Laserfiche WebLink
through staff model/hospital pharmacies where the pharmacy, most likely, has its own <br />manufacturer contracts (rebate or purchase discounts), or through pharmacies that <br />participate in the Federal government pharmaceutical purchasing program. <br />Our guarantees will not apply if one of the following happens: <br />o A change to the Plan benefits that result in a substantial change in the services to be <br />performed by Anthem. <br />o There is no executed Administrative Services Agreement on file. <br />o Circumstances beyond our control including but not limited to any act of God, civil riot, <br />floods, fire, acts of terrorists, acts of war or power outages that delay our performance or <br />that of our vendors. <br />o The client terminates the Agreement before the end of a performance period, or we <br />terminate it because of non-payment. <br />o The client terminates the pharmacy portion of the Plan. Should the client terminate <br />Pharmacy Services during the Agreement Period for reasons other than for cause in <br />accordance with this Agreement, client shall pay Anthem an early termination fee in an <br />amount equal to $3.84 PCPM multiplied by the monthly average of the six months of <br />enrollment prior to the effective date of termination multiplied by the number of months <br />remaining in the contract term. Notice of such early termination shall be provided in writing <br />ninety (90) days in advance of the termination date. <br />o The client terminates participation in particular programs tied to performance guarantee(s) <br />prior to completion of the measurement period associated with performance guarantee. <br />Our Prescription Drug Plano Pro r&rns and Services <br />We offer a comprehensive suite of trend and integrated health management programs and <br />services. Below is a list, by product, of the programs and services that are available. This list <br />is not all inclusive and may change as we update our offering to meet the needs of the <br />marketplace. <br />Account management <br />Included <br />Banking <br />Included <br />Electronic and paper claims processing <br />Custom Basis <br />FSA feeds <br />Included <br />Implementation services <br />Included <br />per claim <br />Paper claims/member submitted claims processing <br />ssing <br />occurrence. <br />Plan design strategy and consultation <br />Included <br />medical/pharmacy Sin le <br />g ID cards <br />Included <br />