NexgenRx Inc.Pharmacy 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:
Pharmacy Provider AgreementPharmacy Provider Agreement • December 13th, 2021
This agreement is made between Canadian Benefit Providers Inc. (hereinafter referred to as “CBP”) and the undersigned Pharmacy Provider (the “Pharmacy”).
THIS AGREEMENTPharmacy Provider Agreement • April 6th, 2020 • Ontario
for good and valuable consideration (the receipt and sufficiency whereof is hereby acknowledged), the parties agree as follows:
NexgenRx Inc.Pharmacy 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:
EXPRESS SCRIPTS CANADA PHARMACY PROVIDER AGREEMENTPharmacy Provider Agreement • February 2nd, 2012
corporation/ partnership/ sole proprietorship (circle one) which is a licensed pharmacy with the following retail operating name and address:
PHARMACY PROVIDER PROVISIONSPharmacy Provider Agreement • April 22nd, 2005
AGREEMENTPharmacy Provider Agreement • December 12th, 2014 • Ontario
THIS AGREEMENT made between ClaimSecure Inc. (“ClaimSecure”) and the undersigned pharmacy provider (the “Pharmacy Provider”).
