1. SEBs: Private Payer Perspective Carlyn Volume-Smith, B.Sc.Pharm., M.Sc., Ph.D. Senior Manager, Benefit Services

2. Private Payer Focus Member experience Retention of workforce Plan sustainability Positive impacts on other lines of benefit Highly Competitive Environment

3. Traditionally…… Price levers Drug plan features – Special authorization – Restricted benefits – Management limitations Generic pricing

4. SEBs: a new beast…. Looked at our traditional sources… – Health Canada – CADTH – Provincial drug plans – Clinical guidelines and experience % savings from SEBs not as substantial as first thought, but the absolute amount of potential savings is impressive

5. Today Understand complexity Patient, biologic, costs Want to get it right A sustainable solution that does not negatively impact member Open to opportunities