1. Copay Offset Program

2. Program Objectives  Our program has been developed to allow self-funded employers the opportunity to save substantial costs by utilizing our unique approach  By utilizing the willingness of drug manufacturers to support patient copays we can lower the total cost to the self-funded employer  Our mission is to provide employers with a service that educates and informs patients of the high cost of specialty drugs and allows for maintaining substantial benefits into the future 2

3. Keys to understanding the service offering  Drug manufacturers understand that high deductible plans are growing in number.  Patients co-share can be as high as 20% of the drug cost  The financial reality for the manufacturer, is that 80% of the reimbursement is still acceptable to them. Therefore, they are willing to underwrite up to 20% to capture and retain patients  The competition in each category is growing and no manufacturer will be the first to pull this support.  Over the last 5 years these support programs have grown even more numerous and generous 3

4. Employer Opportunities  Employers that have a minimal cost sharing program in effect have the most to gain  Employers that utilize a PBM that has a shared accumulator with the medical benefit are best suited to program  Union Employers can benefit because there is no reduction in benefit. In fact often times the copay can be reduced to $0 using the program  No size limit to employer, every employer can benefit 4

5. Program Details Drugs Covered 5 These drugs represent over 50% of the specialty spend on the pharmacy benefit Aubagio Avonex Benlysta Betaseron Cimzia Copaxone Enbrel Extavia Gilenya Harvoni Humira Ilaris Orencia Otezla Plegridy Pen Rebif Simponi Aria Sovaldi Stelara Tecfidera Viekira Pak Xeljanz

6. Program Details Benefit Design  Where appropriate the PBM sets the level of copay for the listed drugs at the individual max of $6,600 and family max of $13,200 (subject to change)  If a shared accumulator is not being utilized a split may need to occur between the two benefits 6

7. Program Details Employer and Employee Communications  Communication is the key to execution success  Our Team works with the employer to educate the employees on the program and explain why this is an important part of the company’s ability to manage costs.  We work with HR to create communication tools to ensure no employee is ever disadvantaged due to the program  During the implementation timeframe our Team reaches out to all employees to educate them on the program and to enroll them in the manufacturer program  Employer and employee have a single contact number to assist with the program to ensure no gaps exist 7

8. Program Details Existing Patients Patient Identified Program team reaches out to educate patient Program explained and patient ops into co pay program Service team notifies pharmacy of secondary billing number Patient Receives drug with no or little copay 8

9. Program Details New Patients Patient receives script for listed drug Pharmacy adjudicates claim and sees that there is an administrative PA Pharmacy calls service center and indicates the patient name and drug Service center educates the pharmacy on the process and contacts patient Service center educates patient and enrolls them in the copay program of manufacturer Service center notifies pharmacy and provides the secondary billing information Patient is contacted by pharmacy for shipment information 9

10. Service Center Billing Requirements  Service center requires access to PBM data directory or through association to reconcile savings with employer  Savings are calculated based on enrollment information  A percentage of savings is paid to service center as program fees  If employer does not save money then there is no cost to the employer  Fees are available to associations or brokers for implementation and assistance throughout program 10

11. Our Team  Our team is made up of experienced specialty pharmacy and call center experts  The leadership team has built many custom service offerings for employers, major insurers, grocery chains and university health systems  Team has deep understanding of the PBM and Specialty Industry, consulting across all drug delivery channels  Our call center technology is the latest cloud technology allowing for rapid deployment of additional personnel as needed  Company is based in Buffalo, New York and utilizes trained Pharmacy Techs as support center personnel 11

12. Next Steps  Sign Non Disclosure Statement and Business Associate Agreement  Evaluate opportunity for savings by reviewing PBM Data  Present to Employer savings opportunity and set go live date 12