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2025-126D
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2025-126D
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Last modified
9/18/2025 10:43:54 AM
Creation date
9/8/2025 1:42:16 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
06/03/2025
Control Number
2025-126D
Agenda Item Number
13.D.1.
Entity Name
Rightway Healthcare, Inc.
Subject
Pharmacy Benefit Management Services Agreement
Document Relationships
2025-126
(Cover Page)
Path:
\Official Documents\2020's\2025
2025-126A
(Cover Page)
Path:
\Official Documents\2020's\2025
2025-126B
(Cover Page)
Path:
\Official Documents\2020's\2025
2025-126C
(Cover Page)
Path:
\Official Documents\2020's\2025
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Docusign Envelope ID: 921 F7A24-D5CE4BCC-9F3C-5E7844661266 <br />RIGHTWAY does not assume responsibility for establishing Coordination of Benefits filing order for <br />subsequent coverages, nor responsibility for Coordination of Benefits investigational efforts, subrogation, <br />or coordination with Worker's Compensation. <br />Section 7. Electronic Prescribing. RIGHTWAY will provide its standard e -prescribing program, <br />providing for a real time electronic interface to allow e -prescribing. E -prescribing connectivity vendors are <br />independent third -party contractors and are not employees, subcontractors, or agents of RIGHTWAY. <br />RIGHTWAY shall have no liability for a claim resulting from any act or omission of a connectivity vendor, <br />physician, or physician software vendor or the services such party provides. <br />Section 8. Standard PBM Reports/Tools. RIGHTWAY shall prepare and deliver to Client core <br />reports no later than thirty (30) days from the close of the month or quarter, as applicable. Client will <br />receive RIGHTWAY's Standard Report Package. RIGHTWAY Standard Report Package will include <br />reports generally available to RIGHTWAY's clients, with information reasonably necessary for Client to <br />manage and oversee its Plan. Additional, ad hoc, or customized reports shall be quoted upon request and <br />the parties will negotiate in good faith to agree on a due date for any such report report(s). <br />Section 9. Data Services. RIGHTWAY will deliver the following data services to Client, in <br />conjunction with the assistance of Client or Client Service Provider as mutually agreed upon and subject <br />to Section 8.03 (e) of this Agreement. <br />(a) Accumulator File (deductible & MOOP). Upon at least one hundred and twenty <br />(120) days advance notice, RIGHTWAY will integrate with a single Client Service Provider (e.g. TPA or <br />medical carrier) by providing Client Service Provider with the data reasonably necessary for Client to <br />manage Eligible Person's deductible and MOOP on behalf of the Plan in the RIGHTWAY standard file <br />format, or as mutually agreed upon otherwise ("Accumulator File"). The Accumulator File will be provided <br />to Client Service Provider in the distribution method and frequency mutually agreed upon by RIGHTWAY <br />and Client Services Provider during integration. Any changes requested by Client or Client Service Provider <br />to the Accumulator File, frequency, or distribution method shall be provided to RIGHTWAY in writing <br />and will be subject to RIGHTWAY approval. <br />(b) Claim Data. RIGHTWAY will provide Client and up to two (2) Client Service <br />Providers with an electronic file in RIGHTWAY's standard format and distribution method of all Paid <br />Claims for the Client prescription drug program on a monthly basis or such other time frame agreed upon <br />by the parties. <br />(c) RIGHTWAY Consumer Engagement Mobile Application. RIGHTWAY will make <br />available to Eligible Persons that have completed the standard registration process the RIGHTWAY mobile <br />application which will include at a minimum access to navigators and digital identification card. <br />(d) RIGHTWAY Consumer Engagement Web Application. RIGHTWAY will <br />maintain a standard web -based application for RIGHTWAY's book of business including their members <br />will have access to general RIGHTWAY information such as Formulary and Participating Pharmacy <br />listings. <br />Section 10. Clinical and Other Services. RIGHTWAY will provide Client's Plan and its Eligible <br />Persons certain clinical and ancillary services to facilitate Eligible Persons' appropriate utilization of <br />Covered Products. <br />31 <br />This document is CONFIDENTIAL AND PROPRIETARY to RIGHTWAY Healthcare, Inc. and may not be reproduced, <br />transmitted, published, or disclosed to others without the prior written authorization of RIGHTWAY Healthcare, Inc. <br />
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