MAC Pricing Changes   Date: January 7, 2016 What You Need to Know   Attention Argus WEST VIRGINIA Network Pharmacies:   The MCO (Managed Care Organizations for Medicaid) requires that you have the option to be notified in advance of changes to the generic pricing utilized for West Virginia Family Health beneficiaries.  Later this fall, we will be implementing enhancements to our Argus Pharmacy Portal which will allow you to subscribe to an alert system which will notify you when changes to the MAC pricing are being made.  When that enhancement is completed, we will send another bulletin with instructions on how to register for those alerts.   In the interim, we will be emailing the MAC changes to you at this email address.  If you wish to OPT OUT, please reply to the email notification and add “OPT OUT” to the subject line before sending.  We will gladly remove you from our distribution list. Action Required If you have any questions, please feel free to reach out to our MAC team via email to macinquiries@argushealth.com

Commercial Effective December 1, 2015 • Glumetza is excluded from the prescription benefit. The physician will not be able to request a prior authorization for continued coverage. • Capsaicin and menthol containing patches are excluded from the prescription benefit. The physician will not be able to request a prior authorization for continued coverage. • Specialty medications are limited to up to a 31 day supply fill. The physician will not be able to request a prior authorization for a larger day supply. Effective January 1, 2016 • Proton Pump Inhibitors (PPIs) will be excluded with the exception of generic Aciphex and Protonix. The physician will not be able to request a prior authorization for continued coverage on the excluded PPI products. • PPI products available in a liquid, packet, or sprinkle form a will require prior authorization. The physician can contact MedImpact at 800-788-2949 to request a Medication Request Form in order to initiate the prior authorization process.

Dear Pharmacy Provider: In accordance with Texas Labor Code §408.0281, Catamaran, ScripNet, LLC ("ScripNet"), and Healthcare Solutions, Inc., DBA Cypress Care ("Healthcare Solutions"), are providing the following notification to network healthcare providers in the state of Texas. Pursuant to the sixty (60) month agreement beginning October 12, 2011, Catamaran provides Healthcare Solutions and ScripNet with access to its network of providers at the discounted fee rate previously established by Catamaran and its providers. In an effort to comply with this Texas law, we are attaching a list of Healthcare Solutions and ScripNet clients who may access our pharmacy network. No action is required on your part. If you have any questions related to this communication please do not hesitate to contact us. Catamaran Provider Relations Workers Compensation 844-265- 1716 www.catamaranrx.com/pharmacies

Dear Pharmacy Provider: In accordance with Texas Labor Code §408.0281, Catamaran and Tech Health, Inc. are providing the following notification to network healthcare providers in the state of Texas. Pursuant to the sixty (60) month agreement beginning October 1st 2011 Catamaran provides Tech Health with access to its network of providers at the discounted fee rate previously established by Catamaran and its providers. In an effort to comply with this Texas law, we are attaching a list of Tech Health clients who may access our pharmacy network. No action is required on your part. If you have any questions related to this communication please do not hesitate to contact us. Catamaran Provider Relations Workers Compensation 844-265-1716 www.catamaranrx.com/pharmacies

Dear Pharmacy Provider: In accordance with Texas Labor Code §408.0281, Catamaran and Modern Medical Inc. are providing the following notification to network healthcare providers in the state of Texas. Pursuant to the sixty (60) month agreement beginning July 5, 2011, Catamaran provides Modern Medical Inc. with access to its network of providers at the discounted fee rate previously established by Catamaran and its providers. In an effort to comply with this new Texas law, we are attaching a list of Modern Medical Inc. clients who may access our pharmacy network. No action is required on your part. If you have any questions related to this communication please do not hesitate to contact us. Catamaran Provider Relations Workers Compensation 844-265-1716 www.catamaranrx.com/pharmacies