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3.3 Influenza and Other Vaccinations. Vaccinations shall adjudicate at the lower of: (a) * The Vaccine Program Fee will be billed separately to Client as part of the administrative invoice according to the billing frequency set forth in the Agreement. This Vaccine Program Fee will apply to any vaccine claims, whether at contracted rates or U&C, and is in addition to any per Prescription Drug Claim administrative fee set forth in the Agreement. OR (b) the combined ingredient cost, dispensing fee (if any) and professional service fee (if any) that the Participating Pharmacy generally charges an individual paying cash, without coverage for prescription drug benefits, plus the Vaccine Program Fee set forth above. Coverage is subject to Plan provisions. No vaccine claims will be included in any guarantees set forth in the Agreement and/or amendments thereto. D. REBATES 1. Rebate Amounts. Subject to: (i) the conditions set forth in Sections 2 through 4 below and elsewhere in this Agreement; and (ii) Client meeting the Plan design conditions identified in the table below, ESI will pay to Client the following guaranteed amounts: Formulary: Participating Pharmacy Participating Pharmacy National Plus INFLUENZA OTHER VACCINES Ingredient Cost Participating Pharmacy Participating Pharmacy Maintenance Ingredient Cost as set forth in the Ingredient Cost as set forth in Agreement the Agreement Dispensing Fee Participating Pharmacy Participating Pharmacy $157.00 per brand Dispensing Fee as set forth in the Dispensing Fee as set forth in $1,150.00 per brand Agreement the Agreement Professional Service Fee Pass -Through Pass -Through (PSF); cost for pharmacist (capped at $15 per vaccine claim) (capped at $20 per vaccine to administer the vaccine claim) Vaccine Program Fee * $2.50 per vaccine claim $2.50 per vaccine claim * The Vaccine Program Fee will be billed separately to Client as part of the administrative invoice according to the billing frequency set forth in the Agreement. This Vaccine Program Fee will apply to any vaccine claims, whether at contracted rates or U&C, and is in addition to any per Prescription Drug Claim administrative fee set forth in the Agreement. OR (b) the combined ingredient cost, dispensing fee (if any) and professional service fee (if any) that the Participating Pharmacy generally charges an individual paying cash, without coverage for prescription drug benefits, plus the Vaccine Program Fee set forth above. Coverage is subject to Plan provisions. No vaccine claims will be included in any guarantees set forth in the Agreement and/or amendments thereto. D. REBATES 1. Rebate Amounts. Subject to: (i) the conditions set forth in Sections 2 through 4 below and elsewhere in this Agreement; and (ii) Client meeting the Plan design conditions identified in the table below, ESI will pay to Client the following guaranteed amounts: Formulary: ESI National Preferred National Plus Retail Home Delivery Specialty Network Maintenance Network (1) Rebates per $157.00 per brand $375.00 per brand $460.00 per brand $1,150.00 per brand Brand Rx claim claim claim I claim (1) Certain Participating Pharmacies have agreed to participate in the extended (84 — 90) day supply network ("Maintenance Network") for maintenance drugs. Rebate Amounts in the 84 — 90 Days' Supply column in the table set forth above are applicable only if Client implements a plan design that requires Members to fill such days' supply at a Maintenance Network Participating Pharmacy (i.e., Client must implement a plan design whereby Members who fill extended days' supply prescriptions at a Participating Pharmacy other than a Maintenance Network Participating Pharmacy do not receive benefit coverage under the Plan for such prescription). If no such plan design is implemented, Rebate Amounts for such days' supply will be the same as for Prescription Drug Claims for less than an 84 days' supply, and Rebate Amounts for an 84 — 90 days' supply in the table set forth above shall not apply, even if a Maintenance Network Participating Pharmacy is used. NOT FOR DISTRIBUTION. THE INFORMATION CONTAINED HEREIN IS CONFIDENTIAL, PROPRIETARY AND CONSTITUTES TRADE SECRETS OF ESI AND RXBENEFITS 11