PBM Contract definition

PBM Contract means that certain Pharmacy Benefit Management Services Agreement to be entered into between the Seller and the Company on the date the Acquisition is consummated.
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PBM Contract shall have the meaning set forth in the Recitals.
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Examples of PBM Contract in a sentence

  • PBM shall ensure that all tasks related to the Agreement are performed in accordance with the terms of the Agreement and the TennCare PBM Contract.

  • Since the Balance Sheet Date, there has not been any change in the results of operations, condition (financial or otherwise), assets or business of Purchaser and its Subsidiaries, taken as a whole, which both (i) has had, or would reasonably be expected to have, individually or in the aggregate, a Purchaser Material Adverse Effect, and (ii) would have a material adverse effect on Purchaser’s ability to perform in all material respects its obligations under the PBM Contract after the Closing Date.

  • It is understood and agreed that the Parties shall (i) take all actions reasonably necessary to form the services teams described in Section 4.3 of the Transition Services Agreement and (ii) prepare the Transition Plan (as defined in the Transition Services Agreement) described in Section 4.4 of the Transition Services Agreement, in order to implement the Transition Services Agreement and PBM Contract at Closing.

  • In addition to its termination rights under the Agreement, Subcontractor and Health Plan shall have the right to suspend, deny, refuse to renew or terminate the Agreement in accordance with the terms of the PBM Contract and applicable law and regulation.

  • Subcontractor or Health Plan shall perform ongoing monitoring of Provider and shall perform periodic formal reviews, whether announced or unannounced, of Provider and of Covered Services rendered to Covered Persons, consistent with the requirements of State and federal law and the applicable PBM Contract.

  • As specified in section D.19 of the PBM Contract, Provider or collection agencies acting on Provider's behalf may not bill Covered Persons for amounts other than applicable TennCare cost sharing or Patient Liability amounts for Covered Services, including but not limited to, services that the State, Health Plan or Subcontractor has not paid for, except as permitted by the Division of TennCare rules and regulations and as described below.

  • For purposes of this Appendix, the following terms shall have the meanings set forth below; provided, however, in the event any definition set forth in this Appendix or the Agreement is inconsistent with any definitions under the applicable PBM Contract, the definitions shall have the meaning set forth under the applicable PBM Contract.

  • During the contract period of the PBM Contract, these records shall be available at Provider’s chosen location in Tennessee subject to the written approval of Health Plan, Subcontractor and TennCare.

  • If any requirement in this Agreement is determined by TennCare to conflict with the TennCare and PBM Contract, such requirement shall be null and void and all other provisions of this Agreement shall remain in full force and effect.

  • Provider shall cooperate with Health Plan’s policies and procedures and comply with section D.8 of the PBM Contract related to detecting and preventing conflicts of interest from occurring at all levels.