AM Care 2014 2015 Prescription Drug Program Confidential

A&M Care 2014 – 2015 Prescription Drug Program Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 1

Agenda Your Express Scripts prescription drug plan § Benefit description § Specialized care Tools to help manage the prescription benefit § Tools to help manage therapy § Tools to help manage cost § Other available resources Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 2

Your Express Scripts Prescription Drug Plan § Express Scripts administers your prescription drug plans on behalf of A&M Care. § Benefit includes both a retail and mail component § Express Scripts has its own mail-order pharmacy where specialist pharmacists focus on compliance and lower cost options for patients. And, the automated filling process ensures the prescription is filled accurately. Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 3

Prescription Drug Benefits Annual Deductible $50 person per year / $150 per family per year (Deductible does not apply to medical plan deductible) Access Options Generic Drug Copayment Retail – 30 Day Supply: Refills allowed as prescribed. (Good option for new prescriptions) Retail – 90 Day Supply: Refills allowed as prescribed Home Delivery Pharmacy: Up to a 90 -day supply*. Refills allowed as prescribed (Best option for maintenance medication) Preferred Drug Copayment Non-Preferred Drug Copayment $10 $35 $60 $30 $105 $180 $20 $70 $120 * If you obtain a brand-name drug when a generic equivalent is available, you are responsible for the generic copayment plus the cost difference between the brand-name drug and the generic drug. Chart illustrates benefits when network pharmacies are used. Nonnetwork benefits are also available; see Enrollment Guide for more information. Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 4

The right care at the right time Specialization and member engagement are critical components to controlling health care costs and driving quality clinical outcomes: § Specialist Pharmacists § Accredo Health Group § Closing Gaps in Care § My Rx Choices® § Digital and Mobile Tools § Caregiver Coordination § Worry-Free Fills Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. § Other available resources 5

Express Scripts’ Specialist Pharmacists are an integral part of the healthcare continuum § Specialist Pharmacists are specially trained to counsel patients about their conditions, and connect with physicians and healthcare coaches – Average patient call lasts 12 minutes – Calls are monitored and recorded for training – Pharmacists spend their time focused on a single condition 97% of patients Extremely Satisfied/Very Satisfied with overall counseling experience “We strive to have our pharmacists deliver the level of patient care that any of us would want for our families. ” Glen Stettin, M. D. , Express Scripts Chief Medical Officer – Advanced tools let pharmacists see the “whole patient” along with their drug regimen across prescribers and pharmacies Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 6

Specialty Medications § Express Scripts provides specialty pharmacy services through our wholly-owned subsidiary, Accredo Health Group, Inc. § What are specialty medications? • High cost infused, injectable, and oral drugs that typically require added supervision of patient therapy § With Accredo, at no extra cost, you’ll benefit from: • • • Personalized Care Safe, prompt delivery 24 hour support Refill reminders Drug safety monitoring Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 7

Anticipated Annual Changes in U. S. Spending on 3 -year Specialty Drugs Therapy Class 2013 2014 2015 compounded total Inflammatory Conditions 25. 1% 17. 2% 17. 4% 72. 2% Multiple Sclerosis 19. 8% 18. 5% 11. 8% 65. 6% Cancer 21. 3% 20. 9% 21. 0% 77. 4% HIV 9. 2% 9. 6% 9. 4% 30. 9% Hepatitis C 33. 0% 58. 5% 168. 4% 465. 8% Growth Deficiency 6. 2% 5. 9% 6. 5% 19. 9% Anticoagulant -0. 3% -0. 2% 0. 0% -0. 0% Pulmonary Hypertension 11. 0% 11. 1% 10. 5% -14. 2% Respiratory Conditions 24. 8% 29. 5% 27. 9% 36. 3% Transplant -2. 2% 1. 0% -1. 2% -2. 4% Overall Specialty 17. 8% 19. 6% 18. 4% 66. 8% Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 8

Online Gaps in Care Alerts Ability for patients to self-close gaps as appropriate Information about the alert and why it’s important Video clips relevant to each alert Links to additional resources Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. Access to email Express Scripts pharmacists Printable information to take to the doctor 9

Registered Online Users § 40% of those on maintenance medications are protected by online gap in care alerts § 60% of those on maintenance medications have an opportunity to activate their protection and receive alerts to close gaps in care Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 10

Worry-Free Fills § Worry-Free Fills™ is an automatic refill program available to A&M Care members who utilize the Home Delivery Pharmacy. § Members enroll for the program at the drug level. § If you choose to enroll a particular medication, a reminder letter is either mailed or emailed to you approximately three weeks before the prescription is filled. Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 11

My Rx Choices® § Lower the cost of prescriptions with My Rx Choices® Features include: · Personal assessment of cost-saving opportunities based on the A&M Care prescription plan · Print a kit to help their doctor better understand the economic impact of different medication alternatives · Alternative medications are based upon greatest cost savings to you presented in order, starting with the highest value · Brand-to-generic and retail-to-mail comparisons are shown § Simply visit www. express-scripts. com or call Express Scripts Member Services at 1 -800 -367 -3636 § Prices can vary at different retail pharmacies, so it is important to shop around Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 12

My Rx Choices® Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 13

Online tools and Mobile App help patients connect Online prescription management: § § § Refills, renewals and order status Worry-free Fills ® Transfer to mail Claims, balances and history Locate a pharmacy Preferences Benefit education and management: § Benefit highlights § Forms and cards § Pricing and coverage details § New! Accessibility features Omission Not Using Controller Medication for Asthma Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. Gap In Care Alerts Help participants identify and address potential safety issues with their prescriptions 14

Transfer to mail online conversion program Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 15

Information Resources § System Benefits Website – www. tamus. edu/benefits/ • Pharmacy Benefit Highlights • List of participating retail pharmacies • Download forms § Express Scripts Member Website – www. express-scripts. com • Formulary Information • Locate a Participating Pharmacy • Health and Wellness Information • My Rx Choices® / Price a Medication • Online Ordering • Express Scripts Mobile App • Order Home Delivery Pharmacy Refills • Caregiver Resources • Download forms § § Customer Service Number: 1 -866 -544 -6970 Annual Enrollment Book (On-Line) Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 16

Thank You Confidential and Proprietary Information © 2012 Express Scripts Holding Company. All Rights Reserved. 17