Rebate Program Conditions Sample Clauses

Rebate Program Conditions a. Client must select and adhere to the chosen Formulary, including any additions of deletions to the Formulary provided by PBM. Rebate guarantees are contingent upon Client adhering to such chosen Formulary and all applicable prior authorization and utilization management criteria related to the same. b. Rebate guarantees do not apply to Claims processed through institutional, hospital or staff model/hospital pharmacies where the pharmacy, most likely, has its own manufacturer contracts (rebate or purchase discounts), or through pharmacies that participate in the Federal government pharmaceutical purchasing program. c. Rebate eligibility is dependent on confirmation of Client’s ERISA status. d. Rebate Guarantee Changes.