Pharmacy Benefit Management Services. A. Services to be provided by the PBM Where Pharmacy Benefit Management Services apply to the Plan Sponsor, the Company shall arrange for services to be provided by a pharmacy benefit manager (PBM) to support the pharmacy expense benefit provided under the Plan Sponsor's Plan, as follows:
Pharmacy Benefit Management Services. In this provision a Preferred Pharmacy shall mean a pharmacy which has entered into an agreement with UHS or its affiliate or subcontractor to provide prescription drug services to Covered Persons. UHS will determine which pharmacies will be Preferred Pharmacies. The particular pharmacies that are Preferred Pharmacies can change at any time. UHS will make reasonable efforts to provide City with advance notice of any material changes in the network of Preferred Pharmacies. If UHS furnishes a preferred drug list, also known as a drug formulary, for use with the Plan, City agrees not to copy, distribute, sell, or otherwise provide the preferred drug list to another party without UHS prior written approval, except to Covered Persons as described below. On termination of this Agreement, City will cease all use of the preferred drug list. UHS will process the claims of Preferred Pharmacies in accordance with the Description of Benefits and the Preferred Pharmacy’s participation agreement.
Pharmacy Benefit Management Services. We will determine which pharmacies will be Network Pharmacies. The particular pharmacies that are Network Pharmacies can change at any time. We will make reasonable efforts to provide you with advance notice of any material changes in the network of Network Pharmacies. If we furnish a preferred drug list, also known as a drug formulary, for use with the Plan, you agree not to copy, distribute, sell, or otherwise provide the preferred drug list to another party without our prior written approval, except to Participants as described below. On termination of this Agreement, you will cease all use of the preferred drug list. We will process the claims of Network Pharmacies in accordance with the Description of Benefits and the Network Pharmacy’s participation agreement.
Pharmacy Benefit Management Services. A fully transparent PBM service that focuses on eliminating spread. Benefiting Agencies: oversee program Administrator: provides services & manages subcontractors Groups Participating Programs • Pure pass-through pricing from pharmacies PBM Services Member Services Claim Processor Clinical Services Rebate Services Network Mgmt. Billing & Payment Reporting Analytics • 100% pass-through of all manufacturer rebates and fees • Full audit rights • Annual market checks Information is confidential and proprietary and may not be reproduced unless authorized in writing by a representative of the Northwest Prescription Drug Consortium or Moda Health. A free state-sponsored prescription drug discount card for under or un- insured individuals. Xxxx Xxx Subscriber Xxxx Xxx This card does not certify or guarantee benefits. xxxxxxxxxx.xxx ID number MXXXXXXXX Group number 1XXXXXXX Mobile PIN code XXXX + Pharmacy Discount card holder Savings $s Wholesaler Manufacturer • Purchases are not subsidized by state funds • Offers individual consumers pricing comparable to participating groups under the NW Consortium • Over 55,000 pharmacies participate nationwide Information is confidential and proprietary and may not be reproduced unless authorized in writing by a representative of the Northwest Prescription Drug Consortium or Moda Health. Manufacturer B Manufacturer A Manufacturer C <.. image(A picture containing drawing Description automatically generated) removed ..> A state backed GPO program delivering best value pharmaceuticals and services to government and non-profit institutions. Producer • Services provided via a national organization GPO Program Facilities Corrections State Hospitals Public programs • Deliver aggressive class of trade pricing for public entities • Regular market checks to ensure competitiveness • No affiliation fee for government programs Information is confidential and proprietary and may not be reproduced unless authorized in writing by a representative of the Northwest Prescription Drug Consortium or Moda Health. An innovative prescription drug purchasing program for one-time only prescription drug fulfillment. Corrections State Hospitals Jails Rx Voucher • Prescription drug service for individuals upon discharge or for emergent need use on site Pharmacy + • One time access to prescription at retail pharmacy • Paid for by discharging institution • Significant savings over pharmacy usual & customary price Information is confidential and proprietary a...
Pharmacy Benefit Management Services. Pharmacy Benefit Services are provided with respect to covered prescription drugs that are provided as a preventive care benefit.
Pharmacy Benefit Management Services. UPMC agrees to make available to Evolent and Evolent Clients, the Pharmacy Benefit Management Services (“PBM Services”) as set forth on Schedule 1, subject to the restrictions and pricing set forth therein. The Parties expressly understand and agree that the services and pricing on Schedule 1 are effective through December 31, 2014. Evolent must provide notice to UPMC on or before February 1, 2014 (the “Notice Date”) of Evolent’s or any Evolent Client’s desire not to utilize UPMC for PBM Services. All Evolent Clients electing to receive PBM Services after the Notice Date must agree to minimum three-year terms with respect to those PBM Services.
Pharmacy Benefit Management Services
