Laserfiche WebLink
• <br />Party and ifs: performance hereunder, including without limitation the federal anti -kickback statute <br />set>�oatlt at441;7T.,S,C. § 1320a•7b(b) ("AntiAickback Statute 1), the Public Contracts Ami t <br />Statute, anft. federal "Stark Law"set forth at 42 U.S.C. § 1395nn ("St aw"), atsat4tit+tlita <br />extent applicable to each such Party. Each Party imsponsible for obtaining its own legal advice <br />concerning its compliance with applicable laws. lfAdministrator's performance of its duties and <br />Obligations underthis Agreement is made materiallymore burdensome or expensive due to a change <br />ia; # state ar )mom regulations or the interpretation or enforcement thereof, the Parties <br />shall, at the option of Administrator, negotiate promptly and in good faith an appropriate adjustment <br />to the fees, costs, expenses and/or charges paid to Administrator hereunder or other amendment to <br />` sonably necessary in light of Yb 011 ng,eea lett sit lation or the interpretation <br />or a nibrcementt thereof. If the Parties cannot agree on such ash» ste d amounts or amended terms, <br />ter either Patty may terminate this Agreement upon thirty (30) days prior written noncan *ft . <br />gOW Party. <br />.. .. <br />- :.. 2, Neither 013M. im. -A l*Wr jW -bi- JW ". * t .. <br />gill �r pie the prescription r � <br />benefit and relategAra p Agreetner tle sr embem6sft ldt0-if ' t. <br />applicable, Members; are lobated in a state requiring a ptescrpilon benefit manager to be it <br />fiduciary to Client or lWernbers, in any capacity, contrary to or inconsistent with the terms and <br />co specifically -i ig Agreement.la*aaventanystattfbt4Wregulationrequires <br />PBM or Administrator to be,41 ary to Client ori I-AWbe r contrary b, iwinconsistent with the <br />terms and conditions identifitilmibis Agreement; Administrator may not to provide such <br />press robin drug ben4taatl t dservices identified in this Agreement) t the impacted Members <br />upon dft (30) days 'pd a writtet.*dce to Client. <br />3. Each P", upon giving prompt written notice thereof*t*e rllm%shall:aaE liable for delay <br />or failure to perform hereunder, if such delay or failure is due to t cause or causes beyond the <br />reasonable control of such Patty { rce Maieure Event"). For imposes of this Agreement, a <br />FtttaaMajeure Ever •include, lttit.a i1 A6HW1hWW 4o, acts otAl or the public enea ,: , <br />flood, storms, explosion, earthquake, ww ierroiism„ malicious mischief, accident, transprit atioif <br />tie-up, riot or civil insurreatwn, embargra, lr jrcott, lock -out, strike or labor disturbance, slowdown <br />or labor stoppage ofm ykindw,sete ► ment, foreign or domestic. Each Party shall have <br />rite option, but not the obligation, to terminate this Agreement in its entirety if the odrsC Party fails <br />to perform any mate:rial.obligation of this Agreement because of tate occurrence of a lr Majeure <br />t <br />iiia and 40yilr Q) do tlfl* O'erbreach within third. Cs after the <br />oecntrrence of die 1 i e MA} ury Nord, or (ii) such failure is not reasonably sub cure within <br />such period. The non -breaching PAttly must provide written notice of termination to thcs breaching <br />Party. <br />H. Access to Information; Audit Rights; Government Agency Submitted Claims... <br />i <br />1. Admirtistratgr end E W will allow each other gable access at reasonable times to <br />administrative nttaiion relatingto this Agreement andthe Parties' respective duties, obligations <br />andadibed herein, "vrn ofreasonable advance uesti <br />- $i g �3ii ng i <br />' <br />T <br />(subject to any limitations with respttd Jo information that is not int fhe possession or control of" <br />Administrator or is otherwise subject WA of confidentiality. ht favor of a third party). 111W, <br />agrees to execute a confidentiality agreement ia ,wml content sattsfk0J l R <br />t11E el Isis4isigParty as a condition precedent to being permitted such access to such inforn*6 <br />long as such agreement is consistent with law. <br />2. Client, or a mutually acceptable independent, third party sudifor retained by Client; may conduct, <br />With at least ) days prior written notice and at Client's sole cost and expense, an annual <br />haseriptioa lt1 q fAbIlaina audit of Administrator's data that directly relates to Prescription Drug <br />Claims biilings."i r &a prior Agreement year. The scope and manner of such a Prescription Drug <br />t lfiirtl"s audit.(inciuding applicable guidelines and timelines) shall be as reasonably determined by <br />A tiistrator and communicated la C ent sufficiently, in advance elf t ":such.a W,:Axy S" <br />audit°athall bo conducted in accordance with PBM's au k.protocol the "40 place* OW`. <br />'W" FOR DISTRIBUlZl0k T1WJNJVVXATWN CONTAINED HEREIN WVONFTDW('1 , '#r 1 <br />i . <br />AM, C,0"Wn177 T DE SECRETS OF ESI ANDIMENEFTE$ p89 <br />�. <br />. 1. <br />i <br />