R-2022-375 - 11/17/2022 RESOLUTION NO. R-2022-375
WHEREAS, the City of Round Rock (the "City") previously entered into an Administrative
Services Agreement ("Agreement") with United Healthcare Insurance Company ("United Healthcare")
for the provision of employee medical and pharmacy insurance benefits on September 9, 2021 by
Resolution No. R-2021-236, and
WHEREAS, the City Council desires to execute a Financial Renewal of said Agreement for
the period of January 1, 2023 through December 31, 2024,Now Therefore
BE IT RESOLVED BY THE COUNCIL OF THE CITY OF ROUND ROCK,TEXAS,
That the Council hereby authorizes the Financial Renewal of the Administrative Services
Agreement with United Healthcare for insurance coverage for the guarantee period of January 1, 2023
through December 31, 2024 as set forth in the Financial Renewal document from United Healthcare
attached as Exhibit"A."
The City Council hereby finds and declares that written notice of the date, hour, place and
subject of the meeting at which this Resolution was adopted was posted and that such meeting was
open to the public as required by law at all times during which this Resolution and the subject matter
hereof were discussed, considered and formally acted upon, all as required by the Open Meetings Act,
Chapter 551, Texas Government Code, as amended
RESOLVED this 17th day of November, 2022.
CRA G OR , Mayor
City of ound ock, Texas
ATTEST:
L" - A
MEAGAN S KS, Ci Clerk
0112.20222;4866-7355-0398/ss2
EXHIBIT
"A„
UnitedHealtheare,
September 29,2022
City of Round Rock
221 East Main Street
Round Rock,TX 78664
RE: January 1,2023 Financial Renewal under the Administrative Services Agreement("ASA")
between United HealthCare Services, Inc. and City of Round Rock
Dear Tyler:
This letter is confirmation of your Financial Renewal per the attached documents.
Please feel free to contact me with any questions regarding the attachments. Please file this letter and its
attachments with your ASA.
Thank you,
Bambi Kenney
Cc. ,Associate Contract Manager
Attachments: Renewal 4Q20210
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Proprietary Information of UnitedHealth Group
EXHIBIT B-FEES
The Medical Fees ("Fees") are as stated below. Customer acknowledges that Fees paid for administrative services
are reasonable. If authorized by Customer pursuant to this Agreement or by subsequent authorization, certain Fees
will be paid through a withdrawal from the Bank Account. These Fees do not include state or Federal surcharges,
assessments,or similar Taxes imposed by governmental entities or agencies on the Plan or United,including but not
limited to those imposed pursuant to The Patient Protection and Affordable Care Act of 2010,as amended from time
to time as these are the responsibility of the Plan.
Medical Fees
The following financial terms are effective for the period January 1,2023 through December 31,2024, unless
otherwise specified.
The Medical Fees("Fees"described below,excluding optional and non-standard fees,are adjusted as set forth in the
applicable performance standard(s).
Effective January 1,2023 through December 31,2023
The Fees listed below are based upon an estimated minimum of 903 enrolled Employees.
Choice Plus Plan:$10.79 per Employee per month.
Nexus Plan:$12.79 per Employee per month.
Average Contract Size: 2.27
The Fees include a Pharmacy Administrative Fee credit in the amount of$40.00 per Employee per month.
Effective January 1,2024 through December 31,2024
Choice Plus Plan: $10.79 per Employee per month.
Nexus Plan:$12.79 per Employee per month.
The Fees include a Pharmacy Administrative Fee credit in the amount of$40.00 per Employee per month.
Payment IntegritN Services
Service Description Fee
Advanced Analytics and Recovery 24%of the gross recovery amount
• United's large-scale analytics to identify additional
recovery opportunities.
• Claims re-examined every month for up to 12 months.
Post-adjudicated claims.
Credit Balance Recovery 10%of the gross recovery amount.
• Review,validate,and recover credit balances(dollars)
on existing patient accounts through a combination of
analysis and technology.
• On-site at hospitals and facilities.
Post-adjudicated claims.
Focused Claim Review 22%of the gross recovery amount.
• Review of claims for inappropriate billing of services
not documented in clinical notes.
• Board certified,same-specialty medical directors.
Pre-adjudicated claims orpost-adjudicated claims.
Fraud,Waste,and Abuse Management 22%of the gross recovery or prevented amount
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Proprietary Information of UnitedHealth Group
• Detection and recovery of wasteful,abusive,and/or
fraudulent claims.
• Search claims for patterns which indicate possible
waste or error by identifying specific claims for
additional review.
Pre-adjudicated claims orpost-adjudicated claims.
Hospital Bill and Premium Audit Services 22%of the gross recovery amount
• In-depth review of hospital medical records or other
related documentation compared to claimed amounts to
ensure billing accuracy.
• Post-adjudicated claims.
Litigation and Arbitration Fees for Recoveries Outside attorneys' fees and costs or administrative process
• Litigation,arbitration,or other judicial process to fees will be deducted from the gross recovery prior to the
recover any Overpayments and other Plan recovery assessment of any applicable United fees(as indicated in this
opportunities. Exhibit).
• Outside attorneys'fees and costs or administrative
process fees directly incurred with litigation,
arbitration,or other judicial process.
Pre-adjudicated claims orpost-adjudication claims.
Third Party Liability-Subrogation and Injury 33.33%of the applicable savings amount.
Coverage Coordination
• Services to prevent the payment of Plan benefits,or
recover Plan benefits,which should be paid by a third
party.
• Does not include benefits paid in connection with
coordination of benefits,Medicare,or other
Overpayments.
Pre-adjudicated claims or post-adjudicated.claims.
• Customer will not engage any entity except United to
provide such services without prior United approval.
Other Fees
Service Description Fee
Consolidated Appropriations Act,2021("CAA")Support For the 2023 plan year,United will not charge separate
Services. United will support Customer's compliance with the services fees outside of base rates for the CAA Support
requirements of the CAA,including the No Surprises Act Services. United shall notify Customer of United's intent
("NSA"),by the respective enforcement date as follows: to apply a charge for any support services or information
provided if additional regulatory guidance changes the
• NSA medical billing and the independent dispute final compliance requirements. Customer remains
resolution("IDR"): responsible for the$50 government agency administration
o United will determine if a claim is subject to the NSA assessment and fees charged by the IDR arbitrator.
billing protections.
o If United and a provider are unable to come to an
agreement within the prescribed negotiation period
for a claim subject to the NSA billing protections,
United will manage,direct,and make decisions and Fees for CAA Support Services for plan years after 2023
submissions to support the IDR for Customer. will be provided at a future date once regulatory guidance
o All qualifying payment amounts under the NSA will is received and final compliance requirements are
be calculated based on an insurance market across all determined.
self-insured group health plans administered by
United.
o United will not be using third party provider networks
for services covered by the NSA.
o The fees for programs in which the parties share in
the savings achieved off a provider's billed charge
will continue to apply to all services covered under
the NSA.
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Proprietary Information of UnitedHealth Group
o Customer shall fund all settlement amounts and
payments required as a result of any IDR process
decision through the Bank Account.
o Customer shall fund the$50 IDR administration fee
and all IDR arbitrator fees through the Bank Account.
• Revised medical Plan ID cards(if United provides Plan
Participants with ID cards currently).
• Provider directory enhancements.
• Continuity of care and external appeals support for surprise
medical bills.
• Support related to Mental Health Parity Non-Quantified
Treatment Limitations audits initiated by the U.S.
Department of Labor,U.S.Department of Health and
Human Services or the U.S.Department of Treasury.
• Provide language to support Customer's anti-gag clause
attestation requirement.
• Prepare and file pharmacy benefits and drug cost reports.
• Prepare and file air ambulance claims reports.
• Provide and maintain price comparison information to
Participants by telephone and online.
Health Plan Transparency in Coverage Rule("TiC") For the 2023 plan year,United will not charge separate
Support Services. United will support Customer's compliance services fees outside of base rates for the TiC Support
with the requirements of the TiC by the respective enforcement Services.
date as follows:
• Machine-readable files accessible via a publicly available
website,which Customer will be able to access and link to
Customer's own website.
A cost estimator tool available online for Plan Participants for
the items and services as required each year.
Naviguard Program $2.50 per Employee per month
• Offers reimbursement methodologies for emergent
and non-emergent out of network claims which
calculates allowed amounts based on what a
healthcare provider generally accepts for the same or
similar service.
• Includes an advocacy component where
Participants can access resources,and on-line tools
and materials to help Participants stay in network and
where assistance is provided in explaining
reimbursement methodologies.
• For claims above a threshold established by United,
the advocacy component includes United negotiating
with a provider on behalf of a Participant with respect
to Participant's balance billed amount(e.g.,non-
emergent,choice claim).
• If the provider objects to what it was paid from the
application of the allowed amount,or member
contacts United for support with resolving a balance
bill,United will increase compensation for a
particular claim if:(a)United reasonably concludes
that the particular facts and circumstances related to a
claim provide justification for reimbursement greater
than that which would result from the application of
the allowed amount,and(b)United believes that it
would serve the best interests of the Plan and its
Participants(including interests in avoiding costs and
expenses of disputes over payment of claims).
External Reviews If and when applicable,for each subsequent external review
beyond the limited number of free reviews based upon
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Proprietary Information of UnitedHealth Group
Customer's total enrollment, a fee of$500 will apply per
review.
Interest Rate on Fees and Underfunding Bank Account Prime+4%
Run-out Claims Administration No Charge after the Initial Term.
6 months of runout
Pharmacy Benefit Rebates-Termination Pursuant to the termination section of this Agreement, if
Customer terminates the Pharmacy Benefit Services portion
of this Agreement only during the Term of the Agreement
and termination is for any reason other than for cause,
United may retain all Rebates that have not been remitted to
Customer as of the effective date of such termination.
Disclosure: A United affiliate provides payment services to the healthcare industry and offers medical providers with
various payment methods and options, including electronic payments, virtual cards and checks. Some options are
available to medical providers for a fee and may result in the receipt of transaction fees or other compensation(e.g.,
1%to 3%of the total transaction amount)by a United affiliate. This has no impact on the Fees paid by Customer
under this Agreement.
Credits
Discretionary Allowance
United will provide a discretionary allowance so Customer may enhance Customer medical benefits during the term
of the Agreement. The discretionary allowance may be used at Customer's discretion as Customer utilizes wellness
programming and services from United. If Customer terminates the Agreement prior to December 31,2024,Customer
will pay United a prorated portion of this credit.
$30,000 Wellness allowance per year.
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Proprietary Information of UnitedHealth Group
EXHIBIT C-PERFORMANCE GUARANTEES FOR HEALTH BENEFITS
The Fees at risk do not include Customer-elected optional and non-standard programs Fees, all credits, Payment
Integrity Programs Fees, Out-of-Network Programs Fees, Commission Funds, Consultant Funds, and ancillary
product Fees.
The Fees payable by Customer under this Agreement will be adjusted through a credit to its fees in accordance with
the performance guarantees set forth below unless otherwise defined in the guarantee. Unless otherwise specified,
these guarantees apply to medical benefits and are effective for the period beginning January 1, 2023 through
December 31, 2023 ("Guarantee Period"). With respect to the aspects of United's performance addressed in this
exhibit,these fee adjustments are Customer's exclusive financial remedies.
United shall not be required to meet any of the guarantees provided for in this Agreement or amendments thereto to
the extent United's failure is due to Customer's actions or inactions or if United fails to meet these standards due to
fire, embargo, strike, war, accident, act of God, acts of terrorism or United's required compliance with any law,
regulation,or governmental agency mandate or anything beyond United's reasonable control.
Prior to the end of the Guarantee Period,and provided that this Agreement remains in force,United may specify to
Customer in writing new performance guarantees for the subsequent Guarantee Period. If United specifies new
performance guarantees,United will also provide Customer with a new Exhibit that will replace this Exhibit for that
subsequent Guarantee Period.
Claim is defined as an initial and complete written request for payment of a Plan benefit made by an enrollee,
physician, or other healthcare provider on an accepted format. Unless stated otherwise, the claims are limited to
medical claims processed through the UNET claims systems. Claims processed and products administered through
any other system, including claims for other products such as vision, dental, flexible spending accounts, health
reimbursement accounts, health savings accounts,or pharmacy coverage, are not included in the calculation of the
performance measurements. Also, services provided under capitated arrangements are not processed as a typical
claim,therefore capitated payments are not included in the performance measurements.
Time to Process in 10 Days
Definition The percentage of all claims United receives will be processed within the designated number of business days
101 of receipt.
Measurement Percentage of claims processed 94%
Time to process,in business days or less after receipt of claim business days 10
Criteria Standard claim operations reports
Level Site Level
Period Annually
Payment Period Annually
Fees at Risk Total Dollars at Risk for this metric $14,286
Payment Amount Of the Fees at Risk for this metric percentage at risk for each gradient 20%
Gradients I I business days
12 business days
13 business days
14 business days
15 business days or more
Procedural Accuracy
Definition Procedural accuracy rate of not less than the designated percent.
Measurement Percentage of claims processed without procedural i.e.non-financial)errors 97%
Criteria Statistically significant random sample of claims processed is reviewed to determine the percentage of c1min
dollars processed without procedural i.e.non-financial errors.
Level Office Level
Period Annually
Payment Period Annually
Fees at Risk Total Dollars at Risk for this metric $14,286
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Proprietary Information of UnitedHealth Group
Payment Amount Of the Fees at Risk for this metric,percentage at risk for each gradient 20%
Gradients 96.99%-96.50%
96.49%-96.00%
95.99%-95.50%
95.49%-95.00%
Below 95.00%
Dollar Accuracy DAR
Definition Dollar accuracy rate of not less than the designated percent in an uarter.
Measurement Percentage of claims dollars processed accurately99%
Criteria Statistically significant random sample of claims processed is reviewed to determine the percentage of claim
dollars processed correctly out of the total claim dollars paid.
Level Office Level
Period Annual)
Payment Period I Annually
Fees at Risk Total Dollars at Risk for this metric $14,286
Payment Amount Of the Fees at Risk for this metric,percentage at risk for each gradient 20%
Gradients 98.99%-98.50%
98.49%-98.00%
97.99%-97.50%
97.49%-97.00
Below 97.00%
Phone service guarantees and standards apply to Participant calls made to the customer care center that primarily services
Customer's Participants. If Customer elects a specialized phone service model the results may be blended with more than one call
center and/or level. They do not include calls made to care management personnel and/or calls to the senior center for Medicare
Participants,nor do they include calls for services/products other than medical,such as mental health/substance abuse,pharmacy
(except when United is Customer's pharmacy benefit services administrator),dental,vision,Health Savings Account,etc.
Average Speed of Answer
Definition Calls will sequence through United's phone system and be answered by customer service within the
parameters set forth.
Measurement Percentage of calls answered 100%
Time answered in seconds,on average seconds 30
Criteria Standard tracking reports produced by the phones stem for all calls
Level Team that services Customer's account
Period Annually
Payment Period Annually
Fees at Risk Total Dollars at Risk for this metric $14,286
Payment Amount Of the Fees at Risk for this metric,percentage at risk for each gradient 20%
Gradients 32 seconds or less
34 seconds or less
36 seconds or less
38 seconds or less
Greater than 38 seconds
Abandonment Rate
Definition The average call abandonment rate will be no greater than the percentage set forth
Measurement Percentage of total incoming calls to customer service abandoned,on average
Criteria Standard tracking reports produced by the phones stem for all calls
Level Team that services Customer's account
Period Annually
Payment Period Annually
Fees at Risk ' Total Dollars at Risk for this metric $14,286
Payment Amoiffl Of the Fees at Risk for this metric,percentage at risk for each gradient 20%
Gradients 1.81%-2.30%
2.31%-2.80%
2.81%-3.30%
3.31%-3.80%
Greater than 3.80%
Call Q ality Score
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Proprietary Information of UnitedHealth Group
Definition Maintain a call quality score of not less than the percent set forth
Measurement Call quality score to meet or exceed 93%
Criteria Random sampling of calls is each assigned a customer service quality score,using United's standard internal
call quality assurance program.
Level Office that services Customer's account
Period Annual)
Payment Period Annual)
Fees at Risk Total Dollars at Risk for this metric $14.286
Payment Amount Of the Fees at Risk for this metric,percentage at risk for each gradient 20%
Gradients 92.99%-91.00%
90.99%-89.00%
88.99%-87.00%
86.99%-85.00%
Below 85.00%
Employee Member Satisfaction
Definition The overall satisfaction will be determined by the question that reads"Overall,how satisfied are you with the
way we administer your medical health insurance Ian?"
Measurement Percentage of respondents,on average,indicating a grade of satisfied or higher 80%
Criteria Operations standard survey,conducted over the course of the year;may be customer specific for an additional
charge.
Level Office that services Customer's account
Period Annual)
Payment Period Annual)
Fees at Risk Total Dollars at Risk for this metric $7.143
Payment Amount Of the Fees at Risk for this metric,percentage at risk for each gradient N/A
Gradients Not applicable
Customer Satisfaction
Definition The overall satisfaction will be determined by the question that reads"How satisfied are you overall with
UnitedHealthcare?"
Measurement Minimum score on a 10- oint scale score 6
Criteria Standard Customer Scorecard Survey
Level Customerspecific
Period Annual)
Payment Period Annual)
Fees at Risk Total Dollars at Risk for this metric $7.143
Payment Amount Of the Fees at Risk for this metric,percentage at risk for each gradient N/A
Gradients Not applicable
Effective 3anuary 1,2023 through December 31,2024 each twelve month period is a,"Guarantee Period"
Pharmacy Financials
Definition Contracted pharmacy rates that will be delivered to You.
Measurement O1/O1/2023 01/01/2024
and Criteria Combined Discount Guarantee-Broad Network
Retail Brand,Average Wholesale Price(AWP)less 19.2% 19.4%
Retail Brand--90 Day Supply,AWP less 23.1% 23.3%
Retail Generic-30 and 90 Day Supply,AWP less 83.2% 83.4%
Mail Order Brand,AWP less 25.5% 25.5%
Mail Order Generic,AWP less 85.5% 85.5%
The Guaranteed Discount amount will be determined by multiplying the AWP by the guaranteed discount off
AWP by each component and adding the amounts together.
Dispensing Fees-Broad Network
Retail Brand-30 Day $0.60 $0.60
Retail Brand--90 Day Supply $0.10 $0.10
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Proprietary Information of UnitedHealth Group
Retail Generic-30 Day $0.60 $0.60
Retail Generic--90 Day Supply $0.10 $0.10
Dispensing fee totals are calculated by multiplying the actual scripts for each type by the contracted rate for that
script ty e.
Fixed Rebate Guarantee(Traditional PDL)
Basis,per script Brand Brand
Retail-30 Day $61.73 $64.86
Retail-90 Day Supply $181.00 $182.77
Mail Order $144.18 $135.29
Specialty $328.03 $338.82
Credits and Allowances
Rebate Fee Credit(PEPM) $40.00 $40.00
Annual Audit Credit(flat amount) $20,000.00 $20,000.00
Fees
Clinical Prior Authorizations(per review) $50.00 $50.00
Direct Member Reimbursement(per paper claim) $2.50 $2.50
Level Customer Specific
Period Annually
Payment Period Annually
Payment The amount the actual discounts are less than the combined guaranteed Retail,Mail,and Specialty discount
Amount amount.
Discounts
Payment
Amount -- 1-he amount the combined actual dispensing fee exceeds the combined contracted dispensing fee.
Dispensing Fees
Payment
Amount The amount the combined actual Rebate amount is less than the combined guaranteed Rebate amount.
Rebates
Conditions Discount&Dispense Fee Specific Conditions
•Discounts are based on actual Network Pharmacy brand and generic usage of retail and mail order drugs. The
guaranteed discount amount will be determined by multiplying the AWP by the contracted discount rate off AWP
by component.
•Does not apply to items covered under the Plan for which no AWP measure exists.
•Discounts calculated based on AWP less the ingredient cost;discount percentages are the discounts divided by
the AWP. Discounts for retail and mail order generic prescriptions represent the average AWP based on savings
off Maximum Allowable Cost(MAC)pricing for MAC generics and percentage discount savings off AWP for
non-MAC generics. All other discounts represent the percentage discount savings off of AWP.
•The arrangement excludes generic medications launched as an'at-risk'product,generic medication with pending
litigation,compound drugs,retail out of network claims,mail order drugs(for dispensing fee arrangement)and
Indian Health Service Claims.
•The Arrangement excludes usual&customary claims,vaccines,long term care facility claims.
•The Arrangement includes veterans'affairs facility claims,over-the-counter claims.
•The 90 day supply Retail guarantee includes drugs dispensed for 84 days or greater.
•The Mail Order guarantee includes drugs dispensed for 46 days or greater.
•When a drug is identified as a brand name drug,it will be considered a brand name drug for the calculation of
discount guarantees.When a drug is identified as a generic drug,it will be considered a generic drug for the
calculation of discount guarantees.
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Proprietary Information of UnitedHealth Group
•Specialty drugs dispensed outside United's specialty Pharmacy Network are included in the retail guarantees.
Specialty drugs dispensed through United's specialty Pharmacy Network are excluded from the Retail and Mail
guarantees.
•Drugs in the following Specialty therapeutic categories are included in the retail guarantees:None.
Rebate Specific Conditions
•Assumes implementation of United's Traditional PDL
•Client directed deviations from the PDL and PDL exclusions or uptiers,or clinical programs may result in
changes to pricing and guarantees,which will be factored in at the time of rebate payment and/or reconciliation.
•Calculation of the guaranteed rebate amount will exclude ineligible claims including claims where the plan is not
the primary payer(e.g.,coordination of benefits and subrogation claims),claims approved by formulary exception,
claims not covered by Customer's benefit design or PDL,claims from 340B,long term care or federal government
pharmacies,claims for non-FDA approved products,compound drugs,consumer card or discount card program
claims and direct member reimbursement claims.
•"Rebate Credit"is a credit towards the achievement of the guaranteed Rebate amount,and/or Rebate Fee Credit.
The Rebate Credit is applied in the event of a change impacting the level of Rebates expected as a result of the
availability of clinically comparable lower Rebate drugs.The Rebate Credit is calculated as the difference in
pharmaceutical manufacturer revenue between what United would have invoiced pharmaceutical manufacturers if
the Customer continued to prefer the originator brand product and the actual pharmaceutical manufacturer revenue
received after favoring the new product(e.g.biosimilar,an authorized brand alternative,reduction of wholesale
acquisition cost(WAC)on a Brand Drug subject to Rebates,launch of a lower cost non-Generic Drug alternative).
The Rebate Credit does not apply to Generic Drugs that launch after the Brand Drug no longer has patent
protection.
United reserves the right to modify or eliminate this arrangement as follows based upon changes in Rebates:
•if changes made to United's PDL,for the purpose of achieving a lower net drug cost for Customer and United's
other ASO customers,result in significant reductions to the Rebate level
•in the event that there are material deviations to the anticipated timing of drugs that will come off patent and no
longer generate Rebates
•if there is a change impacting the availability or amount of Rebates offered by drug manufacturer(s),including
changes related to the elimination or material modification of a drug manufacturer(s)historic models or practices
related to the provision of Rebates
•if Customer changes or does not elect an incented plan design
•United will pay Fixed Rebates consistent with the Agreement. To the extent Rebates paid to United exceed the
Fixed Rebate amount,We will retain the excess,including any Rebates United may earn on prescription drug
products in any tiers not included in this arrangement and any related interest.
•Rebate Administrative Fee: United maintains systems and processes necessary for managing and administering
Rebate programs. As consideration for these efforts,pharmaceutical manufacturers pay United administrative fees
in addition to Rebates. Rebate Administration fees are included in the guaranteed rebate arrangement.
•If Customer terminates pharmacy benefit services with United prior to the end of the Pharmacy Pricing Tenn,
United will retain any and all pending or future Rebates payable under the Agreement as of the effective date of
the termination of pharmacy benefit services.
•Drugs in the following Specialty therapeutic categories are included in the retail per-Brand guarantees:None.
•Vaccines are excluded from the claim counts.
•Limited distribution drugs are excluded from the claim counts
Credits and Allowances
•Rebate Fee Credit: In addition to the guaranteed rebates,Customer will receive a rebate fee credit. Under this
arrangement,rebates retained by United are used to lower the medical administration fee.
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Proprietary Information of UnitedHealth Group
•Pharmacy Management Allowance: United will provide a credit allowance to help Customer mitigate costs
appropriately associated with the administration of the pharmacy program. This credit allowance is available once
the parties have an executed Agreement and the first month of service fees under the Agreement has been received
by United. Upon presentation of receipts of allowable costs,a credit will be issued in United's fee billing system
in the amount of the receipted expenses,the total amount not to exceed the full credit.
•If Customer terminates pharmacy benefit services with United prior to the end of the Pharmacy Pricing Term,
Customer will repay United a prorated portion of the amount of the Pharmacy Management Allowance that has
been paid as of the termination date. All unpaid credits are forfeit.
General Conditions
•All pricing guarantees shall remain in effect for the entire contract period of 01/01/2023 through 12/31/2024
("Pharmacy Pricing Term"). Each twelve month period is a Guarantee Period.
•Specialty drugs typically covered under the medical benefit(administered/handled by a provider,administered
in a physician's office,ambulatory or home infusion),and/or transitioned to the pharmacy benefit,are excluded
from all guarantees.
•Drugs,products,supplies approved,covered and/or prescribed for the diagnosis,treatment or prevention of
COVID-19 are excluded from all guarantees.
•Guarantee terms are subject to change based on an evaluation of customer specific utilization data.
•On mail order drugs,specialty drugs,and retail pharmacy drugs and services including dispensing fees,United
will retain the difference between what United reimburses the Network Pharmacy and Customer's payment for a
prescription drug product or service.
• Pricing and guarantees assume enrollment of 903 Employees and 2,053 Participants;pricing and guarantees may
be revised or withdrawn if actual enrollment varies by 10%or more from assumptions.
•The lessor of three logic(non-ZBL)will apply to Participant payments. Participants pay the lessor of the
discounted price,the usual and customary charge or the cost share amount.
•All pricing guarantees require the selection of United as the exclusive mail provider.
United will have no financial guarantee obligation under the Agreement for any partial Guarantee Period if
Customer terminates prior to the end of the Pharmacy Pricing Term.
•United shall on Customer's behalf,administer a fee("Consultant Fee")to be paid to HonestRX("Consultant").
The Consultant Fees are included in Customer's pharmacy financial terms. United shall provide Consultant with
an annual audit credit of$20,000 and monthly payment for all Consultant Fees collected in the amount of $4.00
pmpm. The Customer acknowledges there is a contract between Customer and Consultant. Therefore,in the
event that there is a dispute between Customer and Consultant over continuing to make the Consultant Fee
payment(s)or in the delivery of consulting services,Customer shall hold United harmless in such disputes.In the
event of any change whatsoever in the Consultant Fee,Customer shall immediately notify United of such change
and United may propose changes to the pharmacy financial terms.
•United reserves the right to revise or revoke this arrangement if. a)changes in federal,state or other applicable
law or regulation require modifications;b)there are material changes to the AWP as published by the pricing
agency that establishes the AWP as used in these arrangements;c)Customer makes benefit changes that impact
the arrangements;d)there is a material industry change in pricing methodologies resulting in a new source or
benchmark;e)it is not accepted within ninety(90)days of the issuance of our initial quote;f)if Customer changes
their mail service benefit;g)Customer utilizes a vendor,that facilitates steering members to different drugs or
pharmacies to the extent these services impact the financial guarantees under this Agreement.
TRRX 02/2022
Specialty Pharmacy
Specialty Pharmacy Discount Guarantee
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Proprietary Information of UnitedHealth Group
Definition Specialty drug discount level based on actual specialty drug utilization for the specialty drugs
dispensed through United's specialty Pharmacy Network. United reserves the right to change
the designation of a drug from specialty to non-specialty based on market conditions.
Measurement A composite of 19.0%for drugs dispensed through United's specialty Pharmacy Network.
This guarantee is effective 01/01/2023 through 12/31/2023. See chart below for a list of
Specialty Drugs.
A composite of 19.0%for drugs dispensed through United's specialty Pharmacy Network.
This guarantee is effective 01/01/2024 through 12/31/2024. See chart below for a list of
Specialty Drugs.
Specialty drugs not included on the list below and dispensed through United's specialty
Pharmacy Network will be guaranteed at a discount of 14.0%.
Actual utilization, using Average Wholesale Price(AWP) in dollars, using our data, of listed
Criteria specialty drugs through Our specialty Pharmacy Network will be multiplied against the
discount target to determine the overall discount target dollars.
The overall discount target dollars may be adjusted based on utilization of unlisted drugs to
which the separate 14.0%discount applies. This total will be compared to actual discounts
achieved for these drugs during the Guarantee Period.
Level
Customer
Specific
Period Annual
Payment Period Annual
Payment The amount the actual discounts are less than the combined guaranteed Retail, Mail, and
Amount Specialty discount amount.
Conditions •Discounts calculated based on the AWP less the ingredient cost; discount percentages are
the discounts divided by the AWP. Discounts for retail generic prescriptions represent the
average savings off AWP based on Maximum Allowable Cost(MAC)pricing for MAC generics
and percentage discount savings off AWP for non-MAC generics. All other discounts
represent the percentage discount savings off of AWP.
•Specialty drugs dispensed outside United's specialty Pharmacy Network,drugs for which no
AWP measure exists and non-drug items are excluded.
•Listed drugs which cease to be defined as specialty drugs during the Guarantee Period will
be reconciled outside of the Specialty Pharmacy guarantee in the channel in which they are
dispensed (retail or mail order).
•Specialty drugs typically covered under the medical benefit(administered/handled by a
provider, administered in a physician's office, ambulatory or home infusion), and/or
transitioned to the pharmacy benefit, are excluded from all guarantees.
•United reserves the right to revise or revoke this guarantee if: a)changes in federal, state or
other applicable law or regulation require modifications; b)there are material changes to the
AWP as published by the pricing agency that establishes the AWP as used in this guarantee;
c)Customer makes benefit changes that impact the guarantee; d)there is a material industry
change in pricing methodologies resulting in a new source or benchmark e)if actual specialty
utilization is not substantially similar to that in the experience period data on which our quote is
based.
•On specialty drugs, United will retain the difference between what United reimburses the
Network Pharmacy and Customer's payment for a prescription drug product or service.
Specialty Drug Drug Name Included/Excluded Specialty Drug Drug Name Included/Excluded
Category From Guarantee Category From Guarantee
INFLAMMATORY
ANEMIA ARANESP Included CONDITIONS ILUMYA Included
INFLAMMATORY
ANEMIA EPOGEN Included CONDITIONS KEVZARA Included
INFLAMMATORY
ANEMIA PROCRIT Included CONDITIONS KINERET Included
INFLAMMATORY
ANEMIA RETACRIT Included CONDITIONS OLUMIANT Included
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ANTICONVULSA INFLAMMATORY
NT DIACOMIT Included CONDITIONS ORENCIA Included
ANTICONVULSA INFLAMMATORY
NT EPIDIOLEX Included CONDITIONS OTEZLA Included
ANTICONVULSA INFLAMMATORY
NT FINTEPLA Included CONDITIONS RIDAURA Included
ANTIHYPERLIPID INFLAMMATORY
EMIC JUXTAPID Included CONDITIONS RINVOQ Included
INFLAMMATORY
ANTI-INFECTIVE ARIKAYCE Included CONDITIONS SILIQ Included
INFLAMMATORY
ANTI-INFECTIVE DARAPRIM Included CONDITIONS SIMPONI Included
PYRIMETHAMI INFLAMMATORY
ANTI-INFECTIVE NE Included CONDITIONS SKYRIZI Included
INFLAMMATORY
ASTHMA FASENRA Included CONDITIONS STELARA Included
INFLAMMATORY
ASTHMA NUCALA Included CONDITIONS TALTZ Included
INFLAMMATORY
ASTHMA XOLAIR Included CONDITIONS TREMFYA Included
CARDIOVASCUL INFLAMMATORY
AR DROXIDOPA Included CONDITIONS XELJANZ Included
CARDIOVASCUL INFLAMMATORY
AR NORTHERA Included CONDITIONS XELJANZ XR Included
CARDIOVASCUL IRON
AR VYNDAMAX Included OVERLOAD DEFERASIROX Included
CARDIOVASCUL IRON
AR VYNDAQEL Included OVERLOAD EXJADE Included
IRON
CNS AGENTS AUSTEDO Included OVERLOAD FERRIPROX Included
IRON
CNS AGENTS ENSPRYNG Included OVERLOAD JADENU Included
CNS AGENTS FIRDAPSE Included LIVER DISEASE OCALIVA Included
MONOCLONAL
ANTIBODY
MISCELLANEOU
CNS AGENTS HETLIOZ Included S BENLYSTA Included
MOOD
DISORDER
CNS AGENTS INGREZZA Included DRUGS SPRAVATO Included
MULTIPLE
CNS AGENTS RILUTEK Included SCLEROSIS AMPYRA Included
MULTIPLE
CNS AGENTS RILUZOLE Included SCLEROSIS AUBAGIO Included
MULTIPLE
CNS AGENTS RUZURGI Included SCLEROSIS AVONEX Included
MULTIPLE
CNS AGENTS SABRIL Included SCLEROSIS BAFIERTAM Included
TETRABENAZI MULTIPLE
CNS AGENTS NE Included SCLEROSIS BETASERON Included
MULTIPLE
CNS AGENTS TIGLUTIK Included SCLEROSIS COPAXONE Included
MULTIPLE
CNS AGENTS VIGABATRIN Included SCLEROSIS DALFAMPRIDIN Included
MULTIPLE DIMETHYL
CNS AGENTS VIGADRONE Included SCLEROSIS FUMARATE Included
MULTIPLE
CNS AGENTS XENAZINE Included SCLEROSIS EXTAVIA Included
MULTIPLE
CNS AGENTS XYREM Included SCLEROSIS GILENYA Included
MULTIPLE
CNS AGENTS XYWAV Included SCLEROSIS GLATIRAMER Included
CYSTIC MULTIPLE
FIBROSIS BETHKIS Included SCLEROSIS GLATOPA Included
CYSTIC MULTIPLE
FIBROSIS CAYSTON Included SCLEROSIS KESIMPTA Included
CYSTIC MULTIPLE
FIBROSIS KALYDECO Included SCLEROSIS MAVENCLAD Included
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CYSTIC MULTIPLE
FIBROSIS KITABIS PAK Included SCLEROSIS MAYZENT Included
CYSTIC MULTIPLE
FIBROSIS ORKAMBI Included SCLEROSIS PLEGRIDY Included
CYSTIC MULTIPLE
FIBROSIS PULMOZYME Included SCLEROSIS PONVORY Included
CYSTIC MULTIPLE
FIBROSIS SYMDEKO Included SCLEROSIS REBIF Included
CYSTIC MULTIPLE REBIF
FIBROSIS TOBI Included SCLEROSIS REBIDOSE Included
CYSTIC TOBI MULTIPLE
FIBROSIS PODHALER Included SCLEROSIS TECFIDERA Included
CYSTIC MULTIPLE
FIBROSIS TOBRAMYCIN Included SCLEROSIS VUMERITY Included
CYSTIC MULTIPLE
FIBROSIS TRIKAFTA Included SCLEROSIS ZEPOSIA Included
MUSCULOSKELE
ENDOCRINE BUPHENYL Included TAL AGENTS EVRYSDI Included
ENDOCRINE BYNFEZIA Included NARCOLEPSY WAKIX Included
ENDOCRINE CARBAGLU Included NEUTROPENIA FULPHILA Included
ENDOCRINE CHENODAL Included NEUTROPENIA GRANIX Included
ENDOCRINE CLOVIQUE Included NEUTROPENIA LEUKINE Included
ENDOCRINE CUPRIMINE Included NEUTROPENIA NEULASTA Included
ENDOCRINE CYSTADANE Included NEUTROPENIA NEUPOGEN Included
ENDOCRINE CYSTADROPS Included NEUTROPENIA NIVESTYM Included
ENDOCRINE CYSTARAN Included NEUTROPENIA NYVEPRIA Included
DEPEN
ENDOCRINE TITRATABS Included NEUTROPENIA UDENYCA Included
ENDOCRINE D-PENAMINE Included NEUTROPENIA ZARXIO Included
ENDOCRINE EGRIFTA Included NEUTROPENIA ZIEXTENZO Included
ONCOLOGY-
ENDOCRINE FIRMAGON Included INJECTABLE ELIGARD Included
ONCOLOGY-
ENDOCRINE GATTEX Included INJECTABLE INTRON A Included
ONCOLOGY-
ENDOCRINE H.P.ACTHAR Included INJECTABLE LEUPROLIDE Included
ONCOLOGY-
ENDOCRINE IMCIVREE Included INJECTABLE SYNRIBO Included
ONCOLOGY-
ENDOCRINE ISTURISA Included ORAL ABIRATERONE Included
ONCOLOGY-
ENDOCRINE JYNARQUE Included ORAL AFINITOR Included
ONCOLOGY- AFINITOR
ENDOCRINE KEVEYIS Included ORAL DISPERZ Included
ONCOLOGY-
ENDOCRINE KORLYM Included ORAL ALECENSA Included
ONCOLOGY-
ENDOCRINE KUVAN Included ORAL ALKERAN Included
ONCOLOGY-
ENDOCRINE MYALEPT Included ORAL ALUNBRIG Included
ONCOLOGY-
ENDOCRINE NATPARA Included ORAL AYVAKIT Included
ONCOLOGY-
ENDOCRINE NITYR Included ORAL BALVERSA Included
OCTREOTIDE ONCOLOGY-
ENDOCRINE ACETATE Included ORAL BEXAROTENE Included
PENICILLAMIN ONCOLOGY-
ENDOCRINE E Included ORAL BOSULIF Included
ONCOLOGY-
ENDOCRINE PROCYSBI Included ORAL BRAFTOVI Included
ONCOLOGY-
ENDOCRINE RAVICTI Included ORAL BRUKINSA Included
ONCOLOGY-
ENDOCRINE SAMSCA Included ORAL CABOMETYX Included
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ONCOLOGY-
ENDOCRINE SANDOSTATIN Included ORAL CALQUENCE Included
ONCOLOGY-
ENDOCRINE SAPROPTERIN Included ORAL CAPECITABINE Included
ONCOLOGY-
ENDOCRINE SIGNIFOR Included ORAL CAPRELSA Included
SODIUM
PHENYLBUTYR ONCOLOGY-
ENDOCRINE ATE Included ORAL COMETRIQ Included
SOMATULINE ONCOLOGY-
ENDOCRINE DEPOT Included ORAL COPIKTRA Included
ONCOLOGY-
ENDOCRINE SOMAVERT Included ORAL COTELLIC Included
ONCOLOGY-
ENDOCRINE SYPRINE Included ORAL DAURISMO Included
ONCOLOGY-
ENDOCRINE THIOLA Included ORAL ERIVEDGE Included
ONCOLOGY-
ENDOCRINE TOLVAPTAN Included ORAL ERLEADA Included
ONCOLOGY-
ENDOCRINE TRIENTINE Included ORAL ERLOTINIB Included
ONCOLOGY-
ENDOCRINE XERMELO Included ORAL ETOPOSIDE Included
ONCOLOGY-
ENDOCRINE XURIDEN Included ORAL EVEROLIMUS Included
ENZYME ONCOLOGY-
DEFICIENCY CHOLBAM Included ORAL FARYDAK Included
ENZYME ONCOLOGY-
DEFICIENCY CYSTAGON Included ORAL FOTIVDA Included
ENZYME ONCOLOGY-
DEFICIENCY GALAFOLD Included ORAL GILOTRIF Included
ENZYME ONCOLOGY-
DEFICIENCY MIGLUSTAT Included ORAL GLEEVEC Included
ENZYME ONCOLOGY-
DEFICIENCY NITISINONE Included ORAL GLEOSTINE Included
ENZYME ONCOLOGY-
DEFICIENCY ORFADIN Included ORAL HYCAMTIN Included
ENZYME ONCOLOGY-
DEFICIENCY PALYNZIQ Included ORAL IBRANCE Included
ENZYME ONCOLOGY-
DEFICIENCY STRENSIQ Included ORAL ICLUSIG Included
ENZYME ONCOLOGY-
DEFICIENCY SUCRAID Included ORAL IDHIFA Included
ENZYME ONCOLOGY- IMATINIB
DEFICIENCY TEGSEDI Included ORAL MESYLATE Included
ENZYME ONCOLOGY-
DEFICIENCY ZAVESCA Included ORAL IMBRUVICA Included
GAUCHERS ONCOLOGY-
DISEASE CERDELGA Included ORAL INLYTA Included
GENETIC ONCOLOGY-
DISORDER DOJOLVI Included ORAL INQOVI Included
GENETIC ONCOLOGY-
DISORDER ZOKINVY Included ORAL INREBIC Included
GROWTH
HORMONE ONCOLOGY-
DEFICIENCY GENOTROPIN Included ORAL IRESSA Included
GROWTH
HORMONE ONCOLOGY-
DEFICIENCY HUMATROPE Included ORAL JAKAFI Included
GROWTH
HORMONE ONCOLOGY-
DEFICIENCY INCRELEX Included ORAL KISQALI Included
GROWTH
HORMONE ONCOLOGY- KISQALI
DEFICIENCY NORDITROPIN Included ORAL FEMARA Included
GROWTH
HORMONE ONCOLOGY-
DEFICIENCY NUTROPIN AQ Included ORAL KOSELUGO Included
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GROWTH
HORMONE ONCOLOGY-
DEFICIENCY OMNITROPE Included ORAL LAPATINIB Included
GROWTH
HORMONE ONCOLOGY-
DEFICIENCY SAIZEN Included ORAL LENVIMA Included
GROWTH
HORMONE ONCOLOGY-
DEFICIENCY SEROSTIM Included ORAL LONSURF Included
GROWTH
HORMONE ONCOLOGY-
DEFICIENCY ZOMACTON Included ORAL LORBRENA Included
GROWTH
HORMONE ONCOLOGY-
DEFICIENCY ZORBTIVE Included ORAL LUMAKRAS Included
ONCOLOGY-
HEMATOLOGIC BERINERT Included ORAL LYNPARZA Included
ONCOLOGY-
HEMATOLOGIC CABLIVI Included ORAL MATULANE Included
ONCOLOGY-
HEMATOLOGIC CINRYZE Included ORAL MEKINIST Included
ONCOLOGY-
HEMATOLOGIC DOPTELET Included ORAL MEKTOVI Included
ONCOLOGY-
HEMATOLOGIC FIRAZYR Included ORAL MELPHALAN Included
ONCOLOGY-
HEMATOLOGIC HAEGARDA Included ORAL MESNEX Included
ONCOLOGY-
HEMATOLOGIC ICATIBANT Included ORAL NERLYNX Included
ONCOLOGY-
HEMATOLOGIC MOZOBIL Included ORAL NEXAVAR Included
ONCOLOGY-
HEMATOLOGIC MULPLETA Included ORAL NILANDRON Included
ONCOLOGY-
HEMATOLOGIC OXBRYTA Included ORAL NILUTAMIDE Included
ONCOLOGY-
HEMATOLOGIC PROMACTA Included ORAL NINLARO Included
ONCOLOGY-
HEMATOLOGIC RUCONEST Included ORAL NUBEQA Included
ONCOLOGY-
HEMATOLOGIC SAJAZIR Included ORAL ODOMZO Included
ONCOLOGY-
HEMATOLOGIC TAKHZYRO Included ORAL ONUREG Included
ONCOLOGY-
HEMATOLOGIC TAVALISSE Included ORAL ORGOVYX Included
HEMOPHILIA- ONCOLOGY-
INFUSED ADVATE Included ORAL PEMAZYRE Included
HEMOPHILIA- ONCOLOGY-
INFUSED ADYNOVATE Included ORAL PIQRAY Included
HEMOPHILIA- ONCOLOGY-
INFUSED AFSTYLA Included ORAL POMALYST Included
ALPHANATEN
HEMOPHILIA- ON ONCOLOGY-
INFUSED WILLEBRAND Included ORAL PURIXAN Included
HEMOPHILIA- ONCOLOGY-
INFUSED ALPHANINE SD Included ORAL UNLOCK Included
HEMOPHILIA- ONCOLOGY-
INFUSED ALPROLIX Included ORAL RETEVMO Included
HEMOPHILIA- ONCOLOGY-
INFUSED BENEFIX Included ORAL REVLIMID Included
HEMOPHILIA- ONCOLOGY-
INFUSED COAGADEX Included ORAL ROZLYTREK Included
HEMOPHILIA- ONCOLOGY-
INFUSED CORIFACT Included ORAL RUBRACA Included
HEMOPHILIA- ONCOLOGY-
INFUSED ELOCTATE Included ORAL RYDAPT Included
HEMOPHILIA- ONCOLOGY-
INFUSED ESPEROCT Included ORAL SPRYCEL Included
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HEMOPHILIA- ONCOLOGY-
INFUSED FEIBA Included ORAL STIVARGA Included
HEMOPHILIA- ONCOLOGY-
INFUSED HEMOFIL M Included ORAL SUNITINIB Included
HEMOPHILIA- ONCOLOGY-
INFUSED HUMATE-P Included ORAL SUTENT Included
HEMOPHILIA- ONCOLOGY-
INFUSED IDELVION Included ORAL TABLOID Included
HEMOPHILIA- ONCOLOGY-
INFUSED IXINITY Included ORAL TABRECTA Included
HEMOPHILIA- ONCOLOGY-
INFUSED JIVI Included ORAL TAFINLAR Included
HEMOPHILIA- ONCOLOGY-
INFUSED KOATE Included ORAL TAGRISSO Included
HEMOPHILIA- ONCOLOGY-
INFUSED KOATE-DVI Included ORAL TALZENNA Included
HEMOPHILIA- ONCOLOGY-
INFUSED KOGENATE FS Included ORAL TARCEVA Included
HEMOPHILIA- ONCOLOGY-
INFUSED KOVALTRY Included ORAL TARGRETIN Included
HEMOPHILIA- ONCOLOGY-
INFUSED MONONINE Included ORAL TASIGNA Included
HEMOPHILIA- ONCOLOGY-
INFUSED NOVOEIGHT Included ORAL TAZVERIK Included
HEMOPHILIA- NOVOSEVEN ONCOLOGY-
INFUSED RT Included ORAL TEMODAR Included
HEMOPHILIA- ONCOLOGY- TEMOZOLOMID
INFUSED NUWIQ Included ORAL E Included
HEMOPHILIA- ONCOLOGY-
INFUSED PROFILNINE Included ORAL TEPMETKO Included
HEMOPHILIA- ONCOLOGY-
INFUSED REBINYN Included ORAL THALOMID Included
HEMOPHILIA- ONCOLOGY-
INFUSED RECOMBINATE Included ORAL TIBSOVO Included
HEMOPHILIA- ONCOLOGY-
INFUSED RIXUBIS Included ORAL TRETINOIN Included
HEMOPHILIA- ONCOLOGY-
INFUSED SEVENFACT Included ORAL TUKYSA Included
HEMOPHILIA- ONCOLOGY-
INFUSED TRETTEN Included ORAL TURALIO Included
HEMOPHILIA- ONCOLOGY-
INFUSED VONVENDI Included ORAL TYKERB Included
HEMOPHILIA- ONCOLOGY-
INFUSED WILATE Included ORAL UKONIQ Included
HEMOPHILIA- ONCOLOGY-
INFUSED XYNTHA Included ORAL VENCLEXTA Included
HEMOPHILIA- ONCOLOGY-
INJECTABLE HEMLIBRA Included ORAL VERZENIO Included
ADEFOVIR ONCOLOGY-
HEPATITIS B DIPIVOXIL Included ORAL VITRAKVI Included
ONCOLOGY-
HEPATITIS B BARACLUDE Included ORAL VIZIMPRO Included
ONCOLOGY-
HEPATITIS B EMPAVELI Included ORAL VOTRIENT Included
ONCOLOGY-
HEPATITIS B ENTECAVIR Included ORAL XALKORI Included
ONCOLOGY-
HEPATITIS B EPIVIR HBV Included ORAL XELODA Included
ONCOLOGY-
HEPATITIS B HEPSERA Included ORAL XOSPATA Included
LAMIVUDINE ONCOLOGY-
HEPATITIS B HBV Included ORAL XPOVIO Included
ONCOLOGY-
HEPATITIS B VEMLIDY Included ORAL XTANDI Included
ONCOLOGY-
HEPATITIS C EPCLUSA Included ORAL YONSA Included
ONCOLOGY-
HEPATITIS C HARVONI Included ORAL ZEJULA Included
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LEDIPASVIR/S ONCOLOGY-
HEPATITIS C OFOSBUVIR Included ORAL ZELBORAF Included
ONCOLOGY-
HEPATITIS C MAVYRET Included ORAL ZOLINZA Included
ONCOLOGY-
HEPATITIS C PEGASYS Included ORAL ZYDELIG Included
ONCOLOGY-
HEPATITIS C PEGINTRON Included ORAL ZYKADIA Included
SOFOSBUVIRN ONCOLOGY-
HEPATITIS C ELPATASVIR Included ORAL ZYTIGA Included
ONCOLOGY-
HEPATITIS C SOVALDI Included TOPICAL TARGRETIN Included
ONCOLOGY-
HEPATITIS C VIEKIRA PAK Included TOPICAL VALCHLOR Included
HEPATITIS C VOSEVI Included OPHTHALMIC OXERVATE Included
HEPATITIS C ZEPATIER Included OSTEOPOROSIS FORTEO Included
HEREDITARY
ANGIODEMA ORLADEYO Included OSTEOPOROSIS TERIPARATIDE Included
IMMUNE
MODULATOR ACTIMMUNE Included OSTEOPOROSIS TYMLOS Included
IMMUNE PARKINSONS
MODULATOR ARCALYST Included DISEASE APOKYN Included
IMMUNOLOGICA PARKINSONS
L AGENTS LUPKYNIS Included DISEASE INBRIJA Included
IMMUNOLOGICA PARKINSONS
L AGENTS PALFORZIA Included DISEASE KYNMOBI Included
PULMONARY
INFERTILITY CETROTIDE Included DISEASE ESBRIET Included
CHORIONIC
GONADOTROPI PULMONARY
INFERTILITY N Included DISEASE OFEV Included
PULMONARY
INFERTILITY FOLLISTIM AQ Included HYPERTENSION ADCIRCA Included
GANIRELIX PULMONARY
INFERTILITY ACETATE Included HYPERTENSION ADEMPAS Included
PULMONARY
INFERTILITY GONAL-F Included HYPERTENSION ALYQ Included
PULMONARY
INFERTILITY GONAL-F RIFF Included HYPERTENSION AMBRISENTAN Included
PULMONARY
INFERTILITY MENOPUR Included HYPERTENSION BOSENTAN Included
PULMONARY
INFERTILITY NOVAREL Included HYPERTENSION LETAIRIS Included
PULMONARY
INFERTILITY OVIDREL Included HYPERTENSION OPSUMIT Included
PULMONARY
INFERTILITY PREGNYL Included HYPERTENSION ORENITRAM Included
INFLAMMATORY PULMONARY
CONDITIONS ACTEMRA Included HYPERTENSION REVATIO Included
INFLAMMATORY PULMONARY
CONDITIONS CIMZIA Included HYPERTENSION SILDENAFIL Included
INFLAMMATORY PULMONARY
CONDITIONS COSENTYX Included HYPERTENSION TADALAFIL Included
INFLAMMATORY PULMONARY
CONDITIONS DUPIXENT Included HYPERTENSION TRACLEER Included
INFLAMMATORY PULMONARY
CONDITIONS EMFLAZA Included HYPERTENSION TYVASO Included
INFLAMMATORY PULMONARY
CONDITIONS ENBREL Included HYPERTENSION UPTRAVI Included
INFLAMMATORY PULMONARY
CONDITIONS HUMIRA Included HYPERTENSION VENTAVIS- Included
'Includes
Nebulizer
10/2021
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