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HR Specialty Products & Services Catalogue Executive Summary

Renowned and Independent Consultancy for Specialty / Biologics & Pharmaceutical Benefit Strategy Development. HR Specialty Products & Services Catalogue Executive Summary A No Frills Distillation of Vendor’s Marketing Collateral Thomas A Ference President & CEO

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HR Specialty Products & Services Catalogue Executive Summary

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  1. Renowned and Independent Consultancy for Specialty / Biologics & Pharmaceutical Benefit Strategy Development HR Specialty Products & Services Catalogue Executive Summary A No Frills Distillation of Vendor’s Marketing Collateral Thomas A Ference President & CEO Human Resources Mining & Distribution Co Locating, Validating and Accelerating HR  Innovation Office: 219-662-0201 Cell: 630-240-2583 Fax: 219-661-0236 e-mail: tference@hrmdco.com Website: www.hrmdco.com

  2. Specialty drugs for conditions like cancer, RA, MS or rare diseases now account for up to 1/3 of the total drug spend and 8-10% of the total healthcare plan spend and both are growing rapidly) • Managing these spends remains difficult given the high unit dollar amounts involved, cross-benefit impacts (i.e. both the Rx plan and the healthcare plan) and the employer's comparative inability to control such costs through traditional benefit plan design approaches and/or relying on TPA/PBMs for help. • This retainer-based, independent consultancy has 30+ years of integrated health benefits consulting experience and 10+ years of concentration in the area of specialty Rx. Specialty / Biologics & Pharmaceutical Benefit Strategy Consultancy

  3. These strategies impact both the pharmacy and medical benefits portions of the healthcare program and address the changing dynamics of specialty RX products to help achieve related business goals. Services include: -Assisting employers in finding value in health care -Providing deep understanding of risk exposure to drug, diagnostic and device trends and their aggregate impact on total cost of care or risk management to the plan sponsor -Giving direction on exposures, vendor contracting, and addressing trend in context of plan goals -Coordinating to improve care quality across continuum while reducing unnecessary utilization Strategy Consultancy Services Provided

  4. Comparison of Per Month Rx Claims Cost for Coverage by Setting of Care*using an illustrative example of $2,500 per month for Rheumatoid Arthritis (RA) Glossary: SC = subcutaneous, IM = intramuscular, IV = intravenous

  5. Top 5 Specialty Drug Categories – 2012 National Data Complexity and Confusion Surrounds the Issue of Specialty Pharmacy Including Where Covered Under Plan along with Plan Parity • Glossary: Inj = IM injection, IV = infusion.

  6. This product/service is contained in the HR Specialty Products & Services Catalogue™ • Operational level details about this particular service provider can be obtained in conference with the vendor • The HR Mining &Distribution Co. is an independent and contracted representative of the vendor • Upon your request, we will arrange for an introduction that can range from a simple, quick conference call to a services overview / system demo • Tom Ference 219-662-0201 (Chicagoland area) or tference@hrmdco.com • Thank you for your potential interest in this fresh thinking Next Steps

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