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PBM Services – No Additional <br />Customer service for Members <br />Electronic claims processing <br />Comprehensive Consumer Driven Health (CDH) Solution <br />Technical <br />$0.48 PMPM <br />Bi-directional data exchange; dedicated operations; 24-hour <br />FSA eligibility feeds <br />a day, seven -days a week monitoring and quality control; <br />*these charges would be in addition to any <br />performance reporting; and analytics <br />pricing adjustments if greater than ten <br />Decision Support <br />percent of Client's total utilization for all <br />Dedicated CDH member services, Prescription Benefit <br />Plans is attributable to a CDHC. <br />Review Statements, Retail Pricing Transparency <br />Benefit education <br />ReWOMitiWng Services <br />Member Adherence <br />Web -based client reporting – <br />ScreenRx <br />Ad-hoc desktop parametric reports <br />Preventive Medications <br />Claims detail extract file electronic CPDP format <br />Member Education <br />Load 12 months claims history for clinical reports and <br />r ortin <br />Website Services <br />Proactive, personalized member communications open <br />Express-Scripts.com for Members — access to benefit, <br />drug, health and wellness information; prescription <br />ordering capability; and customer service <br />enrollment tools and member communications library, <br />robust online features, and preventive care proactive, <br />ersonalized member communications <br />Medicare 1 1 <br />Part D subsidy enhanced service (ESI sends reports to CMS <br />$1.12 PMPM for Medicare -qualified <br />on behalf of Client) <br />Members with a minimum annual fee of <br />(i) Notice of Creditable Coverage <br />$7,500 <br />$1.35/letter+ postage <br />Part D Subsidy standard service (ESI sends reports to Client) <br />$0.62 PMPM for Medicare -qualified <br />Members with a minimum annual fee of <br />A. Notice of Creditable Coverage <br />$5,000 <br />$1.35/letter+ postage <br />PBM Services – No Additional <br />Customer service for Members <br />Electronic claims processing <br />Electronic/on-line eligibility submission <br />Plan setup <br />Standard coordination of benefits (COB) <br />reject for primary carrier <br />Software training for access to our on-line <br />system(s) <br />FSA eligibility feeds <br />A. Network Pharmacy Services <br />Pharmacy help desk <br />Pharmacy reimbursement <br />Pharmacy network management <br />Network development (upon request) <br />B. Home Delivery Services <br />Benefit education <br />ReWOMitiWng Services <br />Prescription delivery – standard <br />Web -based client reporting – <br />Annual Strategic Account Plan report <br />Ad-hoc desktop parametric reports <br />Billing reports <br />Claims detail extract file electronic CPDP format <br />Inquiry access to claims processing system <br />Load 12 months claims history for clinical reports and <br />r ortin <br />Website Services <br />Express-Scripts.com for Members — access to benefit, <br />drug, health and wellness information; prescription <br />ordering capability; and customer service <br />NOT FOR DISTRIBUTION. THE INFORMATION CONTAINED HEREIN IS CONFIDENTIAL, PROPRIETARY AND <br />CONSTITUTES TRADE SECRETS OF ESI AND RXBENEFITS <br />