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ExcellenceinPharmacyServices...ItsYourswithMAXORPharmacyBenefitManagementServices EachofMaxorPlusclientshaveadedicatedAccountManagementTeamcomprisedofanAccountManagerClinicalManagerandSeniorManager.Thisteamprovidesprescriptiondrugbeneftplandesignanalysisandcostprojectionrecommendationsandquarterlyprescriptiondrugbeneftprogramreviews.Ourhigh-touchmodelallowspersonalizedservicetoallclientswhilesavingharddollarsinclaimscostandprovidingqualitycustomerservice.OurproactiveAccountManagementTeamworkswithclientsonadailybasistoensureprogrameectivenessandresolveanyquestions.AMaxorPlusrepresentativemeetswithclientsannuallyormoreotenasneeded.HavingadedicatedAccountManagerallowsclientstocontactonepersonshouldanyissuesarise.InadditioneachindividualwillhavespecialresponsibilitiesaspartotheAccountManagementTeamorourclients.TheAccountManagementTeamiscomprisedoagroupoindividualswithawiderangeoexpertiseinoperationspharmacynetworkmanagementclinicalpharmacysystemsadministrationeligibilitymanagementcustomerservicefnanceaccountmanagementandmarketing.DedicatedAccessibleAccountManagement OurdedicatedPharmacyNetworkDepartmentworkswithnetworkpharmaciespriortoplanimplementationbydevelopinganddistributingpharmacynetworkcommunicationsrespondingtopharmacynetworkinquiriesandallothercomponentsrelatedtoMaxorPlusretailpharmacynetwork.MaxorPlusAccountManagementTeamhasbeendesignedtoprovideimmediateaccesstokeystaffwhilemaintainingcentralizedmanagementandaccountability.ThefollowingindividualswillplayacriticalroleduringimplementationandongoingactivitiesAccountManagerClinicalPharmacyManagerDirectorofOperationsDivisionControllerEligibilityCoordinatorPharmacyNetworkCoordinatorSeniorSystemsAdministratorQualityControlCoordinatorCustomizedMemberCommunicationMaterialsMaxorPlusprovidesallmembermaterialsincludingCustomizedIDcardproductionMemberPacketsWelcomeletterMemberbrochureFormularyPreferredDrugAlternativeListingSpecialtypharmacyrestrictionlistifapplicableMailorderpacket MaxorPlusoerstollreetelephoneaccesstocustomerservicerepresentativesorusebybeneftspersonnelplanmembersparticipatingpharmaciesandphysicians.OurexperiencedrepresentativesprovideresponsetoinquiriesconcerningPlaneligibilityPlanguidelinesDeductiblemaximumbenetstatusRequiredco-paymentlevelsLocationofparticipatingpharmaciesStatusofidenticationcardsInstructionsforcompletingapaperclaimNetworkpharmacyquestionsMaxorPluswebsiteassistancePharmacyclaimassistancePriorauthorizationsMaxorMailOrder-specifcquestionsMedicationrellsrequestPrescriptionorderstatusMedicationquestionsInformationfornewmailordercustomersMedicationtransferinstructionsAllCustomerServiceRepresentativesparticipateinextensiveinitialandongoingtraining.Apharmacistisavailable24hoursaday7daysaweekorurgentmatters.ExperiencedFriendlyCustomerService TheMaxorPlusCustomerServiceDepartmentiscomprisedofastaffofwell-trainedCustomerServiceRepresentativesCSRsTeamLeadersCustomerServiceManagementStaffandtheDirectorofOperationswhoarecollectivelyresponsibleforprovidingthehighestlevelofcustomerservice.ThemajorityofCSRsareexperiencedretailpharmacytechniciansorexperiencedCustomerServiceRepresentatives.OnlineMemberServicesRegisteredonlinemembershaveaccesstomanyuser-friendlytoolsincludingPersonalprescriptionproleConvenientonlinemailorderrellsCopaycalculatorPreferredandgenericalternativesDruginformationNetworkpharmacylocator MaxorPlusoffersitsclientsaccesstodatareportsthroughMaxSourceandMaxViewbothbasedonindustryleadingplatforms.DEMONSTRATIONREPORTBRAND-GENERICUTILIZATIONTRANSACTIONDATEFROM06012010THROUGH06302010RxsAmtPaidTotalCostAvgAmtAvgTotalCopayTotalCostPaidRxRxsAvgMemberDaysCostRxPaidRxSINGLESOURCEBRANDSMULTI-SOURCEBRANDSWITHNOGENERICSAVAILABLE118.9612167.8014736.1882.775318.8017486.6068292.041.93MULTI-SOURCEBRANDSWITHGENERICSAVAILABLE217.0023415.1113543.56173.455880.0129295.1273591.883.23TOTALFORALLBRANDS288.45615203.56251143.45245.00109095.82724299.3813246734.8879.75TOTALFORALLGENERICS39.24138310.0446889.7329.5045624.50183934.5417429365.1220.25303.96579620.65222943.92260.0497897.01677517.6611827930.9674.60GRANDTOTAL126.16753513.60719921.49104.67154720.32908233.92306760100.00100.0012-MonthRxsGenericUsage1ReportPackage1_report_package_charts719201035841PMPage4of11DEMONSTRATIONREPORTTOPPHARMACYANALYSISTRANSACTIONDATEFROM06012010THROUGH06302010PharmacyCategoryRxsUCAmtCopayAmtPaidAvgRxMailOrder781289.90216674303.17440584.96203.41Retail425504.24499476630.84228348.9045.72Specialty211926.90393786.3184579.742168.71TOTALFORALLPHARMACYCATEGORIESGRANDTOTAL71991418721.04154720.32753513.6071991418721.04154720.32753513.60104.67104.67PharmacyCategoriesRxsJunesTop5byRxsAmtPaidMAXORMAILORDER2166440584.96WALGREENCO.175272829.20CVS76340734.60WAL-MARTCORPORATION49416326.94KROGER-HEADQUARTERS44918688.96ChainPharmacyAmtPaidJunesTop5byAmtPaidRxsMAXORMAILORDER440584.962166MAXORSPECIALTYPHARMACY84579.7439WALGREENCO.72829.201752CVS40734.60763KROGER-HEADQUARTERS18688.964491ReportPackage1_report_package_charts719201035817PMPage3of11MaxorPlusExecutiveSummaryReportPackagesaredistributedtoclientsmonthlyandareavailablebothelectronicallyandinprint.EachExecutiveSummaryReportincludesCostAnalysisNumberofmembersNumberofclaimsGrosscostMembercopaysanddeductiblesPlancostnetcostPlancostPMPMCopayPMPMUtilizationPMPMPlancostperRxCopayperRxCopayofgrosscostgenericusagePharmacyNetworkAnalysisPharmacypaymentsummaryDrugUtilizationAnalysisBrand-genericutilizationTop20drugssortedbyRxsTop20drugssortedbytotalcostRecipientAnalysisAgeauditPhysicianAnalysisTop20physicianssortedbyRxsTop20physicianssortedbytotalcostFlexibleAccurateReporting RetireeDrugSubsidyAssistanceMaxorPlushasateamwhichassistswiththeRetireeDrugSubsidyprogramforourclients.OurteamfacilitatestheRDSapplicationprocessincludingCoordinatingtheactuarialattestationandsupportingallapplicationcomponentsUploadingmonthlyretireecostsHelpingcoordinateeligibilityleswiththeclientandCMSProvidingnalreportsforreconciliationpurposesIntegratedPharmacyReportingMaxorsreportingsystemisintegratedwithallclaimsdataincludingmailorderretailandspecialtypharmacy.Timelyandaccuratereportingisakeycomponentforclientstoevaluateandparticipateinthemanagementoftheirplan. ClinicalPharmacyInitiativesFormularydevelopmentandmanagementDrugutilizationreviewconcurrentretrospectiveprospectiveEducationalprogramsMaxResultsclinicalprogramsImplementationoquantitylimitsClinicalpriorauthorizationadministrationHighclaimscostmonitoringNarcoticsmonitoringSteptherapyprogramsAdherencemonitoringMailorderinterventionsAuditingTargetedfocusedinterventionsPlananalysisGenericincentiveprogramsSpecialtypharmacyprogramsAdaptableAttentiveClinicalPharmacyManagementTheMaxorPlusclinicaldepartmentcanullyadministertheclinicalservicesorcanassistinmanagingourclientsclinicalservicesrompriorauthorizationstosteptherapyquantitylimitsandmore.Theseprogramsarecustomizedtomeeteachindividualclientsneeds.Mostotheclinicalprogramsaretargetedtoboththepatientandtheproviders.Ourconsultativeapproachbyclinicalpharmacistsorpharmacybeneftplandesignandcoveragerecommendationshasproventobeavaluabletoolorourclientswhendesigningtheirprescriptiondrugprograms.AlloMaxorPlusclinicalprogramsaremonitoredbyourclinicalstainadditiontoourextensivereportingtooltoensurecostcontainmenttoourclientsandsaetyorourmembers. TheMaxorPlusPreerredDrugFormularyisdevelopedbyphysiciansromvariousareasoexpertiseandpharmacistswhostrivetoensurethemostcost-eectiveandmedicallyappropriatedrugsavailableareincluded.Formularydrugselectionsarebaseduponeachdrugsclinicalefcacysideeffectprolepharmacokineticsdosingregimensdrugfoodinteractionscontraindicationstoxicitysafetymonitoringrequirementsuniquenesssimilaritiestootheragentsutilizationtrendsoutcomestudiesandcost-eectiveness.MaxorPluspridesitselinprovidingabalancedormularythatoersourmemberscosteffectiveoptionsinalltherapeuticclasses.Bydoingsomembersatisactionlevelswiththeirbeneftsremainhighwhileourclientsareabletosavemoneyontheirprescriptiondrugprogram.Wewillproactivelyworktokeepmembersandtheirdoctorsinormedoallotheirtherapeuticalternatives.OneoourgoalsasaPharmacyBeneftManageristoeectivelymanageourclientsprescriptiondrugcostswhilecontinuouslyimprovingthequalityopharmaceuticalcareormembersthroughtheimplementationoclinicalpharmacyinitiatives. MaxorMailOrderPharmacyPromptaccuratedispensingincludingbarcodecheckingConvenientrellsavailableonlineusingvoiceactivatedtelephonesystemfaxormailDeliveryof90daymedicationstoyourhomeofceoralternateaddressFreestandardshippingNoadditionalcustomerchargesforrefrigeratedmedicationsdeliveredviaovernightorseconddaydeliveryClinicaldruginterventionsatthepharmacydispensinglevelDeliverytrackingavailableonlineRetailPharmacyNetworkMaxorPluscomprehensiveretailpharmacynetworkprovidespharmacylocationsnationwidetoplanmembers.OurclientsandmemberscanaccesstheMaxorPluswebsitetodeterminewhichnetworkpharmaciesareavailableforthembysearchingforanyofthefollowingpharmacynamecitystateandorzipcodeoracombinationofanyofthese.MaxorPlusprovidesacomprehensivesolutionformailorderpharmacyretailnetworkpharmaciesandspecialtypharmacy.CompletelyIntegratedComprehensiveNetwork SpecialtyPharmacyServicesMaxorSpecialtyPharmacyappliesstrategiesthatmanagethehighcostandcomplexityospecialtymedicationsavailablethroughmedicalandpharmacybeneftsviaoursophisticateddataanalysisongoingcommunicationandreportingtools.Rellremindersandeducationareprovidedtopatientsbyourclinicalstaandconvenientonlinerefllsareeasilyaccessibletopatients.Maxorprovidesconvenientmedicationdeliverydirecttothepatientphysicianofceoranalternatesiteochoice.Medicationshipmentsarecoordinatedsotheyarrivewhenrequestedbythepatientandphysician.Maxorhasextensiveexperiencewithchronicdiseasestates.Ourgoalinmanagingtheseconditionsistoimprovepatientadherenceandoutcomesthroughproactivemanagementandretrospectivereview.ThelistbelowisasampleothechronicdiseasestatestreatedbyMaxorSpecialtyPharmacy.AsthmaCrohnsCysticFibrosisDiabetesGaucherDiseaseGrowthHormoneHemophiliaHepatitisCHIVAIDSImmuneDeciencyIVIGInfertilityMultipleSclerosisOncologyOsteoporosisPainManagementPsoriasisRheumatoidArthritisRSVTransplant 320S.PolkStreetAmarilloTexas79101806324-5400800658-6146Fax806324-5495www.maxorplus.comSince1926Maxorhasmetthechallengesoanevolvinghealthcareenvironment.FromitsbeginningsasasinglepharmacytodayMaxorisanationwideprovideropharmacyserviceshelpingclientsshapetheirhealthcareutures.LocatedinAmarilloTexasMaxorPlushasprovidedPharmacyBeneftManagementPBMservicessince1991withullyintegratedmailorderpharmacyservicesspecialtypharmacyservicesclinicalpharmacyservicesaccountmanagementcustomerserviceretailpharmacynetworkandmoreallinthesamelocation.PharmacyBenefitManagementServices