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2021-109A
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2021-109A
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Last modified
11/17/2021 9:44:33 AM
Creation date
11/12/2021 3:36:05 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Addendum
Approved Date
08/17/2021
Control Number
2021-109A
Agenda Item Number
8.M.
Entity Name
RxBenefits, Inc.
Subject
Addendum to Administrative Services Agreement for RxBenefits and
Express Scripts effective January 1, 2021
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DocuSign Envelope ID: 5B185859-5943-4C41-90BF-OCE5E9OFDAD D <br />(01/2021 Version) <br />23. Client's consultant (Lockton) may perform a pre -implementation audit prior to the Effective Date. <br />MISCELLANEOUS <br />24. Any costs bidding entities may incur as it relates to attending meetings, site visits or negotiations are the <br />responsibility of Administrator. <br />25. Client may not terminate this Agreement without cause and may only terminate this Agreement as expressly <br />provided for in Article VI of the Agreement. <br />26. Coordination of Benefits claims accounted for in the claims data and discount guarantees by a flag indicating <br />that a transaction utilized COB functionality within the RxCLAIM system. COB claims are excluded from <br />pricing guarantees but are assessed an administrative fee if applicable. <br />F. EXECUTION BY CLIENT <br />Client hereby represents and warrants that the information contained in Section A of this Client Application <br />is true and correct in all respects and Client hereby agrees to the specific terms, conditions and financial arrangements <br />set out in Sections B, C and D of this Client Application. Client agrees that if any information in Section A changes, <br />Client will give Administrator prompt notice of such changes. Furthermore, Client understands that this Client <br />Application Exhibit A is apart of the Administrative Services Agreement between Client and Administrator to which <br />it is attached and incorporated into by reference and that Client is bound by all terms and conditions of such <br />Administrative Services Agreement. <br />All capitalized terms used in this Client Application but not specifically defined herein shall have the <br />meanings given to such terms in the Administrative Services Agreement to which this Client Application is attached <br />and made a part of. <br />NOT FOR DISTRIBUTION. THE INFORMATION CONTAINED HEREIN IS CONFIDENTIAL, PROPRIETARY <br />AND CONSTITUTES TRADE SECRETS OF EXPRESS SCRIPTS AND RXBENEFITS <br />
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