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proprietary brand/generic algorithm. <br />Any claim that is considered a single source generic will be included in the generic reconciliation. <br />3.2 Specialty Products <br />(a) Exclusive Care. ESI Specialty Pharmacy is the exclusive provider of Specialty Products for the <br />reimbursement rates shown on the Exclusive ESI Specialty Pharmacy Specialty Product List. Any <br />Specialty Product dispensed at a Participating Pharmacy (for example, limited distribution products <br />not then available through ESI Specialty Pharmacy or overrides) will be reimbursed at the standard <br />Participating Pharmacy Specialty Product rates shown below. Upon ESI Specialty Pharmacy <br />acquisition of limited distribution products, Members will obtain prescriptions through ESI Specialty <br />Pharmacy. <br />* Dispensing Fees are inclusive of shipping and handling. If carrier rates (i.e., U.S. mail and/or <br />applicable commercial courier services) increase during the Term of this Agreement, the <br />Dispensing Fee guarantees will be increased to reflect such increase(s). <br />(b) ASES. For Specialty Products needing an additional charge to cover costs of all ASES required to <br />administer the Specialty Products, Administrator, ESI or ESI Specialty Pharmacy will bill at the <br />following standard per diem and nursing fee rates set forth below, maintained and updated by ESI <br />from time to time. Client shall be responsible for the costs of all ASES. <br />Therapeutic Class <br />Brand Name <br />Nursing & Per Diem <br />Immune Deficiency <br />All Immune Deficiency Drugs requiring <br />$60.00 / Infusion <br />Per Diem <br />Enzyme Deficiency <br />All Enzyme Deficiency Drugs required <br />$60.00 / Infusion <br />Per Diem <br />Miscellaneous Specialty <br />Duopa <br />$65.00 / Day <br />Conditions <br />Miscellaneous Specialty <br />Soliris <br />$60.00 Infusion <br />Conditions <br />PAH <br />Flolan, Veletri, Epoprostenol Sodium <br />$65.00 / Day <br />(generic-Flolan/Veletri), and Remodulin <br />PAH <br />Ventavis <br />$65.00 / Day <br />PAH <br />Tyvaso <br />$30.00 / Day <br />Inflammatory Conditions <br />Remicade <br />$60.00 / Infusion <br />Alpha 1 Deficiency <br />All Alpha 1 Deficiency Drugs requiring <br />$55.00/Infusion <br />Per Diem <br />Nursing Rates <br />All drugs / therapies requiring nursing <br />$150.00 per initial visit up to two <br />(2) hours/$75.00 per additional <br />hour or a fraction thereof <br />(c) Specialty Products will be excluded from the non -specialty price guarantees set forth in the <br />Agreement. In no event will the Mail Service Pharmacy or Participating Pharmacy pricing terms <br />NOT FOR DISTRIBUTION. THE INFORMATION CONTAINED HEREIN IS CONFIDENTIAL, PROPRIETARY AND <br />CONSTITUTES TRADE SECRETS OF ESI AND RXBENEFITS <br />10 <br />