2025-126D - Laserfiche WebLink

Home Browse Search

Docusign Envelope ID: 921 F7A24-D5CE-4BCC-9F3C-5E7844661266 NEW YORK PBM REGULATORY ADDENDUM With respect to the following provisions required by the State of New York, "PBM" shall mean RIGHT - WAY, and "Health Plan" shall mean Client. Notwithstanding anything in the Agreement to the contrary, PBM and Health Plan agree as follows: 1. Applicability. This Addendum is required by 11 N.Y.C.R.R. § 456.5 to include the requirements thereof to the extent such requirements are applicable to the services provided by PBM under the Agree- ment, such requirements are applicable to the services provided by PBM under the Agreement, and such requirements are not already addressed in the Agreement. This Addendum applies to the extent Eligible Person(s) reside in the State of New York and Health Plan is a "health plan" as defined in N.Y. Pub. Health Law § 280-a(1)(a). 2. General. In the event of a direct conflict between this Addendum and the Agreement, the applica- ble provisions of this Addendum shall control if required. Absent such direct conflict, the terms and con- ditions of the Agreement shall remain in full force and effect. Capitalized terms not defined in this Adden- dum shall have the same meaning as set forth in the Agreement. This Addendum may be modified from time to time pursuant to the Agreement. 3. Disclosure of Agreement. Notwithstanding anything to the contrary in this Agreement, the New York Department of Financial Services ("DFS") is authorized to request copies of the terms and conditions of the Agreement. PBM is prohibited from including in the Agreement any confidentiality provisions re- lated to disclosures to DFS and shall not require prior approval from any party prior to disclosure to DFS. Upon the DFS superintendent's request, PBM must transmit the Agreement to the department within 15 business days, unredacted and in full. N.Y. Comp. Codes R. & Regs. tit. 11, § 456.5(a). This document is CONFIDENTIAL AND PROPRIETARY to RIGHTWAY Healthcare, Inc. and may not be reproduced, transmitted, published, or disclosed to others without the prior written authorization of RIGHTWAY Healthcare, Inc.