Orange County NC Website
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~c.a2 y ~ -Zc~B <br />is entered into by and between CazemazkPCS Health, L.P. ("Caremark") and _ /72A NL'~ o4n~ ~_ <br />Ni,2Tif CAitpri~9.v <br />("Member County"). Reference is hereby made to the Managed Pharmacy Benefit Services Agreement Consumer <br />Cazd Program dated as of Mazch 1, 2006 (the "Agreement") among National Association of Counties ("Customer"), <br />Member County, and Cazemazk under which Customer has engaged Cazemazk 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 Tenn, 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 "Stazk Law," set forth at 42 U.S.C. § 1395nn ("Stazk 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 Department of Health and Human Services and AdvancePCS) shall comply with Caremazk's <br />Compliance Program, including training related to the Anti-Kickback Statute and the Stazk Law. In addition, <br />Cazemark's Code of Conduct and policies and procedures on the Anti-Kickback Statute and Stazk Law may be accessed <br />at http://www.cazemark.com/wps/nortaU 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 ASSOCIATION OF COUNTIES <br />By: <br />Title: <br />Date: <br />MEMBER COUNTY: <br />[County *r°--~, <br />By: <br />Title: <br />Date: <br />CAREMARKPCS HEALTH, L.P. <br />By: CaremarkPCS Health Systems, LLC, its <br />General Partner <br />By: <br />Title: <br />Date: <br />NACo k3-v2.doc (02/24/2006) [12zClaiml ~ Pa a 15 of 29 <br />This document contains proprietary information of Caremazk, and may not be used for any purpose other than to evaluate entering into a relationship <br />with Caremark, nor may it be duplicated or disclosed to others for any purpose. <br />