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• • Pharmacies (retail), Mail Service Pharmacy and ESI Specialty Pharmacy. AWP used to calculate the l°resgription Drug Claim is the current, post -settlement A If the Pricing Source discontinues the reporting OfA 'or materially changes the manner It 1".*W*t;alculated, then'iil>!g +eserves the right to make an equitable adjustment as necessary to maintain the pat->Eelative economics and the pricing intent of this Agreetnest, 'B�randLQgW ➢c Algorithm" or "BGA" means ESI's standard and proprietary brand/generic algorithua utilized by ESI, a copy of which may be made available for review by Client upon request. The purposes of the algorithm are to utilize a comprehensive and logical algorithm to determine the brand or generic status o'f products in the ESI master drug file using a combination of industry standard attributes, to 4abilize products + "flipping" between brand and generic status as may be the case when a single indicator*Axed from industry pricing sources, and to reduce Client, Member and provider confusion due to fluctuadons In brand/generic. status. "Brand Drug" means apresariptlon drug identified as such in Iks WOsiry'°drug file using indicators frm s master 4rug #I indicators from Medispatt on their provide tri. The multisource eine field in IWO&SW esanteipl an "M" (co -branded product), "U" (originOW brand), or an "N" (single soufto brandk on the basis of a standard Brand/Generic Algorithm utilized by ESI across an clients. Notwithsomiling,41m foregoing, cWain prescription drug medications that are licensed and than i currently marketed as brand name drugs, where there exists at feast one (1) competing prescription medication that is a generic equivalent acid "interchangeable with the marketed brand name drug, may procesit as `Yieneric Drugs" for Prescription Drug #.adjudication and Member Copayme ntp uses. "legs Days" or "business dam" means•a1t days except atttrdays, Sundays, and federal holidays. All references to "day(sj" are to calendar days unless "business "`s specified. "Contract Year" meana the full twelve (I3) toonth period commencing on the Effective,Date and each full consecuti*tWel" (I2) month period thetwIler that thiittlAgmement remains in effect. y�&gAI" nteatts that portion of the charge for east CO-Vere"rug dispensedtD the Member that is**, t i41*ef the Member (e.g., copayment, coins utiltil4d*r deductiblls)os=:indicated on -6, 014W Forms. "Cost Share" means the amount which&Member is required to pay for a prescription or authorized refill in accordance with the Plan Design, whidb. may be a deductible, a percentage of the prescription price, a fixed amount and/or other charge or penalty. " overed Drug(s)" means those pies �A 4,6 S ►1 aducts (if selected on the Set -Up Pbrms) and other items that are coverer 'WAWIW - l ?�Vftm, each as indicated on the Set - Up Forms. i "Dispgnsin_ g Fee" means the amount payable b Client as a dispensing fee per p4fpllRs refill to a Member assot dim Exhibit tgreement. i "Tligibility Files" means the list submitted byCOW-to Administrates in fit indicating persosob4pbWbr drug ,0,00,4 vices t»tder then .JIM ""means thelw#*ee Retirement livat► t pmt of 1974, as amood* ftgoloftft proinuIVIIW thereund i i `EI fio{gt P(,�1e}s,;Ngtworktnom oro *OOVAWp4Mg Pharm a''t The ESI National Plus Network was historically referred to O tin ye4#p ice` Participating Pharmacies, and is subject to future name change. itlEltTVORDOWSO i' 'ittl' X THE INFORMAT16N CONTAINK6.HEREIN IS CONFIDENTIA4�ROPRW#XT, AWCONSTITUTES TRADE SECRETS QF ESI AND RXBENEFITg : .