Shipment Replacement Requirements Sample Clauses

Shipment Replacement Requirements. Omitted information is the subject of a request for confidential treatment pursuant to Rule 406 under the Securities Act of 1933 and has been filed separately with the Securities Exchange Commission.

Shipment Replacement Requirements. (a) Within three (3) business days of receipt of a prescription, Nova Factor will undertake an initial insurance verification for each new patient for whom Genentech HGH has been prescribed and will attempt to obtain all necessary prior authorizations as required by the involved third party payer. In performing such verification, Nova Factor will obtain and provide prescribing physician letters of medical necessity to third party payers and attempt to obtain verification of insurance coverage from such third party payers. Nova Factor must compete the Benefits/Coverage Insurance Verification form attached as EXHIBIT C at the time of obtaining such verification of insurance coverage. For purposes of this entire SECTION 2.3, "third party payer" shall mean a private third party health insurance payer that does not specifically exclude human growth hormone or injectable drugs from coverage but shall not include Government Programs. (b) If Nova Factor is not able to verify such third party payer coverage or obtain prior authorization within that three (3) business day period, Nova Factor will provide *. Thereafter, Nova Factor may provide *. (c) For each patient who does not have third party payer coverage or for whom insurance coverage is in doubt, Nova Factor shall promptly instruct and assist that patient in efforts to gain eligibility for COBRA, if applicable, or Government Programs as appropriate. (d) If during the time of this Agreement, a third party payer denies authorization or payment to Nova Factor for Genentech HGH that has been dispensed by Nova Factor to a patient in accordance with this Agreement, Nova Factor will thereafter request that the third party payer provide the basis for that denial in writing. * (e) If Nova Factor determines that insurance coverage, COBRA benefits, or coverage under a Government Program is not available, Nova Factor shall promptly contact such patient to determine the patient's ability to pay for the Genentech's HGH with his or her individual funds, and, if appropriate, refer such patient to Genentech's Uninsured Patients' Program, with prescriptions for Genentech HGH. (f) Nova Factor will xxxx payers and patients for all Genentech HGH dispensed. Subject to the limitations and requirements of this SECTION 2.3, * for the time period commencing on the first date of dispensing Genentech HGH following initiation of such patient's Genentech HGH therapy or following the date of a Coverage Interruption and ending *; provided, ...