MedImpact Direct™ March 12, 2015 Bill Barre Vice President, Business Development Don (DJ) Dean Director of Pharmacy Operations Verona Macdonell Marketing Communications Consultant March 12, 2015 Introduction DJ Dean is responsible for all dispensing operations and is the person to contact for any problems or issues. Provide phone and email contact information. Pharmacy staff can be contacted by phone or email. There is an answering service for urgent issues after hours 24/7. Friendly, Flexible, and Fast Goal

Agenda Overview Prescription Routing Engine to Unique Network Services Consumer Engagement & Portal Opportunities: Interactive Discussion

Unique Pharmacy Network & Rx Routing Configurable routing engine directs prescriptions All Rxs routed via one source to multiple channels In-house pharmacy Specialty Mail Retail Limited Distribution Drugs (LDD) Route Rx to the right pharmacy for: Prescriptions directed to lowest-cost provider through configurable routing engine Specific drug/disease based on expertise Appropriate consumer-specific clinical services

Considerations for Consumer Needs Consultation Fulfillment Specialized clinical services Consumer preference Delivery Pick up at retail In-house pharmacy ENHANCE CONSUMER EXPERIENCE Simplicity & Access POPULATION MANAGEMENT Proven Outcomes

Why this model? Enables prescriptions to be directed to in-house pharmacy Maximize GPO pricing Keep utilization and revenue in house Minimizes switching costs if therapy needs rerouting for cost savings Drives competitive pricing among multiple vendors Allows dispense and consult only for those not in need of specialized clinical management to reduce costs

Why this model? Reduces confusion: Single point of contact for fulfillment Manage high-touch consumer experience Identify where to remove costs Ensure clean Rx Manage intake Multiple vendors/options Lowest cost Best-in-class clinical services where needed Specialized fulfillment/delivery requirements

Process: Consumer Initiated Prescription Prescriber Consumer E-Prescribing Fax Phone MedImpact Direct Ops Phone Mail Consumer Portal MedImpact Direct Platform Process Member Bill Analyze Route Pharmacy A Pharmacy B Today, I will be using these updated workflow visuals throughout the presentation. They provide a more accurate representation of the mail service workflow we will be launching with. Key points: Prescription requests come into MID in multiple ways, and we are categorizing these into two buckets – Prescriber initiated and Consumer initiated. Consumer initiated will be processes immediately Prescriber initiated will trigger an additional workflow step where MID will make contact with consumer to ensure they would like us to process the request Similar to the way Autofill procedures have caused a lot of unwanted prescriptions to be filled, some mail order facilities report over 1/3 of all Prescriber initiated prescriptions may be unwanted. Ensuring the consumer wants these RXs and understands coverage and co-pay costs will minimize the overutilization of filling unneeded RXs. Short term, our Pharmacy staff will contact consumers Longer-term, mail pharmacies have used email, and robo-calls to screen out unneeded prescription fills. Walk through the intake flows and explain the difference between intakes that go directly to MID platform vs those that need human intervention at initial contact (call out benefit of IVR system of future which will improve operational efficiency) Provide high level overview of the operational steps (process, member billing, analysis / rx flow rules, and final step of routing once rules engine determine best fulfillment partner. What is a “Clean RX” – member is eligible, member mailing address is verified, formulary rules met, confidence that customer wants the RX. (we are taking responsibility for customer issues related to copay billing and returned RXs as long as fulfillment pharmacy accurately follows our transmitted instructions) Clean RX Pharmacy C

Process: Prescriber Initiated Prescription Consumer E-Prescribing Fax Phone MedImpact Direct Ops Phone Mail Consumer Portal MedImpact Direct Platform Process Member Bill Analyze Route Pharmacy A Pharmacy B Today, I will be using these updated workflow visuals throughout the presentation. They provide a more accurate representation of the mail service workflow we will be launching with. Key points: Prescription requests come into MID in multiple ways, and we are categorizing these into two buckets – Prescriber initiated and Consumer initiated. Consumer initiated will be processes immediately Prescriber initiated will trigger an additional workflow step where MID will make contact with consumer to ensure they would like us to process the request Similar to the way Autofill procedures have caused a lot of unwanted prescriptions to be filled, some mail order facilities report over 1/3 of all Prescriber initiated prescriptions may be unwanted. Ensuring the consumer wants these RXs and understands coverage and co-pay costs will minimize the overutilization of filling unneeded RXs. Short term, our Pharmacy staff will contact consumers Longer-term, mail pharmacies have used email, and robo-calls to screen out unneeded prescription fills. Walk through the intake flows and explain the difference between intakes that go directly to MID platform vs those that need human intervention at initial contact (call out benefit of IVR system of future which will improve operational efficiency) Provide high level overview of the operational steps (process, member billing, analysis / rx flow rules, and final step of routing once rules engine determine best fulfillment partner. What is a “Clean RX” – member is eligible, member mailing address is verified, formulary rules met, confidence that customer wants the RX. (we are taking responsibility for customer issues related to copay billing and returned RXs as long as fulfillment pharmacy accurately follows our transmitted instructions) Clean RX Pharmacy C

MedImpact Direct Processing Prescriber Consumer E-Prescribing Fax Phone MedImpact Direct Ops Phone Mail Consumer Portal MedImpact Direct Platform Process Member Bill Analyze Route Pharmacy A Pharmacy B Today, I will be using these updated workflow visuals throughout the presentation. They provide a more accurate representation of the mail service workflow we will be launching with. Key points: Prescription requests come into MID in multiple ways, and we are categorizing these into two buckets – Prescriber initiated and Consumer initiated. Consumer initiated will be processes immediately Prescriber initiated will trigger an additional workflow step where MID will make contact with consumer to ensure they would like us to process the request Similar to the way Autofill procedures have caused a lot of unwanted prescriptions to be filled, some mail order facilities report over 1/3 of all Prescriber initiated prescriptions may be unwanted. Ensuring the consumer wants these RXs and understands coverage and co-pay costs will minimize the overutilization of filling unneeded RXs. Short term, our Pharmacy staff will contact consumers Longer-term, mail pharmacies have used email, and robo-calls to screen out unneeded prescription fills. Walk through the intake flows and explain the difference between intakes that go directly to MID platform vs those that need human intervention at initial contact (call out benefit of IVR system of future which will improve operational efficiency) Provide high level overview of the operational steps (process, member billing, analysis / rx flow rules, and final step of routing once rules engine determine best fulfillment partner. What is a “Clean RX” – member is eligible, member mailing address is verified, formulary rules met, confidence that customer wants the RX. (we are taking responsibility for customer issues related to copay billing and returned RXs as long as fulfillment pharmacy accurately follows our transmitted instructions) Clean RX Pharmacy C

Dispensing Pharmacy Fulfillment Consumer Consumer Portal Email Delivery Communicate Communicate Bill PBM Dispensing Pharmacy All Consumer touch points during the processing, filling, shipping, and delivery of RX are controlled by MID Fulfillment pharmacies provide updates to MID, MID communicates to consumer MID Patient portal provides realtime updates to consumer so they always know where there order is in the process. Delivered RX labeling, Invoice/packing slips, controlled through our Fulfillment guidelines and ongoing QC certification process.

Routing to Dispensing Pharmacy Partners Prescriber Consumer E-Prescribing Fax Phone MedImpact Direct Ops Phone Mail Consumer Portal MedImpact Direct Platform Process Member Bill Analyze Route Pharmacy A Pharmacy B Today, I will be using these updated workflow visuals throughout the presentation. They provide a more accurate representation of the mail service workflow we will be launching with. Key points: Prescription requests come into MID in multiple ways, and we are categorizing these into two buckets – Prescriber initiated and Consumer initiated. Consumer initiated will be processes immediately Prescriber initiated will trigger an additional workflow step where MID will make contact with consumer to ensure they would like us to process the request Similar to the way Autofill procedures have caused a lot of unwanted prescriptions to be filled, some mail order facilities report over 1/3 of all Prescriber initiated prescriptions may be unwanted. Ensuring the consumer wants these RXs and understands coverage and co-pay costs will minimize the overutilization of filling unneeded RXs. Short term, our Pharmacy staff will contact consumers Longer-term, mail pharmacies have used email, and robo-calls to screen out unneeded prescription fills. Walk through the intake flows and explain the difference between intakes that go directly to MID platform vs those that need human intervention at initial contact (call out benefit of IVR system of future which will improve operational efficiency) Provide high level overview of the operational steps (process, member billing, analysis / rx flow rules, and final step of routing once rules engine determine best fulfillment partner. What is a “Clean RX” – member is eligible, member mailing address is verified, formulary rules met, confidence that customer wants the RX. (we are taking responsibility for customer issues related to copay billing and returned RXs as long as fulfillment pharmacy accurately follows our transmitted instructions) Clean RX Pharmacy C

Unique Network and Specialized Fulfillment Mail Order Pharmacy A Mail Order Pharmacy B Mail Mail Order Pharmacy C Specialty Pharmacy A Specialty Pharmacy B Clinical Services Specialty Mail Order Pharmacy A GPO Mail Order Pharmacy B Generic Drug Specialty Pharmacy A Clean RX In-house Pharmacy Member Prefers Other Retail Pharmacy A Retail Pharmacy B Pharma Direct Retail Pharmacy A Retail Pharmacy B Retail © 2015 MedImpact, Inc. All rights reserved. Retail Pharmacy C

Unique Network and Specialized Fulfillment Mail Order Pharmacy A Mail Order Pharmacy B Mail Mail Order Pharmacy C Specialty Pharmacy A Specialty Pharmacy B Clinical Services Specialty Mail Order Pharmacy A GPO Mail Order Pharmacy B Generic Drug Specialty Pharmacy A Clean RX In-house Pharmacy Member Prefers Other Retail Pharmacy A Retail Pharmacy B Pharma Direct Retail Pharmacy A Retail Pharmacy B Retail © 2015 MedImpact, Inc. All rights reserved. Retail Pharmacy C

Unique Network and Specialized Fulfillment Mail Order Pharmacy A Mail Order Pharmacy B Mail Mail Order Pharmacy C Specialty Pharmacy A Specialty Pharmacy B Clinical Services Specialty Mail Order Pharmacy A GPO Mail Order Pharmacy B Generic Drug Specialty Pharmacy A Clean RX In-house Pharmacy Member Prefers Other Retail Pharmacy A Retail Pharmacy B Pharma Direct Retail Pharmacy A Retail Pharmacy B Retail © 2015 MedImpact, Inc. All rights reserved. Retail Pharmacy C

Unique Network and Specialized Fulfillment Mail Order Pharmacy A Mail Order Pharmacy B Mail Mail Order Pharmacy C Specialty Pharmacy A Specialty Pharmacy B Clinical Services Specialty Mail Order Pharmacy A GPO Mail Order Pharmacy B Generic Drug Specialty Pharmacy A Clean RX In-house Pharmacy Member Prefers Other Retail Pharmacy A Retail Pharmacy B Pharma Direct Retail Pharmacy A Retail Pharmacy B Retail © 2015 MedImpact, Inc. All rights reserved. Retail Pharmacy C

Unique Network and Specialized Fulfillment Mail Order Pharmacy A Mail Order Pharmacy B Mail Mail Order Pharmacy C Specialty Pharmacy A Specialty Pharmacy B Clinical Services Specialty Mail Order Pharmacy A GPO Mail Order Pharmacy B Generic Drug Specialty Pharmacy A Clean RX In-house Pharmacy Member Prefers Other Retail Pharmacy A Retail Pharmacy B Pharma Direct Retail Pharmacy A Retail Pharmacy B Retail © 2015 MedImpact, Inc. All rights reserved. Retail Pharmacy C

Unique Network and Specialized Fulfillment Mail Order Pharmacy A Mail Order Pharmacy B Mail Mail Order Pharmacy C Specialty Pharmacy A Specialty Pharmacy B Clinical Services Specialty Mail Order Pharmacy A GPO Mail Order Pharmacy B Generic Drug Specialty Pharmacy A Clean RX In-house Pharmacy Member Prefers Other Retail Pharmacy A Retail Pharmacy B Pharma Direct Retail Pharmacy A Retail Pharmacy B Retail © 2015 MedImpact, Inc. All rights reserved. Retail Pharmacy C

MedImpact Direct Experience Delivered Consumer Consumer Portal Email Delivery Communicate Communicate Bill PBM Dispensing Pharmacy All Consumer touch points during the processing, filling, shipping, and delivery of RX are controlled by MID Fulfillment pharmacies provide updates to MID, MID communicates to consumer MID Patient portal provides realtime updates to consumer so they always know where there order is in the process. Delivered RX labeling, Invoice/packing slips, controlled through our Fulfillment guidelines and ongoing QC certification process.

Routing Options Directing Prescriptions to: Specialty pharmacy providers As a wrap Best-in-Class by drug/disease Dispensing and/or specialized clinical management Lowest cost Mail order pharmacies Proximity to consumer Retail pharmacies Consumer choice Sponsor selected Direct manufacturer purchasing In-house pharmacies Grow percentage of dispensing/fulfillment GPO vs. Volume Purchasing Hybrid: Splitting prescriptions Contracted GPO arrangement; OR Generic drug to another entity

Overview of Services Prescription intake Customer service and clinical consultation services Quality assurance Prospective DUR Clinical interventions when appropriate or requested by member to reduce cost Payment services Assistance with prior authorizations and step therapy Prescription tracking and TAT monitoring

MedImpact Direct Consumer Experience This is the landing screen for our website. They can access the website directly or from the MedImpact website. Registered members can log in and new members can register with their name, DOB, and member ID Members who have trouble with the website can call our toll free number or email us directly. The page also has the option to download a paper enrollment that can be mailed in with their prescriptions The member can also read additional information about our pharmacy here on these pages Click here for MedImpact Direct website

View My Prescriptions Once they have logged into the website, the member will see a list of prescriptions filled or received recently

View My Prescription Details The member can click on the prescription number to see additional information about their prescription. The status of a prescription can be tracked from this screen from receipt of new Rx to shipment and includes a tracking number when shipped. Members also receive status update emails.

Refill Request Screen On this page the member can refill any prescriptions that are at least 80% used with refills remaining. If they need an earlier fill or a renewal, they can call our pharmacy staff to request an override or new Rx if appropriate.

Profile Screen Member can change password, or update address, phone number, or email from this screen.

Payment Screen On this screen member can update payment information.

Payment History Screen On this screen members can search and view their previous payments

Printable Receipt When a member clicks the “PDF” button on the previous page they can access a PDF receipt that can saved or printed. This is convenient for taxes or FSA/HSA requirements.

Status Update Email Here is an example of a status update email that is sent to members. This is the “order shipped” email which includes a tracking number.

Questions?