Alliance Update Joe Pugliese President and CEO September 18th 2017 Alliance Update Joe Pugliese President and CEO

Grandchildren Scorecard Boys 5 Girls 4

Organizational Structure Joe Pugliese President Jeff Blake Payer Roland Lamy George Oestreich Jeff Amond ?? Elizabeth Karan Legal Sean Singh Marketing & Operations Audra Ames Joel Belucci Ellen Riker, Advocacy Johanna Gray

Accomplishments/Opportunity Build expand HTC Network

Member Services Member Meetings Newsletter, Webinars Regulatory, Advocacy Compliance Communication, Website, Site Visits Payer Relations

Alliance Policy and Procedures Manual Purpose: Provide an example of a 340B Policy and Procedure Manual (P&P Manual) that exhibits a high commitment to program integrity, to assist Hemophilia Treatment Center (HTC) leaders in the preparation of a unique, specific, P&P Manual that translates guidance and policy into practice. Available on our new website 9/24/2017 Webinar with Elizabeth Karan 10/12/2017 2-3 pm EDT

The Alliance Pharmacy Contract Pharmacy URAC/ACHC Disaster Planning Trial Programs Wholesale Distribution VAWD accredited - Nuwiq, Wilate, IXINITY, Amicar Genentech Distribution Agreement HANS

Group Purchasing Contracts Genentech: targeting select HTCs Shire and Bioverativ Contracts end 12/31/2017 Authorized Distributors of Record (ADRs) Chapter Name

We need to change our state of mind CEO Joe Says GO BIG OR GO HOME

What does that Mean We need to look to grow our business at every opportunity - There is no such thing as having too much business - We need to focus on a customer service model that recognizes patient’s have choices - We need to recognize patients don’t have choices We need to find a way to ensure that revenue produced from our factor programs stays in the program. We need to look to expanding our footprint where appropriate to sustain and increase our ability to care for the patients that count on you . Chapter Name