Common use of Cost Sharing Amounts Clause in Contracts

Cost Sharing Amounts. Administrator will collect the applicable Cost- Sharing Amounts and any other applicable charges for Covered Prescription Services dispensed to Members, as specified via the POS System or in the Pharmacy Plan Specifications. Administrator may only discount, waive or otherwise reduce the applicable Cost-Sharing Amounts or other applicable charges in accordance with applicable Laws and Regulations. Administrator agrees that it shall not at any time seek reimbursement for Cost-Sharing Amounts from United or any Client. Under no circumstances shall “Cost-Sharing Amounts” include any Medicare Part A or B cost-sharing for Members with dual eligibility for Medicare and Medicaid where the applicable State is responsible for paying such amounts. Pursuant to 42 CFR § 422.504(g)(1)(iii), for Members with dual eligibility, Administrator will accept the payment from United or the applicable Client as payment in full, or ▇▇▇▇ the appropriate State source.