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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 />EX11113IT 4 <br />PHARMACY PRICING AND REBATES <br />PASS-THROUGH PRESCRIPTION PRICING AND REBATE SCHEDULE <br />FOR AVOIDANCE OF DOUBT, THIS EXHIBIT 4-B DOES NOT APPLY TO CARE <br />NAVIGATION SERVICES <br />In accordance with the terms of this Agreement, RIGHTWAY will deliver the value of the proposed AW I' <br />Discount Guarantee, Dispensing Fee Guarantee and Minimum Rebate Guarantee set forth in Sections A <br />and B below, including any upside performance after reconciliation. <br />Offset Rights: As it pertains to AWP Discount Guarantees and Dispensing Fee Guarantees the financial <br />perfonnance of overage in one or more Pricing Category may not be applied to offset a shortfall in one or <br />more other Pricing Category. For avoidance of doubt, overage in any individual Minimum Rebate <br />Guarantee Pricing Category may be used to offset shortfall in another Minimum Rebate Guarantee Pricing <br />Category, but not AWP Discount Guarantee and Dispensing Fee Guarantee Pricing Categories. <br />Guarantee Reporting and Reconciliation: RIGHTWAY will provide Client with an AWP Discount <br />Guarantee and Dispensing Fee Guarantee reconciliation report within ninety (90) days after the end of each <br />Contract Year. RIGHTWAY will provide Client with a Minimum Rebate Guarantee reconciliation report <br />within one hundred eighty (180) days after the end of each Contract Year. If the actual performance is less <br />than the guaranteed amounts, RIGHTWAY will make up any Net Shortfall on a dollar -for -dollar basis as a <br />credit to Client on a future invoice(s). For purposes of this Agreement, Net Shortfall is defined as the sum <br />of all shortfalls for each Pricing Category after application of offset rights. For the avoidance of doubt, <br />Client shall retain one hundred percent (100%) of any guarantee overperformance. <br />A. Participating Pharmacy ANNT Discount Guarantees and Dispensing Fee Guarantees: <br />For purposes of these guarantees, the Pricing Categories are Retail 30 Brand, Retail 30 Generic, Retail 90 <br />Brand, Retail 90 Generic, Mail Service Brand, Mail Service Generic, Specialty Brand, Specialty Generic, <br />and Specialty LDD. <br />Retail Pharmacies: <br />44 <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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