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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 />75 <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 />ONGOING PERir-1' 1 1 GUARANTEES <br />(Valid through completion of the InitialTerm) <br />Measurement <br />Measurement <br />ofTotal <br />Category <br />Performance Standard Frequency <br />Level <br />Amount at <br />Risk <br />Customer Care - <br />Less than 5% of calls will be abandoned, <br />RIGHTWAY <br />Abandonment <br />once call has entered queue Quarterly <br />Book of Busi- <br />5% <br />Rate <br />ness <br />Eligible Person calls received during <br />Customer Care — <br />each calendar year will be answered <br />RIGHTWAY <br />Average speed to <br />within an average of thirty (30) seconds <br />Quarterly <br />Book of Busi- <br />5% <br />answer <br />or less with the exception of a failure of <br />ness <br />a third -party communications system <br />Customer Care - <br />85% of all Eligible Person inquiries will <br />RIGHTWAY <br />First Call <br />be resolved on the first contact <br />Quarterly <br />Book of Busi- <br />Resolution <br />ness <br />Claim <br />Operations - <br />Eligibility must be processed within 24 <br />RIGHTWAY <br />Eligibility <br />hours of receipt of a complete Eligibility <br />Quarterly <br />Book of Busi- <br />5% <br />Accuracy and <br />File and with 100% accuracy <br />ness <br />Timeliness <br />RIGHTWAY agrees to provide at least <br />ninety (90) days' notice to the Client <br />prior to any disruptive Formulary or <br />Formulary <br />Specialty Drug list changes. Bidder <br />RIGHTWAY <br />Notification <br />agrees to provide membership impact <br />Annually <br />Book of Busi- <br />5% <br />associated with the Formulary or Spe- <br />ness <br />cialty Drug list changes in advance, and <br />notify members who will be disrupted in <br />a manner agreed upon with the Client <br />Prescriptions dispensed from the Spe- <br />Specialty <br />cialty Pharmacy will be received by Eli- <br />RIGHTWAY <br />Pharmacy — <br />gible Person no less than the Business <br />Quarterly <br />Book of Busi- <br />5% <br />"Needs By Date" <br />Day prior to Eligible Persons Needs- <br />ness <br />By" date, unless delay is due to an act or <br />omission by Eligible Person. <br />Mail Order <br />Prescriptions requiring no intervention <br />Claims <br />mailed by the Mail Service Pharmacy to <br />RIGHTWAY <br />Turnaround - <br />Eligible Persons on an annual basis shall <br />Quarterly <br />Book of Busi- <br />5% <br />Clean Claims (no <br />be dispensed and mailed within an aver- <br />ness <br />intervention) <br />age of two (2) Business Days, measured <br />75 <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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