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DocuSign Envelope ID:E8C538EF-9595-4E36-A4C9-2CA66C7BE34A <br /> 1.22 "Point-of-Sale" means the location and time that a Covered Drug is dispensed to a <br /> Covered Individual, and the corresponding Claim is submitted by the dispensing pharmacy for <br /> adjudication by the Claims Adjudication System. <br /> 1.23 "Prescriber" means a licensed health practitioner with independent prescribing authority <br /> in the state in which the dispensing pharmacy is located. <br /> 1.24 "Prescription Drug"means a substance intended for use in the diagnosis, cure,mitigation, <br /> treatment, or prevention of disease which is dispensed by a duly licensed pharmacy and required <br /> by federal law to be dispensed only upon the authorization of a Prescriber. For purposes of this <br /> Agreement, over-the-counter medications, medical supplies, and medical devices are not <br /> Prescription Drugs, whether or not ordered by a Prescriber. <br /> 1.25 "Retail Pharmacy" means a state licensed retail community pharmacy that dispenses <br /> prescription medications at its physical location. A Retail Pharmacy does not include a <br /> pharmacy that dispenses medications to patients primarily through mail, nursing home <br /> pharmacies, long-term care facility pharmacies, hospital pharmacies, or clinics, unless such <br /> pharmacy is a Participating Pharmacy listed by Envision as a Retail Pharmacy. <br /> 1.26 "Specialty Drug" means a Prescription Drug that is typically a high-cost biotech, <br /> injectable, infused, oral, or inhaled Prescription Drug, and/or a Prescription Drug that requires <br /> special storage, handling, and/or requires close monitoring of the patient's drug therapy to ensure <br /> appropriate use and clinical outcome. For purposes of this Agreement, Specialty Drugs are not <br /> considered Limited Distribution Drugs. <br /> 1.27 "Specialty Pharmacy" means Orchard Pharmaceutical Services, LLC d/b/a <br /> EnvisionPharmacies. <br /> 1.28 "Usual and Customary Price" or "U&C Price" means the retail amount the pharmacy <br /> charges its cash paying customers for the drug dispensed, as reported to Envision by the <br /> dispensing pharmacy. <br /> 2. STANDARD PBM SERVICES <br /> Envision shall perform the following pharmacy benefit management services ("PBM Services"). <br /> 2.1 Welcome Kit: If requested by Plan Sponsor, Envision shall provide an initial "Welcome <br /> Kit" which may include, at Plan Sponsor's option, (i) a welcome letter; (ii) plastic identification <br /> card ("ID Card"), up to two per family; (iii) a pocket Formulary; and (iv) Mail Order Pharmacy <br /> brochure, as specified in the Benefit Specification Form. The standard Welcome Kits will be <br /> mailed to Plan Sponsor or, at its option, directly to Covered Individuals. For any materials <br /> mailed directly to Covered Individuals, Plan Sponsor shall reimburse Envision for its cost of <br /> postage. Additional ID Cards or replacement ID Cards (i.e. for lost or stolen ID Cards) will be <br /> provided at a cost as specified in Exhibit 1. If Plan Sponsor desires to re-design and/or re-issue <br /> ID Cards, or for special graphic requests, additional charges may apply. <br /> \Pass-through PBMSA(041917) ©Envision Pharmaceutical Services,LLC Page 4 of 41 <br />