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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 />EXHIBIT 6 <br />REGULATORY ADDENDA <br />FLORIDA PBM REGULATORY ADDENDUM <br />With respect to the following provisions required by the State of Florida, "PBM" shall mean RIGH IVAY, <br />and "Insurer" shall mean Client. <br />Notwithstanding anything in the Agreement to the contrary, PBM and Insurer agree as follows: <br />1. Applicability. This Addendum is required by Florida Stat. Ann. §§ 627.64741, 627.6572, 641.314, <br />and 626.8825 in order to include the requirements thereof to the extent such requirements are applicable <br />to the Services provided by PBM under the Agreement, such requirements are applicable to the Services <br />provided by PBM under the Agreement, and such requirements are not already addressed in the Agree- <br />ment. This Addendum applies to the extent Eligible Person(s) reside in the State of Florida and Insurer <br />is a "pharmacy benefits plan or program" as defined in Florida Stat. Ann. § 626.8825. <br />2. General. In the event of a direct conflict between this Addendum and the Agreement, the applica- <br />ble provisions of this Addendum shall control if required. Absent such direct conflict, the terms and con- <br />ditions of the Agreement shall remain in full force and effect. Capitalized terms not defined in this Adden- <br />dum shall have the same meaning as set forth in the Agreement. This Addendum may be modified from <br />time to time pursuant to the Agreement. <br />3. MAC Lists. PBM shall update MAC pricing information at least every seven (7) calendar <br />days. Florida Stat. Ann. §§ 627.64741(2)(a), 627.6572(2)(a), and 641.314(2)(a). PBM shall maintain a <br />process that will, in a timely manner, eliminate drugs from MAC lists or modify drug prices to remain <br />consistent with changes in pricing data used in formulating MAC prices and product availability. Florida <br />Stat. Ann. §§ 627.64741(2)(b), 627.6572(2)(b), and 641.314(2)(b). <br />4. Pass-through Pricing Model. PBM shall use a pass-through pricing model. Florida Stat. Ann. § <br />626.8825(2)(a), (b). <br />5. Funds for Services. PBM shall use funds received in relation to providing the Services only pur- <br />suant to this Agreement or as otherwise required by applicable law. Florida Stat. Ann. § 626.8825(2)(c). <br />6. Manufacturer Rebates. PBM shall pass 100 percent of all Rebates received to Insurer. This par- <br />agraph does not apply if Insurer is a Medicaid managed care plan. Florida Stat. Ann. § 626.8825(2)(d). <br />7. Network Adequacy Standards. <br />77 <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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