Contracting Pharmacies Clause Samples
The 'Contracting Pharmacies' clause defines the terms and conditions under which pharmacies are authorized to participate in a contractual arrangement, typically with a healthcare provider, insurer, or pharmacy benefit manager. This clause outlines the requirements pharmacies must meet to be eligible, such as licensing, compliance with applicable laws, and adherence to specific service standards. It may also specify the process for adding or removing pharmacies from the network. The core function of this clause is to ensure that only qualified and compliant pharmacies are included, thereby maintaining the integrity and quality of the pharmacy network.
Contracting Pharmacies. The allowable charge for a covered Prescription Drug is established under the applicable network participation agreement. The allowable charge, minus the applicable cost sharing provision(s), is paid directly to the Pharmacy.