Healthcare Management Administrators (HMA) 2/20/2025

Proving What’s Possible in Healthcare This document contains important terms and conditions which are incorporated by reference into and becomes part of the terms of your contract with us. ©2024, Healthcare Management Administrators, Inc. 2025 additional pricing, terms and conditions Vaccine Availability and Pricing: •If elected by the Participating Group in the PDD, CVS Caremark shall provide vaccine administration services in accordance with such elections. Vaccines administered by Participating Pharmacies shall be adjudicated using the same AWP discount and dispensing fee as would a standard 30-day supply Brand Drug Claim plus a $20 administration fee. This administration fee can adjust seasonally (usually in August or September of each year), and CVS Caremark shall provide Participating Group written notification of such change prior to the effective date of the change and Participating Group shall have fifteen (15) days from receipt of such notification to make any changes in its vaccine program elections, including terminating its participation in the vaccine program, which changes, if any, shall be made by written notification to CVS Caremark. If Participating Group does not elect to change its vaccine program elections, the charges in CVS Caremark’s notification to Participating Group shall apply to any vaccinations administered to Plan Participants on and after the effective date set forth in CVS Caremark’s notification. Caremark Retail-90, CVS-90, Maintenance Choice and other 90-day network pricing terms, if any, do not apply to vaccines. Participating Group may, upon at least thirty (30) days’ prior written notice to CVS Caremark, terminate participation in the vaccine program at any time. •Vaccine Program Management fee of $0.05 per member per month. Rebates: •Participating Group will receive the aggregate value of the rebates quoted herein. Rebate guarantees are conditioned upon alignment with CVS Caremark Formulary –Standard Control Choice, where applicable, alignment with CVS Caremark Advanced Control Choice Formulary, where applicable, alignment with CVS Caremark Formulary –Basic Control, where applicable, alignment with CVS Caremark Formulary –Standard Formulary Opt Out, where applicable, alignment with CVS Caremark Advanced Control Specialty Formulary , where applicable, and the Claims utilization mix and volume available at the time of pricing negotiations remaining consistent through the Term of the Agreement. •Rebate guarantees are contingent upon CVS Caremark’s ability to collect Rebates from pharmaceutical companies not being materially adversely impacted by legislative, regulatory, or judicial action, and continued full pharmaceutical company participation. In the event these conditions are not met, CVS Caremark reserves the right to equitably adjust the Rebate guarantees. •Additional 340B exclusions may be identified and true-up may occur, after Rebates are paid. Rebate guarantees are paid quarterly for each channel. •Specialty Rebates will not be paid in instances which Administrator's Participating Group does not have a Specialty Pharmacy Benefit. Rebate Timing: Rebates are sent from CVS Caremark to us on a quarterly basis and are credited to the Participating Group’s administrative fees. Q1 will pay in Q3, Q2 will pay in Q4, Q3 will pay in Q1, Q4 will pay in Q2. Please note this payment timing is guidance only and actual timing will depend upon CVS Caremark’s timeliness and our review of rebating reporting. Rebate Exclusions: 340B Claims and any other Claim identified as having received 340B program pricing, Compound drug Claims, Paper or Member submitted Claims, Coordination of Benefits (COB) or secondary payor Claims, Limited distribution and exclusive distribution drugs, Vaccine (including COVID) and vaccine administration claims, COVID treatment claims, Biosimilar Claims (applicable only to groups aligned to CVS Caremark Formulary –Standard Formulary Opt-Out), Over the Counter (OTC) product Claims, and Claims approved by formulary exception are also excluded from rebates. Specialty Rebates will not be paid in instances which HMA's Participating Group does not have a Specialty Pharmacy Benefit. * Please Note: •Please see Participating Group Agreement and supplemental documents for full Terms and Conditions 27 Additional Terms and Conditions as follows are for clients on our contract and are effective January 2025 –December 2025. Pharmacy Benefits