Confidential and Proprietary Information© 2011 Express Scripts, Inc. All Rights Reserved 1

The State of New MexicoPrescription Drug Program

2013

Confidential and Proprietary Information© 2011 Express Scripts, Inc. All Rights Reserved 2

Agenda• Your Prescription Drug Plan

• Express Scripts Company Overview

• Specialty Medications

• Your Prescription Benefits

• Express Scripts Formulary

• Generic Medications

• Tools to Help Manage the Prescription Benefit

• My Rx Choices®

• Smart Phone App

• Worry Free Fills

• Express Scripts Web Site & Customer Service

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Who Is Express Scripts? In 2012, Medco and Express Scripts

joined together to become one company.

Better together, our combined company is the largest Prescription Benefit Manager for more than 100 million people nationwide

Retail network includes 60,000 pharmacies

Provides administration for

Retail pharmacy program

Medco Pharmacy Mail-order program

Specialty drug program through Accredo

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Specialty MedicationsExpress Scripts will provide 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

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Prescription Costs

Participating retail pharmacies

The Medco Pharmacymail-order service

Days’ supply Up to a 34-day supply Up to a 90-day supply

Deductible $50 per family; applies to Formulary & Non Formulary only

Generic drugs (Tier 1) $5 $15

Brand-name drugs (Tier 2)(preferred)***

30% ($30 min, $90 max) $95

Brand-name drugs (Tier 3)(non-preferred) ***

40% ($55 min, $125 max) $125

Specialty Medications – 2 fills allowed at retail, then must move to mail order

$150 copay up to $1500 OOPM; $75 after OOPM is met

$150 copay up to $1500 OOPM; $75 after OOPM is met

*** 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.

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Express Scripts Formulary

First tier: Generic drugs

Second tier: preferred brand-name drugs(lower cost)

Third tier: nonpreferred brand-name drugs(higher cost than First and Second tier)

Your plan covers a broad range of medications that fall into three categories:

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Facts About Generic Drugs

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Ask Your Doctor…

When you receive a prescription from your doctor, or if you are taking brand-name drugs today, ask: • If a generic version of the medication

is available.

• If generic medications are right for you.

• If there are any risks if you change from a brand-name drug to a generic drug.

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My Rx Choices

Clear identification of potential savings

Access to ConsumerReports Best Buy Drug information

Side-by-sidedrug details

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New Smart-phone applications help patients and their caregivers more effectively manage their medications

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Provides the patient with an easy tool to cope with the array of instructions that accompany multiple prescriptions

Sends alerts to your Smartphone

so you never miss a dose or refill

My Rx Choices

Loads and updates your medications. Also ideal for:

>Caregivers

>Physicians

>Hospitals

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Worry Free Fills

• Worry-Free Fills™ is an automatic refill program available to members who utilize the Medco Pharmacy.

• Members enroll for the program at the drug level.

• If a member chooses to enroll a particular medication, a reminder letter is either mailed or emailed to the member approximately three weeks before the prescription is filled.

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Express Scripts Web Site Visit www.express-scripts.com to find useful information and resources. Here, you can:

• Refill mail-order prescriptions• Review your prescription history• Locate a participating retail pharmacy• Look up medication and disease state

information• Check the formulary• View copay information• Price a medication• Check your order status• Print and/or Order ID Cards

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Express Scripts Customer Service

Customer Service Number

Is located on the back of your Rx ID Card

• Dedicated Customer Service Unit

• Specially Trained on The State of New Mexico benefit plan

Confidential and Proprietary Information© 2011 Express Scripts, Inc. All Rights Reserved 14