Commercial Plan Pharmacy Incentive Program Clause Samples

The Commercial Plan Pharmacy Incentive Program clause establishes a framework for incentivizing pharmacies within a commercial health plan to achieve certain performance or quality benchmarks. Typically, this clause outlines the criteria pharmacies must meet—such as improved patient adherence, cost savings, or enhanced service quality—and details the rewards or bonuses provided for meeting these targets. By formalizing these incentives, the clause encourages pharmacies to align their practices with the health plan’s goals, ultimately aiming to improve patient outcomes and control costs.
Commercial Plan Pharmacy Incentive Program. PacifiCare shall establish and administer an annual Pharmacy Incentive Program for the PacifiCare Commercial Plan (the “PIP”). The PIP is designed to provide an incentive for the efficient and effective use of Outpatient Pharmacy Supplemental Benefits for Commercial Plan Members. The PIP shall be calculated as follows: