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PHARMACY SERVICE AGREEMENT
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This Agreement made and entered into the ls'day of September 2026, by and between the parties of
Mason County Jail located at: 411 N 5111 Street Shelton,WA 98584 and Costless Senior Services. Inc,
located at 14218 92"°Ave NW Suite 13 Gig Harbor,WA 98329(herein after referred to as the
Pharmacy).
WHEREAS,the parties desire to enter into an agreement for provision of pharmacy services for the
Facility;and
WHEREAS,the parties desire that the agreement specify the authority, duty,and obligations of
Pharmacy and the Facility,
NOW,THEREFORE, the parties, in consideration of the mutual promises herein contained and the
other good and valuable considerations, do hereby agree as follows
1, TERM OF AGREEMENT
a. Initial and Renewal Terms: The term of this Agreement shall be from September 1sr
2026 and continue through August 31 sr,2028, This Agreement will be converted to an
annual agreement thereafter, unless either party delivers to the other written notice of
its intent not to renew at least thirty (30)days in advance of the intended termination
date.
b. Termination for Default:Either party may upon a 30-day written notice, terminate
this agreement for poor performance for reasons that have not been resolved within 30-
days following receipt of written notice. Written notice will be sent by certified
registered mail or emailed to drew@costlessrx.com
c, Obligations Upon Expiration of Termination: Upon expiration of this Agreement,
The FACILITY will return to the PHARMACY,in good working condition, all the
Pharmacy's: equipment,documents,procedure manuals, forms, and any other
documents,information,etc, belonging to the PHARMACY,
2. RESPONSIBILITES OF THE PHARMACY
a. The Pharmacy will provide routine deliveries six(6)days per week,Monday through
Saturday, between the hours of 3pm and 9pm.
b. Deliveries will also be available on an unscheduled basis if an emergency arises.
c. The Pharmacy will be open to take calls from the Facility from the hours of 8:00am to
5:00 p.m. Monday through Saturday. Pharmacy can receive faxes and electronic
messages at any time. Holiday schedules will be provided.
d. If Pharmacy items are needed outside of pharmacy hours, a registered pharmacist is
available.on an on-call basis to provide emergency services and consultation.
Deliveries of Medication for emergencies will be done in a timely manner and will be
the responsibility of PHARMACY.
Pharmacy Service Agreement—Mason County Jail
e. For the benefit of the FACILITY, the PHARMACY will:
1. Supply only approved drugs and supplies for the residents of the FACILITY
2. Label all medications in accordance with local, state,and federal laws
3. Be responsible for all third-party billing,private pay and insurance,
4. Maintain drug profiles on each resident in the Facility
5. Provide drug information upon request₹o the FACILITY's licensed professional
staff regarding medications ordered,
6. Provide a medication cart to the community at no charge
7. As needed on-site inspection by a Washington Board certified Pharmacist is a
available at$80/hr
8. On-site support from a Washington licensed nurse is available as needed for
$60.00/hr
9. PHARMACY shall provide an itemized monthly invoice to the Facility for all
goods and services provided the prior Month
10.PHARMACY shall invoice the jail monthly for all goods and services provided.
3. FACILITY RESPONSIBILITY
a. The FACILITY shall provide adequate and acceptable space for medication and
medication storage.
b. FACILITY will be responsible for Internet connectivity if an EHR is utilized
c. The FACILITY shall provide the PHARMACY with all necessary inmate-specific
billing and insurance information at the time prescriptions are ordered for inmates with
active insurance coverage,including but not limited to Medicaid identification
numbers, inmate full legal name,date of birth, and any other information reasonably
required by the PHARMACY for billing purposes.
d. The FACILITY shall pay the Pharmacy in full within(30) days of the date appearing
on the invoice provided by the Pharmacy for any co-pays or uninsured medications
provided,
4. CONFIDENTIALITY
Neither party may disclose the terms and conditions of this agreement to a third party without
the advance written consent of the other party,except as required by law or as necessary to
perform its obligations under this Agreement.
5. INDEPENDENT SERVICE
In the performance of the services herein described,the PHARMACY is providing an
independent service with the authority to control and direct the performance of the details
necessary to provide the service. The services provided herein must meet with no approval of
the Facility and shall be subject to the Facility's general right of inspection to secure
satisfactory results.
6. ASSIGNMENT
This Agreement shall not be assigned by either party without the prior written consent of the
other party. AEI notices given or sent under the Agreement shall be sent by the United States
Mail,postage prepaid, addressed to the respective party at the address set forth on the signature
page of this Agreement,or to such other addresses that the parties shall designate.
Pharmacy Ser=vice Agreement—Mason County Jail
7. CHOICE OF LAW AND SEVE
RABTLTTY
This Agreement shall be governed by the laws of Washington. If any provisions or clause of
this Agreement is held invalid,such invalidity shall not affect the other provisions of this
Agreement which can be given effect without the invalid provision or clause.
8. MATERIAL BREACH
If either PHARMACY or FACILITY fails to keep, observe or perform any material covenant,
agreement, term or provision of this Agreement for which it is responsible and such Material
Breach continues for a period of sixty(60)days after delivery of written notice by the non-
defaulting party specifying the Material Breach and requesting that the Material Breach be
cured, the non-defaulting party may, in its discretion, terminate this Agreement as to the
particular services with respect to which the Material Breach applies only, effective thirty(30)
days following the delivery of further written notice to the defaulting party,provided however,
that if the defaulting party has commenced cure within such sixty(60) day period,and is
diligently pursuing such cure, then the right to give such thirty(30)day notice of termination
will be suspended for the time reasonably necessary to effect such cure..
9. MODIFICATIONS
This Agreement shall not be modified or amended except by written document executed by
both parties to this Agreement, and such modifications shall be appended hereto,
10. ATTORNEY'S FEES
In the event of any litigation to enforce or defend rights under this Agreement, the prevailing
party shall be entitled to reasonable attorney's fees in addition to all other relief,
ii. COMPLETE AGREEMENT
This agreement supersedes all previous agreements,oral or written, between the parties.It
embodies the complete agreement between the parties. It shall be binding upon the respective
assignees and successors in interests.
Pharmacy Service Agreement—Mason County Jail
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by their duly
authorized offices the day and year first above written
PHARMACY
Costless Senior Services
14218 92"s Ave, Suite D
Gig Harbor, WA 98329
Name of Authorized Representative Title
gnature Date
FACILITY
Mason County Jail
411 N 5th Street
Shelton, WA 98584
Name of Authorized epresentative Title
Signature Date
COUNTY
Mason County
411 N 5th Street
Shelton,WA 98584
7/7/2026
Pat Tarzwell, Chair Date
Pharmacy Service Agreement—Mason County Jail