PHARMACY BENEFIT ADMINISTRATION SERVICES

Supplier Address Moda Health Plan Inc 601 SW 2nd Avenue Portland, Oregon 97204 ContactChandra WahrgrenPhone1 (503) 228-6554Fax1 (503) 948-5557Emailc​h​a​n​d​r​a​.​w​a​h​r​g​r​e​n​@​m​o​d​a​h​e​a​l​t​h​.​c​o​m​ Contract # OHA-163689-20 Opportunity # OHA-4941-19 Contract Start Date 12/17/2020 Expiration Date 12/31/2026 Supplier Number 69531 All dates are mm/dd/yyyy Header Comments Please note that the resultant award is a form of a price agreement that allows benefiting and participating agencies to obtain pharmacy benefit administration services. Each individual benefiting and participating agency will receive their own invoice and make payment. The contract, since it serves as a form of a price agreement has a potential unlimited value, so I am setting the award at $0 as a placeholder. Mandatory or Convenience Convenience Minimum Order Return Policy Warranty n/a Best Value Analysis Freight / Surcharge Renewal