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Docusign Envelope ID: 921 F7A24-D5CE-4BCC-9F3C-5E7844661266 <br />SCHEDULE A <br />HIGH COST DRUG LISTING <br />The below high cost drug listing is subject to change by RIGHTWAY in the event of new -to -market drugs <br />and/or product line extensions of existing Rare High Cost Drugs. These discounts will be individually <br />reconciled for each GPI on an annual basis subject to the same timing as the annual PMPM reconciliation. <br />The results of this reconciliation are independent of any other financial guarantees and will not offset. If <br />the aggregate annual AWP discount for any of these medications falls short of the guarantee below, <br />RIGHTWAY will pay Client dollar -for -dollar the shortfall which will be calculated as a positive value <br />using the following formula: AWP * (Guarantee Discount — Actual Discount). Overperfolmance on any <br />one GPI shall not offset underperformance on another. <br />51 <br />This document is CONFIDENTIAL AND PROPRIETARY to RIGHTWAY Healthcare, Inc. and may not be reproduced, <br />transmitted, published, or disclosed to others without the prior written authorization of RIGHTWAY Healthcare, Inc. <br />Arikayce SUSP 590 MG/8.4ML <br />13.00% <br />07000010121830 <br />07000055100110 <br />Humatin CAPS 250 MG <br />20.00% 20.00% <br />12101555202030 <br />Sunlenca SOLN 463.5 MG/1.5ML <br />13.00% <br />12200050000320 <br />Livtencity TABS 200 MG <br />16.00% <br />12353080000310 <br />Sovaldi TABS 200 MG <br />19.00% <br />12353080000320 <br />Sovaldi TABS 400 MG <br />19.00% <br />12353080003015 <br />Sovaldi PACK 150 MG <br />19.00% <br />12353080003020 <br />Sovaldi PACK 200 MG <br />19.00% <br />12359902350320 <br />Mavyret TABS 100-40 MG <br />20.00% <br />12359902400310 <br />Harvoni TABS 45-200 MG <br />21.75% <br />12359902400320 <br />Ledipasvir-Sofosbuvir TABS 90-400 MG <br />28.00% <br />12359902403006 <br />Harvoni PACK 33.75-150 MG <br />21.75% <br />12359902403010 <br />Harvoni PACK 45-200 MG <br />21.75% <br />12359902650320 <br />Epclusa TABS 200-50 MG <br />21.60% <br />12359902653020 <br />Epclusa PACK 150-37.5 MG <br />18.50% <br />12359902653030 <br />Epclusa PACK 200-50 MG <br />18.50% <br />12359903800330 <br />Vosevi TABS 400-100-100 MG <br />20.00% <br />13000040000310 <br />Daraprim TABS 25 MG <br />16.00% 87.00% <br />16140010402120 <br />Cayston SOLR 75 MG <br />19.00% <br />19100020102076 <br />Octagam SOLN 20 GM/200ML <br />40.00% <br />19100020302076 <br />Gammagard SOLN 20 GM/200ML <br />34.50% <br />19100020302084 <br />Gamunex-C SOLN 40 GM/400ML <br />34.50% <br />21101040102112 <br />Hepzato w/62mm Catheter SOLR 50 MG <br />13.00% <br />21170034202020 <br />Margenza SOLN 250 MG/10ML <br />14.00% <br />21170070002110 <br />Herceptin SOLR 150 MG <br />16.00% <br />21170080000340 <br />Tukysa TABS 150 MG <br />13.00% <br />51 <br />This document is CONFIDENTIAL AND PROPRIETARY to RIGHTWAY Healthcare, Inc. and may not be reproduced, <br />transmitted, published, or disclosed to others without the prior written authorization of RIGHTWAY Healthcare, Inc. <br />