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02/07/2023
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02/07/2023
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Last modified
3/21/2023 2:37:00 PM
Creation date
3/21/2023 1:58:03 PM
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Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
02/07/2023
Meeting Body
Board of County Commissioners
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toSmart" Nawark <br />Certain patliciptd og pharmaciesrhave Wmilto participate, together"lllrth the Mail Service <br />Scripts' "S>iknM WidgreensNallmUt" extended (84-90) days' supplymetwork fortrtahrfetrarroir <br />participating pharmacies and the ]Mail Service Pharmacy are hereinafter collectively referred to as "1" 6eiw Scripts' <br />Smart90 Walgreens Network"). Pricing in the 84.90 Dq#' Sully Column in the.fii$ble set forth above is applicable <br />only if Client" implements aplondesign OWft10i maintenandb (based on Express <br />Scripts' standard list of identified maintenance dtitgs) in extended (84-90) days' supply quantities only (i& no 30 <br />day fills emaept for initial courtesy fill(s)); and to fill such extended days' supply at either the Mail She <br />Pharrtlaay+Ca 4participating pharmacy in the Expvss Scripts Smart90 Walgreens Network..L 11 1. <br />implement a plan design whereby members who fin maintenance drugs for less than an extendad <br />supply or who fill an extended (8440) days' supply ratA participating pharmacy other than an Express Scrio <br />Smart90 Walgreens Network parr eipatingpharmacy*Actrt 'beneftat roge taff t - t <br />prescription;). If no such plan design is implemented, the pricing for such days' supply will be the some as for <br />prescriptlon.drug claims for less than an 84 days' supply, and pricing,for an 84-90 days' supply in the table set forth <br />above shall not apply, even if an Express Sod* SAWW WalgreW*"*tW* participating ph . Fwd ne <br />copayment amount must also be level between the Smarts Walgreens lel rk and the ===Order <br />Order <br />Pharmacy. <br />Smart900 Walgreens is an innovative plan design that motivates members to fill 00-day supplies of their <br />maintenance medications. Members have the choice to fill 90-day3uppiies through Express Scripts' liamo 441h=7 . <br />pharmacy services or at Walgreens pharmacies. When 04pod IS increase detpfb'" <br />aggressively discounted pricing compared to non-prefix" <br />]flow Sma M Walhrbens Works: <br />• Members obtain dil-day supply of maintenance prescriptions <br />via home dellYery EXpress Scripts or at one ofanonm than 1 <br />8,000 Walgreen'spharrowles. - <br />pay 9Q-!day copay whether filling tht�t*s)pts Pharmaclt" i7sM[' <br />• Member s the same ` <br />the Walgreen's pharmacy locations ....... <br />Members who continuetaflil30-day supplies of maintenanc*viefteOW pharntdCtt <br />R <br />courtesy fills Vey ilio offha prescript m.roast. <br />I <br />2. <br />Member Submitted lPntns, St ay A 1. products, 6TC products, vaccines, claims older <br />than 180 days, cla;rnr5 through ori pharmacies, and claims pursuant to a 100% Member <br />Copayment plan are not eligible for the guaranteed Rtsbate amounts set forth.!#. Section 1,4b <br />
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