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					                                                              MEDICARE Part D (PDP) (MA-PD) PROGRAMS
                                                 Assembled by PAAS National® • 888-870-7227 • www.paasnational.com
         PROGRAM                                    CONTACT                REIMBURSEMENT                         DETAILS                      DEADLINE              FORM
4D Pharmacy Management                                                 Lower of U&C or…            4D is building a Michigan Pharmacy
Systems                                                                1-83 Days Supply:           Network
Part D Amendment                                                       Brand: AWP-16%+$2.25        4D will be supporting Midwest Health
(Addendum and Attachment)                        Tondra Pinson         Generic: AWP-58% + $2.25    Plan in building their Medicare Part D
                                                                                                                                                                Addendum and
                                               248-540-8066 x 125                                  and MAPD program                          May 20, 2005
                                                                                                                                                                 Attachment
                                                Fax 248-540-9811       84 Days or Greater:         Pharmacy may choose 34 day or 34
                                                                       Brand: AWP-22%+$0.00        and 90 day supply options
                                                                       Generic: AWP-58% + $0.00

Aetna                                            Donald Amorosi        No Medicare Reimbursement   • Passive Amendment, must opt out
Medicare Amendment and                          Fax 860-273-6470       Schedule Noted              to decline                               Effective May 13,
                                                                                                    MA-PD and PDP Plans                                          Amendment
Medicare Contracting                              860-273-8216                                                                                     2005
Requirements                               AetnaRxMedicare@aetna.com
Argus                                                                  Lower of U&C or…            Sign and return by Fax or Mail
Medicare Part D Addendum                                               1-83 Days Supply:           Participation in the 84 Days or
Appendix 1-Medicare Part D                                             Brand: AWP-15%+$2.00        Greater program is optional
Regulatory Provisions (Retail                  Argus Call Center       Generic: MAC or AWP-20% +                                                                  Addendum ,
                                                 800-522-7487          $2.25                                                                Sign & Return by     Appendix and
Pharmacies)                                Pharmacy Contracting Dept                                                                          June 1, 2005         Pharmacy
Pharmacy Certification                        FAX 816-435-7440         84 Days or Greater:                                                                        Certification
                                                                       Brand: AWP-21%+$0.50
                                                                       Generic: AWP-50% + $0.50

Caremark                                                               Retail Pharmacy Network     Pharmacies will be enrolled unless
P.A. Addendum: Terms of                                                Brand: AWP-16% + $1.50      they opt out (Passive Acceptance)
Participation in Medicare Part              Caremark Retail Services   Generic: AWP-16% +$2.00     Silver Script (Caremark affiliate) is
                                                                                                   entity for Part D services                 Decline by        Two Addendums
D w/Attachment A-LTC                             866-488-4708
                                               Fax 480-314-8205        LTC                         LTC pharmacy requirements listed         April 15, 2005      & Attachment
Pharmacy                                                               No Rates Published          No separate LTC pharmacy
P.A. Addendum: Part D Retail                                                                       compensation listed
Pharmacy Network 3/25/05
Caremark                                                               Retail Pharmacy Network     Must sign and return
Part D Retail Pharmacy                                                 Brand: AWP-13% + $2.50      No separate LTC pharmacy
                                            Caremark Retail Services
Network Enrollment Form                                                Generic: AWP-13% +$2.50     compensation listed                                              Network
                                                 866-488-4708
3/28/05                                                                                                                                                         Enrollment Form
                                               Fax 480-314-8205
                                                                       LTC
                                                                       No Rates Published




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                                                              MEDICARE Part D (PDP) (MA-PD) PROGRAMS
                                                                        Assembled by PAAS National®

         PROGRAM                                    CONTACT               REIMBURSEMENT                          DETAILS                     DEADLINE             FORM
Cigna Health Care                                                     Less Than 90 days             Pharmacies will be enrolled unless
Medicare Part D Amendment                                             Your current network rate     they opt out in writing (Passive
                                                                                                                                           Decline within 30
and LTC Addendum                                Patty McLaurin                                      Acceptance)                                                Amendment and
                                                                                                                                            days of date of
                                             800-849-9300 ext 7538    90 days                       No separate LTC pharmacy                                  LTC Addendum
                                                                                                                                             cover letter
                                                                      Lower of U&C or…              compensation listed
                                                                      AWP-20% or MAC, + $1.50
Community Care Rx                                                     Lower of U&C or…              Sign and return by Fax or Mail
(Member Health)                                                       Regional Rate A (106A)     Sole source generics paid at the
Medicare Part D Addendum                                              1-83 Days Supply:             brand name rate
Schedules A & B                                                       Preferred Brand:              Additional compensation for generic
                                                                       AWP-13.5%+$4.00              substitution rate paid quarterly:
                                                                      Non-Preferred Brand:          52-54% = $0.80
                                                                      AWP-14.5%+$2.00               55-56% =$1.20
                                                                      Generic:                      57-58% =$1.60
                                                                      AWP-20%+$4.00 or              >59% =$1.80
                                                                      CCRx MAC + $4.00              Schedule 106A or 106B are
                                                                      84 Days or Greater:           dependant upon PDP Region
                                                                      Preferred Brand:
                                                                      AWP-15.5%+$5.00
                                                                      Non-Preferred Brand:
                                                                      AWP-16.5%+$3.00
                                                                      Generic:
                                                                                                                                            Sign & Return
                                             Member Health Provider   AWP-20%+$7.00 or
                                                                                                                                           pages 1,5, and 6    Addendum and
                                                 Enrollment           CCRx MAC + $7.00
                                                                                                                                             As soon as        Two Schedules
                                                866-316-6049          Regional Rate B (106B)
                                                                                                                                               possible
                                                                      1-83 Days Supply:
                                                                      Preferred Brand:
                                                                       AWP-14%+$4.00
                                                                      Non-Preferred Brand:
                                                                      AWP-15%+$2.00
                                                                      Generic:
                                                                      AWP-20%+$4.00 or
                                                                      CCRx MAC + $4.00
                                                                      84 Days or Greater:
                                                                      Preferred Brand:
                                                                      AWP-16%+$5.00
                                                                      Non-Preferred Brand:
                                                                      AWP-16.5%+$3.00
                                                                      Generic:
                                                                      AWP-20%+$7.00 or
                                                                      CCRx MAC + $7.00




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                                                              MEDICARE Part D (PDP) (MA-PD) PROGRAMS
                                                                         Assembled by PAAS National®

           PROGRAM                                  CONTACT                REIMBURSEMENT                            DETAILS                       DEADLINE           FORM
Coventry Health Care                                                   Brand:                         • Coventry Purchased First Health
(Former First Health)                                                  AWP-16% + $1.75 or U&C         January 2005. In March an entirely                           New Provider
                                                   Shaun Henry         Generic:                       new Provider Agreement (includes          Sign & Return by
Exhibit 5 (Medicare Part D) to                     916-374-3638                                                                                  April 29, 2005
                                                                                                                                                                    Agreement
National Retail Pharmacy                                               MAC or AWP-16% + $2.00 or      Medicare PDP & MA-PD) was sent to                              w/Exhibit
                                                                       U&C                            replace First Health Agreement
Provider Agreement
Express Scripts                                                        Lower of U&C or…               If a pharmacy participates in multiple
Addendum to the Express                                                Brand: AWP-16%+$2.00           ESI networks, then the individual
Scripts Provider Agreement:                                            Generic: PDP 30 MAC + $2.00    client’s network might apply
                                            Express Scripts Pharmacy
Medicare Part D                                                        Extended Days Supply (>35-     LTC pharmacies should ask for            Sign & Return by
                                                Care/Recruitment                                                                                                    Addendum
                                                                       <90-Days Supply):              separate contract                           April 19,2005
                                                 866-296-9943
                                                                       Brand: AWP-22%+ $0.00          Extended Days Supply network is
                                                                       Generic: Medicare Part D EDS   optional
                                                                       MAC + $0.00
Health Trans                                                           Lower of U&C or…               Agreement includes Funded, CASH,
Pharmacy Services Agreement                                            Up to 83 days supply           Worker’s compensation and/or
Including Medicare                                                     Brand: AWP-15% +$2.00          Medicare Part D Networks
                                                Provider Services      Generic: MAC or AWP-30%                                                                      Pharmacy
Prescription Drug Plan Part D                                                                                                                    Sign & Fax at
                                                 Representative        +$2.25                                                                                        Services
                                                                                                                                                 your earliest
                                                  877-459-8477         84 to 90 days supply                                                                        Agreement,
                                                                                                                                                 convenience
                                                Fax 888-258-1412       Brand: AWP-22% +$0.00                                                                       two exhibits
                                                                       Generic: MAC or AWP-55%
                                                                       +$0.00

Humana Inc.                                                            No Medicare Reimbursement      Exhibit E describes pharmacy
Pharmacy Provider Agreement                                            Schedule Noted                 requirements for Humana’s Medicare
and                                                                                                   Prescription Drug Plan                                        Pharmacy
                                                Amy Schulten
Exhibit E: Medicare                                                                                   Exhibit F lists Performance and                               Provider
                                           Pharmacy Networks Project
                                                                                                      Service Criteria for Network Long          Sign and Mail
Prescription Drug Plan                           Coordinator                                                                                                       Agreement,
                                                                                                      Term Care Pharmacies (NLTCPs)
Provisions                                      502-580-4156                                                                                                       two exhibits
Exhibit F: Performance Criteria
for NLTCPs




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                                                              MEDICARE Part D (PDP) (MA-PD) PROGRAMS
                                                                           Assembled by PAAS National®

         PROGRAM                                    CONTACT                  REIMBURSEMENT                             DETAILS                    DEADLINE          FORM
Medco Health Solutions, Inc                                              Lower of U&C or…                 Medco intends to participate in MMA
Schedule AD-2006:                                                        < 34-Days Supply                 Part D-PDP and Part C-MA-PD plans
Medicare Part D Network                                                  Brand: AWP-15% + $2.00           Specialty medications include
                                                                         Generic: MAC or AWP-15%          injectables to treat DVT/ Anticoag-
                                                                         +$2.00                           ulation, Immune Deficiency,
                                           Medco Health Solutions, Inc   >34 <90-Days Supply              Impotency, MS, Arthritis, Hepatitis
                                                                                                                                                 Fax & Return by    Network
                                                800-922-1557             Brand: AWP-18% + $4.00           and others.
                                                                                                                                                  April 29, 2005   Agreement
                                              Fax: 866-584-3583          Generic: MAC or AWP-18%
                                                                         +$4.00
                                                                         Specialty Medications < 34 Day
                                                                         Brand: AWP-17% + $2.00
                                                                         Generic: MAC or AWP-17%
                                                                         +$2.00
Medco Health Solutions, Inc                                              Lower of U&C or…                 Medco’s network for WPS Part D
Wisconsin Physicians Service                                             <34-Days Supply                  PDP plan
Insurance Corporation (WPS)                Medco Health Solutions, Inc   No change from current terms     Becomes part of the Participating
                                                                                                                                                 Fax & Return by    Network
Schedule A-456                                  800-922-1557             >34 <90-Days Supply              Pharmacy Agreement
                                                                                                                                                  April 29, 2005   Amendment
                                              Fax: 866-584-3583          Brand: AWP-18% + $4.00
                                                                         Generic: MAC or AWP-18%
                                                                         +$4.00
Medco Health Solutions, Inc                                              Lower of U&C or…                 Medco’s network for BCBSNC and
BCBSNC and PARTNERS                                                      <34-Days Supply                  PARTNERS Part D PDP plan
Schedule A-464                             Medco Health Solutions, Inc   No change from current terms     Becomes part of the Participating
                                                                                                                                                 Fax & Return by    Network
                                                800-922-1557             >34 <90-Days Supply              Pharmacy Agreement
                                                                                                                                                  May 20, 2005     Amendment
                                              Fax: 866-584-3583          Brand: AWP-18% + $4.00
                                                                         Generic: MAC or AWP-18%
                                                                         +$4.00
Medco Health Solutions, Inc                                              Lower of U&C or…                 Medco’s network for Preferred
Preferred Care, Inc.                                                     <34-Days Supply                  Care, Inc. Part D MA-PD Plan
Schedule A-466                             Medco Health Solutions, Inc   No change from current terms     Becomes part of the Participating     Fax & Return by    Network
                                                800-922-1557             >34 <90-Days Supply              Pharmacy Agreement                      June 10, 2005    Amendment
                                              Fax: 866-584-3583          Brand: AWP-22% + $0.30
                                                                         Generic: MAC or AWP-22% +
                                                                         $0.30




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                                                              MEDICARE Part D (PDP) (MA-PD) PROGRAMS
                                                                          Assembled by PAAS National®

          PROGRAM                                   CONTACT                 REIMBURSEMENT                              DETAILS                       DEADLINE            FORM
MedImpact                                                               MedPref2 Network                 • Includes a Most Favored Nations
Medicare Part D Addendum &                                              Brand: AWP-15% + $2.00 or        Provision
Appendix                                                                U&C                              • A New MedCare Pharmacy Network
                                                                                                                                                                       Addendum,
National Network Choice 90                                              Generic: AWP-27% or MMC3         Agreement was included with the
                                           MedImpact Pharmacy Help                                                                                                      Appendix
                                                                        +$2.00 or U&C                    Medicare materials                        Sign & Return by
                                                    Desk                                                                                                                  And
                                                                        Choice 90 > 83-Days Supply       MA-PD and PDP Plans                       May 15, 2005
                                                800-788-2949                                                                                                           Choice 90
                                                                        Brand: AWP-21% + $.00            Part D Addendum allows pharmacy
                                                                                                                                                                       Enrollment
                                                                        Generic: AWP-50% = $.00          to participate in 30 days supply Part D
                                                                                                         Choice 90 participation is Optional
                                                                                                         and allows 83 to 90 days supply
National Pharmaceutical                                                 Provider Paid according to the   • MA-PD and PDP Plans
Services/ Pharmaceutical                                                terms of the Agreement
                                           PTI-NPS Provider Relations                                                                              Sign & Return by
Technologies, Inc.                                                                                                                                                      Addendum
                                                 800-546-5677                                                                                        April 22,2005
Universal Medicare Part D
Addendum
Navitus Health Solutions,                                               Lower of U&C or…                 PDP for Region 16 Wisconsin                                  Addendum ,
LLC                                          Navitus Health Solutions   Brand: AWP-15% + $2.00           LTC Pharmacies must sign and                                Exhibit A LTC,
Addendum, Reimbursement,                       5 Innovation Court       Generic: AWP-25% + $2.50 or      return Exhibit A                                             Exhibit B Home
                                                                                                                                                    Sign & Fax by
LTC, and Home Infusion                         Appleton, WI 54912       MAC + $2.50                      Home Infusion Pharmacies must                                  Infusion,
                                                                                                                                                    June 10, 2005
                                                  920-225-7013                                           sign and return Exhibit B (refer to                             Exhibit C
Pharmacy Exhibits                              Fax 920-735-5303                                          Participatign Pharmacy Agreement                               Pharmacy
                                                                                                         for pricing information)                                     Reimbursement
NMHC Rx                                                                 No Medicare Reimbursement        Includes “Annex A” Performance and
Addendum and Annex A for                                                Schedule Noted                   Service Criteria for Network Long
LTC Pharmacies                                 NMHC Rx Provider                                          Term Care (LTC) Pharmacies
                                              Relations Department                                       Includes Tribal Indian Health            Sign & Return by   Addendum and
                                                 877-877-3075                                            Addendum                                   April 15, 2005       Annex
                                               Fax 518-213-1761                                          • MA-PD and PDP Plans for American
                                                                                                         Progressive Life and Health and
                                                                                                         Pyramid Life Insurance Company
Pharmacare                                                              Lower of U&C or…                 MA-PD and PDP Plans
LTC Medicare Part D                            Ms. Michelle Moore       Brand: AWP-15% + $2.00           Pharmacy must indicate which LTC
                                                                                                                                                   Sign & Return by
Addendum                                      Network Administrator     Generic: AWP-40% + $2.00 or      facilities it services                                         Addendum
                                                                                                                                                     June 1,2005
                                              401-334-0069 x 7210       MAC + $2.00
                                                                        29¢ Claims Processing Fee




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                                                              MEDICARE Part D (PDP) (MA-PD) PROGRAMS
                                                                        Assembled by PAAS National®

         PROGRAM                                    CONTACT               REIMBURSEMENT                           DETAILS                       DEADLINE             FORM
Prime Therapeutics                                                    PrimeStandard and              If not signed and returned you will
New Pharmacy Participation                                            PrimeExtended                 be enrolled (Passive acceptance)
                                              Prime Contact Center                                                                               Decline or
Agreement, Medicare Exhibits,                                         Lower of U&C or…              You must participate in both the                            Amendment &
                                                  888-832-0060                                                                                Sign & Return by
Prime Plus Exhibit                                                    Brand: AWP-16% + $1.40        PrimeStandard and PrimeExtended                              Three Exhibits
                                                                                                                                               June 17, 2005
                                                                      Generic: AWP-25% + $1.65 or   Networks to participate in Medicare
                                                                      Prime Medicare MAC + $1.65    Programs
Regence Rx                                                            Brand: AWP-14% + $2.00 or     • Notice to terminate existing Provider
                                                   Susan Hines
New Provider Agreement and                                            U&C                           Agreement 6/30/2005
                                                Pharmacy Network                                                                              Sign & Return by   Addendum &
addendums for                                                         Generic: MAC or AWP-14% +     • Must sign new agreement to
                                                   Coordinator                                                                                 June 21, 2005     Contract
Medicare Part D                                                       $3.75                         continue as a Provider
                                                  503-375-4454
                                                                      25¢ Claims Processing Fee     •Service Area OR, WA, ID, UT
RxAmerica                                                             Lower of U&C or…              LTC pharmacies should request LTC
                                              RxAmerica Customer
Medicare Amendment to                                                 30-Day Supply                 contract by fax to 801-961-6336
                                                 Service Desk
Pharmacy Network Agreement                                            Brand: AWP-15% +$2.00
                                                 800-770-8014
                                                                      Generic: MAC or AWP-25%                                                  Sign & Fax by
                                                  Linda Hayes                                                                                                      Amendment
                                                                      +$2.00                                                                    May 1, 2005
                                              RxAmerica Provider
                                                                      31 to 90-Day Supply
                                                    Relations
                                                                      Brand: AWP-21% + $0.00
                                                 801-961-6075
                                                                      Generic: AWP-55% + $0.00
RxSolutions/ Prescription                                             Brand: AWP-16% + $2.00 or     • Rates Apply for < 34-Days Supply
Solutions                                   Pharmacy Contract Dept.   U&C                           • Zero Balance Copay                      Sign & Return by
                                                                      Generic: MAC or AWP-16% +     • MA-PD and PDP Plans                                          Amendment
Medicare Prescription Drug                      800-613-3591                                                                                    June 1, 2004
Benefit Amendment                                                     $2.00 or U&C




C:\Docstoc\Working\pdf\91a82e52-ae33-4973-837c-445898ffd931.doc                            Page 6 of 7                      PAAS             6/7/2012
                                                              MEDICARE Part D (PDP) (MA-PD) PROGRAMS
                                                                        Assembled by PAAS National®

          PROGRAM                                   CONTACT               REIMBURSEMENT                         DETAILS                   DEADLINE              FORM
WHI                                                                   Rate Sheet A-1               Sign and return via Fax or Mail
(Walgreens Health                                                     Network Rate                 LTC Pharmacies should request
Initiatives, Inc.)                                                    Brand: AWP-15%+$1.75         additional contract
Medicare Part D Amendment                                             Generic: AWP-20%+$2.25       Must indicate if participating in
                                                                      MAC Brand and Generic:       Extended 84-90 Days Supply
Rate Sheet U-1 (UHC)                                                  WHI MAC+$2.25
Rate Sheet A-1                                                        Extended 84-90 Days Supply
                                                                      Brand: AWP-21%+$0.00
                                                                      Generic: AWP-50%+$0.00
                                                                      MAC Brand and Generic:
                                                                      WHI MAC+$0.00                                                                          Amendment and
                                             WHI Provider Relations                                                                     Sign and return by
                                                                                                                                                                  Two
                                                 847-572-7616                                                                              June 3, 2005
                                                                      Rate Sheet U-1                                                                          Attachments
                                                                      Network Rate
                                                                      Brand: AWP-15.5%+$1.60
                                                                      Generic: AWP-25%+$2.00
                                                                      MAC Brand and Generic:
                                                                      WHI MAC+$2.00
                                                                      Extended 84-90 Days Supply
                                                                      Brand: AWP-21%+$0.00
                                                                      Generic: AWP-50%+$0.00
                                                                      MAC Brand and Generic:
                                                                      WHI MAC+$0.00
     The information contained herein is as current and complete to the extent of Medicare Part D (PDP) (MA-PD) Program documents supplied to PAAS and
 reviewed. All pharmacies are cautioned to carefully review each plan and its impact on their pharmacy’s business before accepting or rejecting the plan. Non-
                                                                                                                                                               ®
participation in a Medicare Network should not affect participation in any other network from that entity. For a detailed Contract Review contact PAAS National at
                                                              888-870-7227 or info@paasnational.com .




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