S Social Services - Participate in NACo Prescription Drug Card Program

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CAREMARKPCS HEALTH, L.P. MANAGED PHARMACY BENEFIT SERVICES AGREEMENT CONSUMER CARD PROGRAM THIS RESTATED AGREEMENT (the "Agreement") is effective beginning March 1, 2006 (the "Effective Date") among National Association of Counties ("Customer"), counties that are members of the National Association of Counties ("Member County") and CaremarkPCS Health, L.P., formerly known as AdvancePCS Health, L.P. ("Caremark"), for the purpose of delineating the terms and conditions under which Caremark will provide certain managed pharmacy benefit services to Member County and Customer. This restated agreement will amend and replace all existing Member County Agreements. Customer agrees that it will require each Member County to execute an individual agreement with Caremark in the form attached hereto as Exhtbit C (the "Member County Agreement") prior to Caremark's providing Services to such Member County. Caremark will not provide Services to Member County prior to the receipt of the Member County's execution of the Member County Agreement.. 1. STATEMENT OF SERVICES /OBLIGATIONS. 1.2 Services. Caremark will provide Member County the services as set forth in this Section 1, and the services described in any attachment, addendum or amendment hereto (collectively the "Services"). Caremark may make changes to the Services from time to time so long as such changes do not materially alter any of the provisions of this Agreement. 13 Participating Pharmacies. Caremazk has created a network of Participating Pharmacies, which will perform pharmacy services for Participants. 1.4 Pharmacy Help Desk and Voice Response Unit. Caremark will provide Participating Pharmacies with help desk assistance and access to Caremark's voice response unit during Caremark's hours of operation. 1.5 Claims Processing. a. Submission of Claims. Caremazk will adjudicate Claims submitted by Participating Pharmacies to Caremark in accordance with the Participating Pharmacy's agreement with Caremazk and the Consumer Card Program. b. Collection st Point of Sale. Customer and Member County acknowledge that Participating Pharmacies will collect from the Participant one hundred percent (100%) of the applicable prescription price, discounted at the rates set forth on Exhibit B as applicable, plus a transaction fee from the Participant. 1.5 Customer Service. Caremark will make available to Customer, Member County and Participants a toll free number during those hours of operation maintained by Caremazk. Staff will be available to answer questions on the Consumer Card Program and Consumer Card Program guidelines. 1.6 Identification Cards. Caremark will, at its own cost, produce identification cazds for Participants, which contain Member County's and Customer's logo(s). Identification cards will be available to any individual the Member County or Customer deem appropriate. Caremark will work with Member County on the distribution method for identification cards; provided, however if Member County requests that Caremark mail the identification cards to Members, postage and handling changes will apply. The Participant shall be responsible for paying for any prescriptions obtained while using the identification cazd. 1.7 Clinical Services and Drug Utilization Review ("DUR"). s. Clinical Services. Caremazk may provide to Member County its member compliance programs and other programs designed to ensure proper drug utilization and encourage the use ofcost-effective • NACo k3-v2.doc 02/242006 Claim P e 1 of29 >~ This document contains proprietary information of Caremark, and may not be used for a~ purpose other than to evaluate entering into a relationship with Caremark, nor may it be duplicated or disclosed to others for arty purpose.