 3- <br /> year Purchase Agreement). It is noted that there will be no price escalations to <br /> the quoted price until October 2018. Supplier shall notify Customer at least 120- <br /> days prior to any pricing changes. <br /> 4. In case of replacements occurring due to the covered member loosing a supply, <br /> replacements will be charged at the following rates and includes shipping fee to <br /> the members shipping address as follows: <br /> a. Glucometer - $80.00/unit <br /> b. Strips - $ 50.00 per box of 50 <br /> c. Lancets - $ 8.00 per box of 50 <br /> d. Lancing pen - $ 10 per pen <br /> e. Control solution - $ 10 per bottle <br /> 5. Customer's explicit written authorization is required if lost replacement requests <br /> exceed 10% of the regular shipments. <br /> Monthly Invoice & Reimbursements <br /> A. A monthly invoice will be raised for the preceding month that meet the following <br /> requirements: <br /> 1 . All shipments are associated with a valid prescription. Shipments will never <br /> exceed what is allowed in the prescription except that strips and lancets will <br /> be rounded off in increments of 50 (i.e. for example if a 90-day prescription <br /> warrants only 190 strips, the Customer will be charged for 4 boxes of strips). <br /> 2. The rates charged follow the rates agreed in this Purchase Agreement. <br /> FINAL 2.4 AUGUST 3RD 2016 11 <br /> it <br />