AMENDMENT NO. 3
TO
DRUG BENEFIT PROGRAM SERVICES AGREEMENT
In consideration of the mutual promises contained herein and other good and
valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, the undersigned, being the parties to that certain Drug
Benefit
Program Services Agreement dated as of March 1, 1994, as amended (the "Service
Agreement"), hereby amend the Service Agreement effective October 1, 1998 as
follows:
1. Sections 2.1(a), 2.1(b), 2.1(c), 3.1(a), 3.1(b) and 3.1(c) of the
Service Agreement are deleted. Furthermore, the phrase "including but not
limited to the following:" is deleted from Section 3.1 of the Service Agreement
and substituted therefor shall be ".".
2. RxCare and Pro-Xxxx expressly agree that each of them is free to
solicit, negotiate, market, communicate and enter into contracts with any Drug
Benefit Program or other person, entity or individual (whether Managed Care
Organizations or Behavioral Health Organizations or the State of Tennessee) to
provide pharmaceutical benefit management services on its own behalf and for its
own benefit regardless of whether RxCare currently has a contract in force and
effect with any such Drug Benefit Program and so long as any such new contract
is not effective until the later of the following: (a) January 1, 1999 or (b)
the day following the termination date of the existing contract between RxCare
and such applicable Drug Benefit Program. Furthermore, RxCare and Pro-Xxxx shall
notify each other within 24 hours of the receipt of any written or oral
notification (whether or not such notification is in proper form under the terms
of the applicable agreement) from an applicable Drug Benefit Program as to the
termination date of each existing contract or Drug Benefit
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Program covered under an existing contract which in any case has been or is
currently being serviced by Pro-Xxxx under the Service Agreement.
3. As part of the consideration for this Amendment, Pro-Xxxx agrees to pay
RxCare the sum of $1,500,000.00. This payment shall be made at the time of the
execution of this Amendment, and such payment shall not be considered in
calculating the existence of cumulative losses or cumulative profits under the
Service Agreement. As additional consideration for the execution and delivery of
this Amendment by RxCare, Pro-Xxxx shall waive RxCare's obligations with respect
to all cumulative losses under the Service Agreement (if any) existing on
December 31, 1998 and RxCare shall have no further financial obligation with
respect to such cumulative losses after December 31, 1998 under the Service
Agreement, including any obligation under Amendment No. 2 to the Service
Agreement, as further evidenced by a correspondence dated March 28, 1996, from
Xxxxxx Xxxxxxx of Pro-Xxxx to Xxxx Xxxxxx. The parties acknowledge that a bona
fide dispute exists with respect to RxCare's obligations (which it denies) under
the instrument entitled "Amendment No. 2 to the Service Agreement." If
cumulative profits exist under the Service Agreement on December 31, 1998 (prior
to final adjustment to zero balance but excluding therefrom the amounts
contemplated by Xxxx. 0, Xxxx. 5 and Para. 6 of this Amendment) one-half of such
cumulative profits shall be paid by Pro-Xxxx to RxCare in accordance with the
Service Agreement.
4. Pro-Xxxx will furnish RxCare with administrative expense payments of
$20,000.00 per month for the months of October, November and December 1998.
These payments shall be delivered via an aggregate payment of $60,000.00 at the
time of the execution of this Amendment.
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5. Pro-Xxxx and RxCare shall use reasonable efforts to collect any monies
owed to Pro-Xxxx and RxCare from Integrated Pharmaceutical Services, Inc. and
Foundation Health Care, Inc. (collectively "Foundation/IPS") resulting from
alleged underpayments by Foundation/IPS with respect to the provision of
Pro-Xxxx Services (the "Foundation/IPS Claim"). In the event that the parties
receive a settlement offer from Foundation/IPS (or any successor in interest)
and only one of the parties desires to accept such offer, such party shall give
written notice ("Notice") to the other party (by orally confirmed facsimile
transmission) at the address set forth below the signature contained on this
Amendment. The Notice shall include the offer received from Foundation/IPS and a
statement setting forth all expenses incurred by such notifying party. The other
party shall have five (5) days from the date of the receipt of the Notice to
accept the settlement offer on the terms set forth in the Notice or to pay to
the accepting party an amount equal to one-half of the settlement offer less
one-half of the aggregate legal fees and expenses incurred by both parties.
RxCare and Pro-Xxxx shall cooperate with each other with respect to the
collection of the Foundation/IPS Claim and each party will be entitled to
receive one-half of any amounts collected, whether by judgment, settlement or
otherwise, less one-half of aggregate legal fees and expenses incurred by the
parties in pursuing the claim.
6. Within ten (10) days after receipt from each manufacturer of rebate
payments delivered on account of the contracts with the Behavioral Health
Organizations operating under the TennCare Partners Program for the period July
1, 1998, through December 31, 1998 (the "BHO rebates") Pro-Xxxx shall pay to
RxCare one-half thereof. Should it later be determined by virtue of a settlement
or proceeding to which RxCare and Pro-Xxxx are parties that such BHO rebates
must be paid over (whether in whole or in part) to
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a third party, (i) RxCare shall surrender to Pro-Xxxx or such third-party, as
the case may be, one-half of the required repayment amount, subject to a maximum
liability equalling the payments actually received by it from Pro-Xxxx on
account of its share of BHO rebates, and (ii) Pro-Xxxx shall surrender to RxCare
or such third-party, as the case may be, one-half of the required repayment
amount. With the exception of the foregoing, Pro-Xxxx agrees to indemnify and
hold RxCare harmless with respect to the claims of any third party unrelated to
RxCare relating to the BHO rebate payments in excess of the actual amount of BHO
rebates received by RxCare. Examples (for illustration but not limitation) of
the parties' agreement hereunder are as follows:
EXAMPLE I
BHO rebate payments received total $2,000,000.00. Total payments by
Pro-Xxxx to RxCare shall equal $1,000,000.00. Third party makes a claim
with respect to the BHO rebates in the total amount of $3,000,000.00. The
third party prevails and recovers a $3,000,000.00 judgment in a proceeding
to which each of Pro-Xxxx and RxCare is a party. RxCare is responsible for
$1,000,000.00 (its maximum liability) of such obligation. Pro-Xxxx is
responsible for remaining obligation of $2,000,000.00.
EXAMPLE II
BHO rebate payments received total $2,000,000.00. Total payments by
Pro-Xxxx to RxCare shall equal $1,000,000.00. A third party makes a claim
with respect to BHO rebates in the total amount of $1,000,000.00. The third
party prevails and recovers a $1,000,000.00 judgment in a proceeding to
which each of Pro-Xxxx and RxCare is a party. RxCare is responsible for
$500,000.00 of such obligation. Pro-Xxxx is responsible for the remaining
obligation of $500,000.00.
EXAMPLE III.
BHO rebate payments received total $2,000,000.00. Total payments by
Pro-Xxxx to RxCare shall equal $1,000,000.00. A third party makes a claim
with respect to the BHO rebates in the total amount of $500,000.00. The
third party
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prevails and recovers a $500,000.00 judgment in a proceeding to which each
of Pro-Xxxx and RxCare is a party. RxCare is responsible for $250,000.00 of
such obligation. Pro-Xxxx is responsible for the remaining obligation of
$250,000.00.
7. In order to avoid controversies and disputes, RxCare and Pro-Xxxx each
agrees that it, and its officers, directors, employees and agents and their
respective parent companies, their officers, directors, employees and agents
shall limit comments about the other, about their current and former
relationship and about the termination of that relationship to the following
statement and will decline to make further comments or respond to further
questions citing this agreement:
RxCare and Pro-Xxxx consider each other to be professional organizations
able to provide competent services to their customers. They ended their
contractual relationship to pursue their own business goals separately and
they each wish the other success. The parties have agreed to limit their
comments about the other to the foregoing statement and to not comment
further on the other, their relationship or its termination.
8. Each of Pro-Xxxx and RxCare shall have a perpetual, non-exclusive
royalty free right to the ownership, possession and use, for any purpose
whatsoever, of the software and data constituting the "pharmacists
credentialling system" utilized by the parties under the Service Agreement,
including the paper copies of all completed pharmacy questionnaires, supporting
documentation and the verification process associated therewith (collectively,
the "Credentialling System"). The parties agree to execute and deliver any and
all agreements, instruments and documents and take any and all action reasonably
requested by the other to evidence each party's respective rights in and to the
joint ownership, use and right to possession of the Credentialling System.
Promptly, but in any event within seven (7) days
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of the execution and delivery of this Amendment, Pro-Xxxx will deliver legible
copies, to the extent in existence, of the completed pharmacy questionnaires
(with supporting documentation) as well as all data relating to the
Credentialling System together with a usable version of the software and
electronically stored data. Pro-Xxxx further agrees to store all original
Credentialling System questionnaires, together with supporting documentation, at
its Nashville, Tennessee offices and shall provide RxCare access to such
original documents during regular business hours upon three (3) days prior
notice (oral or written).
9. Each of Pro-Xxxx and RxCare agrees to continue to perform their
respective obligations under the Service Agreement in good faith through the
termination date, except as such obligations are modified hereby. Each of the
parties further agrees to cooperate and provide reasonable assistance in good
faith with respect to the conversion or transition of any Drug Benefit Programs
to a new claims' processor, pharmacy benefit management company or other service
provider. The parties acknowledge and agree that Pro-Xxxx shall require at least
14 days prior written notice of a transition or conversion of any Drug Benefit
Program.
10. Any term defined in the Service Agreement shall have the same meaning
and effect when used in this Amendment.
11. Except as modified hereby, all other provisions of the Service
Agreement, including Amendment No. 1, shall remain in full force and effect;
provided, however, that nothing herein shall affect the effectiveness of the
notices of non-renewal given by each of the parties to the other.
12. In further consideration of their undertaking, the parties agree as
follows:
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(A) The parties release and discharge any claims which they have
raised or could have raised against the other with respect to internal
financial accounting under the Service Agreement;
(B) The parties each release and discharge any claims which they have
raised or could have raised against the other with respect to prior acts
relating to efforts to solicit, negotiate or market in order to secure
contracts with any Drug Benefit Program or any other person, entity or
individual;
(C) The parties release and discharge any claims (except for Third
Party Claims described below) which they have raised or could have raised
against the other for operational matters including all matters within the
ambit of the governmental investigations into the TennCare programs;
(D) Unless RxCare has actual knowledge of the claim at the time of the
execution of this Amendment, Pro-Xxxx agrees to assume full responsibility
for the claims of third parties unrelated to RxCare ("Third Party Claims")
to the extent that any such claim(s) is for Pro-Mark's performance or
failure to perform its obligations under the Service Agreement; provided,
however, that Pro-Mark's obligation is conditioned upon (1) RxCare
immediately notifying Pro-Xxxx in writing of any such Third Party Claims;
and (2) RxCare taking any action or not taking any action which Pro-Xxxx
reasonably requests for the purpose of protecting Pro-Mark's rights or
defending or mitigating Pro-Mark's obligations with respect to such Third
Party Claim(s), and (3) Pro-Xxxx having the right to control any and all
aspects of the defense and settlement of such Third Party Claim(s),
including, if it exercises such right, the selection of counsel, the
determination of all matters of tactics and strategy, and the amount,
nature and timing of any negotiated resolution;
(E) For purposes of the releases and discharges provided for in this
Paragraph 12, the parties intend each release and discharge to include the
claims of and the claims against the parties and their respective current
and former (i) officers, directors, employees and agents, and (ii) parents,
subsidiaries,
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affiliates, successors, and assigns (and each of their respective officers,
directors, employees, and agents) acting in their capacities as such.
IN WITNESS WHEREOF, the parties have caused this instrument to be executed
by the duly authorized representative effective as of the date first written
above.
PRO-XXXX HOLDINGS, INC. RXCARE OF TENNESSEE, INC.
By: /s/XXXXX X. XXXXXX By: /s/XXXXXXX XXXXX
------------------ ------------------
Date: 11/24/98 Date: 11/24/98
ADDRESS: ADDRESS:
x/x XXX XXXXXXXXXXX XXXXXX XX XXXXXXXXX, INC.
000 Xxxxxxxxxx Xxxx 000 Xxxxxxx Xxxx Xxxxx 000
Xxxxxxxx, XX 00000 Xxxxxxxxx, XX 00000
Attn: General Counsel
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