Common Contracts
4 similar Provider Agreement contracts
NexgenRx Inc.Provider Agreement • May 11th, 2020 • Ontario
In order for NexgenRx Inc. ("we" or "us") to properly identify and pay the pharmacy identified below ("you" or "your") for pharmaceutical and other claims submitted by you to us for adjudication and payment under pharmacy benefit plans administered by us on behalf of various pharmacy benefit plan sponsors and their respective eligible plan beneficiaries ("Cardholders"), it is necessary for you to provide us with the following information and agreement:
NexgenRx Inc.Provider Agreement • March 1st, 2018 • Ontario
In order for NexgenRx Inc. ("we" or "us") to properly identify and pay the pharmacy identified below ("you" or "your") for pharmaceutical and other claims submitted by you to us for adjudication and payment under pharmacy benefit plans administered by us on behalf of various pharmacy benefit plan sponsors and their respective eligible plan beneficiaries ("Cardholders"), it is necessary for you to provide us with the following information and agreement:
NexgenRx Inc.Provider Agreement • October 16th, 2012 • Ontario
In order for NexgenRx Inc. ("we" or "us") to properly identify and pay the pharmacy identified below ("you" or "your") for pharmaceutical and other claims submitted by you to us for adjudication and payment under pharmacy benefit plans administered by us on behalf of various pharmacy benefit plan sponsors and their respective eligible plan beneficiaries ("Cardholders"), it is necessary for you to provide us with the following information and agreement:
NexgenRx Inc.Provider Agreement • October 16th, 2012 • Ontario
In order for NexgenRx Inc. ("we" or "us") to properly identify and pay the pharmacy identified below ("you" or "your") for pharmaceutical and other claims submitted by you to us for adjudication and payment under pharmacy benefit plans administered by us on behalf of various pharmacy benefit plan sponsors and their respective eligible plan beneficiaries ("Cardholders"), it is necessary for you to provide us with the following information and agreement:
