HomeMy WebLinkAbout2023-032r)nnnSinn Fnvelnne In, 25299Afig-A331.41R1-RFPF-COOF2A1R5AA7
DocuSign Envelope ID: 4ED06744-81E1-4985-9D34-31DC21A1A620
ADDENDUM TO ADMINISTRATIVE. SERVICES AGREEMENT
THIS ADDENDUM TO ADMINISTRATIVE SERVICES AGREEMENT (this "Addendum"), entered
into effective as of April I, 2022 (the "Addendum Effective Date"), is made by and between RxBenefits, Inc.
("Administrator") and Indian River County Board of County Commissioners ("Client"). The parties, intending to
be legally bound, do hereby agree as follows:
1. Administrator and Client are parties to that certain Addendum to Administrative Services Agreement dated
October 1, 2021 (the "Agreement").
2. Administrator, Client, and SavcOnSP, LLC are parties to that certain SaveOnSP Services Agreement dated
October 1, 2019 for which Client was previously charged by Administrator $0.40 per Claim pursuant to the
"Manufacturer Copay Assistance Program" Section of Table 2.1 of Exhibit A to the Agreement (the "SaveOn Fees").
3. Administrator and Client hereby execute this Addendum for the purpose of documenting that the SaveOn
Fees are hereby removed and the "Manufacturer Copay Assistance Program" Section of Table 2.1 of Exhibit A to the
Agreement shall be deleted and replaced with the following as of the Addendum Effective Date:
4. Except for the amendment of the SaveOn Fees effected hereby, the Agreement shall not otherwise be
modified, altered or amended in any respect. Upon execution of this Addendum by the parties' authorized
representatives below, this Addendum shall be in full force and effect from and after the Addendum Effective Date
and is hereby ratified and incorporated into the Agreement.
IN WITNESS WHEREOF, the undersigned parties have entered into and executed this Addendum as of
the Addendum Effective Date.
APPROVED AS TO FORM
AND LEGAL SUFFICIENCY
B
DYLAN REINGOLD
COUNTY ATTORNEY
Attest: Jeffrey R. Smith, Clerk of
Circuit Court and Comptroller
CLIENT:
Indian Rixtr County.. and
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By:
Printed Name: Joseph H. Earman
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Its: Chairman '.,i•+•• , 1�
-- ,�ER COU�Zr�•;
Acknowledged, agreed to and accepted by:
ADMINISTRATOR:
RxBenefits, Inc.
By: FDocuSfgned by:
1,AItYt,IA, iO0,6VuS
Printed Name: Lauren Simmons
Its: Vice President of Compliance & Legal Affairs
NOT FOR DISTRIBUTION. THE INFORMATION CONTAINED HEREIN IS CONFIDENTIAL, PROPRIETARY, AND
CONSTITUTES TRADE SECRETS OF ESI AND RXRENEFITS.