Pharmacy Network Services Clause Samples

Pharmacy Network Services. For purposes of establishing a Pharmacy Network, Administrator shall perform the services stated above in this Section 3.1 of this Exhibit C and the services stated immediately below. In the event that United requests any additional services or customized services beyond those stated below, those services will be considered a Material New Obligation and the processes set forth in Section 1.6 of this Agreement shall be followed. • Make available national networks of retail, specialty and home infusion pharmacies. • Negotiate and contract additional pharmacies to the networks (“GAP List”); with at least 120 day lead time. Reports to be provided monthly until thirty (30) days after the implementation. Reports will be provided based on information Administrator’s the system. • Create “In-state” network for United. Process and implement this network. • Set up, maintain, and load one existing MAC. • Manage MAC appeals via standard process and policy. • Provide one pharmacy manual encompassing the broad network (i.e. N1-P for United), as part of annual process. • Send out one new Pharmacy Notification via faxblast. • Monitor network for pharmacy fraud, waste, and abuse via an Escalation Oversight Committee (“EOC”). • Manage relationships with specialty providers, including managing reporting and JOC process. • Provide monthly network pharmacy listing.