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io ~-o <br />~~ <br />EXHIBIT C <br />CAREMARKPCS HEALTH, L.P. <br />NATIONAL ASSOCIATION OF COUNTIES <br />MANAGED PHARMACY BENEFIT SERVICES AGREEMENT <br />FOR MEMBER COUNTY <br />This Managed Pharmacy Benefit Services Agreement for Member County effective _ , ~AN Gc a2 y ~ •~~~ <br />is entered into by and between CaremazkPCS Health, L.P. ("Caremark") and _ _/72A N ~ ~ oC„~,Trj <br />T!~ C~//tp L/Ipq <br />("Member County"). Reference is hereby made to the Managed Pharmacy Benefit Services Agreement Consumer <br />Card Program dated as of March 1, 2006 (the "Agreement") among National Association of Counties ("Customer"), <br />Member County, and Caremark under which Customer has engaged Caremark to provide services to prescription drug <br />plans for Customer and its Member Counties. <br />MEMBER COUNTY does hereby agree to be bound by, and to assume and perform, each and all of the terms, <br />covenants and conditions of the Agreement as Member County (as defined in the Agreement) in the same manner and to <br />the same extent as if it were a party thereto. Member County acknowledges and agrees that Customer and Cazemazk <br />may amend all or any portion of the Agreement, except with respect to the Initial Term, and Member County hereby <br />agrees to be bound by any such amendment. Customer shall give Member County reasonable notice prior to the <br />effective date of any such amendment. If such amendment is adverse to Member County or its Participants, Member <br />County may, within ninety (90) days of receiving such notice from Customer, terminate its participation in the <br />Agreement by giving prior written notice to Customer and Cazemazk. <br />Each party certifies that it shall not violate the federal anti-kickback statute, set forth at 42 U.S.C. § 1320a-7b(b) ("Anti- <br />Kickback Statute"), or the federal "Stark Law," set forth at 42 U.S.C. § 1395nn ("Stark Law"), with respect to the <br />performance of its obligations under this Agreement. Further, Cazemazk shall ensure that individuals meeting the <br />definition of "Covered Persons" (as such term is defined in the Corporate Integrity Agreement between the Office of <br />InspectorGen eral of the Depardnent of Health and Human Services and AdvancePCS) shall comply with Cazemazk's <br />Compliance Program, including training related to the Anti-Kickback Statute and the Stark Law. In addition, <br />Cazemark's Code of Conduct and policies and procedures on the Anti-Kickback Statute and Stark Law may be accessed <br />at htt ://www.caremark.com/w s/ ortal/ s.155/3370?cros=CMS-2-007764. <br />Customer and Cazemazk, by their signatures hereto, accept and agree to Member County's participation with the <br />Agreement under the terms and conditions of the Agreement. By signing this Managed Pharmacy Benefit Services <br />Agreement for Member County, Member County acknowledges and agrees that the terms of the Agreement have been <br />completely read, fully understood and voluntazily accepted and further agrees to be bound thereby. <br />NATIONAL ASSOCIA N OF CO TIES <br />By: <br />Title: ,~ /,~,, <br />Date: ~~~ / ~ -~ ~ <br />MEMBER COUNTY: <br />CAREMARKPCS HEALTH, L.P. <br />By: CaremarkPCS Health Systems, LLC, its <br />General Partner <br />By <br />- ~P "~ ~c®z.,J <br />~-~i 2-/~ -7 , <br />NACo k3-v2.doc (02/24/2006) [RzClaiml Pale 15 of 29 <br />This document contains proprietary mformaGon of Caremark, and may not be used for any purpose other than to evaluate entering into a relationship <br />with Cazemark, nor may it be duplicated or disclosed to others for any purpose. <br />