Laserfiche WebLink
j Dispensing Fee. ESI will guarantee a maximum average aggregate annual per claim dispensing fee <br />owCNW u +cation to be calculated as follows,. <br />[total dispensing fee of applicableAi" im [p.Wod divided by total claims for the annual <br />period). <br />s are inclusive of shipping and it carrierraws ti <br />• ..... _ <br />oo111 0 ai prierseryWjncrease during Ofthis Agreement, tha �legetarant�rr tint <br />be � l�#lect>as� <br />Guarasos 1Mili 1<le measuiixl *d,r0qWW op aoll 'FDffittt 40W.Changes its berg design or <br />Formulary during the term ofthe A.greemen''t, the guarari�i�aiiil be equitably adjusted ifthere is a material impact on; <br />the discount achieved. Subject to the remaining terms of''thls Agreement, ESl will pay -*e difference of Client's cost <br />f€or ally shoe it ae#itd Itl.4 <br />the guaranteed resulD..;F.QIkptl11p111 > fineasureme WOW " ' f <br />guarantee in this � or Amendments to this Agreement, over many component wifL�ttot`bo• � <br />t0 Offset lfOifOtAaaie in an other measured pricing component. <br />is <br />NOT <br />G <br />i <br />l <br />r .. <br />k <br />i. <br />s <br />FM QXJ <br />WMXMM, TW.9WQXWX1ON CONTAINED HEREWWCONFIDEi .,,ii AU <br />AM VO NSTp'itIMISITME SECRETS OF ESI 14",WMENEFI1* 14 <br />AA <br />... ... VV <br />supply <br />Claims Excluded <br />i01i*ound,,$J Submitted <br />til ift, $bbrogatlwi Claims, vaccines* <br />SpeeialtyProducts, biosimilar producl:116, <br />long term care pharmacy claims aad <br />Generic <br />op fined through in-house or <br />Drug <br />�l wmacies (if applicablOPevicein <br />Dispensing <br />$0.80 <br />$O:OQ <br />t rect/Member SubmitteilC <br />Fee/Claim* <br />TtWitional Providers <br />*ilitatp>weteranstHome <br />Wusior &,T4=tilaUindian/Urban), <br />Clainik'PtAm irsed/Rejected <br />compounds, Member Submitted <br />;$abrogation Claims, vaccines, <br />Products, biosimilar products, <br />to pharmacy claires1 <br />$end <br />products filletthrough in-house of)40b <br />pharmacies (if applicable), Devic* <br />Dispensing <br />Dispensing <br />$0.80 <br />$0.00 <br />$0.00 <br />�Mtember Submitted Claims,V ' <br />Fee/Claim* <br />Traditional Providers <br />04ilitaryNeterans/Home <br />ltd:. " I/Indian/Urban), <br />Cww <br />s are inclusive of shipping and it carrierraws ti <br />• ..... _ <br />oo111 0 ai prierseryWjncrease during Ofthis Agreement, tha �legetarant�rr tint <br />be � l�#lect>as� <br />Guarasos 1Mili 1<le measuiixl *d,r0qWW op aoll 'FDffittt 40W.Changes its berg design or <br />Formulary during the term ofthe A.greemen''t, the guarari�i�aiiil be equitably adjusted ifthere is a material impact on; <br />the discount achieved. Subject to the remaining terms of''thls Agreement, ESl will pay -*e difference of Client's cost <br />f€or ally shoe it ae#itd Itl.4 <br />the guaranteed resulD..;F.QIkptl11p111 > fineasureme WOW " ' f <br />guarantee in this � or Amendments to this Agreement, over many component wifL�ttot`bo• � <br />t0 Offset lfOifOtAaaie in an other measured pricing component. <br />is <br />NOT <br />G <br />i <br />l <br />r .. <br />k <br />i. <br />s <br />FM QXJ <br />WMXMM, TW.9WQXWX1ON CONTAINED HEREWWCONFIDEi .,,ii AU <br />AM VO NSTp'itIMISITME SECRETS OF ESI 14",WMENEFI1* 14 <br />AA <br />... ... VV <br />