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2025-126D
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2025-126D
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Last modified
9/16/2025 9:32:13 AM
Creation date
9/8/2025 1:42:16 PM
Metadata
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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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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />RYAN L. BUTLER, CLERK <br />Section 4.01. RIGHTWAY Compensation. Client will pay Administrative Fees, Additional Fees, and <br />Ancillary Service Fees to RIGHTWAY as compensation for the Services provided by RIGHTWAY <br />pursuant to Exhibit 3 (Administrative Services Fee Schedule (collectively "Fees"). In addition to the Fees <br />specified in Exhibit 3 (Administrative Services Fee Schedule), Client shall also pay RIGHTWAY any <br />additional fee that is authorized by a provision elsewhere in this Agreement or is otherwise agreed to by the <br />parties in writing. <br />Section 4.02. Payments to RIGHTWAY. RIGHTWAY shall invoice Client for Fees, Claim amounts, <br />Taxes, and any other applicable charge or fee pursuant to the terms of this Agreement within five (5) days <br />after the end of each invoice cycle. Claim amounts and Taxes shall generally be billed twice a month and <br />other Fees once monthly. Annual, quarterly, or monthly Fees or other Service charges may be charged in <br />advance, upon mutual written agreement. RIGHTWAY will invoice Client for Claims at the amount <br />RIGHTWAY pays for those Claims. Client shall pay the full amount of Fees, Claims, Taxes and other <br />charges included in the invoice within five (5) Business Days of receipt of an invoice to the bank account(s) <br />designated by RIGHTWAY. In the event Client has questions regarding any amounts included on the <br />invoice, Client still shall be obligated to wire the full amount due on the invoice within the time period set <br />forth herein, and then the parties shall work together in good faith to resolve any such questions. Client <br />shall have no right to offset disputed amounts or amounts due or allegedly due from RIGHTWAY from <br />such payment, except as previously approved in writing by RIGHTWAY. RIGHTWAY reserves the right <br />to audit Client's eligibility and data from time to time against the enrollment data maintained by <br />RIGHTWAY. In addition to RIGHTWAY's general audit rights, if Client's monthly payment fluctuates <br />on the enrollment count by fifteen percent (15%) or more, RIGHTWAY may require a full Eligibility File <br />and enrollment file to conduct a full audit. <br />(a) Payment Methodology. The parties will cooperate in good faith to establish a <br />mutually agreed upon methodology for ACH transfers related to payments as identified by Client during <br />implementation of the Services hereunder where either Client or RIGHTWAY will initiate ACH transfers <br />from Client's Account to RIGHTWAY when due. Client shall be solely responsible for depositing funds <br />and verifying that the account has sufficient funds to pay all Fees invoiced by RIGHTWAY. <br />(b) RIGHTWAY as Intermediary. RIGHTWAY is not required to render payments <br />to Participating Pharmacies or Eligible Persons for Claims unless and until RIGHTWAY has received <br />payment for the Claims from Client. In the event payment is rendered to Participating Pharmacies and/or <br />Eligible Persons prior to receipt of Claims payment from Client, such payments shall not constitute a waiver <br />of any of RIGHTWAY's remedies with respect to non-payment and shall not establish a course of dealing <br />between RIGHTWAY and Client. <br />(c) Pre -Fund Deposit. In the event Client is past due on 2 consecutive Claim invoices <br />and upon request by RIGHTWAY, Client shall advance to RIGHTWAY an initial deposit amount to be <br />paid by Client in the amount equal to the expected average Claims amount for a four (4) week period <br />("Initial Pre -Fund Deposit Amount"). RIGHTWAY will notify Client of the Initial Pre -Fund Deposit <br />Amount. Client shall remit the Initial Pre -Fund Deposit Amount to the bank account designated by <br />RIGHTWAY no later than two (2) weeks after request. Quarterly and as otherwise deemed appropriate by <br />RIGHTWAY, RIGHTWAY may review and recalculate the Initial Pre -Fund Deposit Amount to maintain <br />a deposit in the amount equal to the current average Claims for a four (4) week period, and RIGHTWAY <br />will provide Client with advance written notice of the modified Initial Pre -Fund Deposit Amount <br />("Modified Pre -Fund Deposit Amount"). In the event Client's Modified Pre -Fund Deposit Amount is <br />greater than the Initial Pre -Fund Deposit Amount, Client shall remit the difference to the bank account <br />5 <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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