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[1 -(total discounted AWP ingredient cost (excluding dispensing fees and claims with ancillary <br />charges, and prior to application of Copayments) of applicable Prescription Drug Claims for the <br />annual period divided by total undiscounted AWP ingredient cost (both amounts will be calculated <br />as of the date of adjudication) for the annual period)). <br />Notwithstanding anything herein to the contrary: (i) a Prescription Drug Claim that processes at the <br />Brand rates (Participating Pharmacy Reimbursement Rates) and (Mail Pharmacy Reimbursement <br />Rates), as indicated on the ingredient cost field of the Prescription Drug Claim's data record, shall <br />be reconciled as part ofthe Brand guarantee below; and (ii) a Prescription Drug Claim that processes <br />at the Generic rates (Participating Pharmacy Reimbursement Rates) and (Mail Pharmacy <br />Reimbursement Rates) above, as indicated on the ingredient cost field of the Prescription Drug <br />Claim's data record, shall be reconciled as part of the Generic guarantee below. The only <br />Prescription Drug Claims that shall be excluded from the reconciliation of the pricing. guarantees <br />are as identified in the "CIaims Excluded" column of the table below. All other Prescription Drug <br />Claims shall be included in the reconciliation of the guarantees. <br />Type of <br />Guarantee <br />Participating <br />Pharmacy <br />Smart90 <br />Walgreens <br />Network" <br />extended (84-90) <br />days' upply <br />Mail <br />Service <br />Pharmacy <br />Claims Excluded <br />OTC, compounds, Member Submitted Claims, <br />Subrogation Claims, vaccines, Specialty Products, <br />biosimilar products, long term care pharmacy <br />'��o <br />AWP% <br />claims and products filled through in-house or <br />Brand <br />17,8010 <br />AWP --24.80% <br />24.80 /o <br />340b pharmacies (if applicable), Devices; <br />Direct/Member Submitted Claims, Non - <br />Traditional Providers (MilitaryNeterans/Home <br />Infusion/LTC/TribaUlndian/Urban), U&C Claims, <br />Reversed/Rejected Claims <br />OTC, compounds, Member Submitted Claims, <br />Subrogation Claims, vaccines, Specialty Products, <br />biosimilar products, long term care pharmacy <br />claims and products filled through in-house or <br />Generic <br />881 80% <br />AWP — 84.80% <br />84 80% <br />340b pharmacies (if applicable), Devices; <br />Direct/Member Submitted Claims, Non - <br />Traditional Providers (MilitaryNeterans/Home <br />Infusion/LTC/Tribal/Indian/Urban), U&C Claims, <br />Reversed/Re'ected Claims <br />NOT FOR DISTRIBUTION. THE INFORMATION CONTAINED HEREIN IS CONFIDENTIAL, PROPRIETARY <br />AND CONSTITUTES TRADE SECRETS OF ESI AND RXBENEFITS <br />23 <br />