2019-842 Health - Walgreens drug dispense

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wko,wwlf./1. Covered Entity Location name , address and identification number, the eligible prescriber' s name , and the Eligible Patient ' s full name . The prescription must be written or sent to Walgreens by an individual on the Prescriber List . Covered Entity may also provide each Eligible Patient whose prescriptions are not reimbursable by a Private Insurer with a voucher or similar document that sets forth the amount that Walgreens shall collect from the Eligible Patient at the time of dispensing . In addition , Covered Entity will provide Walgreens ( or an entity designated by Walgreens ) with : ( i ) the Prescriber List on a mutually agreed upon frequency ; ( ii ) either ( a ) a mutually agreed upon unique identifier affixed to prescriptions , or ( b ) an electronic file of Covered Entity ' s patients that contains the data elements agreed to by the parties , updated a minimum of one time each day via electronic interface and subject to the terms of the Business Associate Addendum , attached hereto as Exhibit C ; and ( iii ) any other patient eligibility information agreed to by the parties . The information described herein , as mutually agreed by the parties , and that Covered Entity provides to Walgreens or its delegate , will establish patient eligibility and serve as evidence of Covered Entity ' s authorization for Eligible Patients to receive 340B Drugs ( "Authorization " ) . In the event that at any time during the term of this Agreement Walgreens does not receive the information necessary to establish Authorization , Walgreens shall not be obligated to perform under this Agreement , including its obligations to provide 340B Pharmacy Services or Inventory Maintenance Services ( except with respect to any 340B Drugs already dispensed by Walgreens ) , until such time as Walgreens receives the necessary Authorization information . 3 . 2 . Su tier . Covered Entity acknowledges and agrees that establishing a successful replenishment process with the Supplier is essential to this Agreement and Walgreens ' provision of 340B Pharmacy Services and Inventory Maintenance Services . Covered Entity will use best efforts to establish and maintain a Supplier arrangement agreeable to Walgreens . Concurrent with the Effective Date or as soon as reasonably practicable thereafter, Covered Entity shall provide Walgreens with written notice of the identity of the Supplier . Covered Entity shall not utilize any Supplier to which Walgreens reasonably objects . In the event that at any time during the term of this Agreement Walgreens is unable to successfully place an order with Supplier for replacement 340B Drugs or reasonably believes such orders shall not be replenished by Supplier, Walgreens shall not be obligated to perform its obligations under this Agreement , including its obligations to provide 340B Pharmacy Services or Inventory Maintenance Services ( except with respect to any 340B Drugs already dispensed by Walgreens ) , until such time as Walgreens is able to place a successful order for replenishment . 3 . 3 . Orders and Payment to Supplier . Covered Entity shall purchase 340B Drugs through a written contract with Supplier and will ensure that Supplier . ( i ) bills Covered Entity for such 340B Drugs ; and ( ii ) ships such 340B Drugs to the applicable Pharmacy Location . Covered Entity will notify Walgreens at least one hundred twenty ( 120 ) calendar days prior to any change in the Supplier used to provide 340B Drugs hereunder . In the event Covered Entity fails to notify Walgreens of a change in Supplier as required herein : ( i ) Covered Entity will reimburse Walgreens in accordance with the Usual and Customary Charge for any pharmaceuticals dispensed by Walgreens after the effective date of such change ; and ( ii ) Walgreens will not reverse any claim or make adjustments to its Invoices due to changes in the Supplier . The parties further agree that : 3 . 3 . 1 . For each 340B Drug dispensed that reaches depletion at a full package size , Walgreens will order from Supplier ( on behalf of Covered Entity ) replacement 340B Drugs with the same NDG11 as the 340B Drug dispensed . Covered Entity, through Supplier, will ensure that such replacement 340B Drugs are delivered by Supplier to the applicable Pharmacy Location . 4 of 24 MAT- 63397 OrangeCountyHD - WAG 340B 10312019 ( be ) V1 . 0 © 2019 Walgreen Co . All rights reserved .