Laserfiche WebLink
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 />