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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 clients on our contract and are effective January 2025-December 2025* <br />Empowering Members, Cutting Costs and Inspiring Better Health <br />Prescryptive Health is transforming the prescription drug market to empower consumers, cut costs, <br />and inspire better health for employers, employees and their families.Their prescription intelligence platform provides <br />pharmacy-direct pricing with plan design and formulary optimization to meet employers’ objectives. The platform also creates <br />rich analytics and insights into plan performance, and a one-of-a-kind consumer mobile experience that simplifies benefit <br />utilization and drives savings. Prescryptive provides a differentiated solution to clients, bringing innovation to the plan <br />management of pharmacy benefits integrated with our member experience. <br />33 <br />PBM Administrative Fees <br />Description Fee <br />Administrative Fee $7.70 PMPM <br />Our PBM Coordination Fee Included in Administrative Fee <br />Member ID Cards Included in Administrative Fee <br />Paper Claim Fee Included in Administrative Fee <br />Standard Reporting Member Website Included in Administrative Fee <br />Member Communications Included in Administrative Fee <br />Formulary Administration Included in Administrative Fee <br />Rebate Administration Included in Administrative Fee <br />Rebate Reporting Included in Administrative Fee <br />Prior Authorization Included in Administrative Fee <br />Utilization Management Included in Administrative Fee <br />Retail Pharmacy <br />Description Rate <br />Brand Discount 30 Day Supply Discount AWP-19.5% <br />Brand Discount 90 Day Supply Discount AWP-22.00% <br />Generic Discount 30 Day Supply Discount AWP-86.00% <br />Generic Discount 90 Day Supply Discount AWP-93.00% <br />Mail Order Pharmacy <br />Description Rate <br />Brand Discount AWP-22.00% <br />Generic Discount AWP-93.00% <br />Specialty Pharmacy <br />Description Rate <br />Specialty Pharmacy1 AWP-22.00% <br />Rebates by Brand Claim 2 <br />Description Amount <br />Retail 30 Day Supply $175.00 <br />Retail 90 Day Supply $500.00 <br />Mail Order 90 Day Supply $500.00 <br />Specialty 30 Day Supply $1,700.00 <br />On-Site Flu Clinics <br />Retail 30 Day Supply $175.00 <br />Pharmacy Benefits