Confidential and Proprietary Information © 2011 Express Scripts, Inc. All Rights Reserved 1

The State of New Mexico Group Benefits Plan

Plan Year: January–December 2015

Prescription Drug Program

Confidential and Proprietary Information © 2011 Express Scripts, Inc. All Rights Reserved 2

Agenda • Your Prescription Drug Plan

• Positive Changes for 2015

• Your Prescriptions Costs at a glance

• Tools to Help Manage the Prescription Benefit

• My Rx Choices®

• Smart Phone App

• Worry Free Fills

• Express Scripts Web Site & Customer Service

Confidential and Proprietary Information © 2011 Express Scripts, Inc. All Rights Reserved 3

Who Is Express Scripts? Express Scripts is the largest Prescription

Benefit Manager in the country with more than 100 million people nationwide

Retail network includes 60,000 pharmacies

Provides administration for

Retail pharmacy program

Express Scripts Home Delivery program

Specialty drug program through Accredo

Confidential and Proprietary Information © 2011 Express Scripts, Inc. All Rights Reserved 4

Positive Changes for 2015 • Medical and pharmacy Out-Of-Pocket (OOP) costs will now be combined to more quickly reach the same maximum medical OOP amount as last year

•Member single = $3500 annual max •Member + 1 = $7000 annual max •Family = $10,500 annual max

• $50 single/ $100 family deductible on Tier 2, 3, and Specialty medications will apply to the Medical deductible • There is no longer a $1,500 Specialty Drug OOP maximum – payments on Specialties will go toward the combined medical/pharmacy OOP maximum • Specialty Drug co-pay has been decreased from $150 to $75 per prescription

Confidential and Proprietary Information © 2011 Express Scripts, Inc. All Rights Reserved 5

Prescription Costs Participating retail pharmacies

Express Scripts Home Delivery

Days’ supply Up to a 34-day supply Up to a 90-day supply

Deductible $50 per individual and $100 per family applies to Non-Generics Only

Generic drugs (Tier 1) $5 $15

Brand-name drugs (Tier 2) (preferred)***

30% ($30 min, $90 max) $95

Brand-name drugs (Tier 3) (non-preferred) ***

40% ($55 min, $125 max) $125

Specialty Medications – 2 fills allowed at retail, then must move to mail order

$75 (30 day supply) $75 (30 day supply)

*** If you obtain a brand-name drug when a generic equivalent is available, you are responsible for the generic copayment plus the cost difference between the brand-name drug and the generic drug.

Confidential and Proprietary Information © 2011 Express Scripts, Inc. All Rights Reserved 6

Express Scripts Formulary

First tier: Generic drugs Second tier: preferred brand-name drugs (lower cost) Third tier: Non-preferred brand-name drugs (higher cost than First and Second tier) Excluded: drugs that are not covered under your benefit

Your plan covers a broad range of medications that fall into three categories:

Confidential and Proprietary Information © 2011 Express Scripts, Inc. All Rights Reserved 7

New features and improved usability helps members get the most from their benefit plan

Online prescription management:

Refills, renewals and order status

Worry-free Fills ®

Transfer to mail

Claims, balances and history

Locate a pharmacy

Preferences

Benefit education and management:

Benefit highlights

Forms and cards

Pricing and coverage details

New! Accessibility features

New! My Rx Choices®

New! Personalized Pharmacy Care Profiles

Visit www.express-scripts.com to find useful information and resources.

Confidential and Proprietary Information © 2011 Express Scripts, Inc. All Rights Reserved 8

Express-Scripts.com has been enhanced enabling better decisions for healthier outcomes

Confidential and Proprietary Information © 2011 Express Scripts, Inc. All Rights Reserved 9

New! My Rx Choices®

Comparison shop for possible lower-cost options.

View a list of maintenance medications with potential savings.

Take immediate action to have us contact physicians to request approval for equivalent medications delivered by mail.

Consult with their doctors to make informed medication choices based on cost, health and safety.

Industry-leading, patented prescription savings program provides a personalized, actionable experience, enabling members to:

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My Rx Choices educates and provides personalized, actionable information

Review side-by-side

drug information

Access to Consumer

Reports Best Buy Drug information

Clear identification of potential savings

Over 25 possible lower-cost options

could display

DUR alerts as appropriate

“Explain my savings” gives members details

about why the option could cost them less

Easy-to-understand definitions of

complicated terms

Confidential and Proprietary Information © 2011 Express Scripts, Inc. All Rights Reserved 11

Members can also leverage the tools and resources found on the member website via their mobile phone

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My Rx Choices, Medicine Cabinet, and a member’s prescription ID cards are currently available with new apps for renewing and refilling a prescription and messaging on gaps in care. The Pharmacy mobile application (app) is now available for iPhone by downloading from the iTunes® Store. In addition, Android & BlackBerry® users can now access the mobile app regardless of wireless carrier.

Confidential and Proprietary Information © 2011 Express Scripts, Inc. All Rights Reserved 12

My Rx Choices®

Medicine Cabinet

Prescription ID Card

Refills & Renewals

Gaps in Care

Specialist Pharmacist

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Worry Free Fills

•Worry-Free Fills™ is an automatic refill program available to members who utilize the Medco Pharmacy.

• Members enroll for the program at the drug level.

•If a member chooses to enroll a particular medication, a reminder letter is either mailed or emailed to the member approximately three weeks before the prescription is filled.

Confidential and Proprietary Information © 2011 Express Scripts, Inc. All Rights Reserved 14

Express Scripts Customer Service

Customer Service Number Is located on the back of

your Rx ID Card

•Dedicated Customer Service Unit

•Specially Trained on The State of New Mexico benefit plan

•Speak to a Pharmacist

•Therapeutic Resource Center