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Agenda - 10-23-2007-4j
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Agenda - 10-23-2007-4j
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Last modified
9/2/2008 1:56:27 AM
Creation date
8/28/2008 10:54:46 AM
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BOCC
Date
10/23/2007
Document Type
Agenda
Agenda Item
4j
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Minutes - 20071023
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Path:
\Board of County Commissioners\Minutes - Approved\2000's\2007
S Personnel - CAREMARK HEALTH & NACo MANAGED PHARMACY BENEFIT SERVICES AGREEMENT FOR MEMBER COUNTY
(Linked From)
Path:
\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2000's\2007
S Social Services - Participate in NACo Prescription Drug Card Program
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Path:
\Board of County Commissioners\Contracts and Agreements\General Contracts and Agreements\2000's\2007
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<br />CAREMARIO'CS HEALTH, L.P. <br />MANAGED PHARMACY BENEFTT 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 aze members of the National Association of <br />Counties ("Member County") and CazemazkPCS Health, L.P., formerly Imown as AdvancePCS Health, L.P. <br />("Caremark"), for the purpose of delineating the terms and conditions under which Cazemazk 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. Cazemazk 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 />1.2 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"). 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 />1.3 Participating Pharmacies. Cazemazk has created a network of Participating Pharmacies, 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 Cazemazk's voice response unit during Cazemazk's hours of operation. <br />1.5 Claims Processing. <br />a. Submission of Claims. Caremark will adjudicate Claims submitted by Participating <br />Pharmacies to Cazemazk 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 13 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 Caremark. Staff will be available to answer questions <br />on the Consumer Card Program and Consumer Card Program guidelines. <br />1.6 Identification Cards. Cazemazk 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; provided, 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 card. <br />1.7 Clinical Services and Drug Utilization Review ("DUR"). <br />a. Clinical Services. Caremark 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 />NACo k3-v2.doc (02/24/2006)1RaClaiml Page 1 of 29 <br />This document contains proprietary information of Cazemazk, and may not be used for any purpose other than to evaluate entering into a relationship <br />with Cazemazk, nor may it be duplicated or disclosed to others for any purpose. <br />
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