Pharmacy Network Agreement Sample Contracts

SOUTHERN SCRIPTS LLC PHARMACY NETWORK AGREEMENT‌‌
Pharmacy Network Agreement • October 28th, 2016 • Louisiana

_____________________________, 2016, (“Effective Date”) by and between SOUTHERN SCRIPTS LLC, ("SOUTHERN SCRIPTS”), a Delaware limited liability company with its principal place of business at 411 Bienville Street, Natchitoches, Natchitoches Parish, Louisiana 71457 and _____________________________, ("PHARMACY"), with its principal place of business at

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AMENDMENT
Pharmacy Network Agreement • April 20th, 2016

This Cigna Medicare Part D APR Retail Pharmacy Networks Addendum and Compensation Exhibit 1-A (“Cigna Med D APR Exhibit 1-A”) hereby amends the Medicare Part D Addendum to the Pharmacy Network Agreement (“Agreement”) effective as of the noted date set forth by Administrator below (the “Effective Date”), and is made and entered into by Administrator, and the undersigned Company, on behalf of itself and each of its Pharmacies. In exchange for participation in the Cigna Med D APR Exhibit 1-A networks, Company agrees to abide by the terms and requirements outlined herein. This Cigna Med D APR Exhibit 1-A is strictly limited and only applicable to Cigna Medicare Part D Benefit Plans in the Cigna 1-A network. As a result, this Cigna Med D APR Exhibit 1-A does not in any manner support any other Cigna network or any other Client’s commercial, Medicaid or Medicare Part D Benefit Plans.

Discovery Health Standard Pharmacy Network Agreement
Pharmacy Network Agreement • October 20th, 2023

We would like to enter into a pharmacy network agreement with you, in order for you to benefit from our pharmacy network. To ensure that you have all the necessary information about our pharmacy network(s), we have included:

Notice Amendment
Pharmacy Network Agreement • February 15th, 2016

In accordance with Section 11.2 (a), the attached regulatory Iowa State Compensation Exhibit is added to and amends the Medicaid Addendum (“Iowa Amendment”) to your Pharmacy Network Agreement (“Agreement”) by and between OptumRx, Inc. (the “Administrator”), and Company and its Company Pharmacies, (“Company”).

MEDIKREDIT PREFERRED PHARMACY NETWORK AGREEMENT
Pharmacy Network Agreement • June 11th, 2021

Since 2010, the MediKredit Pharmacy Team has successfully implemented a network with pharmacies for certain schemes. These are inclusive networks put together on a willing participant basis and aimed at creating positive experiences for the people that drive our industry, namely the members of medical schemes.

NOTICE AMENDMENT TO THE PHARMACY NETWORK AGREEMENT
Pharmacy Network Agreement • February 2nd, 2016

In accordance with your Pharmacy Network Agreement (“Agreement”) by and between OptumRx, Inc. and each of its affiliates that provides pharmacy benefit management services (collectively, the “Administrator”), and Company and its Company Pharmacies, (“Company”), this general terms and conditions amendment (“T&C Amendment”) hereby amends the Agreement and will be effective in sixty

Discovery Health Standard Pharmacy Network Agreement
Pharmacy Network Agreement • December 21st, 2023

We would like to enter into a pharmacy network agreement with you, in order for you to benefit from our pharmacy network. To ensure that you have all the necessary information about our pharmacy network(s), we have included:

Notice Amendment
Pharmacy Network Agreement • March 14th, 2016

In accordance with Section 11.2 (a), the attached regulatory Kansas State Compensation Exhibit is added to and amends the Medicaid Addendum (“Kansas Amendment”) to your Pharmacy Network Agreement (“Agreement”) by and between OptumRx, Inc. (the “Administrator”), and Company and its Company Pharmacies, (“Company”).

MakoRx, LLC PHARMACY NETWORK AGREEMENT
Pharmacy Network Agreement • September 29th, 2022 • North Carolina

This PHARMACY NETWORK AGREEMENT (the “Agreement”) is made and entered into this on the date MakoRx Care Check-In registration is completed by a user clicking the “Agree and Proceed” button. The Agreement is by and between MakoRx LLC, ("MAKORX”), a North Carolina limited liability company with its principal place of business at 4901 Glenwood Ave, Raleigh, NC 27612 and PHARMACY registered with MakoRx Care Check-In. MAKORX and PHARMACY are each also referred to in this Agreement as a “party” and collectively, the “parties”.

Contract
Pharmacy Network Agreement • December 24th, 2020
MedCare Pharmacy Network Agreement
Pharmacy Network Agreement • August 22nd, 2016 • Washington

This AGREEMENT is by and between MedImpact Healthcare Systems, Inc. (“MedImpact”), a California corporation, and (“Member Pharmacy”) and supersedes any previous MedCare Agreement(s) that may have been previously executed between the parties. In consideration of the mutual covenants and other good and sufficient consideration, Member Pharmacy agrees to participate in MedImpact’s pharmacy networks in accordance with the following terms and conditions:

CALIFORNIA MEDI-CAL PROGRAM REGULATORY REQUIREMENTS APPENDIX
Pharmacy Network Agreement • February 19th, 2019 • California

This appendix supplements and is made part of the Pharmacy Network Agreement (the “Agreement”) between OptumRx, Inc. and the party named in the Agreement (“Pharmacy”).

Negotiations between Express Scripts and Walgreens Pharmacy
Pharmacy Network Agreement • October 17th, 2011

• Unfortunately, Walgreens and Express Scripts have been unable to reach an agreement on a contract that would become effective next year. Effective 1/1/2012, Walgreens will no longer be in the Express Scripts pharmacy network.

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