Affordable Services 4 All, LLC
DBA Neighborhood Outreach Program
Independent Marketing Representative (IMR) Agreement and Compensation Schedule
AS4A LLC shall pay to IMR a processing fee for each processed claim, for distributing the Neighborhood Outreach Program card, adjudicated at the negotiated rates, when Pharmacy Benefit Managers (PBMs) collect its processing fee from participating pharmacies.
Prescriptions that adjudicate at the pharmacies Usual & Customary (U&C) price DO NOT qualify for processing fee payments (approximately 20% are U&C claims). A U&C claim occurs when the cash price is lower than our discount price due to a sale or overstocked inventory at the pharmacy. We guarantee our members the best price at the pharmacy. If the cash price is better (U&C), the member pays the cash price and we do not add our processing fee.
AS4A LLC shall also pay to IMR a commission based on the following additional services: NOP Telemedicine, NOP Plus Card, and Labs. Additional programs can be added at a later date. There is a 30-60 day hold on these commissions to avoid possible chargeback's to the IMRs account.
A complete commission rate is attached to this application as Addendum A and B. The $67 non-refundable IMR fee charged at sign up is waived until 09/31/2019. The minimum purchase of 5,000 cards is required. Your total will be $64.95 instead of $125.
There is initially a 30 - 45 day lag on the initial payment due to the plan set up and billing cycle establishment. After the setup period, the commission will be released monthly on or about the 25th of the calendar month for all prescription and additional services received by AS4A LLC through the end of the previous month. Commission payout must total a minimum of twenty five dollars ($25.00) to be issued and is charged a $2.00 processing fee.
IMR is responsible for ordering and distributing Neighborhood Outreach Program cards and understands and agrees not to distribute the card or any marketing information pertaining to the prescription card to any customer anywhere on the grounds (inside or out) of any pharmacy. A violation of this policy will result in immediate TERMINATION OF THIS AGREEMENT.
AS4A LLC (through PBMs) is responsible for customer service, pharmacy helpline, helping create a co-branded website, marketing and educational materials with a unique group number(s) for tracking IMR’s transactions.
Agreement Term: There is a $39.95 annual renewal fee WHICH IS DUE each year in the calendar month of sign update.
CONTRACT WILL TERMINATE IF NO TRANSACTIONS ARE GENERATED 90 DAYS AFTER RECEIVING YOUR CARDS.
IMR agrees to receive communications (phone, email, etc.) from Corporate Office.