Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.1 A&M Care 2015 – 2016 Prescription Drug Program

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.2 Agenda Your Express Scripts prescription drug plan  Benefit description  Specialized care Tools to help manage the prescription benefit  Tools to help manage therapy  Tools to help manage cost  Other available resources

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.3 Your Express Scripts Prescription Drug Plan  Express Scripts administers your prescription drug plans on behalf of A&M Care.  Benefit includes both a retail and mail component  Express Scripts has its own mail-order pharmacy where specialist pharmacists focus on compliance and lower cost options for patients. And, the automated filling process ensures the prescription is filled accurately.

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.4 Prescription Drug Benefits * If you obtain a brand-name drug when a generic equivalent is available, you are responsible for the generic copayment plus the cost difference between the brand-name drug and the generic drug. Chart illustrates benefits when network pharmacies are used. Non- network benefits are also available; see Enrollment Guide for more information. Annual Deductible $50 per person per year / $150 per family per year (Deductible does not apply to medical plan deductible) Access Options Generic Drug Copayment Preferred Drug Copayment Non-Preferred Drug Copayment Retail – 30 Day Supply: Refills allowed as prescribed. (Good option for new prescriptions) $10$35$60 Retail – 90 Day Supply: Refills allowed as prescribed $30$105$180 Home Delivery Pharmacy: Up to a 90-day supply*. Refills allowed as prescribed (Best option for maintenance medication) $20$70$120

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.5 The right care at the right time Specialization and member engagement are critical components to controlling health care costs and driving quality clinical outcomes:  Specialist Medications  Therapeutic Resource Centers  Closing Gaps in Care  My Rx Choices ®  Digital and Mobile Tools  Caregiver Coordination  Worry-Free Fills  Other available resources

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.6 Specialty Medications  Express Scripts provides specialty pharmacy services through our wholly-owned subsidiary, Accredo Health Group, Inc.  What are specialty medications? High cost infused, injectable, and oral drugs that typically require added supervision of patient therapy.  With Accredo, at no extra cost, you’ll benefit from: Personalized Care Safe, prompt delivery 24 hour support Refill reminders Drug safety monitoring

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.7 Accredo– a Patient’s Most Comprehensive Support Accredo specialty pharmacist Other specialty pharmacist Retail pharmacist Specialization per condition Most specialization – with deep focus on patients with a small number of conditions and therapies Focus diluted across dozens of conditions and therapies No specialization – no focus Experience per condition Focused training and experience with patients with conditions and needs in a single specialty General training across treatments and therapies Limited training and occasional experience Specific protocols per condition Condition and drug-specific protocols developed by specialists for every drug dispensed Protocols only for select specialty drugs NA Dedicated field nurses550 field nurses – all Accredo staffNA Physician support150 support experts in the fieldNA Proactive patient support  Proprietary training in the specialty AND applied behavioral science  Deepest safety monitoring  Unique apps and condition-specific websites NA

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.8 HIVHepatitis CRA & I Multiple Sclerosis TransplantEndocrinePulmonary OncologyFertility Rare Disease Pulmonary Hypertension Bleeding Disorders Immune Disorders SCALE ALLOWS DEEPER SPECIALIZATION Delivering Better Patient Care Specialty-trained pharmacists and nurses Monitoring and ongoing assessments Complete medication and medical profile Comprehensive therapy management Multimedia and online patient resources 24/7 access to pharmacists Therapeutic Resource Centers SM (TRC)

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.9 Impact of Therapeutic Resource Centers SPECIALIZATION IMPROVES PATIENT OUTCOMES Increasing adherence; decreasing waste Members with hepatitis C are 50% more likely to complete therapy EFFECTIVENESS Ensuring financial options are leveraged Connected patients with more than $240M in proactive copay assistance in 2014 AFFORDABILITY Ensuring the safe use of medications % accurate, safe and efficient dispensing SAFETY Easiest to use with the highest satisfaction 93% member satisfaction with our specialty care SERVICE

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.10 Accredo National Footprint Elmsford, NY Detroit, MI Chesterfield, MO Iowa City, IA Kansas City, MO Oklahoma City, OK Englewood, CO Salt Lake City, UT Phoenix, AZ Las Vegas, NV Seattle, WA Omaha, NE Ft. Lauderdale, FL Houston, TX Metairie, LA Warrendale, PA Indianapolis, IN Corona, CA Greensboro, NC Greensboro, NC Eagan, MN Orlando, FL Birmingham, AL Norcross, GA Boston, MA Byfield, MA Dallas, TX New Castle, DE Nashville, TN Memphis, TN Whitestown, IN Elmhurst, IL Pine Brook, NJ Lake Mary, FL Dublin & Columbus, OH Willingboro, NJ

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.11 Personalized Care Alerts Unique clinical outreach helps keep members safe by providing personalized, actionable alerts when possible omissions, adherence gaps and “on- track” behavior are detected. Members can access alert details, learn more about any risks from resource links, and take action using the options provided.

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.12 Actionable Alerts Educate and Improve Adherence Ability to self-close gaps Printable information to take to the doctor Contact specialist pharmacists 1 in 5 gaps in care closed online are for retail prescriptions Information about the alert and its importance Links to additional resources

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.13 Worry Free Fills Offers Convenience and Flexibility Patients elect to have eligible prescriptions shipped automatically * Patients alerted to upcoming orders Patients can adjust future fill dates Patients can dis-enroll at any time

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.14 My Rx Choices ®  Lower the cost of prescriptions with My Rx Choices ® Features include:  Personal assessment of cost-saving opportunities based on the A&M Care prescription plan  Print a kit to help their doctor better understand the economic impact of different medication alternatives  Alternative medications are based upon greatest cost savings to you presented in order, starting with the highest value  Brand-to-generic and retail-to-mail comparisons are shown  Simply visit or call Express Scripts Member Services at www.express-scripts.com  Prices can vary at different retail pharmacies, so it is important to shop around

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.15 My Rx Choices ®

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.16 Online tools and Mobile App help patients connect Omission Not Using Controller Medication for Asthma Omission Online prescription management:  Refills, renewals and order status  Worry-free Fills ®  Transfer to mail  Claims, balances and history  Locate a pharmacy  Preferences Benefit education and management:  Benefit highlights  Forms and cards  Pricing and coverage details  New! Accessibility features Gap In Care Alerts Help participants identify and address potential safety issues with their prescriptions

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.17 Transfer to mail online conversion program

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.18 Information Resources  System Benefits Website – Pharmacy Benefit Highlights List of participating retail pharmacies Download forms  Express Scripts Member Website – Formulary Information Locate a Participating Pharmacy Health and Wellness Information My Rx Choices ® / Price a Medication Online Ordering Express Scripts Mobile App Order Home Delivery Pharmacy Refills Caregiver Resources Download forms  Customer Service Number:  Annual Enrollment Book (On-Line)

Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved.19 Thank You