General Financial Terms. Customer will pay the charges for CCMS specified in the Agreement, including those below. Charges below are in U.S. dollars and will be billed in the invoice currency for the associated service.
General Financial Terms. Except where stated in this section, all terms set forth in Attachment A of this Agreement, where applicable, are incorporated herein by reference. Furthermore, all pricing and financial terms under this Attachment F-1 shall apply uniquely to the EGWP Services in Attachment F and be independently measured and reconciled from Client’s commercial population. • Under the Pass-Trough Pricing Model, Client shall pay the actual retail pharmacy rates paid by OptumRx for Prescription Drugs electronically processed and dispensed to a Member through OptumRx’s retail Pharmacy Network, which are estimated to be the effective rates set forth above. OptumRx’s compensation for its services shall be the Claims Administration Fees set forth above and a fee in an amount agreed to by the parties for any additional services authorized by Client. • Optum Specialty Pharmacy shall be specialty providers under this Agreement and Members will receive Specialty Drug Covered Prescription Services only from a Network Pharmacy, including Specialty Pharmacy. Specialty dispensing fees and Specialty Drug pricing shall apply for any Specialty Drugs filled at retail and Home Delivery. The Specialty Drug List will be provided to Client upon request may be updated from time to time. •
General Financial Terms. Customer will pay the charges for CCMS specified in the Agreement, including those below., and at the following URL: xxx.xxxxxxxxxxxxxxxxx.xxx/xxxxxxxx/xxxxxxx_xxxxx/xxx/xxxxxxxxxx_xxxxxxx_xxx.xxx. Charges below are in U.S. dollars and will be billed in the invoice currency for the associated service.
General Financial Terms. Subject entirely to the more detailed provisions set forth elsewhere in this Agreement, (a) each Party will bear all costs and expenses incurred by it in connection with its Target identification work, (b) the Parties will share Research and Development Costs incurred in connection with Collaboration research and development activities 70% (Chiron) and 30% (XOMA), and (c) the Parties will share Pre-Tax Profits from the Collaboration 70% (Chiron) and 30% (XOMA).
General Financial Terms. 1. Under the Pass Through Pricing Model, Participating Group shall pay the actual retail pharmacy rates paid by PBM for prescriptions electronically processed and dispensed to a Member through for specific network pharmacies may differ. These rates represent the average net effective rate for the overall network. Participating Group will be charged actual rates. This is a claim level guarantee.
2. Under the Traditional Pricing Model, Participating Group shall pay the effective retail pharmacy rates as set forth above. The Participating Pharmacy rates may vary, and the amount paid to the Participating Pharmacy may not be equal to the amount billed to the Participating Group and Administrator shall retain any difference.
3. National Average Drug Acquisition Cost (NADAC) pricing model may be offered to Participating Group on a case-by-case basis.
4. The discounts and the dispensing fees set forth above are effective average rates, as measured annually. In calculating the effective average discounts, PBM may not include Rebates earned.
5. Discounts and dispensing fees will be reconciled on an individual component basis with no offsets. Any excess discount or reimbursement delivered in one component may not be used to offset underperformance in another component under this Agreement. Compound prescription drug Claims, 340B claims, Indian Health Services and/or Tribal claims, Direct Member Reimbursement Claims, Coordination of Benefit Claims, Long Term Care Claims, Home Infusion Claims, vaccines, claims with ancillary charges , third party billed claims, Limited Distribution Drugs, fraudulent claims and claims filled outside the PBM National Network shall be excluded from the guarantee. Additionally, claims in Puerto Rico, Guam, Northern Mariana Islands, Virgin Islands, Hawaii, Massachusetts, Alaska, will be excluded from the guarantees if they exceed more than 3% of claim counts. For pass through pricing models, certain conditions such as in-house or Participating Group-owned pharmacies, and Participating Group requests for additions to a selected network may result in a rate change or differential with respect to the affected pharmacy(ies) that will be passed on to Participating Group, plus a mutually agreed to administrative fee. Notwithstanding anything in this Agreement to the contrary, the financial guarantees set forth above apply o full 12-month period. Furthermore, if this Agreement is terminated prior to the end of a given contract year, then PBM is no...
