Community CCRx SM PDP 2010 Plan Year – Stakeholder Call

1. Community CCRxSM PDP2010 Plan Year – Stakeholder Call Speakers: Marc Bralts, Vice President, Network Operations Michael Bukach, RPh, Senior V.P. Pharmacy Network and Clinical Operations Amber Jones, RPh, Sr. Manager, Pharmacy Relations 1

2. Overall 2010 Medicare Part D Changes 2010 Bid Results 2010 PDP Plan Design MA-PD Overview 2010 Formulary Update 2010 MTM Program Agent-Pharmacy Partnership Program CMS Compliance & Community CCRxSM Tools Topics for Today’s Program

3. Medicare Part D Updates • Annual bidding continues to drive change each plan year. • Nationally, there are approximately 800k auto-assigned duals being moved due to plans missing the benchmark. • “choosers” will not be automatically reassigned • They can choose to switch plans or pay the difference (between plan premium and benchmark) • Part D members being moved will be notified via: • ANOC – late October • Letter notifying them of reassignment for upcoming year

4. Community CCRx Bid Results • Remained under LIS benchmark for 2010 in every current region with the exception of New Mexico • States back under LIS benchmark for 2010: • MA, RI, VT, CT, UT, ID • States new under benchmark for 2010: • AZ, NV • Merging of PDPs to conclude in 2012 • PrescribaRxSM Platinum (PDP) Community CCRxSM Gold (PDP) in 2010

5. Basic $310 deductible Copays(30-day supply) Generics: $0 Preferred Brand : 25-30% Non-Preferred Brand: 50-75% No specialty No Gap Coverage 2010 Plan Design Changes Choice • $150 deductible • Copays (30-day supply) • Generics: $5 • Preferred Brand: $35 • Non-Preferred Brand: $65 • Specialty: 29% • No Gap Coverage Gold • $0 deductible • Copays (30-day supply) • Generics: $6 • Preferred Brand: $35 • Non-Preferred Brand: $65 • Specialty: 33% • Gap Coverage: Generic Tier Drugs Only

6. Agent Program • Agent Partnership for 2010 selling season • Additional training to improve field results • In-store agent opportunities (pending agent availability in certain regions) • Strong support from 800# call-center • Highly trained, fully-licensed agents • Available for all stores

7. Pharmacy Education Kits • Education kits should arrive by 10/1 • Kits include: • Pre-enrollment packets - Formulary flyer • Cover letter with CMS guidelines - Tear sheets • Town Hall flyer - Plan Comparison Guide • Calendar with Marketing dates • Request a Pharmacy Education kit or additional pre-enrollment packets: • Email: experts@mhrx.com • Call: 866-684-3057 • Online at: (www.mhrx.com)

8. Actos, ActoPlus Met, Duetact Aromasin Asacol Hectorol Invega Pentasa Sanctura, Sanctura XR VESIcare 2010 Formulary Update: Tier Changes Tier Changes

9. Deletion Alternative 2010 Formulary Update: Deletions

10. Deletion Alternative 2010 Formulary Update: Deletions (Beers List)

11. VESIcare Actos, Actos PlusMet, Duetact Abilify, Invega AVINza BuPROPion HCl & Budeprion XL 24-hr ER tablets Aromasin, Femara Step Therapy View formulary alternatives and step therapy criteria at: www.mhrx.com/providers 2010 Formulary Update: Step Therapy

12. Formulary Updates • Group Plans move from Alliance and Alliance Plus formularies to Optimal Med formulary – starting 1/1/2010. • Communication • Member • Formulary change letters • ANOC • EOB • Pharmacist • Fax

13. 2010 Updates • Payer Sheet – no significant changes • “Prescription Origin” code • Mail Order – no mail order for Community CCRx in 2010 • 2010 Incentive Program • MTM – new eligibility criteria

14. Medicare Advantage Prescription Drug Plans (MA-PD) Private Fee-For-Service (PFFS) Preferred Provider Organizations (PPO) Health Maintenance Organizations (HMO) Most Universal American MA-PD plans are “powered by CCRx” drug benefit Extended enrollment period through March 31st. Online: www.UniversalAmerican.com

15. Fraud, Waste and Abuse • CMS Regulation • Attestation is not required • Conducted in 2009 calendar year • Universal American Part D Fraud, Waste and Abuse training module • Alternative Training Programs must address specific topics at a minimum

16. Alternative Training Requirements • Compliance with Federal statutes (i.e., False Claims Act, Anti-Kickback Statute, HIPAA, etc.) • Requirement to have appropriate policies and procedures to address fraud, waste and abuse • Types of fraud, waste and abuse that can occur, including but not limited to: • Inappropriate billing practices • Bait and switch pricing • Prescription altering • Dispensing expired or altered prescription drugs • Illegal remuneration • True Out of Pocket (TrOOP) manipulation • Incorrect or misleading notices to employees • U.S. Office of Inspector General (OIG) exclusion list • Process for reporting fraud, waste and abuse • Protections in non retaliation for employees who report suspected fraud, waste and abuse

17. Providers Can: • Distribute CMS- approved Plan Finder information. • Display promotional materials that announce your relationship with a plan. • Make available printed information provided by a plan sponsor to your patients, as long as there is no “ranking,” “highlighting” or comparison of specific plans. • Provide contact information for any plan which a beneficiary expresses an interest and requests such contact information from you. • Make available PDP marketing materials and enrollment applications. • Use direct mail and/or e-mail to announce a new plan affiliation • Provide information and assistance to your patients in applying for the low income subsidy. For additional information, see the Medicare Marketing Guidelines, available at: http://www.cms.hhs.gov/ManagedCareMarketing/Downloads/R91MCM.pdf

18. Providers Cannot • Direct, urge, persuade, steer or offer inducements to join a particular plan. • Compare plan benefits against other health plans, unless the materials were written or approved by CMS • Make available PDP enrollment forms at the counter. • Collect or accept Medicare enrollment applications of any kind. • Offer sales or appointment forms. • Mail marketing materials on behalf of a plan. • Make available third party sales or plan promotional materials that are not CMS -approved. • Expect or accept compensation for conducting enrollment or marketing activities. • Suggest that a particular plan is approved, endorsed or authorized by Medicare. • Make or distribute plan information, including PDP enrollment forms, during health screenings. For additional information, see the Medicare Marketing Guidelines, available at: http://www.cms.hhs.gov/ManagedCareMarketing/Downloads/R91MCM.pdf

19. Tools and Resources • Website: www.mhrx.com • 2010 Formularies • 60 Day Formulary Notices • Drug Search Tool • Fraud Waste and Abuse Module • PA Forms • PA Criteria • PA Status Search • Pharmacy Scorecard

20. 2010 Part D: Community CCRx Thank You for your continued Support. Questions & Answers