Common use of PLAN BENEFIT SUBMISSION AND REVIEW Clause in Contracts

PLAN BENEFIT SUBMISSION AND REVIEW. If Contractor intends to participate in the Part D program for the next program year, Contractor agrees to submit the next year’s Part D plan benefit package including all required information on benefits and cost-sharing, by the applicable due date, as provided in Subpart F of 42 C.F.R. Part 423 so that CMS, EOHHS and Contractor may conduct negotiations regarding the terms and conditions of the proposed benefit plan renewal. Contractor acknowledges that failure to submit a timely plan benefit package under this section may affect the Contractor’s ability to offer a plan, pursuant to the provisions of 42 C.F.R. §422.4(c). COORDINATION WITH OTHER PRESCRIPTION DRUG COVERAGE Contractor agrees to comply with the coordination requirements with State Pharmacy Assistance Programs (SPAPs) and plans that provide other prescription drug coverage as described in Subpart J of 42 C.F.R. Part 423.

PLAN BENEFIT SUBMISSION AND REVIEW. If Contractor intends to participate in the Part D program for the next program year, Contractor agrees to submit the next year’s Part D plan benefit package including all required information on benefits and cost-sharingcost‑sharing, by the applicable due date, as provided in Subpart F of 42 C.F.R. Part 423 so that CMS, EOHHS and Contractor may conduct negotiations regarding the terms and conditions of the proposed benefit plan renewal. Contractor acknowledges that failure to submit a timely plan benefit package under this section may affect the Contractor’s ability to offer a plan, pursuant to the provisions of 42 C.F.R. §422.4(c). COORDINATION WITH OTHER PRESCRIPTION DRUG COVERAGE Contractor agrees to comply with the coordination requirements with State Pharmacy Assistance Programs (SPAPs) and plans that provide other prescription drug coverage as described in Subpart J of 42 C.F.R. Part 423.

PLAN BENEFIT SUBMISSION AND REVIEW. If Contractor ICO intends to participate in the Part D program for the next program year, Contractor XXX agrees to submit the next year’s Part D plan benefit package including all required information on benefits and cost-sharing, by the applicable due date, as provided in Subpart F of 42 C.F.R. Part 423 so that CMS, EOHHS MDHHS and Contractor ICO may conduct negotiations regarding the terms and conditions of the proposed benefit plan renewal. Contractor ICO acknowledges that failure to submit a timely plan benefit package under this section may affect the ContractorICO’s ability to offer a plan, pursuant to the provisions of 42 C.F.R. §422.4(c). COORDINATION WITH OTHER PRESCRIPTION DRUG COVERAGE Contractor ICO agrees to comply with the coordination requirements with State Pharmacy Assistance Programs (SPAPs) and plans that provide other prescription drug coverage as described in Subpart J of 42 C.F.R. Part 423.

PLAN BENEFIT SUBMISSION AND REVIEW. If Contractor CICO intends to participate in the Part D program for the next program year, Contractor XXXX agrees to submit the next year’s Part D plan benefit package including all required information on benefits and cost-sharing, by the applicable due date, as provided in Subpart F of 42 C.F.R. Part 423 so that CMS, EOHHS SCDHHS and Contractor CICO may conduct negotiations regarding the terms and conditions of the proposed benefit plan renewal. Contractor CICO acknowledges that failure to submit a timely plan benefit package under this section may affect the ContractorCICO’s ability to offer a plan, pursuant to the provisions of 42 C.F.R. §422.4(c). COORDINATION WITH OTHER PRESCRIPTION DRUG COVERAGE Contractor CICO agrees to comply with the coordination requirements with State Pharmacy Assistance Programs (SPAPs) and plans that provide other prescription drug coverage as described in Subpart J of 42 C.F.R. Part 423.