Member Pharmacy Agreement Sample Contracts

AMENDMENT NO. 1
Member Pharmacy Agreement • May 23rd, 2005

WHEREAS, on the , day of , 2005 ACS and Member Pharmacy entered into a Member Pharmacy Agreement (the “Agreement”), pursuant to which ACS engaged the Member Pharmacy as part of its pharmacy network under the terms set forth in the Agreement in order to serve ACS’ customer and its respective Injured Workers’ of the Ohio Bureau of Workers’ Compensation Pharmacy Benefit Program (the “Program”).

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Kentucky Workers Compensation Attachment to Member Pharmacy Agreement Notification
Member Pharmacy Agreement • June 26th, 2018

By participating as a Member Pharmacy under this Agreement, said member agrees to provide pharmacy services to treat eligible patients for workers’ compensation injury or illness as controlled by Kentucky Revised Statute 342 and further agree to the following:

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