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Docusign Envelope ID: 921 F7A24-D5CE-4BCC-9F3C-5E7844661266 Claim means those Covered Product claims processed through RIGHTWAY's designated on-line claims adjudication system or otherwise transmitted or processed in accordance with the terms of this Agreement in connection with the Plan. Client -Contracted Participating Pharmacies means those licensed pharmacies that are owned and operated by Client or contracted directly with Client to provide Covered Products for Eligible Persons, and do not utilize RIGHTWAY's contracted rates for Client Claims. Client -Contracted Participating Pharmacies may include retail, long term care, home infusion, ITU, mail order, and/or specialty pharmacies, if applicable. Confidential Information has the meaning given in Section 8.03 (Confidential Information) of this Agreement. Contract Year means the twelve (12) month period starting on the Effective Date of this Agreement and continuing on each anniversary date thereafter. Coordination of Benefits means Claims administration when Eligible Persons are covered by more than one pharmacy benefit plan. Cost -Sharing Amount means the coinsurance, copay, deductible or other cost sharing amount, either as a specified dollar amount or as a percentage of eligible expenses, that a Participating Pharmacy may collect from an Eligible Person for Covered Products pursuant to Client's Plan Documents (or for certain Participating Pharmacies, if less, the U&C of the Covered Products). Covered Products means those prescription drugs and ancillary devices and supplies that are covered under Client's Plan Documents. Direct Reimbursement Claim means a request for reimbursement for the cost of one or more Covered Products dispensed by a pharmacy and submitted by a Participating Pharmacy, a Non -Participating Pharmacy, or an Eligible Person in a pre-printed universal Claim form acceptable to RIGHTWAY. Dispensing Fee means the fee charged to Client and paid to a Participating Pharmacy for the filling of a Covered Product for an Eligible Person. Dispensing Fee Guarantee means the maximum average aggregate Dispensing Fee guarantees as set forth in Exhibit 4 (Pharmacy Pricing and Rebates) of this Agreement for each respective Pricing Category, as measured, reported, and reconciled in accordance with Exhibit 4 (Pharmacy Pricing and Rebates). Eligibility File means the list of Eligible Persons provided to RIGHTWAY by Client in accordance with this Agreement. The Eligibility File shall be prepared, maintained, and updated by Client, and delivered to RIGHTWAY in accordance with this Agreement. Eligible Person means each of Client's active employees "Eligible Employee" and dependents, and retired employees and dependents, who satisfy all the eligibility criteria necessary to receive pharmacy benefits under Client's Plan and are identified by Client to RIGHTWAY in accordance with the provisions of this Agreement as eligible for such benefits. 23 This document is CONFIDENTIAL AND PROPRIETARY to RIGHTWAY Healthcare, Inc. and may not be reproduced, transmitted, published, or disclosed to others without the prior written authorization of RIGHTWAY Healthcare, Inc.