Participating Pharmacy Audit Sample Clauses

Participating Pharmacy Audit. PBM must audit three percent (3%) of Participating Pharmacies to ensure that Participating Pharmacies are in compliance with their contracts with PBM. Selection of Participating Pharmacies for this type of audit and the method of audit will be determined by PBM with guidance from Sponsor if deemed necessary. PBM may perform the audit or select an outside firm to perform the audit on PBM’s behalf. Any identified overpayments made to a Participating Pharmacy attributable to Claims will be offset against future Sponsor invoice payments; if offset is not available, then Sponsor’s portion of any overpayment recovered from the Participating Pharmacy will be remitted to Sponsor.
Sample 1
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Participating Pharmacy Audit. (a) Caremark will conduct weekly on-site and off-site audits of Caremark selected Participating Pharmacies to verify the Participating Pharmacy’s compliance with its retail pharmacy network agreement with Caremark (“Periodic Audits”). Caremark will have the sole right to audit Participating Pharmacies. (b) To the extent Caremark determines, as the result of its Periodic Audits, that amounts have not been billed in accordance with Caremark’s retail pharmacy network agreement (“Audit Discrepancies”), Caremark will make reasonable attempts to reconcile such Audit Discrepancies. In the event the Audit Discrepancy has a financial impact to Participating Group, Caremark will reconcile Participating Group’s invoice based upon recovered Audit Discrepancies. Caremark will notify Participating Group of any Audit Discrepancy that has impacted Participating Group’s financial obligation to Caremark by greater than that Caremark determines to be reasonably uncollectible by Caremark. Caremark will not be required to institute litigation to collect any Audit Discrepancies. Caremark’s obligation to conduct Periodic Audits and to attempt collection and reconciliation, as described, will be Caremark’s sole obligation with respect to remedying Audit Discrepancies.
Sample 1

Related to Participating Pharmacy Audit

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  • Compensation Review The compensation of the Executive will be reviewed not less frequently than annually by the board of directors of the Company.

  • Manufacturing Services Patheon will perform the Manufacturing Services for Products to be distributed and sold by Client in the Territory for the fees specified in Schedules B and C to the relevant Product Agreement. Schedule B to each Product Agreement sets forth a list of cost items that are included in the Price for Products; all cost items that are not included in this list are excluded from the Price and are subject to additional fees to be paid by Client. Patheon may amend the fees set out in Schedules B and C to a Product Agreement as set forth in Article 4. Patheon will perform the Manufacturing Services solely at the Manufacturing Site, unless otherwise agreed in writing by Client. If the parties agree that Patheon will supply, and Client will purchase, at least a specified minimum percentage of Client’s requirements for a Product under a Product Agreement (the “Required Percentage”), then the applicable Product Agreement will set forth the Required Percentage and the time period during which the obligation will apply (the “Required Period”). But this obligation (if any) will cease to apply to Client with respect to the Product if Patheon fails to remain in material compliance with its obligations under this Agreement or the applicable Product Agreement, or Patheon suspends performance under this Agreement or the applicable Product Agreement in connection with a Force Majeure Event or where Patheon is or will be prevented from supplying the Product as a result of the action of a Regulatory Authority. Subject to its obligation (if any) to purchase the Required Percentage of a Product during the Required Period, Client may, at any time, obtain Product from a third party or may, at any time, qualify a third party to perform Manufacturing Services for the Product. In performing the Manufacturing Services, Patheon and Client agree that:

  • Submitting Investigator An investigator who submitted a genomic dataset to an NIH designated data repository (e.g., dbGaP).

  • Medical Verification The Town may require medical verification of an employee’s absence if the Town perceives the employee is abusing sick leave or has used an excessive amount of sick leave. The Town may require medical verification of an employee’s absence to verify that the employee is able to return to work with or without restrictions.

  • Project Review A. Programmatic Allowances 1. If FEMA determines that the entire scope of an Undertaking conforms to one or more allowances in Appendix B of this Agreement, with determinations for Tier II Allowances being made by SOI-qualified staff, FEMA shall complete the Section 106 review process by documenting this determination in the project file, without SHPO review or notification. 2. If the Undertaking involves a National Historic Landmark (NHL), FEMA shall notify the SHPO, participating Tribe(s), and the NPS NHL Program Manager of the NPS Midwest Regional Office that the Undertaking conforms to one or more allowances. FEMA shall provide information about the proposed scope of work for the Undertaking and the allowance(s) enabling FEMA’s determination. 3. If FEMA determines any portion of an Undertaking’s scope of work does not conform to one or more allowances listed in Appendix B, FEMA shall conduct expedited or standard Section 106 review, as appropriate, for the entire Undertaking in accordance with Stipulation II.B, Expedited Review for Emergency Undertakings, or Stipulation II.C, Standard Project Review. 4. Allowances may be revised and new allowances may be added to this Agreement in accordance with Stipulation IV.A.3, Amendments. B. Expedited Review for Emergency Undertakings

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