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Docusign Envelope ID: 921 F7A24-D5CE-4BCC-9F3C-5E7844661266 IOWA PBM REGULATORY ADDENDUM With respect to the following provisions required by the State of Iowa, "PBM" shall mean RIGHTWAY, and "Health Carrier" shall mean Client. Notwithstanding anything in the Agreement to the contrary, PBM and Health Carrier agree as follows: 1. Applicability. This Addendum is required by Iowa Code Ann. § 51013.5 in order to include the requirements thereof to the extent such requirements are applicable to the services provided by PBM under the Agreement, such requirements are applicable to the services provided by PBM under the Agreement, and such requirements are not already addressed in the Agreement. This Addendum applies to the extent Eligible Persons(s) reside in the State of Iowa and are "covered persons" as defined by Iowa Code Ann. § 51013.1, PBM is a "pharmacy benefits manager" as defined by Iowa Code Ann. § 51013.1, and Health Car- rier is a "health carrier" as defined by Iowa Code Ann. § 51013.1. 2. General. In the event of a direct conflict between this Addendum and the Agreement, the applica- ble provisions of this Addendum shall control if required. Absent such direct conflict, the terms and con- ditions of the Agreement shall remain in full force and effect. Capitalized terms not defined in this Adden- dum shall have the same meaning as set forth in the Agreement. This Addendum may be modified from time to time pursuant to the Agreement. 3. Eligible Persons. To the extent the Agreement requires PBM to perform a function on Health Carrier's behalf that involves PBM contacting an Eligible Person, Health Carrier expressly permits PBM to contact such Eligible Person. Iowa Code Ann. § 51013.5. 84 This document is CONFIDENTIAL AND PROPRIETARY to RIGHTWAY Healthcare, Inc. and may not be reproduced, transmitted, published, or disclosed to others without the prior written authorization of RIGHTWAY Healthcare, Inc.