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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-D5CE-4BCC-9F3C-5E7844661266 <br />eligible for medical benefit, but not enrolled) <br />Additional Fees: The following programs are optional programs that may be selected by Client in <br />addition, but not in lieu of, the Core Pharmacy Services. <br />Care Complete Specialty - Basic ("CAP") <br />Care Complete Specialty - Enhanced <br />Credits and Allowances: <br />$1.50 1 $1.50 1 $1.50 <br />PMPM PMPM PMPIV <br />25% Shared 1 25% Shared 1 25% Shared <br />Ancillary Service Fees: <br />Optional services Fee <br />Implementation and plan setup <br />Pre -implementation guided discover <br />Included in Administrative Fee <br />Requirements approval process <br />Included in Administrative Fee <br />Dedicated implementation project manager <br />Included in Administrative Fee <br />Status and communication frequency — <br />weekly <br />Included in Administrative Fee <br />Pre -implementation and go -live staffing <br />Included in Administrative Fee <br />Secure Client web portal <br />(up to 5 users) <br />Included in Administrative Fee <br />Post implementation review <br />Included in Administrative Fee <br />38 <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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