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2007-401A
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2007-401A
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Last modified
6/28/2016 12:34:33 PM
Creation date
10/1/2015 4:11:59 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
11/20/2007
Control Number
2007-401A
Agenda Item Number
11.D.1
Entity Name
Caremark PCS Health
Subject
Pharmacy Benefit Services Agreement
Consumer Card Program
Alternate Name
Advance PCS Health NACo
Supplemental fields
SmeadsoftID
10989
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recognized pricing source as the source for purposes of pricing and classifying drugs ( e . g. , legend vs . over the <br /> counter, <br /> brand vs . generic ) in connection with this Agreement . <br /> 10 . DEFINITIONS. The following terms and phrases , when capitalized , have the meanings set forth below . <br /> a . " AWP " means the average wholesale price of the drug dispensed as set forth in the latest edition of <br /> the First DataBank Blue Book (with supplements ), the Medi -Span Prescription Pricing Guide (with supplements ) or any <br /> other similar nationally recognized reference selected by Caremark . <br /> b . " Change in Law " means any ( i ) change in or adoption of any Law , ( ii ) change in the judicial <br /> or <br /> administrative interpretation of any Law , or ( iii ) change in the enforcement of any Law , occurring <br /> after the date <br /> Customer is implemented orthe Effective Date, whichever is earlier. <br /> c. "Claim (s)" mean those claims processed through the Caremark on- line claims adjudication system or <br /> otherwise transmitted or processed in accordance with the terms of this Agreement in connection with the Consumer <br /> Card Program . <br /> d . "Covered Items" mean the prescription drug benefits for which Participants are eligible pursuant to <br /> Member County ' s drug benefit plan . <br /> e. " Law" means any federal , state , local or other constitution , charter, act, statute, law, ordinance, code, <br /> rule, regulation , order, specified standards or objective criteria contained in any applicable permit or approval , or other <br /> legislative or administrative action of the United States of America, or any state or any agency , department, authority <br />, <br /> political subdivision or other instrumentality thereof or a decree or judgment or order of a court. <br /> f. "Manufacturer" means a pharmaceutical company that has contracted with Caremark (or its affiliate <br /> or agent) to offer discounts for pharmaceutical products in connection with Caremark ' s Formulary Services . <br /> g. " Maximum Allowable Cost ( MAC)" means the then current maximum allowable cost for <br />a <br /> prescription drug listed as a drug available from more than one Manufacturer in Caremark ' s pharmaceutical <br /> MAC <br /> pricing formula, including but not limited to formulas utilizing the Medi - Span Master Drug Pricing Source or First Data <br /> Bank . <br /> h . " Participant" means an individual designated by Member County as eligible for Covered Items <br /> under the terms of the Consumer Card Program. <br /> i . " Participating Pharmacy " means a pharmacy that has agreed to provide certain pharmacy services <br /> to Participants in accordance with the terms of its agreement with Caremark . A list of Participating Pharmacies can <br /> be <br /> accessed via Caremark ' s Internet website, which is subject to change from time to time . <br /> j . " Rebate( s)" means , for any period , all rebates, reimbursements , or other discounts received under a <br /> pharmaceutical manufacturer' s discount program with respect to pharmaceutical products dispensed to a Participant <br /> under the Consumer Card Program for such period . <br /> NACo k3 v2 doe ( 02/24/2006 ) IRrClaiml Page 10 of 29 <br /> This document contains propnetar� information of Caremark. and may not he used for any purpose other than to evaluate entering <br /> into a relationship <br /> with Caremark . nor may it be duel icated or disclosed to others for any purpose . <br />
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