Common use of Adding New Clause in Contracts

Adding New. NDCs‌ If a PAP plan submits National Drug Codes (NDCs) that are covered at the beginning of the year but then identifies a new NDC that should be covered part-way through the year, then the plan should perform the following: • The PAP plan submits a coverage record with an effective date of 1/1/19 with two NDCs: NDC-1 and NDC-2. • On 3/1/19, coverage for NDC-3 should be added. • On the next monthly file submission (i.e., March), the PAP will send two (2) records: • An update with a 2/28/19 termination date for the original coverage record which contained NDC-1 and NDC-2. • A new coverage record with an effective date of 3/1/19 is submitted which includes NDC-1, NDC-2, and NDC-3.

Adding New. NDCs‌ If a PAP plan submits National Drug Codes (NDCs) that are covered at the beginning of the year but then identifies a new NDC that should be covered part-way through the year, then the plan should perform the following: following (for example): • The PAP plan submits a coverage record with an effective date of 1/1/19 1/1/21 and a termination date of 12/31/21 with two NDCs: NDC-1 and NDC-2. • On 3/1/193/1/21, coverage for NDC-3 a third NDC should be added. • On the next monthly file submission (i.e., March), the PAP will send two (2) records: • An update with a 2/28/19 termination date for the The original coverage record which contained the first two NDCs in NDC-1 and NDC-2NDC-2 as originally reported. • A new coverage record with an effective date of 3/1/19 is submitted 3/1/2021 and a termination date of 12/31/21, which includes NDC-1the third NDC only, NDC-2, and NDC-3entered in the NDC-1 field because it is the only NDC reported on this record.

Adding New. NDCs‌ NDCs If a PAP plan submits National Drug Codes (NDCs) that are covered at the beginning of the year but then identifies a new NDC that should be covered part-way through the year, then the plan should perform the following: following (for example): • The PAP plan submits a coverage record with an effective date of 1/1/19 1/1/21 and a termination date of 12/31/21 with two NDCs: NDC-1 and NDC-2. NDC-2.‌‌‌‌‌ • On 3/1/193/1/21, coverage for NDC-3 should be added. • On the next monthly file submission (i.e., March), the PAP will send two (2) records: • An update with a 2/28/19 termination date for the The original coverage record which contained NDC-1 and NDC-2. • A new coverage record with an effective date of 3/1/19 is submitted 3/1/2021 and a termination date of 12/31/21, which includes NDC-1, NDC-2, and NDC-3NDC-3 only.