0001299933-05-002340 Sample Contracts

Contract with Approved Entity Pursuant to section 1860D-31 of the Social Security Act for the Operation of a Medicare-Approved Prescription Drug Discount Card
Contract for the Operation of a Medicare-Approved Prescription Drug Discount Card • May 11th, 2005 • Wellcare Health Plans, Inc. • Hospital & medical service plans

CMS and the Card Sponsor, an entity that has been determined eligible to operate a Medicare-approved prescription drug discount card by the Administrator of CMS under 42 CFR §403.806, agree to the following for the purposes of section 1860D-31 of the Social Security Act (hereinafter referred to as “the Act.”)

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Agency Code: 12000 (Health) Contract Number: C-014386 Period: October 1, 1997 through June 30, 2005 Funding Amount for Period: No change
Contract Modification • May 11th, 2005 • Wellcare Health Plans, Inc. • Hospital & medical service plans

This is an AGREEMENT between THE STATE OF NEW YORK, acting by and through the Department of Health, having it’s principal office at Corning Tower, Empire State Plaza, Albany, NY, (hereinafter referred to as the STATE), and Wellcare of New York, Inc.(hereinafter referred to as the CONTRACTOR), for modification of Contract Number C-014386 as amended as follows:

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