Financial/Pricing Terms Sample Clauses

Financial/Pricing Terms. 1. Contractor shall provide an annual brand discount guarantee (in aggregate), exclusive of U&C claims (retail only) and the impact of MAC on multi-source brand claims.
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Financial/Pricing Terms. Contractor shall agree to disclose ALL PBM revenue sources and to pass through 100% of ALL negotiated AWP discounts, dispensing fees, rebates, and MAC pricing as applicable. Pass-through pricing shall be available on ALL Brand Name and generic drugs covered by the County pharmacy benefit program and dispensed through the retail delivery channel to eligible participants under this prescription plan. Contractor shall pass through 100% of the contracted retail network discounts and dispensing fees on a claim by claim basis. There shall be no “spread” pricing (i.e. the reimbursed amount shall equal the amount billed). The Contractor cannot front-load, pre-load, or cross-subsidize any guaranteed pricing components to the County. Contractor shall offer an annual minimum brand discount guarantee (in aggregate), exclusive of U&C claims (retail only) and the impact of MAC on multi-source brand claims, with actual contracted pharmacy rates passed through to the County for each individual claim. Contractor shall be willing to provide network pharmacy contracted discounts and dispensing fees for the County’s top 25 utilized pharmacies as part of the quarterly reporting package listed in Attachment D. Contractor shall offer an annual minimum overall effective generic discount (in aggregate), inclusive of the Contractor’s MAC requirement, with actual contracted pharmacy rates pass through to the County for each individual claim. All rebate proposals shall be backed by a minimum “per claim” guarantee, inclusive of both brand and generic claims at retail and mail order (including all claims regardless of generic exclusivity status). Contractor shall designate one pricing source (e.g., First DataBank, MediSpan, etc.) for purposes of identifying and pricing drugs as brands and generics. Contractor shall confirm that if a participant pays 100% of the cost of a prescription, the County will not be billed for any portion of the claim exclusive of any applicable administrative fees. County participants shall always pay the lower of: Copayment, U&C amount, or Eligible Charge (AWP discount plus dispensing fee). The guaranteed discount rates shall exclude the following from the calculation: Compounds, and Zero balance claims. Compounds and zero balance claims shall not processed at a 100% discount. All retail claims shall be adjudicated at the lesser of: The guaranteed AWP discount plus dispensing fee, MAC plus dispensing fee, or The provider’s submitted U&C amount. Generic discou...
Financial/Pricing Terms a. Contractor shall agree to disclose ALL PBM revenue sources and to pass through 100% of ALL negotiated AWP discounts, dispensing fees, rebates, and MAC pricing as applicable. Pass-through pricing shall be available on ALL Brand Name and generic drugs covered by the County pharmacy benefit program and dispensed through the retail delivery channel to eligible participants under this prescription plan.

Related to Financial/Pricing Terms

  • Requesting Price Increase/Required Documentation Contractor must submit a written notification at least thirty (30) calendar days prior to the requested effective date of the change, setting the amount of the increase, along with an itemized list of any increased prices, showing the Contractor’s current price, revised price, the actual dollar difference and the percentage of the price increase by line item. Price change requests must include H-GAC Forms D Offered Item Pricing and E Options Pricing, or the documentation used to submit pricing in the original Response and be supported with substantive documentation (e.g. manufacturer's price increase notices, copies of invoices from suppliers, etc.) clearly showing that Contractor's actual costs have increased per the applicable line item bid. The Producer Price Index (PPI) may be used as partial justification, subject to approval by H-GAC, but no price increase based solely on an increase in the PPI will be allowed. This documentation should be submitted in Excel format to facilitate analysis and updating of the website. The letter and documentation must be sent to the Bids and Specifications manager, Xxxxxxx Xxxxxx, at Xxxxxxx.Xxxxxx@x-xxx.xxx Review/Approval of Requests If H-GAC approves the price increase, Contractor will be notified in writing; no price increase will be effective until Contractor receives this notice. If H-GAC does not approve Contractor’s price increase, Contractor may terminate its performance upon sixty (60) days advance written notice to H-GAC, however Contractor must fulfill any outstanding Purchase Orders. Termination of performance is Contractor’s only remedy if H-GAC does not approve the price increase. H-GAC reserves the right to accept or reject any price change request.

  • Pricing Increase Requests Subsequent to the first twelve (12) months of the Contract term and in accordance with the schedule for price adjustments established by OGS, Contractor may request an increase in the pricing contained in the Centralized Contract by submitting an update request based on change in pricing level as contained in Appendix C, Contract Modification Procedure to the OGS Contract Administrator. With any price increase request, in addition to the requirements contained in Appendix C, the Contractor must certify in writing that the price change for the Services is the same as its pricing in its GSA Supply Schedule, and that Contractor documents the request to the satisfaction of the State.

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