Employers Health

Health Action Purchasing KS State Montgomery Houston Genesee County, Genesee County, Genesee County,
Council of Corporation of Employees Health County Public Independent Onondaga County, MI ABS/ Caremark MI AEPC/ MI VPS/ Caremark
Health Plan Sponsor Northeast Ohio Ohio Care Commission Schools School District Philadelphia, PA City of Austin, TX NY Phoenix, AZ Albany County, NY Bid Caremark Bid Bid
Covered Lives 1,500,000 500,000 87,670 40,000 29,000 28,117 17,431 15,991 14,149 6,964 4,149 4,149 4,149
Retail Rx:
Brand -
Ingredient Cost (AWP Discount) 26.5% 16% 22.5% 16% 20.7% 16.5% 20.20% 15.7% 16.0% 14% 16.0% 17.5% 17.0%
Dispensing Fee $1.50 $1.65 $1.50 $1.65 $1.75 $1.50 $1.50 $1.85 $1.80 $1.95 $1.60 $1.40 $1.50
Generic -

64% Effective 61% Effecitve

Ingredient Cost (AWP Discount) 57.5% MAC 62% 52% 50% MAC MAC 15.7% or MAC MAC RIGHTMAC 16% or MAC Rate Guarantee Rate Guarantee
Dispensing Fee $1.50 $1.85 $1.50 $1.65 $1.75 $1.50 $1.75 $1.95 $1.80 $1.95 $1.60 $1.40 $1.50
Mail Rx:
Brand -
Ingredient Cost (AWP Discount) 34.4% 24% 32.6% 24% 27.5% 24% 26.80% 23% 23% 20% 24% 25.9% 24%
Dispensing Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Generic -

64.5% Effective
Ingredient Cost (AWP Discount) 59.5% 60% 63% 58% 55% 57% MAC 55% 55% RIGHTMAC NOT PROVIDED Rate Guarantee 63%
Dispensing Fee $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00

Specialty Rx:
Ingredient Cost (AWP Discount) 16% 17% 16% 15.25% N/A 15% 15.7% 16.0% 15% 16.0% 17.0% 17.0%
Dispensing Fee $0.00 $0.00 $1.65 $1.75 N/A $1.50 $1.85 $1.80 $2.50 $0.00 $0.00 $0.00
Rebates:
Per Script -

Retail N/A $3.92 N/A $2.85 N/A $3.67 N/A $2.64 $4.30 $3.00 $2.87 $4.12 $4.12

Mail N/A $12.19 N/A $10.00 N/A $14.19 N/A $7.91 $11.45 $7.60 $11.85 $12.01 $12.01
Reinvestment / Pass Thru Into Pricing Y Y Y Y
Administrative Fees:
Participating Pharmacy Claim $0.00 $0.95 $0.00 $0.00 $0.00 $0.15
Mail Service Claim $0.00 $0.95 $0.00 $0.00 $0.00 $0.00
Specialty Claim $0.00 $0.00 $0.00
Paper Claim $0.00 $1.25 $2.00 $1.50 $0.00 $1.50 $1.50
Prior Authorization $20.00 $35.00 $40.00 $40.00 $0.00 $0.00 $30.00 $40.00

Each column represents a contract between Caremark and the health plan sponsor, except, as noted, for the three Genessee County entries, which represent bids from Caremark and three separate partner entities, and
the entry for the San Antonio Water System, which represents a bid from Caremark.

Note: Contract terms cited in this table are representative of the respective contracts; some contracts include alternatives and/or exceptions to certain terms.
 Bethlehem Area San Antonio Water Chenango County,
Kent County, MI School District, PA System Columbia, MO Boone County, MO NY
2,200 2,148 1,575 1,242 666 600

17.0% 16.5% 15.5% 15.5% 14% 14.0%

$1.50 $1.70 $1.70 $1.95 $2.20 $2.25

17% or MAC 16.5% or MAC 15.5% or MAC 52% or MAC 14% or MAC 14% or MAC
$1.50 $1.70 $1.70 $1.95 $2.20 $2.25

25.25% 24% 22% 22% 19% 19%

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

64% 57% 22% or MAC 55% 45% 50%

$0.00 $0.00 $0.00 $0.00 $0.00 $0.00

17.0% 16.5% 15.5% 15.5% 15% 14.0%

$0.00 $0.00 $1.70 $1.95 $0.00 $2.25

$7.25 $8.00 $3.95 $3.00

$3.92 (brand only) (brand only) (brand only) $3.34 (brand only)
$17.00 $22.98 $11.30 $7.15
$17.73 (brand only) (brand only) (brand only) $9.78 (brand only)

$0.00 $0.00 $0.45 $0.49

$0.00 $0.00 $0.00 $0.00
$0.00
$1.50 $1.50
$30.00 $30.00 $30.00