WIXLIB

Together Creating a Path to Better CareSpecialty PharmacyServices and CapabilitiesSeptember 2016

AgendaI.Company and Leadership OverviewII. Strategic ApproachIII. Delivering Quality Patient CareIV. Clinical Programs OverviewV. Operations OverviewVI. Client Support and Management ServicesVII. Summary2

Ownership Structure Gentry Health Services is a privately-held, wholly-owned subsidiary of Discount Drug Mart, Inc. (DDM) DDM is regionally owned and operated since 1969 73 drug stores and expanding in the Ohio market Ranked top 10 nationally among drug store chains Focused on convenience and customer service Active partner of the local community Participation in local fund raising efforts for various associations Healthcare destination for patients – one stop for all your patient’s needs Discount Drug Mart 360 Care Program Pharmacy department Walk-in Clinics Retail selection of most Home Health Carecommon products Professional MedicalEquipment3

Company Overview Backed by the leadership and infrastructure of Discount Drug Mart Resources include 250 pharmacists, 400 pharmacy technicians Located south of Cleveland in Medina, Ohio Regional pharmacy with national footprint Pharmacy permit registration in all states with California pending Operations and Clinical Programs built on the premise of compassionate patient service,convenience, and delivering overall satisfaction while remaining flexible to adjust to client needs andmarket trends. Leadership and staff have over 100 years of combined experience in operational and serviceexcellence, including managed care and large scale mail service fulfillment operations Representing nearly 2MM contracted Ohio lives in 2016: Nationally recognized accreditations:4

Gentry’s Mission StatementAt Gentry Health Services, we are an actively involved care partnerhelping to create a pathway to better health for our patients. Our teamof professionals are committed to the highest standards of quality,safety, and convenience in the services we provide with the goal ofdelivering positive clinical outcomes and 100% patient satisfaction.5

Leadership & Management Team Douglas Boodjeh - CEO Doug is the Chief Operating Officer at Discount Drug Mart, the parent company of Gentry HealthServices, bringing more than 35 years of experience in the retail/pharmacy industry. Doug oversees allcorporate sales, pharmacy and home health care operations, sports marketing and sponsorships, andis a senior buyer. As CEO of Gentry Health, Doug has oversight of business development and growth. Doug is a graduate of Kent State University. He graduated in 1986 with a degree in businessmanagement. Peter Ratycz R.Ph. – COO Pete brings over 25 years of pharmacy operations experience leading a large retail pharmacy chainthat has been awarded nationally for customer satisfaction and excellence in MTM services. Pete’srole at Gentry Health includes planning, development and execution on strategic initiatives at GentryHealth including business development. Pete earned his bachelors degree in pharmacy from the University of Toledo. Nimesh Patel R.Ph., MBA - Director of Pharmacy Nimesh brings almost 20 years of experience to Gentry Health with various executive roles in highvolume mail service operations as well as PBM clinical operations in both the commercial and Medicaresegments. Nimesh’s role at Gentry includes handling day to day operations, regulatory compliance,PIC for licensing in all states, as well as maintaining accreditation standards with URAC, ACHC, andVIPPS and oversight of clinical therapy management programs. Nimesh earned his bachelors degree in pharmacy from the University of Toledo and his Masters inBusiness Administration from Kent State University.6

Leadership & Management Team Kurt Greiner, Manager of IT/IS Kurt brings over 20 years of experience in pharmacy technology and information. His expertise isin programming and developing customized data acquisition and reporting solutions necessary tomeet the demands of high performing pharmacy operations. Kurt’s role at Gentry Health includesinformation security, managing all technology platforms as well as developing customized solutionsto meet the specific needs of Gentry Health’s Clients. Kurt earned his bachelors degree in Computer Science from Kent State University Brandon M. Hardin, PharmD, MBA – Manager of Clinical Programs Brandon Hardin has over 7 years of clinical experience with varied roles in managed care andclinical operations. In his current role, he is responsible for development and operations of allclinical programs at Gentry Health. Brandon earned his Doctor of Pharmacy degree from Ohio Northern University, College ofPharmacy in 2009 and his Master of Business Administration degree from Ashland University,College of Business in 2015.Over 100 years of combined experiencein operational and service excellence.7

Gentry’s Strategic ApproachOur #1 Goal is to TakeCare of the patient.When the patient is educated, adherent, andsatisfied, EVERYBODY wins!8

Gentry’s Patient Centric ApproachClinicalAssessmentsand PatientCare Injection Training What to expectAppropriate Med Use Adverse Events Medication iceAdministration TrainingOngoing Support 24/7/365 clinical access Frequent touch pointsFinancialAssistance9

Patient Experience Gentry Health’s Management Program Patient onboarding process Understand the patient’s needs including any cultural differences maximizingengagement Information and education provided to the patient to keep them engaged andempowered to take control of their care limiting their frustration and potentialpoor outcomes. Monthly refill reminder call andassessment conducted Evaluation criteria Changes in medical condition ormedications, medicationeffectiveness, adherence Clinical intervention based onresponses provided10

Advocacy Efforts Coordination of Benefits Eligibility Review – forward to networkspecialty pharmacy when necessary Formulary review for coverage information Source, facilitate, and assist in expeditingprior authorization and coveragedetermination requests Process claims with multiple payers Financial Assistance Copay assistance cards Foundation fund programs Manufacturer replacement programs Connecting Manufacturer and Organizational resources Manufacturer support – nursing, training, questions American Cancer Association / MS Society – Advocacy events at GentryOVER 99% of prescription costs covered by insurance and financial assistance11

Assisting the Patient Journey Coordination of Care Connecting the patient, prescriber and pharmacist through Gentry P.A.T.H.Highly communicative approach Proactive refill protocol 100% of patients are contacted by a patient care coordinator (no automation)Discuss how many doses are remaining, any changes since last spoke, & discuss any concernsthat may need escalated to a pharmacist at every refill reminder callClinical Supervision Patient - Onboarding process, scheduling delivery, informing patients of delaysPrescriber - Clinical interventions and overall therapy progress/concernsImproving adherence through review for appropriateness & effectiveness and education.Adverse Event Reporting to PharmaProactively seeking prior authorizations and renewal of expiring priorauthorizations as well as assistance with appealsRequest refill prescriptions from the prescriber when last fill usedreducing the risk for interruption of therapy24/7 access to a pharmacist by phone for any questions or concernsTimely processing of orders by expedited delivery to ensure productsafety & prevent lapse in therapy12

Provider Relation Liaisons Point-of-contact individuals staffed by Gentry Health with theprimary role of communication between specialty pharmacyand provider to get qualified patients on therapy efficiently Communicate available specialty pharmacy services anddetermine best approach to support the providerEducate on protocol to follow for successful referrals Lab data collection Previous treatment history Utilization of Gentry Health’sProvider Portal Gentry P.A.T.H. Develop and manage relationshipfor continued successAssist in accessing Gentry Health’s Provider Portal Provides order status and updates on pending referrals13

Gentry P.A.T.H.Proactive Advantage for Total Healthcare Medication reconciliation/progress reportsPrior authorization processing guidelinesMedication order acknowledgmentsNew product availability14

Convenience of Retail Pick Up Over 60% of our patients opt to pickup their specialty medication at oneof our 73 Discount Drug Martlocations across Ohio. Recent studies have shown: Over 17% of patients are more likelyto pick up their refill medication witha retail option Over an 11% increase in adherencewhen a retail option is available forspecialty medications Over 96% of patients polled valuethe ability to choose where theyreceive their medication15

Delivering Quality Patient CarePatient Focus Financial assistance supportCounseling, education, and clinicalsupportPatient satisfaction surveyConvenience of home delivery or retailpharmacy pick up at Discount DrugMart pharmacy locationsWebportal access to view accountConvenient communication methods –phone, email, website, online chat,SMS TextWelcome Kits Frequently asked questionsGrievance FormProper disposal of medicationsPatient Bill of RightsClinical Focus Adherence monitoring withmonthly or more frequent touchpointsPharmacist interventions foradverse events, inappropriate useShared services allowing Gentryto connect with Discount DrugMart retail pharmacies to stayabreast of acute medication fillsSync Your Meds Program –coordinate with Discount DrugMart maintenance medication fillsUtilization of evidenced basedguidelines to develop clinicalmanagement protocolsRegional same day delivery capabilities for emergency situations16

Clinical Programs Overview Approach to Clinically Assessing and Reassessingpatients at Gentry Health Services Motivational Interviewing PracticesMorisky Medication Adherence ScalingUtilization Management ReviewPatient Education and CounselingLab Data CaptureMedical History ReviewQuality of Life ScreenMedication and Administration GuidePersistency Data CollectClinical interventions when appropriateSchedule Follow-up Assessment Flexibility to construct customized clinical programsand reporting to meet your needs.17

Clinical Management Programs18

Continuous Medication Management Monthly Refill Assessment Questions Have there been any changes in your medical condition or medicationlist in the last month?Do you know the date of your next scheduled appointment with yourdoctor?Do you feel the medication is still helping you? (Effectiveness)Have you missed any doses in the past 4 weeks?Do you have any questions for me or our pharmacist or any concernswith the care we provide? (Determining if all needed care/services arebeing provided and accessible) Answers are used totrigger interventionopportunities for ourclinical team19

Operations Overview - Workflow20

Operations Overview - Workflow21

Operations Overview - WorkflowShipping with Confidence Expedited Services and delivery via UPSPackage transit updates available through UPS MY Choice(phone, e-mail, or text options)All packages fully insured by UPS Capital Insurance againstloss, damage, spoilage, late deliveryAll temperature sensitive products are shipped with packagemonitors to ensure product viabilityISTA 7E Certification on temperature sensitive packingtechniques assuring adequate refrigeration temperaturesare maintained for at least 36 hours of transit time.22

Operations Overview - FacilityCall CenterPatient Advocacy RoomPharmacy FulfillmentState of the art 10,000 square foot dedicated facility.23

Sterile and Non-Sterile Compounding Dedicated room for non-sterile compoundingSterile Compounding - USP 800 Compliant Sterile I.V. Preparation RoomBio-hazardous Preparation Room24