Confidential and Proprietary Information © 2014 Express Scripts Holding Company. All Rights Reserved. 1 Confidential and Proprietary Information © 2014.

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Confidential and Proprietary Information © 2014 Express Scripts Holding Company. All Rights Reserved. 1 Confidential and Proprietary Information © 2014 Express Scripts Holding Company. All Rights Reserved. 1 The Importance of P&T in Pharmacy Shawn Davis, PharmD, MBA Director, Clinical Solutions

Confidential and Proprietary Information © 2014 Express Scripts Holding Company. All Rights Reserved. 2 Background Internships Doctor of Pharmacy MBA

Confidential and Proprietary Information © 2014 Express Scripts Holding Company. All Rights Reserved. 3 Professional Experience

Confidential and Proprietary Information © 2014 Express Scripts Holding Company. All Rights Reserved. 4 Healthcare and Pharmacy – Continuous Change Novel Therapies Affordable Care Act Americans access to care Contraceptives $0 out of pocket No Lifetime Maximums Cost of Medications “Patent Cliff” Specialty Medications Approval of new medications Biosimilars Compounds

Confidential and Proprietary Information © 2014 Express Scripts Holding Company. All Rights Reserved. 5 Express Scripts Fortune 24 Company (2013) 30,000 Employees ~100MM members Manage >1 Billion prescriptions annually

Confidential and Proprietary Information © 2014 Express Scripts Holding Company. All Rights Reserved. 6 Clients Pharmaceutical Manufacturers Pharmacies

Confidential and Proprietary Information © 2014 Express Scripts Holding Company. All Rights Reserved. 7 Express Scripts Products Accredo Specialty Pharmacy The Express Scripts Home Delivery Pharmacy Health Solutions Screen Rx Rational Med Retrospective Drug Utilization Review Drug Solutions Formulary Management Step Therapy Generic Step Therapy Preferred Step Therapy Preferred Specialty Management Prior Authorization Drug Quantity Management Fraud Waste & Abuse

Confidential and Proprietary Information © 2014 Express Scripts Holding Company. All Rights Reserved. 8 Developing Products at Express Scripts Clinical Merit Therapeutic Assessment Committee National P&T Committee Financial Evaluation Value Assessment Committee Pharmaceutical Contracting Group

Confidential and Proprietary Information © 2014 Express Scripts Holding Company. All Rights Reserved. 9 Industry Opportunities Student Organizations Networking Summer Internships Express Scripts AMCP Pharmaceutical Industry 4 th Year Rotations Residency Programs

Confidential and Proprietary Information © 2014 Express Scripts Holding Company. All Rights Reserved. 10 Confidential and Proprietary Information © 2014 Express Scripts Holding Company. All Rights Reserved. 10 Thank You Shawn Davis

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