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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 />EXHIBIT 5 <br />PERFORMANCE STANDARD GUARANTEES <br />FOR AVOIDANCE OF DOUBT, THIS EXHIBIT 5 DOES NOT APPLY TO CARE <br />NAVIGATION SERVICES <br />RIGHTWAY will provide the following performance guarantees placing up to $10 per Eligible Person at <br />risk for implementation performance guarantees in Year One and $15 per Eligible Person at risk for ongoing <br />performance guarantees each calendar year through the Initial Term with assessments as described for non- <br />compliance. The proposed assessments set forth below are expressed as a percentage of the amount at risk. <br />The amount at risk may be allocated at the Client's discretion provided that: (1) no more than 20% of the <br />total amount at risk for ongoing performance guarantees will be allocated to any one ongoing performance <br />guarantees and an equal allocation of the total amount at risk for implementation performance guarantee <br />will be allocated across the implementation performance guarantees; (2) the total amount allocated equals <br />100% or less of the total amount at risk; and (3) RIGHTWAY receives written notice of the Client's <br />allocations at least thirty (30) days prior to the Effective Date or the beginning of each Contract Year <br />thereafter. If amount at risk allocations is not provided to RIGHTWAY timely, the total amount at risk will <br />be allocated evenly amongst all performance guarantees in accordance with the terms of this exhibit. <br />Within ninety (90) days after the end of each calendar year as applicable, RIGHTWAY shall report ("PSG <br />Report") to Client RIGHTWAY's performance under each performance guarantee, which shall be <br />measured and reconciled on a calendar year basis. Amounts due resulting from a RIGHTWAY failure to <br />meet any performance guarantee, if any, shall be credited against amounts due from Client to RIGHTWAY <br />upon the next invoice delivered to Client following Client's receipt of the PSG Report. Upon request, <br />RIGHTWAY will provide Client with a quarterly PSG Report within thirty (30) days of request. <br />No performance penalties, if any, will be owed until this Agreement is executed by Client. In no event will <br />the sum of the amounts owed to Client, as a result of RIGHTWAY's failure to meet the performance <br />guarantees exceed the total dollars stated at risk for any given calendar year. Performance guarantees shall <br />be void if the Agreement is terminated before completion of Year One. If Client's go -live date occurs after <br />January V, any amounts owed to Client will be prorated based on the number of complete months in the <br />calendar year for which the performance guarantee results are based, and any termination or expiration of <br />the Agreement before the end of any calendar year shall void the performance guarantees for that year. <br />Unless otherwise specified, the performance guarantees set forth in this exhibit will not apply to products <br />dispensed through Specialty Pharmacy nor for any services not fully delegated to RIGHTWAY. <br />Unless otherwise specified, the performance guarantees will be measured to the decimal precision specified <br />in the target to determine if any penalties are due. Results will be rounded to the nearest whole number or <br />decimal precision specified. Fives will be rounded to the nearest even digit, up or down to the favor of <br />RIGHTWAY. <br />In the event that any failure by RIGHTWAY to meet any performance guarantee is due to a "Force Majeure" <br />as defined in this Agreement, failure of Client to perform its obligations under this Agreement, or actions <br />or inactions of Client that adversely impact RIGHTWAY's ability to maintain the subject standard (e.g., <br />faulty eligibility, changes in benefit design not adequately communicated to Eligible Persons, or benefit <br />designs that substantially change the Eligible Persons' rights under the Plan), RIGHTWAY will be excused <br />72 <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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