Brett Crown, Western North Americas Regional Manager, DrFirst

1. DrFirst Rcopia, Electronic Prescribing and Rcopia Acute Care, Medication Management & Meditech Integration Brett Crown, Western North Americas Regional Manager, DrFirst 3206 Tower Oaks Blvd., Suite 310 Rockville, MD 20852bcrown@drfirst.comOffice 301-473-1293

2. The DrFirst Story The e-prescribing and connectivity solutions company Boston, MA Detroit, MI Boise, ID York, PA Rockville, MD Raleigh, NC Mesa, AZ FW, TX DrFirst • Founded in 2000 • HQ in Rockville, MD • DrFirst Rcopia, Electronic Prescribing Launch - 2001 • DrFirst Rcopia Acute Care, Medication Reconciliation Launch - 2006 Solutions • Ambulatory, acute care and 3rd party integrated solutions • Open standards and interoperability • Broad industry connectivity Client base spans healthcare • Health plans, HMOs • Health systems, hospitals • IPAs, PPOs • Healthcare portals, HIT, EMR and PMS vendors • Physician practices

3. Some Key Benefits of E-Prescribing and DrFirst Services • Patient safety • ROI (formulary compliance, generic dispensing) • Workflow • Convenience “A new study by the Department of Health and Human Services estimates that if 18% of doctors in Medicare adopt e-prescribing, the government will save $4 billion and nearly three million adverse drug events can be prevented over five years.” The benefits of e-prescribing are so important that the Institute of Medicine has called for every doctor and nurse to prescribe electronically by the year 2010. Business and labor leaders, health insurers and consumer advocates are unanimous in their support of this common-sense initiative. “If a majority of doctors don't e-prescribe a few years down the road, the government should require all doctors to adopt e-prescribing or face financial penalties. E-prescribing should become a condition of doing business with Medicare. E-Prescriptions, WSJ, John Kerry & Newt Gingrich, November 16, 2007; Page A20

4. DrFirst Rcopia • Pull data from physicians and or systems using Rcopia or Rcopia Engine Services for prescribing • -Pull data from EMR Prescribing Physicians PBM Paid Claims Medication History RxHub, SureScripts, DrFirst direct connections to PBM’s and Payers • DrFirst Data Warehouse • Captured data can be shared across community via secure connections while adhering to privacy regulations • Hospital System: • Queries out to DrFirst for patient medication history • Uses DrFirst for formulary and discharge prescribing • The Drfirst warehouse goes out live each time a patient record is accessed to attain active medications and eligibility Pharmacy Connectivity Retail: SureScripts Hospital Pharmacies Independent Pharmacies