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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 />Optional <br />Health fair & employee meeting support <br />Pass through of reasonable expenses (travel, swag. ctc.); <br />prior approval required by Client <br />Other professional services (e.g., specialized <br />$200 per hour <br />reporting, plan design, member <br />communications, custom programming, audit <br />support, etc.) <br />Clinical professional services (e.g., create and <br />$225 per hour <br />manage custom clinical policies and/or <br />custom formulary, etc.) <br />Customer care <br />Integrated call center with live representative <br />Included in Administrative Fee <br />service during operating hours: Eligible <br />Person & pharmacy help desk <br />RIGHTWAY consumer engagement mobile <br />Included in Administrative Fee <br />and web standard applications <br />Formulary and rebate <br />RIGHTWAY Formulary management (does <br />Included in Administrative Fee <br />not include Client custom formularies) <br />P&T committee review & support <br />Included in Administrative Fee <br />Manufacturer contracting and management <br />Included in Administrative Fee <br />Safety and utilization management <br />Online Concurrent DUR <br />Included in Administrative Fee <br />Standard Prior Authorization services <br />Included in Administrative Fee <br />(guidelines and letters) <br />Step therapy care and quantity limits <br />Included in Administrative Fee <br />Treatment alternatives <br />Included in Administrative Fee <br />42 <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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