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1 A'.: <br />t+ptt011'iuttttIs.chgtq from ESI Specialty Pharmacy. ESI Specialty Pharmacy shall have 360 days <br />$ tf of et*ftysio Mieletehonic or paper claim. <br />(Cj : SPECIALTY NRTXjffMWE DISCOUNT GUARANTEE - Administrat0:10pantees that <br />the overall annual net effective di:ltfor the prodtid9listed on the Specialty Products List wt4i,talt AWP <br />(-)minus 18.50% for Client (excluding limited distr*OW -products). Within one hundredei*)*Mowing <br />i <br />Iheandalsach contract <br />ytlair$ •VAt a the soft .1*4ft'ective discoutKfi I'# l oductsl .q b pecialty <br />Price List that were dispensed through the mail order channel to determine if the guarantee has b,* $ -A <br />overall net effective discount is less than the guaranteed net effective discount ESI will reimbttaattCtt$sitll' <br />amount of the difference between the actual and guaranteed net effective disat..GlienttJlt l� ! <br />the actual net effective discount exceeds the guaranteed net effective discount. The calcuiiatiou actual no <br />effective discount will be as follows: ((Total Ingredient Cost for the products listed on the Specialty Pri e'List) divided . ! <br />by (Total AWPAordo products listed =AwSpoialty PrieeL onkus 1. This guarantee is contingent on Client'$ <br />participation in the National Preferred Formulary and an expecialty arrangement. <br />3.3 Influeattit and Other Vaccinations. Vaccinations shall adjudicate at the lower of: <br />c*i <br />* The Vaccine Program Fee will be billed separately to CliiMma plat of the administrative invWjOUPORRi f <br />the billing frequency set forth in the Agreement. This Vata7 M Program Fee will apply to *006 i <br />whether at contracted rates or U&C, and is in addition to any for FrescriptionOft fMa�liwCiitt¢srf! i <br />forth in the Agreement. <br />(b) the combined ingredient cost, dispensing fee (if any) and professional 9pppN iiMiR Lilo <br />D.,..t:............. OL................... �....Il....i_...-_...... :_-1:..:.1.._1 __..._� __..L ...:.L _... _.... .-...-., r " t., _ _ .�..__ y...�, .. . ; ; '., <br />Participating P B Pharma 9" <br />::.: ZA <br />Parficcy Inv~ PsMipdi� <br />tt . <br />Cost as Be $� the A <br />t <br />Okfumbs;I n <br />parGAPOft Pharmacy ... Participaftlbltmacy <br />Dispensit*;�lraitii�tlt;�h <br />+ <br />Dispea t7w is set fortbilt do <br />ill the Agreeatptit- <br />..... <br />Adeftment <br />_ .. <br />Professional Service Fee <br />(PSF); coat for pharmacist <br />Pass -Through <br />to administer the vaccine <br />at SIS per vaccine <br />per <br />Vaccine Program Fee " <br />$2.50 - <br />52.50 ..~ <br />r vaccine claim <br />per vaccine AAL <br />* The Vaccine Program Fee will be billed separately to CliiMma plat of the administrative invWjOUPORRi f <br />the billing frequency set forth in the Agreement. This Vata7 M Program Fee will apply to *006 i <br />whether at contracted rates or U&C, and is in addition to any for FrescriptionOft fMa�liwCiitt¢srf! i <br />forth in the Agreement. <br />(b) the combined ingredient cost, dispensing fee (if any) and professional 9pppN iiMiR Lilo <br />D.,..t:............. OL................... �....Il....i_...-_...... :_-1:..:.1.._1 __..._� __..L ...:.L _... _.... .-...-., r " t., _ _ .�..__ y...�, .. . ; ; '., <br />