Excellence in Pharmacy Services . . . It’s Yours with MAXOR

®

Pharmacy Benefit Management Services

Each of MaxorPlus’ clients have a dedicated Account Management Team comprised of an Account Manager, Clinical Manager, and Senior Manager.

This team provides prescription drug benefit plan design, analysis and cost projection recommendations, and quarterly prescription drug benefit program reviews. Our high-touch model allows personalized service to all clients while saving hard dollars in claims cost and providing quality customer service.

Our proactive Account Management Team works with clients on a daily basis to ensure program effectiveness and resolve any questions. A MaxorPlus representative meets with clients annually, or more often as needed. Having a dedicated Account Manager allows clients to contact one person should any issues arise.

In addition, each individual will have special responsibilities as part of the Account Management Team for our clients. The Account Management Team is comprised of a group of individuals with a wide range of expertise in operations, pharmacy network management, clinical pharmacy, systems administration, eligibility management, customer service, finance, account management and marketing.

Dedicated & Accessible Account Management

Our dedicated Pharmacy Network Department works with network pharmacies prior to plan implementation by developing and distributing pharmacy network communications; responding to pharmacy network inquiries; and all other components related to MaxorPlus’ retail pharmacy network.

MaxorPlus’ Account Management Team has been designed to provide immediate access to key staff while maintaining centralized management

and accountability.

The following individuals will play a critical role during implementation

and ongoing activities:

• AccountManager

• ClinicalPharmacyManager

• DirectorofOperations

• DivisionController

• EligibilityCoordinator

• PharmacyNetworkCoordinator

• SeniorSystemsAdministrator/QualityControlCoordinator

Customized Member Communication MaterialsMaxorPlus provides all member materials, including:

• CustomizedIDcardproduction

• MemberPackets

– Welcome letter

– Member brochure

– Formulary

– Preferred Drug Alternative Listing

– Specialty pharmacy restriction list (if applicable)

– Mail order packet

MaxorPlus offers toll free telephone access to customer service representatives for use by benefits personnel, plan members, participating pharmacies and physicians. Our experienced representatives provide response to inquiries concerning:

• Planeligibility

• Planguidelines

• Deductible&maximumbenefitstatus

• Requiredco-paymentlevels

• Locationofparticipatingpharmacies

• Statusofidentificationcards

• Instructionsforcompletingapaperclaim

• Networkpharmacyquestions

• MaxorPluswebsiteassistance

• Pharmacyclaimassistance

• Priorauthorizations

Maxor Mail Order-specific questions:

• Medicationrefillsrequest

• Prescriptionorderstatus

• Medicationquestions

• Informationfornewmailordercustomers

• Medicationtransferinstructions

AllCustomerServiceRepresentativesparticipateinextensiveinitialand ongoing training. A pharmacist is available 24 hours a day, 7 days a week for urgent matters.

Experienced & Friendly Customer Service

The MaxorPlus Customer Service Department is comprised of a staff of well-trained Customer Service Representatives (CSRs), Team Leaders, Customer Service Management Staff, and the Director of Operations, who are collectively responsible for providing the highest level of customer service. The majority of CSRs are experienced retail pharmacy technicians or experienced Customer Service Representatives.

Online Member ServicesRegisteredonlinemembershaveaccesstomany

user-friendly tools, including:

• Personalprescriptionprofile

• Convenientonlinemailorderrefills

• Copaycalculator

• Preferredandgenericalternatives

• Druginformation

• Networkpharmacylocator

MaxorPlus offers its clients access to data reports through MaxSource and MaxView, both based on industry leading platforms.

DEMONSTRATION REPORTBRAND-GENERIC UTILIZATION

TRANSACTION DATE FROM: 06/01/2010 THROUGH: 06/30/2010

# Rxs Amt Paid ($)% Total Cost Avg Amt Avg Total Copay ($) Total Cost ($)Paid ($)/Rx

% Rxs Avg Member DaysCost ($)/RxPaid ($)/Rx

SINGLE SOURCE BRANDS

MULTI-SOURCE BRANDS WITH NO GENERICS AVAILABLE 118.96 12,167.8014736.18 82.77 5,318.80 17,486.606,8292.04% 1.93%

MULTI-SOURCE BRANDS WITH GENERICS AVAILABLE 217.00 23,415.1113543.56 173.45 5,880.01 29,295.127,3591.88% 3.23%

TOTAL FOR ALL BRANDS 288.45 615,203.562,51143.45 245.00 109,095.82 724,299.38132,46734.88% 79.75%

TOTAL FOR ALL GENERICS 39.24 138,310.044,6889.73 29.50 45,624.50 183,934.54174,29365.12% 20.25%

303.96 579,620.652,22943.92 260.04 97,897.01 677,517.66118,27930.96% 74.60%

GRAND TOTAL 126.16 753,513.607,19921.49 104.67 154,720.32 908,233.92306,760100.00% 100.00%

12-Month % Rxs Generic Usage

1 Report Package (1_report_package_charts)

7/19/2010 3:58:41 PM

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DEMONSTRATION REPORTTOP PHARMACY ANALYSIS

TRANSACTION DATE FROM: 06/01/2010 THROUGH: 06/30/2010

Pharmacy Category # Rxs U&C Amt ($) Copay ($) Amt Paid ($) Avg Rx ($)

Mail Order 781,289.902,166 74,303.17 440,584.96 203.41

Retail 425,504.244,994 76,630.84 228,348.90 45.72

Specialty 211,926.9039 3,786.31 84,579.74 2,168.71

TOTAL FOR ALL PHARMACY CATEGORIES

GRAND TOTAL

7,199 1,418,721.04 154,720.32 753,513.60

7,199 1,418,721.04 154,720.32 753,513.60

104.67

104.67

Pharmacy Categories # RxsJune's Top5 by # Rxs

Amt Paid ($)

MAXOR MAIL ORDER 2,166 440,584.96

WALGREEN CO. 1,752 72,829.20

CVS 763 40,734.60

WAL-MART CORPORATION 494 16,326.94

KROGER-HEADQUARTERS 449 18,688.96

Chain/Pharmacy Amt Paid ($)June's Top5 by Amt Paid

# Rxs

MAXOR MAIL ORDER 440,584.962,166

MAXOR SPECIALTY PHARMACY 84,579.7439

WALGREEN CO. 72,829.201,752

CVS 40,734.60763

KROGER-HEADQUARTERS 18,688.96449

1 Report Package (1_report_package_charts)

7/19/2010 3:58:17 PM

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MaxorPlus’ExecutiveSummaryReportPackagesaredistributedtoclientsmonthly and are available both electronically and in print. Each Executive SummaryReportincludes:

Cost Analysis

• Numberofmembers

• Numberofclaims

• Grosscost

• Membercopaysand deductibles

• Plancost(netcost)

• PlancostPMPM

• CopayPMPM

• UtilizationPMPM

• PlancostperRx

• CopayperRx

• Copay%ofgrosscost

• %genericusage

Pharmacy Network Analysis

• Pharmacypaymentsummary

Drug Utilization Analysis

• Brand-genericutilization

• Top20drugssortedby#Rxs

• Top20drugssortedbytotalcost

Recipient Analysis

• Ageaudit

Physician Analysis

• Top20physicianssorted by#Rxs

• Top20physicianssorted by total cost

Flexible & Accurate Reporting

Retiree Drug Subsidy AssistanceMaxorPlus has a team which assists with the RetireeDrugSubsidyprogramforourclients.OurteamfacilitatestheRDSapplication

process, including:

• Coordinatingtheactuarialattestation and supporting all application components

• Uploadingmonthlyretireecosts

• Helpingcoordinateeligibilityfileswith theclientandCMS

• Providingfinalreportsfor reconciliation purposes

Integrated Pharmacy ReportingMaxor’s reporting system is integrated with all claims data, including mail order, retail, and specialty pharmacy.

Timely and accurate reporting is a key component for clients to evaluate and participate in the management of their plan.

Clinical Pharmacy Initiatives• Formularydevelopmentandmanagement• Drugutilizationreview

(concurrent,retrospective,prospective)• Educationalprograms• MaxResultsclinicalprograms – Implementation of quantity limits – Clinicalpriorauthorization

administration – High claims cost monitoring – Narcotics monitoring – Step therapy programs – Adherence monitoring – Mail order interventions

– Auditing – Targeted/focused

interventions – Plan analysis – Genericincentive

programs – Specialty pharmacy

programs

Adaptable & Attentive Clinical Pharmacy Management

The MaxorPlus clinical department can fully administer the clinical services, or can assist in managing our clients’ clinical services, from prior authorizations to step therapy, quantity limits, and more. These programs are customized to meet each individual client’s needs. Most of the clinical programs are targeted to both the patient and the providers.

Our consultative approach by clinical pharmacists for pharmacy benefit plan design and coverage recommendations has proven to be a valuable tool for our clients when designing their prescription drug programs.

All of MaxorPlus’ clinical programs are monitored by our clinical staff, in addition to our extensive reporting tool, to ensure cost containment to our clients and safety for our members.

Clinical Pharmacy Initiatives• Formularydevelopmentandmanagement• Drugutilizationreview

(concurrent,retrospective,prospective)• Educationalprograms• MaxResultsclinicalprograms – Implementation of quantity limits – Clinicalpriorauthorization

administration – High claims cost monitoring – Narcotics monitoring – Step therapy programs – Adherence monitoring – Mail order interventions

Adaptable & Attentive Clinical Pharmacy Management

The MaxorPlus Preferred Drug Formulary is developed by physicians from various areas of expertise and pharmacists who strive to ensure the most cost-effective and medically appropriate drugs available are included.

Formulary drug selections are based upon each drug’s clinical efficacy, sideeffectprofile,pharmacokinetics,dosingregimens,drug/foodinteractions,contraindications,toxicity&safety,monitoringrequirements,uniqueness/similaritiestootheragents,utilizationtrends,outcomestudiesand cost-effectiveness.

MaxorPlus prides itself in providing a balanced formulary that offers ourmemberscosteffectiveoptionsinalltherapeuticclasses.Bydoingso, member satisfaction levels with their benefits remain high while our clients are able to save money on their prescription drug program. We will proactively work to keep members and their doctors informed of all of their therapeutic alternatives.

One of our goals as a Pharmacy Benefit Manager is to effectively manage our clients’ prescription drug costs while continuously improving the quality of pharmaceutical care for members, through the implementation of clinical pharmacy initiatives.

Maxor Mail Order Pharmacy• Prompt,accuratedispensing,includingbarcodechecking

• Convenientrefillsavailableonline,usingvoiceactivated

telephone system, fax, or mail

• Deliveryof90daymedicationstoyourhome,office,or

alternate address

– Free standard shipping

– No additional customer charges for refrigerated medications

delivered via overnight or second day delivery

• Clinicaldruginterventionsatthepharmacydispensinglevel

• Deliverytrackingavailableonline

Retail Pharmacy NetworkMaxorPlus’ comprehensive retail pharmacy network provides pharmacy locations nationwide to plan members. Our clients and members can access the MaxorPlus website to determine which network pharmacies are available for them by searching for any ofthefollowing:pharmacyname,city,stateand/orzipcode,oracombination of any of these.

MaxorPlus provides a comprehensive solution for mail order pharmacy, retail network pharmacies, and specialty pharmacy.

Completely Integrated Comprehensive Network

Specialty Pharmacy ServicesMaxor Specialty Pharmacy applies strategies that manage the high cost and complexity of specialty medications available through medical and pharmacy benefits via our sophisticated data analysis, ongoing communication and reporting tools.

Refillremindersandeducationareprovidedtopatientsbyourclinical staff, and convenient online refills are easily accessible to patients. Maxor provides convenient medication delivery direct to the patient, physician office or an alternate site of choice. Medication shipments are coordinated, so they arrive when requested by the patient and physician.

Maxor has extensive experience with chronic disease states. Our goal in managing these conditions is to improve patient adherence and outcomes through proactive management and retrospective review. The list below is a sample of the chronic disease states treated by Maxor Specialty Pharmacy.

• Asthma

• Crohn’s

• CysticFibrosis

• Diabetes

• GaucherDisease

• GrowthHormone

• Hemophilia

• HepatitisC

• HIV/AIDS

• ImmuneDeficiency/IVIG

• Infertility

• MultipleSclerosis

• Oncology

• Osteoporosis

• PainManagement

• Psoriasis

• RheumatoidArthritis

• RSV

• Transplant

320S.PolkStreet

Amarillo,Texas79101

(806)324-5400•(800)658-6146

Fax:(806)324-5495

www.maxorplus.com

Since 1926, Maxor has met the challenges of an

evolving health care environment. From its beginnings

as a single pharmacy, today Maxor is a nationwide

provider of pharmacy services, helping clients shape

their healthcare futures.

Located in Amarillo, Texas, MaxorPlus has provided

Pharmacy Benefi t Management (PBM) services since

1991, with fully integrated mail order pharmacy

services, specialty pharmacy services, clinical pharmacy

services, account management, customer service, retail

pharmacy network, and more, all in the same location.

®

Pharmacy Benefit Management Services