ADAP Solutions for the future Glen Pietrandoni, R.Ph., AAHIVP, Sr Director, Virology Adam Reno, Sr. Strategic Account Manager, State Governments ©2013 Walgreen Co. All rights reserved.

Walgreens: An integral part of the solution to end AIDS ©2013 Walgreen Co. All rights reserved. VISION STATEMENT To continue to be the most trusted national provider of high quality HIV prevention, testing, and treatment services, and be part of the solution to end AIDS. Improve Outcomes Expand Patient Access to Pharmacy Care Create a Healthcare Destination GOALS OF THE WALGREENS HIV PROGRAM

Driving Alignment with Appropriate Therapies Walgreens is committed to fighting HIV and helping to end AIDS. Walgreens HIV Programs are: Based on scientific data and customer research Aligned with public policy Patient – focused and relationship – based in order to better support outcomes

Understanding HIV Communities

Leveraging Walgreens Reach 90% of Americans with HIV/AIDS have face-to-face access to Walgreens HIV-specialized services. ©2013 Walgreen Co. All rights reserved % penetration in the top 25 markets 96% penetration in the top 50 markets 87% penetration in the top 100 markets 700+ HIV-specialized pharmacies nationwide *. *Based on population analysis, CDC data and retail locations

Walgreens steps up as leaders in HIV

The opportunity for improved HIV/AIDS management 75% of Americans living with HIV/AIDS are not virally suppressed Percentage of All People With HIV in the U.S. The Stages of HIV Care Reference: Centers for Disease Control and Prevention. CDC Fact Sheet. HIV in the United States: The Stages of Care. Atlanta, GA: Centers for Disease Control and Prevention; July, % (1.1 million) 82% (902,000) 66% (726,000) 37% (407,000) 33% (363,000) 25% (275,000) 7 ©2014 Walgreen Co. All rights reserved.

Walgreens HIV-Specialized Network Number of HIV-specialized locations 750+ Number of pharmacists who have completed extensive HIV education 2500 Number of people living with HIV who CHOOSE to use Walgreens 1 of 3 ©2013 Walgreen Co. All rights reserved. 8

Recognition 9 “…Walgreens, America’s largest drug store chain, has designated more than 500 hundred of its pharmacies as “HIV Centers of Excellence” ” ……”This is how you make a difference ……”doing good and doing well at the same time…” --Elton John

Walgreens Complete Platform ©2013 Walgreen Co. All rights reserved. 10

Walgreens Complete Platform The Walgreens Complete Platform is an excellent way to track the performance and activity in a program that is designed around the inventory replenishment model. Key Features: Gathers and maintains records of all sold transactions Virtual accumulator is based on sold items Triggers orders once full package sizes are reached Ties out purchase orders against received items This web based tool is available 24/7 and its simple design is very user friendly. ©2013 Walgreen Co. All rights reserved. 11

Complete Platform ©2013 Walgreen Co. All rights reserved. 12

Dispense to Accumulation Report ©2013 Walgreen Co. All rights reserved. 13 The Dispense to Accumulation report is a date range selectable view of what products are accumulating to a full package size for ordering. Once a full package size of a particular NDC-11 item that has been sold, the system will trigger an order. It is important to note that the pharmacies can work together to reach a full package size. Walgreens is able to track which pharmacy is dispensing what medication and maintain accurate counts and inventory across the board.

Dispense to Receipt Report The Dispense to Receipt report tracks the orders that have been placed against the orders that have been received and also to the Walgreens Rx number associated with that medication. This report will help maintain accurate counts for the inventory replenishment of the program. ©2013 Walgreen Co. All rights reserved. 14

Purchasing Activity Report ©2013 Walgreen Co. All rights reserved. 15 The Purchasing Activity report tracks the orders that have been placed to the wholesaler at a summary level and a details level. This report will track the pending orders and received orders for the program.

Patient Details Report The Patient Details report is another way to track what prescriptions have been sold under the program. The system gathers data at the point of sale and feeds it into the reporting tool on a daily basis. ©2013 Walgreen Co. All rights reserved. 16

Additional Functions: Rx Volume by store location Top 100 medications for program Patient quick search Prescribing methods tracking Analyze long term trends in the program Utilization breakout for non-controlled & controlled medications and more… ©2013 Walgreen Co. All rights reserved. 17

Choose your adventure Different programs can call for different network strategies Open Greatest amount of access Less clinical control Select Moderate access More clinical control Exclusive Least amount of access Most control of dispensing protocols ©2013 Walgreen Co. All rights reserved. 18

Overcoming Obstacles to Successful Treatment DHHS Guidelines: Select strategies to drive success in the treatment of HIV/AIDS Consider current treatment options that take into account: ―Pill burden ―Frequency of dosing ―Food requirements ―Adverse event profile Provide support resources to the patient Encourage HIV screening and conduct prevention counseling Follow national guidelines for appropriate treatment selection Ensure access and equity to HIV/AIDS care Employ an experienced, interdisciplinary team approach Assess patient readiness to start therapy Assess barriers to adherence and determine positive predictors of adherence Conduct adherence assessment and counseling Strategies to Improve Outcomes and Manage Costs 1,2 References: 1. Panel on Antiretroviral Guidelines for Adults and Adolescents. Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents. Washington, DC: U.S. Department of Health and Human Services; November 13, 2013: World Health Organization. Rapid Advice. Antiretroviral therapy for HIV infection in adults and adolescents. Geneva, Switzerland: World Health Organization; November 30, Strategies to Improve Adherence 1 Areas where Walgreens HIV-specialized pharmacies may be of assistance in your management of this therapeutic disease state 19

How do your networks fit in? With more coverage options, we should anticipate more fluidity with coverage ADAP Medicaid Part D Wrap Exchange Wrap Key goal for covered lives should be consistent, knowledgeable access to therapies ©2013 Walgreen Co. All rights reserved. 20

Questions? ©2013 Walgreen Co. All rights reserved. 21