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Proving What’s Possible in Healthcare <br />This document contains important terms and conditions which are incorporated by reference into and becomes <br />part of the terms of your contract with us. ©2024, Healthcare Management Administrators, Inc. <br />Rates as follows are for Sponsors on our contract and are effective January 2025 –December 2025.* <br />A Forward Look at Healthcare <br />Known as clinical influencers who are shaping the future of pharmacy, with expertise in specialty drug management and <br />behavioral health, Magellan Rx is a veteran in the self-funded market. With a membership of approximately 1.9 commercial <br />PBM lives and a client base of more than 200 TPAs and 30 tribes, Magellan Rx takes a personalized and holistic approach <br />to care by integrating physical, behavioral, and medical care. <br />Magellan Rx and our shared focus on low net cost and high quality of care make this relationship unique, with potential for <br />controlling costs for customers and helping members to achieve the healthiest outcomes possible. <br />Highly competitive discounts and rebates ensure our clients will receive some of the most favorable rates on the market. <br />Just 100 minimum enrolled employees to receive rate guarantees, “lowest of” pricing, no fees for claims history files, and <br />reporting on both financial and clinical savings work to keep costs low over the plan year and identify opportunities to <br />optimize benefit design. <br />28 <br />*Please Note: <br />•Other fees, terms and conditions apply –please see the Add’l Fees, Pricing, Terms & Condition section. <br />•Full terms and conditions will be available for review by client, in internal and PBM contractual <br />documents, at time of signature <br />•Standard implementation requires a minimum of 90 days prior written notice. Specialty Select Savings <br />Program may require additional lead time. <br />. <br />Retail Pharmacy Network Discount Rates <br />1-83 Day Supply Component Rate <br />Minimum Brand Effective (AWP Discount) Guarantee AWP minus 20.50% <br />Minimum Generic Effective Rate (AWP Discount) Guarantee AWP minus 86.25% <br />Maximum Brand Claim Dispensing Fee Guarantee $0.70 <br />Maximum Generic Claim Dispensing Fee $0.70 <br />83+ Day Supply Component Rate <br />Minimum Brand Effective (AWP Discount) Guarantee AWP minus 22.50% <br />Minimum Generic Effective Rate (AWP Discount) Guarantee AWP minus 87.25% <br />Maximum Brand Claim Dispensing Fee Guarantee $0.00 <br />Maximum Generic Claim Dispensing Fee $0.00 <br />Mail Order Pharmacy Discount Rates <br />84+ Day Supply Component Rate <br />Minimum Brand Effective (AWP Discount) Guarantee AWP minus 20.50% <br />Minimum Generic Effective Rate (AWP Discount) Guarantee AWP minus 86.25% <br />Maximum Brand Claim Dispensing Fee Guarantee $0.70 <br />Maximum Generic Claim Dispensing Fee $0.70 <br />Specialty Drugs Discount Rates <br />for Covered drugs dispensed through the Specialty Pharmacy and the Mail Order Pharmacy <br />(This section does not apply to claims funded thru the Specialty Select Savings Program.) <br />Description Price <br />New Specialty on the Market 12/% AWP for 30 day supply until MRx <br />establishes a default price <br />Minimum Specialty Drug Effective Rate (AWP Discount) Guarantee AWP minus 20.50% <br />Maximum Specialty Drug Dispensing Fee Guarantee $0.00 <br />Limited Distribution Drugs (LDD) dispensed from a pharmacy other than <br />an MRx Affiliate Excluded <br />Pharmacy Benefits