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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 />6. Reporting. Carrier and PBM acknowledge that the following information must be reported to the <br />Commissioner on an annual basis, and PBM shall undertake such reporting on behalf of Carrier to the <br />extent required by the Agreement: <br />6.1 Rebates Received. The aggregate amount of rebates (discounts or other price concessions, <br />including without limitation incentives, disbursements, and reasonable estimates of volume -based dis- <br />counts, or payments that are (i) based on utilization of a prescription drug and (ii) paid by a manufacturer <br />or third party, directly or indirectly, to a pharmacy benefits manager, pharmacy services administrative <br />organization, or pharmacy after a claim has been processed and paid at a pharmacy) received by PBM. <br />6.2 Rebates Distributed. The aggregate amount of rebates distributed to Carrier. <br />6.3 Point of Sale Rebates. The aggregate amount of rebates passed on to Eligible Persons at <br />the point of sale that reduced the Eligible Persons' applicable deductible, copayment, coinsurance, or other <br />cost-sharing amount. <br />6.4 Carrier Payments to PBM. Upon the request of the Commission, the individual and aggre- <br />gate amount paid by Carrier to PBM for services itemized by pharmacy, by product, and by goods and <br />services. <br />6.5 Payments Made by PBM. Upon the request of the Commission, the individual and aggre- <br />gate amount PBM paid for services itemized by pharmacy, by product, and by goods and services. Vir- <br />ginia Code Ann. §§ 38.2-3465, 38.2-3468(B). <br />S <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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