My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2025-126D
CBCC
>
Official Documents
>
2020's
>
2025
>
2025-126D
Metadata
Thumbnails
Annotations
Entry Properties
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
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
179
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Docusign Envelope ID: 921 F7A24-D5CE-4BCC-9F3C-5E7844661266 <br />21703080302020 <br />Elzonris SOLN 1000 MCG/ML <br />13.00% <br />21757220300320 <br />Iwilfin TABS 192 MG <br />13.00% <br />21990002152020 <br />Darzalex Faspro SOLN 1800-30000 MG- <br />UT/15ML <br />15.00% <br />21990002201930 <br />Vyxeos SUSR 44-100 MG <br />13.00% <br />21990003552020 <br />Phesgo SOLN 60-60-2000 MG -MG- <br />U/ML <br />15.00% <br />21990003552030 <br />Phesgo SOLN 8040-2000 MG -MG- <br />U/ML <br />15.00% <br />21993502502020 <br />Opdualag SOLN 240-80 MG/20ML <br />14.00% <br />22100012006520 <br />Tarpeyo CPDR 4 MG <br />14.00% <br />22100017000340 <br />Emflaza TABS 6 MG <br />13.00% <br />13.00% <br />22100017000350 <br />Emflaza TABS 18 MG <br />13.00% <br />13.00% <br />22100017000360 <br />Emflaza TABS 30 MG <br />13.00% <br />13.00% <br />22100017000365 <br />Emflaza TABS 36 MG <br />13.00% <br />13.00% <br />22100075001820 <br />Agamree SUSP 40 MG/ML <br />12.00% <br />27304050000330 <br />Korlym TABS 300 MG <br />13.00% <br />13.00% <br />27521065202020 <br />Tzield SOLN 2 MG/2ML <br />13.00% <br />30022040000320 <br />Recorlev TABS 150 MG <br />13.00% <br />30022060600320 <br />Isturisa TABS 1 MG <br />12.00% <br />30022060600330 <br />Isturisa TABS 5 MG <br />12.00% <br />30022060600340 <br />Isturisa TABS 10 MG <br />12.00% <br />30062030102020 <br />Follistim AQ SOLN 300 UNT/0.36ML <br />76.12% <br />30100020102125 <br />Serostim SOLR 6 MG <br />13.00% <br />30100020102132 <br />Zorbtive SOLR 8.8 MG <br />15.00% <br />30170075202020 <br />Signifor SOLN 0.3 MG/ML <br />13.00% <br />30170075202030 <br />Signifor SOLN 0.6 MG/ML <br />13.00% <br />30170075202040 <br />Signifor SOLN 0.9 MG/ML <br />13.00% <br />30180060002130 <br />Somavert SOLR 15 MG <br />14.75% <br />30180060002140 <br />Somavert SOLR 20 MG <br />14.75% <br />30180060002150 <br />Somavert SOLR 25 MG <br />14.75% <br />30180060002160 <br />Somavert SOLR 30 MG <br />14.75% <br />30192070402120 <br />Tepezza SOLR 500 MG <br />13.00% <br />30300010004010 <br />Cortrophin GEL 80 UNIT/ML <br />16.25% <br />30454060000320 <br />Tolvaptan TABS 15 MG <br />68.00% <br />68.00% <br />30454060000330 <br />Jynarque TABS 30 MG <br />17.50% <br />68.00% <br />30902030202020 <br />Revcovi SOLN 2.4 MG/1.5ML <br />13.00% <br />30903650100120 <br />Galafold CAPS 123 MG <br />20.50% <br />30903660102020 <br />Elfabrio SOLN 20 MG/10ML <br />13.00% <br />58 <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 />
The URL can be used to link to this page
Your browser does not support the video tag.