Pharmacy Participation Agreement Sample Contracts

Minimum Performance and Service Criteria for Medicare Part D
Pharmacy Participation Agreement • September 5th, 2019
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TRIAL SCRIPT® AND LOYALTYSCRIPT® CARD PROGRAMS TERMS AND CONDITIONS OF PHARMACY PARTICIPATION
Pharmacy Participation Agreement • February 29th, 2024

This Agreement (the “Agreement”) governs your pharmacy’s (“Pharmacy,” “You” or “Your”) participation in the below-referenced programs, including, without limitation, the LoyaltyScript® Program (“LoyaltyScript®”) and Trial Script® Program (“Trial Script®), each a “Program” and together the “Programs.” The Programs are administered by RxC Acquisition Company d/b/a RxCrossroads by McKesson (as successor in interest to McKesson Specialty Arizona Inc.), having its operations at 910 John Street Columbus, OH 43222 (“Administrator”). Throughout this Agreement, Administrator and Pharmacy may be referred to individually as a “Party” or collectively as “Parties.”

To Administer Flu, Shingles and Pneumonia Vaccines
Pharmacy Participation Agreement • September 18th, 2013

Effective September 15, 2013, CareFirst members can obtain the flu, shingles and pneumonia vaccines from their local CVS, Target or Walgreens Pharmacy as an in-network medical benefit. This agreement includes CVS, Target and Walgreens Pharmacies within the CareFirst service area of Maryland, DC and Northern VA only.

CHRONIMED INC.
Pharmacy Participation Agreement • September 27th, 2000 • Chronimed Inc • Retail-catalog & mail-order houses • Pennsylvania
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