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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: 921F7A24-D5CE-4BCC-9F3C-5E7844661266 <br />21200050002160 <br />Jelmyto SOLR 80 (2 x 40) MG <br />13.00% <br />21200080002020 <br />Valstar SOLN 40 MG/ML <br />13.00% <br />13.00% <br />21250010602020 <br />Rylaze SOLN 10 MG/0.5ML <br />13.00% <br />21250030502020 <br />Asparlas SOLN 3750 UNIT/5ML <br />14.00% <br />21250060002020 <br />Oncaspar SOLN 750 UNIT/ML <br />13.50% <br />21300003000320 <br />Onureg TABS 200 MG <br />15.75% <br />21300003000330 <br />Onureg TABS 300 MG <br />13.00% <br />21300054002025 <br />Folotyn SOLN 40 MG/2ML <br />13.50% <br />21335013000320 <br />Inlyta TABS I MG <br />16.50% <br />21335013000340 <br />Inlyta TABS 5 MG <br />16.50% <br />21335020002030 <br />Avastin SOLN 400 MG/16ML <br />16.00% <br />21335035000140 <br />Fruzaqla CAPS 5 MG <br />15.50% <br />21350515202120 <br />Blenrep SOLR 100 MG <br />13.00% <br />21351640502120 <br />Zynlonta SOLR 10 MG <br />13.00% <br />21351860002020 <br />Rituxan SOLN 100 MG/IOML <br />16.00% <br />21352028152040 <br />Elrexfio SOLN 76 MG/1.9ML <br />16.00% <br />21352031202040 <br />Epkinly SOLN 48 MG/0.8ML <br />16.00% <br />21352035002040 <br />Colum vi SOLN 10 MG/ IOML <br />13.00% <br />21352050102040 <br />Lunsumio SOLN 30 MG/30ML <br />13.00% <br />21352076802040 <br />Talvey SOLN 40 MG/ML <br />13.00% <br />21352078202130 <br />Imdelltra SOLR 10 MG <br />13.00% <br />21352080602020 <br />Kimmtrak SOLN 100 MCG/0.5ML <br />13.00% <br />21352084202040 <br />Tecvayli SOLN 153 MG/1.7ML <br />13.00% <br />21352640202130 <br />Besponsa SOLR 0.9 MG <br />15.50% <br />21353220202120 <br />Adcetris SOLR 50 MG <br />13.50% <br />21353630202117 <br />Mylotarg SOLR 4.5 MG <br />15.00% <br />21354860302120 <br />Polivy SOLR 140 MG <br />15.00% <br />21355232002020 <br />Yervoy SOLN 50 MG/IOML <br />13.50% <br />21355232002040 <br />Yervoy SOLN 200 MG/40ML <br />13.50% <br />21355280102040 <br />Imjudo SOLN 300 MG/15ML <br />13.00% <br />21356028002020 <br />Unituxin SOLN 17.5 MG/5ML <br />13.00% <br />21356050302020 <br />Danyclza SOLN 40 MG/1 OML <br />13.00% <br />21357923402030 <br />Libtayo SOLN 350 MG/7ML <br />14.00% <br />21357928302020 <br />Jemperh SOLN 500 MG/IOML <br />15.50% <br />21357953002030 <br />Keytruda SOLN 100 MG/4ML <br />13.50% <br />21357960202020 <br />Zynyz SOLN 500 MG/20ML <br />13.00% <br />21357970722020 <br />Logtorzi SOLN 240 MG/6ML <br />13.00% <br />52 <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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