Terms & Conditions

Effective Date

The effective date of the Terms and Conditions: January 15, 2015

Notice of Terms & Conditions

This Site is provided by Envision Pharmaceutical Services, LLC (“EnvisionRx”) and may be used for informational uses only. The following terms and conditions ("Terms and Conditions") govern your use of this web site (this "Site"). By accessing, viewing, or using the material on this Site, you indicate that you understand and accept these Terms and Conditions. If you do not agree to abide by these Terms and Conditions, do not use this Site or download materials from this Site.

No Medical or Legal Advice

The information provided on this Site is for general informational purposes. It is not medical or legal advice and is not a substitute for obtaining up-to-date, professional advice from a qualified person. Always consult with your doctor for appropriate examinations, treatment, testing, and care recommendations. Do not rely on information from this Site as a tool for self-diagnosis. If you have questions about any law or requirement referenced in this Site, you should contact your own legal counsel.

Disclaimer of Warranty and Liability

While we strive to keep up-to-date materials on the site, EnvisionRx cannot and does not assume responsibility for any errors or omissions in these materials. EnvisionRx has no obligation to update this site; therefore information presented may be out of date and contain inaccuracies or errors. EnvisionRx may make changes to these materials, to the products or services described within the Site, or to these Terms and Conditions, at any time without prior notice, except as prohibited by law.

USERS OF THIS SITE AGREE THAT NEITHER ENVISIONRX NOR ITS AFFILIATES SHALL BE LIABLE FOR ANY CLAIM, LOSS OR DAMAGES WHICH MAY RESULT FROM THE USE OF, ACCESS TO, OR INABILITY TO USE THESE MATERIALS. YOU AGREE TO USE THIS SITE AND SUBMIT INFORMATION AT YOUR OWN RISK.

Indemnification

You agree to defend, indemnify, and hold EnvisionRx, its officers, directors, employees, agents, licensors, affiliates, service providers and suppliers, harmless from and against any claims, actions or demands, liabilities and settlements including without limitation, reasonable legal and accounting fees, resulting from, or alleged to result from, your violation of these Terms and Conditions to which you have agreed by use of this Site.

Links to Other Web Sites

This Site may contain links to other internet web sites for the convenience of users in locating information and services that may be of interest. Visitors to this Site acknowledge that these third-party sites are maintained by persons or organizations over which EnvisionRx exercises no control; and EnvisionRx is not responsible for the content, the accuracy of the information, and/or quality of products or services provided by or advertised on these third-party sites. Unless otherwise stated, links do not represent an intent to promote or endorse information, products or services.

Proprietary Rights

All material contained in this Site is protected by law, including but not limited to United States copyright law. Except as indicated, Laker is the owner of the copyright in the entire content (including images, text and look and feel attributes) of this Site and reserves all rights in that regard. Any commercial use of this Site’s content is prohibited without the prior written consent of Laker.

Email Communications

EnvisionRx may contact you via email to:

  • Respond to any questions you may send us,
  • Send you email communications about information we think you will find useful--including announcements about new products and services at this Site, or
  • Communicate other information as necessary to administer this Site.

Please note that when you contact us by email, such communication may not be entirely secure because it travels over unsecured communication lines. As a result, you should not provide us with confidential or personal information via email.

Member's Rights

  • You have the right to know the terms of your prescription drug benefit and preferred drug listing for your plan.
  • You have the right to receive information about EnvisionRx, its services, and your rights and responsibilities.
  • You have the right to be treated with respect, dignity, and the right to privacy.
  • You have the right to contact EnvisionRx or your health plan sponsor with a grievance or complaint.
  • You have the right to access Customer Service Representatives who can help resolve problems.
  • You have the right to have information about your personal drug use protected. This right does not prevent the use of your information for healthcare purposes. Healthcare purposes include quality improvement, peer review, disease management, reporting, claims processing & payment, and compliance programs.
  • You have the right to make recommendations about the Member Rights and Responsibilities.
  • You have the right to access prescription services, regardless of sex, age, sexual orientation, ethnicity, national origin, religion, genetic information, disability, or source of payment.
  • You have the right to appeal an adverse decision to an external Independent Review Organization (IRO), when EnvisionRx is delegated that authority by the member's Plan.

Member's Responsibilities

  • It is your responsibility to read all material received from your health plan and EnvisionRx in order to become familiar with your benefits and available services.
  • It is your responsibility to review and understand your preferred drug list and who are the participating network pharmacies.
  • It is your responsibility to know how to access services from a participating pharmacy.
  • It is your responsibility to present your member identification card when accessing services.
  • It is your responsibility to treat EnvisionRx staff with the respect and courtesy that you would expect for yourself.
  • It is your responsibility to tell your retail or mail order pharmacist of your health problems.
  • It is your responsibility to learn about your drug therapy, including the limitations and risks.
  • It is your responsibility to tell EnvisionRx and the pharmacist if you have additional insurance coverage.
  • It is your responsibility to comply with financial obligations, administrative and operational procedures of your pharmacy benefit.
  • It is your responsibility to know the limits and rules of your benefit plan.

Member agrees to: (I) use the content, services and the Rx Options™ Benefit Cost Sharing Program (hereinafter the "Program") solely for lawful purposes; (ii) to be solely responsible for the use of Member's password and/or login ID; (iii) not to sell, lease or sublicense the Program or any part thereof; (iv) not to modify, change, alter, translate or create derivative works from, reverse engineer, disassemble or decompile the Program in any way for any reasons; (v) not to provide, disclose, divulge or make available to, or permit use of the Program by, any third party other than your immediate family members and for the same purposes provided in the Agreement; (vi) not to copy or reproduce all or any part of the Program; (vii) not to interfere with the Program in any way; (viii) not to engage in spamming, mail bombing; spoofing or any other fraudulent, illegal, unauthorized or improper use of the Program; (ix) not to introduce into or transmit through the Program, or use of the Program, any virus, worm, trap door, back door, timer, clock, counter or other limiting routine, instruction or design; (x) not to remove, obscure or alter any copyright notices, trademarks or other proprietary notices affixed to or contained within the Program; or licensors and service providers, as well as hold Rx Option and our third party licensors and server providers harmless against any misuse, breach of this Agreement and/or breach of the intellectual property rights of a third party by Member.

Utilization Management Statement

  • Utilization Management decision making is based only on appropriateness of care and service and existence of coverage.
  • The organization does not specifically reward practitioners or other individuals for issuing denials of coverage.
  • Financial incentives for Utilization Management decision makers do not encourage decisions that result in underutilization.

Termination

EnvisionRx in its sole discretion, reserves the right to terminate your use of this site at any time and without notice to you.