CONTRACTOR’S PERFORMANCE SCHEDULE Clause Samples

CONTRACTOR’S PERFORMANCE SCHEDULE. A. General Services 1. Formulary (BHS/MSI) development, maintenance, and support; 2. Support for plan administrators for: discussion of benefit, program changes, health care/pharmacy industry environmental concerns, etc.; 3. Support for Medical Directors (BHS/MSI) for: formulary, pricing, denials, and ad hoc questions; and 4. Review (pricing and utilization) of Specialty Injectables paid under the medical benefit. B. Daily (as needed): 1. Support for MSI prior authorizations for pharmacy benefit and/or for medical testing, drug related procedures and specialty injectable administration; 2. Support for formulary (BHS/MSI) questions, changes, pharmacy and provider issues; 3. Support plan administrator for specific analyses of patient medication profiling and physician requests for information; 4. Support medical directors, nurses and plan administrators with PBM oversight, management, formulary maintenance, and questions; and 5. Analyses of integrated pharmacy and medical data for MSI analysts to support their projects and analyses.