Orange County NC Website
~~ <br />E~IIBIZ' D <br />REDACTED CONTRACT <br />CAREMARKl"CS 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 "Effective <br />Date") among National Association of Counties ("Customer"), counties that are members of the National Association of <br />Counties ("Member County") and CazemazkPCS 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 Caremark in the form <br />attached hereto as Exhibit C (the "Member County Agreement") prior to Cazemazk'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 />1. STATEMENT OF SERVICES /OBLIGATIONS. <br />1.1 Services. Cazemazk 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"). Caremark 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 />1.2 Participating Pharmacies. Cazemazk has created a network of Participating Pharmacies, which will <br />perform pharmacy services for Participants. <br />1.3 Pharmacy H@Ip Desk and Voice Response Unit. Caremark will provide Participating Pharmacies <br />with help desk assistance and access to Cazemazk's voice response unit during Cazemazk's hours of operation. <br />1.4 Claims Processing. <br />a. Submission of Claims. Caremazk 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. Caremark will make available to Customer, Member County and Participants a <br />toll free number during those hours of operation maintained by Cazemazk. 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 />Member County or Customer deem appropriate.. Cazemazk will work with Member County on the distribution method <br />for identification cards; prov]ded, however if Member County requests that Caremark mail the identification cards to <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. Cazemazk may provide to Member County its member compliance <br />programs and other programs designed to ensure proper drug utilizafion and encourage the use ofcost-effective <br />NACo_k3-v2.doc (02/24/2006) [RaClaim] Page 16 of 29 <br />