CTR051357_Contract_Amendment_5.pdf
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- Attached to
- Master Agreement AZ|CTR051357
- Contract number
- CTR051357
- Issued by
- Arizona
About this file
This document is a Contract Amendment (#5) issued by the Arizona Department of Administration's State Procurement Office for a Pharmacy Management contract with MedImpact Healthcare Systems Inc. The contract was originally executed on August 28, 2020, and has undergone multiple prior amendments addressing topics such as data matching, Medicaid reclamation claims processing, and COVID-19 vaccination administrative fees.
The amendment specifically adds a Medication Prescription Payment Plan (M3P) Program effective January 1, 2025, with a pricing structure of $0.81 per member per month (PMPM). The contract period has been extended through December 31, 2025, with documented pricing for 2023, 2024, and 2025. The amendment maintains all previous contract requirements and specifications, with the sole modification being the addition of the M3P Program and its associated per-member pricing. The contract continues to provide Employee Benefits Pharmacy Management Services.
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Text version
Contract Amendment Arizona Department of Administration
State Procurement Office 100 N. 15th Avenue Phoenix, AZ 85007
Contract #: CTR051357 Contract Amendment: 5
Effective Date: June 6, 2025
Employee Benefits Pharmacy Management
MedImpact Healthcare Systems Inc.
This Contract Amendment Number 5 to amend pricing to add Medication Prescription Payment Plan (M3P) Program effective January 1, 2025 is hereby executed in accordance with the Special Terms and Conditions, Section 5.1 Contract Amendments.
A price of $0.81 PMPM for Medication Prescription Payment Plan (M3P) Program has been added to the attached Revised CTR051357 Sheet.
RECITALS
The State and Supplier entered into that certain agreement titled Master Service Agreement effective as of August 28, 2020 pursuant to which Supplier is to provide Employee Benefits Pharmacy Management Services.
Thereafter, Amendment Number 1 to add Data Match Requirements and Medicaid Reclamation Claims Processing was executed on December 3, 2020.
Thereafter, Amendment Number 2 to add COVID Vaccinations was executed on January 25, 2021.
Thereafter, Amendment Number 3 to remove the temporary reduction in the COVID-19 vaccines administrative fee effective January 1, 2022 was executed on December 1, 2021.
Thereafter, Amendment Number 3 to remove the temporary reduction in the COVID-19 vaccines administrative fee effective January 1, 2022 was executed on December 1, 2021.
Thereafter, Amendment Number 4 to extend the Contract period of January 1, 2022 through December 31, 2025 and to document new 2023, 2024 and 2025 pricing was executed on December 21, 2022.
ALL OTHER REQUIREMENTS, SPECIFICATIONS, TERMS AND CONDITIONS REMAIN UNCHANGED
Available online at app.az.gov https://app.az.gov/
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