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RES 521 Draft 01 2006-2008
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RES 521 Draft 01 2006-2008
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Entry Properties
Last modified
6/16/2009 3:20:55 PM
Creation date
5/8/2008 6:59:03 PM
Metadata
Fields
Template:
Bill/Resolution
Bill/Resolution - Type
RES
Bill/Resolution - Council Term
2006-2008
Bill/Resolution
521
Draft
01
Introducer
Bob Jacobson, Councilmember
Referred To
FC
Action 1
FC-247: Recommends adoption of Res. 521-08 - 2/5/08
Action 2
Council: Adopts Res. 521-08 & FC-247- 2/21/08
Status
Adopted
Date To Mayor or Adoption Date
2/21/2008
Reading Number
1
Reading Date
2/21/2008
Ayes
8-Ford; Higa; Hoffmann; Jacobson; Naeole; Pilago; Yagong; Yoshimoto
Noes
0-
Absent
1-Ikeda
Excused
0-
Document Relationships
AGE COUNCIL 2008/02/21 2006-2008
(Related)
Path:
\Council Records\Agendas\2006-2008\Council
AGE FC 02/05/2008 2006-2008
(Related)
Path:
\Council Records\Agendas\2006-2008\Finance Committee (FC)
REP FC 247 02/05/2008 2006-2008
(Related To)
Path:
\Council Records\Reports\2006-2008\Finance Committee (FC)
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CAREMARKPCS HEALTH, L.P. <br /> MANAGED PHARMACY BENEFIT SERVICES AGREEMENT <br /> CONSUMER CARD PROGRAM <br /> THIS RESTATED AGREEMENT (the "Agreement") is effective beginning March 1, 2006 (the "EffeMive <br /> Date") among National Association of Counties ("Customer"), counties that are members of the National Association of <br /> Counties ("Member County") and CaremazkPCS Health, L.P., formerly known as AdvancePCS Health, L.P. <br /> ("Caremark"), for the purpose of delineating the terms and conditions under which Caremark will provide certain <br /> managed pharmacy benefit services to Member County and Customer. This restated agreement will amend and replace all <br /> existing Member County Agreements. <br /> Customer agrees that it will require each Member County to execute an individual agreement with Caremazk in the form <br /> attached hereto as Exhibit C (the "Member County Agreement") prior to Caremazk's providing Services to such <br /> Member County. Caremark will not provide Services to Member County prior to the receipt of the Member County's <br /> execution of the Member County Agreement. <br /> I. STATEMENT OF SERVICES 1 OBLIGATIONS. <br /> 1.2 Services. Caremark will provide Member County the services as set Forth in this Section 1, and the <br /> services described in any attachment, addendum or amendment hereto (collectively the "Services"). Caremazk may <br /> make changes to the Services from time to time so long as such changes do not materially alter any of the provisions of <br /> this Agreement. <br /> 1.3 Participating Pharmacies. Caremark has created a network of Participating Phartnacies, which will <br /> perform pharmacy services for Participants. <br /> 1.4 Pharmacy Help Desk and Voice Response Unit Caremark will provide Participating Pharmacies <br /> with help desk assistance and access to Caremazk's voice response unit during Caremazk's hours of operation. <br /> 1.5 Claims Processing. <br /> a. Submission of Claims. Caremark will adjudicate Claims submitted by Participating <br /> Pharmacies to Caremark in accordance with the Participating Pharmacy's agreement with Caremark and the <br /> Consumer Card Program. <br /> b. Collection at Point of Sale. Customer and Member County acknowledge that Participating <br /> Pharmacies will collect from the Participant one hundred percent (100%) of the applicable prescription price, <br /> discounted at the rates set forth on Exhibit B as applicable, plus a transaction fee from the Participant. <br /> 1.5 Customer Service. Caremazk will make available to Customer, Member County and Participants a <br /> toll free number during those hours of operation maintained by Cazemark. Staff will be available to answer questions <br /> on the Consumer Card Program and Consumer Card Program guidelines. <br /> 1.6 Identification Cards. Caremark will, at its own cost, produce identification cards for Participants, <br /> which contain Member County's and Customer's logo(s). Identification cards will be available to any individual the <br /> <br /> Member County or Customer deem appropriate. Caremazk will work with Member County on the distribution method <br /> far identifcation cards; provided, however if Member County requests that Caremark mail the identifcation cards to <br /> <br /> Members, postage and handling charges will apply. The Participant shall be responsible for paying for any <br /> prescriptions obtained while using the identification cazd. <br /> 1,7 Clinical Services and Drug Utilization Review ("DUR"). <br /> a. Clinical Services. Caremazk may provide to Member County its member compliance <br /> programs and other programs designed to ensure proper drug utilization and encourage the use ofcost-effective <br /> <br /> NACo k3-v2.doc (02/248006) (RxClaiml Page I of 29 <br /> <br /> This document contains proprietary information of Caremark, and may rwc be used for any purpose other Wan to evaluate entering into a relationship <br /> with Caremark, nor may it be duplicated or disclosed [o others for any purpose. <br /> <br />
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