Common use of Credentialing Policies Clause in Contracts

Credentialing Policies. (a) PHARMACY, shall submit in an Excel file format a list of participating pharmacies to include fields of information listed in the Pharmacy Demographic Form attached hereto as Exhibit C, and must provide: (i) an accurate and verifiable street address; (ii) accurate and verifiable telephone and facsimile numbers; (iii) hours of operation; (iv) PHARMACY email address; (v) the required licenses, permits, certificates of authority or accreditations of such pharmacies; (vi) insurance information for insurance covering PHARMACY; (vii) the National Provider Identifier (“NPI”); (viii) sales tax information where applicable, and (ix) other information as reasonably requested by MAKORX; (b) PHARMACY agrees to update the information identified in Section 4.2.1 (a) in a reasonable timeframe after any change to the above-identified information, or upon request by ▇▇▇▇▇▇.

Appears in 1 contract

Sources: Pharmacy Network Agreement

Credentialing Policies. (a) PHARMACY, shall submit in an Excel file format a list of participating pharmacies to include fields of information listed in the Pharmacy Demographic Form attached hereto as Exhibit C, and must provide: (i) an accurate and verifiable street address; (ii) accurate and verifiable telephone and facsimile numbers; (iii) hours of operation; (iv) PHARMACY email address; (v) the required licenses, permits, certificates of authority or accreditations of such pharmacies; (vi) insurance information for insurance covering PHARMACY; (vii) the National Provider Identifier (“NPI”); (viii) sales tax information where applicable, and (ix) other information as reasonably requested by MAKORX; (b) PHARMACY agrees to update the information identified in Section 4.2.1 (a) in a reasonable timeframe after any change to the above-identified information, or upon request by ▇▇▇▇▇▇MAKORX.

Appears in 1 contract

Sources: Pharmacy Network Agreement