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Docusign Envelope ID: 4C195600 -904A-41 DA-A041-3005C422FD42 <br />DocuSign Envelope ID: 7CEFAB00-59DE-49DA-8C5B-DBDB41083547 <br />(1/2024 Version) <br />herein. In addition, Client waives, releases and forever discharges PBM and Administrator <br />from any Losses arising from a pharmaceutical company's (a) failure to pay Rebates; (b) <br />breach of an agreement related to Rebates; or (c) negligence or misconduct affecting <br />Rebates. Client acknowledges that whether and to what extent pharmaceutical companies <br />are willing to provide Rebates to Client may depend upon a variety of factors, including <br />the content of the PDL, the Plan Design, Client meeting criteria for Rebates, and the extent <br />of participation in PBM's formulary management programs, as well as PBM/Administrator <br />receiving sufficient information regarding each Claim for submission to pharmaceutical <br />companies for Rebates. Client acknowledges and agrees that PBM may, but shall not be <br />required to, initiate any collection action to collect any Rebates from a pharmaceutical <br />company. In the event PBM does initiate collection action against a pharmaceutical <br />company to collect Rebates, PBM may offset any reasonable costs, including reasonable <br />attorneys' fees and expenses, arising from any such action. Notwithstanding any provision <br />of this Agreement to the contrary, Administrator shall only be responsible for payment of <br />Rebates to Client pursuant to the terms of this Agreement if such Rebates are actually <br />received by Administrator during the Term of this Agreement. In no event shall <br />Administrator be obligated to pay Rebates to Client until Administrator receives payment <br />for the same Rebates from PBM. In the event Client terminates the Agreement outside the <br />terms and conditions in the Agreement, Client forfeits the right to receive any Rebates <br />received by Administrator on Client's behalf after the date of such termination. Client <br />acknowledges that Administrator shall not be obligated to pay Client any Rebates described <br />herein until this Agreement, including any applicable Client Application, and any <br />amendment(s) or addenda to this Agreement or Client Application, is signed by Client_ <br />PBM and Administrator reserve the right to apply Client's allocated Rebate amount to <br />unpaid Fees. <br />5. Rebate amounts paid to Client pursuant to this Agreement are intended to be treated as "discounts" <br />pursuant to the federal anti -kickback statute set forth at 42 U.S.C. §1320a -7b and implementing <br />regulations. Client is obligated if requested by the Secretary of the United States Department of <br />Health and Human Services, or as otherwise required by applicable law, to report the Rebate <br />amounts and to provide a copy of this notice. PBM will refrain from doing anything that would <br />impede Client from meeting any such obligation. <br />6. Notwithstanding anything in the Agreement to the contrary, in the event PBM does not receive a <br />manufacturer payment for a particular Brand Drug claim due to its identification by a <br />pharmaceutical manufacturer as being a 340B eligible claim (even where such claim may not meet <br />the definition of a "340B Claim"), ESI may reduce a subsequent Rebate quarterly payment (or <br />reconciliation payment, if applicable) to account for any previously -paid Rebate amounts <br />attributable to such claim up to one year after the Claims date of service. <br />E. MISCELLANEOUS <br />Member Cost Share. Administrator may, but shall not be obligated to, dispense or cause to be <br />dispensed a prescription even if the prescription is not accompanied by the applicable Member Cost <br />Share described above in this Exhibit A. Administrator will refund any amount submitted by a <br />Member in excess of the Member's applicable Member Cost Share. In the event a Member submits <br />an insufficient Member Cost Share and the Member fails to remit the balance of the Member Cost <br />Share amount to Administrator (or its designee) within thirty (30) days of Administrator's (or its <br />designee's) request, then Administrator shall have the right to invoice Client for, and Client shall <br />have an obligation to pay Administrator (or its designee), the amount of the uncollected Member <br />Cost Share(s). Client shall, in turn, have the right to recover uncollected Member Cost Shares from <br />its Members at Client's determination. Shipping of prescriptions submitted without the appropriate <br />Member Cost Share may be delayed. <br />2. Additional Optional Services: Charges for additional optional services not otherwise identified and <br />20 <br />NOT FOR DISTRIBUTION. THE INFORMATION CONTAINED HEREIN 1S CONFIDENTIAL, PROPRIETARY <br />AND CONSTITUTES TRADE SECRETS OF ESI AND RXBENEFITS <br />