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<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#2F5496"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#2F5496">FYI- News from MMCAP Infuse:<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#2F5496"><o:p> </o:p></span></p>
<p class="MsoNormal"><img width="577" height="105" style="width:6.0069in;height:1.0972in" id="_x0000_i1026" src="cid:image014.png@01D5E725.7696FAF0"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#2F5496"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:7.4pt;margin-right:0in;margin-bottom:0in;margin-left:20.0pt;margin-bottom:.0001pt;text-autospace:none">
<b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660;background:lime;mso-highlight:lime">From the Managing Director</span></b><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:7.4pt;margin-right:0in;margin-bottom:0in;margin-left:20.0pt;margin-bottom:.0001pt;text-autospace:none">
<b><span style="font-size:16.0pt;font-family:"Georgia",serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:19.25pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">The new year has brought new challenges to our pharmacy and healthcare markets, and I would be remiss without mentioning two issues which we are monitoring closely. First, we remain committed to investigating
and following developments in the pharmacy and healthcare products and services supply chain. As such, we are engaging in discussions and tracking efforts to develop avenues for Canadian importation of pharmaceuticals and will continue to do so in order to
remain best able to serve our members. Additionally, we are continuing to monitor the Coronavirus outbreak and any potential impacts to our members.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#2F5496"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:7.4pt;margin-right:0in;margin-bottom:0in;margin-left:20.0pt;margin-bottom:.0001pt;text-autospace:none">
<b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660;background:lime;mso-highlight:lime">Healthcare Products and Services</span></b><b><span style="font-size:16.0pt;font-family:"Georgia",serif"><o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#2F5496"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:4.55pt;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:16.05pt;mso-line-height-rule:exactly;text-autospace:none">
<b><span style="font-size:14.0pt;font-family:"Arial",sans-serif;color:#414042">Coronavirus and Personal Protective Supplies</span></b><b><span style="font-size:14.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:26.95pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">The Healthcare Products and Services teams is keeping a close eye on the Coronavirus situation and working with our vendors to make sure all Personal Protective Supplies are available. Members can expect
shipment delays and shortages.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.05pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoBodyText" style="mso-margin-top-alt:0in;margin-right:28.75pt;margin-bottom:6.0pt;margin-left:.5in">
<span style="font-family:"Arial",sans-serif;color:#414042">Vendors are reporting that the most requested item is the N95 mask, which is unavailable in the
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</v:shape><![endif]--><![if !vml]><span style="mso-ignore:vglayout;position:absolute;z-index:-1895827456;left:0px;margin-left:-5px;margin-top:245px;width:158px;height:152px"><img width="105" height="101" style="width:1.0972in;height:1.0555in" src="cid:image016.png@01D5E725.7696FAF0" alt="From Page 2" v:shapes="_x0000_s1038"></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">short-term.
Not only are there allocation issues, but most manufacturers are located overseas and are supplying their local customers before their U.S. customers. Distributors have said they supply existing customers first on an allocation basis until supplies run out.
In this case, that has already happened. Vendors are making every effort to meet the demand, however, in the current supply situation, they likely will not be able to meet them.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.2pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:19.25pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:205%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">A couple of MMCAP Infuse-contracted vendors have supplied information, and we expect others will follow suit.
</span><span style="font-family:"Arial",sans-serif"><a href="https://mms.mckesson.com/content/coronavirus-outbreak-update/"><span style="color:#215E9E">Follow this link
</span></a><span style="color:#414042">for the McKesson product formulary and to find out if they are on allocation.</span><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:25.0pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">We recommend members follow the link and sign into Supply Manager to order product. McKesson is working to maintain inventory levels but remain at the mercy of its suppliers. Members are encouraged
to reach out to their local sales representative or customer service center with questions.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.05pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><span style="font-family:"Arial",sans-serif;color:#414042">Henry Schein has provided the following update:</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.55pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:19.25pt;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;text-autospace:none">
<i><span style="font-family:"Arial",sans-serif;color:#414042">“Based on the recommendations provided by the World Health Organization and CDC, we have compiled a list of masks, face shields, gloves, isolation gowns, and other infection prevention products for
Henry Schein Medical customers who would like to purchase appropriate PPE items for their practice.”</span></i><i><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></i></p>
<p class="MsoNormal" style="margin-top:.15pt;text-autospace:none"><i><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></i></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><span style="font-family:"Arial",sans-serif;color:#414042">Use the links below for more information:</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.5pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><span style="font-family:"Arial",sans-serif"><a href="https://www.henryschein.com/us-en/Global.aspx"><span style="color:#215E9E">Henry<span style="letter-spacing:-.2pt">
</span>Schein<span style="letter-spacing:-.1pt"> </span>website</span></a><span style="color:#215E9E">
</span><a href="http://investor.henryschein.com/newsandevents"><span style="color:#215E9E">Henry Schein<span style="letter-spacing:-.1pt">
</span>Newsroom</span></a><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><span style="font-family:"Arial",sans-serif;color:#414042"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><span style="font-family:"Arial",sans-serif;color:#414042"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:5.25pt;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:16.05pt;mso-line-height-rule:exactly;text-autospace:none">
<b><span style="font-size:14.0pt;font-family:"Arial",sans-serif;color:#414042">Medical Products Contract Extensions</span></b><b><span style="font-size:14.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-left:.5in;line-height:12.6pt;mso-line-height-rule:exactly;text-autospace:none">
<!--[if gte vml 1]><v:shape id="Line_x0020_8" o:spid="_x0000_s1037" type="#_x0000_t75" style='position:absolute;left:0;text-align:left;margin-left:0;margin-top:-2.9pt;width:.75pt;height:133.5pt;z-index:251663360;visibility:visible;mso-width-percent:0;mso-height-percent:0;mso-wrap-distance-left:3.17489mm;mso-wrap-distance-top:0;mso-wrap-distance-right:3.17489mm;mso-wrap-distance-bottom:0;mso-position-horizontal:absolute;mso-position-horizontal-relative:page;mso-position-vertical:absolute;mso-position-vertical-relative:text;mso-width-percent:0;mso-height-percent:0;mso-width-relative:page;mso-height-relative:page'>
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</v:shape><![endif]--><![if !vml]><span style="mso-ignore:vglayout;position:absolute;z-index:251663360;left:0px;margin-left:10px;margin-top:691px;width:2px;height:267px"><img width="1" height="178" style="width:.0138in;height:1.8541in" src="cid:image017.png@01D5E725.7696FAF0" v:shapes="Line_x0020_8"></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">The
following Medical Products contracts have been extended:</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.5pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:155.0pt;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;text-indent:-6.95pt;mso-list:l1 level3 lfo2;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.2pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><b><span style="font-family:"Arial",sans-serif;color:#414042">McKesson</span></b><span style="font-family:"Arial",sans-serif;color:#414042">, contract # MMS18000 has been extended until March 1,<span style="letter-spacing:-1.35pt">
</span>2021. Amendment # 25 has been posted on the MMCAP Infuse<span style="letter-spacing:-.9pt">
</span>website.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.1pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:137.6pt;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;text-indent:-6.95pt;mso-list:l1 level3 lfo2;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.2pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><b><span style="font-family:"Arial",sans-serif;color:#414042">Concordance Healthcare Solutions</span></b><span style="font-family:"Arial",sans-serif;color:#414042">, contract # MMS18008 has been extend April<span style="letter-spacing:-.1pt">
</span>9,<span style="letter-spacing:-.15pt"> </span>2021.<span style="letter-spacing:-.75pt">
</span>Amendment<span style="letter-spacing:-.1pt"> </span>#<span style="letter-spacing:-.15pt">
</span>12<span style="letter-spacing:-.1pt"> </span>has<span style="letter-spacing:-.15pt">
</span>been<span style="letter-spacing:-.15pt"> </span>posted<span style="letter-spacing:-.15pt">
</span>on<span style="letter-spacing:-.15pt"> </span>the<span style="letter-spacing:-.1pt">
</span>MMCAP<span style="letter-spacing:-.3pt"> </span>Infuse<span style="letter-spacing:-.05pt">
</span>website.<o:p></o:p></span></p>
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<span style="font-size:11.0pt;font-family:"Arial",sans-serif;mso-fareast-language:EN-US"><br clear="all" style="page-break-before:always">
</span>
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<p class="MsoNormal" style="text-autospace:none"><!--[if gte vml 1]><v:shape id="_x0000_s1036" type="#_x0000_t75" alt="Continued on Page 5" style='position:absolute;margin-left:492.4pt;margin-top:730.95pt;width:119.35pt;height:36.6pt;rotation:318;z-index:251664384;visibility:visible;mso-width-percent:0;mso-height-percent:0;mso-wrap-distance-left:9pt;mso-wrap-distance-top:0;mso-wrap-distance-right:9pt;mso-wrap-distance-bottom:0;mso-position-horizontal:absolute;mso-position-horizontal-relative:page;mso-position-vertical:absolute;mso-position-vertical-relative:page;mso-width-percent:0;mso-height-percent:0;mso-width-relative:page;mso-height-relative:page'>
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<table cellpadding="0" cellspacing="0" align="left">
<tbody>
<tr>
<td width="1000" height="2219"></td>
</tr>
<tr>
<td></td>
<td><img width="152" height="144" style="width:1.5833in;height:1.5in" src="cid:image019.png@01D5E725.7696FAF0" alt="Continued on Page 5" v:shapes="_x0000_s1036"></td>
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</span><![endif]><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<br style="mso-ignore:vglayout" clear="ALL">
<p class="MsoNormal" style="margin-left:.5in;line-height:16.05pt;mso-line-height-rule:exactly;text-autospace:none">
<b><span style="font-size:14.0pt;font-family:"Arial",sans-serif;color:#414042">Global Protection Corp. Amendment</span></b><b><span style="font-size:14.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:78.5pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">Global Protection Corp. – contract # MMS18015 – has added new items to the contract. Amendment #8 has been posted to the MMCAP Infuse website, along with the updated price list.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><span style="font-family:"Arial",sans-serif;color:#414042"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:7.4pt;margin-right:0in;margin-bottom:0in;margin-left:20.0pt;margin-bottom:.0001pt;text-autospace:none">
<b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660;background:lime;mso-highlight:lime">Influenza Vaccine</span></b><b><span style="font-size:16.0pt;font-family:"Georgia",serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><span style="font-family:"Arial",sans-serif;color:#414042"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:41.6pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-align:justify;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.65pt">To
</span><span style="font-family:"Arial",sans-serif;color:#414042">view the products and pricing, log in to the MMCAP Infuse legacy website and click on Programs. Under “What’s inside” click on MMCAP Influenza
<span style="letter-spacing:-.2pt">Vaccine </span>Products and Pricing information. The completed agreements<span style="letter-spacing:-.15pt">
</span>are<span style="letter-spacing:-.15pt"> </span>posted<span style="letter-spacing:-.15pt">
</span>on<span style="letter-spacing:-.15pt"> </span>the<span style="letter-spacing:-.1pt">
</span>MMCAP<span style="letter-spacing:-.3pt"> </span>Infuse<span style="letter-spacing:-.15pt">
</span>legacy<span style="letter-spacing:-.15pt"> </span>website<span style="letter-spacing:-.15pt">
</span>log<span style="letter-spacing:-.15pt"> </span>in<span style="letter-spacing:-.15pt">
</span>and<span style="letter-spacing:-.15pt"> </span>click<span style="letter-spacing:-.15pt">
</span>on<span style="letter-spacing:-.15pt"> </span>the<span style="letter-spacing:-.1pt">
</span>Contracts<span style="letter-spacing:-.15pt"> </span>tab.<span style="letter-spacing:-.1pt">
</span>Reminder:<span style="letter-spacing:-.2pt"> </span>Be sure to communicate to the vendors when placing your orders that you are an MMCAP Infuse member and want to be attached to MMCAP Infuse contract<span style="letter-spacing:-.45pt">
</span>pricing.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.25pt;text-autospace:none"><span style="font-size:12.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><span style="font-family:"Arial",sans-serif;color:#414042">Influenza vaccine pre-book reminder postcards have been sent to all MMCAP Infuse member facilities.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.4pt;text-autospace:none"><span style="font-size:15.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#414042">Of note for the 2020-21 season:</span></b><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-top:.05pt;text-autospace:none"><b><span style="font-size:13.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:47.85pt;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;text-indent:0in;mso-list:l1 level3 lfo2;text-autospace:none">
<![if !supportLists]><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.2pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#414042">Sanofi<span style="letter-spacing:-.2pt">
</span>Pasteur<span style="letter-spacing:-.2pt"> </span>will<span style="letter-spacing:-.25pt">
</span>no<span style="letter-spacing:-.25pt"> </span>longer<span style="letter-spacing:-.25pt">
</span>offer<span style="letter-spacing:-.25pt"> </span>the<span style="letter-spacing:-.2pt">
</span>0.25-mL<span style="letter-spacing:-.6pt"> </span>single-dose<span style="letter-spacing:-.2pt">
</span>pre-filled<span style="letter-spacing:-.25pt"> </span>syringe<span style="letter-spacing:-.2pt">
</span>presentation of Fluzone® Quadrivalent influenza vaccine for the 2020-2021 influenza<span style="letter-spacing:-.65pt">
</span>season.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.1pt;text-autospace:none"><span style="font-size:12.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:76.05pt;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;text-align:justify;text-indent:0in;mso-list:l1 level3 lfo2;text-autospace:none">
<![if !supportLists]><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.2pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#414042">GSK will no longer offer multidose vials for the 2020-2021 season. Only single<span style="letter-spacing:-1.75pt">
</span>dose syringe presentations of influenza vaccine will be offered for the 2020-2021 influenza season.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:79.5pt;text-align:justify;text-indent:-7.55pt;mso-list:l1 level3 lfo2;text-autospace:none">
<![if !supportLists]><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.2pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#414042">Quadrivalent High Dose FLUZONE is a 0.7ml dose for the 20-21<span style="letter-spacing:-.55pt">
</span>season.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><span style="font-family:"Arial",sans-serif;color:#414042"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-top:.1pt;text-autospace:none"><span style="font-size:18.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in;text-autospace:none"><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660;background:lime;mso-highlight:lime">Pharmaceutical Program</span></b><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-indent:.5in;text-autospace:none"><b><span style="font-size:16.0pt;font-family:"Georgia",serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:.05pt;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">The current contract for pharmaceutical hazardous waste hauling with
<b>Clean Harbors (contract # MMS14036)</b> will end on March 31, 2020. Members looking for a full-service waste hauling vendor will need to begin making alternative contract arrangements. MMCAP Infuse is currently in contract negotiations with one vendor that
would be a complement to the new contracts but will not be a replacement for all of the services currently offered by Clean Harbors.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;line-height:16.05pt;mso-line-height-rule:exactly;text-autospace:none">
<!--[if gte vml 1]><v:shape id="_x0000_s1035" type="#_x0000_t75" alt="From Page 5" style='position:absolute;left:0;text-align:left;margin-left:-3.5pt;margin-top:-17.6pt;width:72.05pt;height:36.6pt;rotation:318;z-index:-251646976;visibility:visible;mso-width-percent:0;mso-height-percent:0;mso-wrap-distance-left:9pt;mso-wrap-distance-top:0;mso-wrap-distance-right:9pt;mso-wrap-distance-bottom:0;mso-position-horizontal:absolute;mso-position-horizontal-relative:page;mso-position-vertical:absolute;mso-position-vertical-relative:text;mso-width-percent:0;mso-height-percent:0;mso-width-relative:page;mso-height-relative:page'>
<v:imagedata src="cid:image023.emz@01D5E725.7696FAF0" o:title="" />
<w:wrap anchorx="page"/>
</v:shape><![endif]--><![if !vml]><span style="mso-ignore:vglayout;position:absolute;z-index:-1895814144;left:0px;margin-left:-4px;margin-top:1228px;width:158px;height:152px"><img width="105" height="101" style="width:1.0972in;height:1.0555in" src="cid:image028.png@01D5E725.7696FAF0" alt="From Page 5" v:shapes="_x0000_s1035"></span><![endif]><b><span style="font-size:14.0pt;font-family:"Arial",sans-serif;color:#414042">Liletta
WAC Update</span></b><b><span style="font-size:14.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:29.65pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">Effective April 2, 2020, the Wholesale Acquisition Cost (WAC, sometimes used interchangeably with List Price) on Liletta NDC 00023-5858-01 will increase. Because this product’s pricing structure under
contract #</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:.05pt;margin-right:19.25pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">MMS15013 is based on WAC, the MMCAP Infuse contract price on this product will increase by $23.98. This price increase is happening across the market. For more information on ordering, please see Amendment
# 25 or reference the MMCAP Infuse Pharmacy Catalog.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.3pt;text-autospace:none"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;line-height:16.05pt;mso-line-height-rule:exactly;text-autospace:none">
<b><span style="font-size:14.0pt;font-family:"Arial",sans-serif;color:#414042">Temporary Reduced Pricing Opportunities on Koate and Kedrab</span></b><b><span style="font-size:14.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-left:.5in;line-height:12.6pt;mso-line-height-rule:exactly;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">Kedrion Biopharma is offering reduced pricing on certain lots of short-dated Koate Antihemophilic Factor:</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.5pt;text-autospace:none"><span style="font-size:12.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<table class="MsoNormalTable" border="1" cellspacing="0" cellpadding="0" style="margin-left:37.0pt;border-collapse:collapse;border:none">
<tbody>
<tr style="height:15.0pt">
<td width="479" colspan="4" valign="top" style="width:7.5in;border:solid black 1.0pt;background:#74BB23;padding:0in 0in 0in 0in;height:15.0pt">
<p class="MsoNormal" align="center" style="mso-margin-top-alt:1.2pt;margin-right:136.0pt;margin-bottom:0in;margin-left:136.9pt;margin-bottom:.0001pt;text-align:center;text-autospace:none">
<b><span style="font-family:"Arial",sans-serif;color:white">Short-Dated KOÂTE Commencement Lot Numbers</span></b><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
</td>
</tr>
<tr style="height:15.0pt">
<td width="147" valign="top" style="width:135.0pt;border:solid black 1.0pt;border-top:none;background:#74BB23;padding:0in 0in 0in 0in;height:15.0pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.15pt;margin-right:0in;margin-bottom:0in;margin-left:3.95pt;margin-bottom:.0001pt;text-autospace:none">
<b><span style="font-family:"Arial",sans-serif;color:white">Description</span></b><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
</td>
<td width="91" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;background:#74BB23;padding:0in 0in 0in 0in;height:15.0pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.15pt;margin-right:0in;margin-bottom:0in;margin-left:3.95pt;margin-bottom:.0001pt;text-autospace:none">
<b><span style="font-family:"Arial",sans-serif;color:white">NDC #</span></b><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
</td>
<td width="129" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;background:#74BB23;padding:0in 0in 0in 0in;height:15.0pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.15pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<b><span style="font-family:"Arial",sans-serif;color:white">Lot Number</span></b><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
</td>
<td width="111" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;background:#74BB23;padding:0in 0in 0in 0in;height:15.0pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.15pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<b><span style="font-family:"Arial",sans-serif;color:white">Expiration Date</span></b><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
</td>
</tr>
<tr style="height:14.25pt">
<td width="147" valign="top" style="width:135.0pt;border:solid black 1.0pt;border-top:none;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">KOÂTE 1000 1060 IU Each</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="91" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">76125-0676-50</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="129" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">K5NCC00043</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="111" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">2/10/2020</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
</tr>
<tr style="height:14.25pt">
<td width="147" valign="top" style="width:135.0pt;border:solid black 1.0pt;border-top:none;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">KOÂTE 1070 IU Each</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="91" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">76125-0676-50</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="129" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">K5NCC00113</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="111" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">5/12/2020</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
</tr>
<tr style="height:14.25pt">
<td width="147" valign="top" style="width:135.0pt;border:solid black 1.0pt;border-top:none;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">KOÂTE 260 IU CTN</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="91" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">76125-0256-20</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="129" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">B2NAC00043</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="111" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">6/16/2020</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
</tr>
<tr style="height:14.25pt">
<td width="147" valign="top" style="width:135.0pt;border:solid black 1.0pt;border-top:none;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">KOÂTE 960 IU Each</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="91" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">76125-0676-50</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="129" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">K5NCC00133</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="111" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">6/22/2020</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
</tr>
<tr style="height:14.25pt">
<td width="147" valign="top" style="width:135.0pt;border:solid black 1.0pt;border-top:none;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">KOÂTE 1130 IU Each</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="91" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">76125-0676-50</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="129" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">K5NCC00153</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="111" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">6/30/2020</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
</tr>
<tr style="height:14.25pt">
<td width="147" valign="top" style="width:135.0pt;border:solid black 1.0pt;border-top:none;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">KOÂTE 570 IU CTN</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="91" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">76125-0668-30</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="129" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">B2NBC00103</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
<td width="111" valign="top" style="width:135.0pt;border-top:none;border-left:none;border-bottom:solid black 1.0pt;border-right:solid black 1.0pt;padding:0in 0in 0in 0in;height:14.25pt">
<p class="MsoNormal" style="mso-margin-top-alt:1.4pt;margin-right:0in;margin-bottom:0in;margin-left:4.0pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-size:10.0pt;font-family:"Arial",sans-serif;color:#414042">7/21/2020</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
</tr>
</tbody>
</table>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:10.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:26.95pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">The magnitude of the price reduction depends on how much shelf life remains on the product at the time of purchase, with the product expiring soonest receiving the lowest price. Please see the comments
in the “Item Description” column of the MMCAP Infuse Pharmacy Catalog for details. Product with expiration date equal to or greater than 12 months is not subject to these price reductions.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.15pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:19.25pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">The company also announced an extension on the reduced pricing of Kedrab Rabies Immune Globulin 150 unit/ml (2ml and 10 ml vials - NDC 76125-0150-02 and NDC 76125-0150-10, respectively). Those price
reductions are in effect until March 31, 2020. The items will revert to regular contract pricing on April 1, 2020.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.1pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><span style="font-family:"Arial",sans-serif;color:#414042">Kedrion Biopharma products are available through Cardinal SPD, Morris & Dickson, FFF Enterprises, and</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:.55pt;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">directly from the manufacturer –
</span><span style="font-family:"Arial",sans-serif"><a href="mailto:KedrionCS@icsconnect.com"><span style="color:#215E9E">KedrionCS@icsconnect.com
</span></a><span style="color:#414042">or 855.353.7466.</span><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><span style="font-family:"Arial",sans-serif;color:#414042"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:.05pt;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:16.05pt;mso-line-height-rule:exactly;text-autospace:none">
<b><span style="font-size:14.0pt;font-family:"Arial",sans-serif;color:#414042">Mead Johnson Nutritional Products Changes</span></b><b><span style="font-size:14.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-left:.5in;line-height:12.6pt;mso-line-height-rule:exactly;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">A few Mead Johnson nutritional products – contract # MMS15140 – have new item numbers:<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;line-height:12.6pt;mso-line-height-rule:exactly;text-autospace:none">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:.55pt;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-autospace:none">
<b><span style="font-family:"Arial",sans-serif;color:#414042">Enfamil NeuroPro Infant products</span></b><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-top:.5pt;text-autospace:none"><b><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="margin-left:78.9pt;text-indent:-6.95pt;mso-list:l1 level3 lfo2;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.2pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">Item # 163203 changed to item # 897204 (NDC<span style="letter-spacing:-1.6pt">
</span>00087-5121-07)<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.5pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:.05pt;margin-right:0in;margin-bottom:0in;margin-left:78.9pt;margin-bottom:.0001pt;text-indent:-6.95pt;mso-list:l1 level3 lfo2;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.2pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">Item # 163205 changed to item # 897205 (NDC<span style="letter-spacing:-.25pt">
</span><span style="letter-spacing:-.15pt">00087-5121-11)</span><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.5pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:78.9pt;text-indent:-6.95pt;mso-list:l1 level3 lfo2;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.2pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">Item # 169301 changed to item # 897901 (NDC<span style="letter-spacing:-.25pt">
</span><span style="letter-spacing:-.15pt">00087-5115-62)</span><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.55pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><b><span style="font-family:"Arial",sans-serif;color:#414042">Enfamil NeuroPro Gentlease Infant RTU</span></b><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-top:.5pt;text-autospace:none"><b><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="margin-left:78.9pt;text-indent:-6.95pt;mso-list:l1 level3 lfo2;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.2pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">Item # 172202 changed to item # 897405 (NDC<span style="letter-spacing:-.45pt">
</span>00087-5121-41)<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.55pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><span style="font-family:"Arial",sans-serif;color:#414042">Find all Mead Johnson products and pricing under contract, in the MMCAP Infuse Pharmacy Catalog.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in;text-autospace:none"><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660;background:lime;mso-highlight:lime">Pharmacy Distribution Services</span></b><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-indent:.5in;text-autospace:none"><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="margin-left:.5in;line-height:16.05pt;mso-line-height-rule:exactly;text-autospace:none">
<b><span style="font-size:14.0pt;font-family:"Arial",sans-serif;color:#414042">Holiday Notification</span></b><b><span style="font-size:14.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:19.25pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">Please be mindful of “non-standard” holidays Presidents’ Day in February. The wholesalers observe six national holidays (New
<span style="letter-spacing:-.2pt">Year’s </span><span style="letter-spacing:-.25pt">Day,
</span>Memorial <span style="letter-spacing:-.25pt">Day, </span>Independence <span style="letter-spacing:-.25pt">
Day, </span>Labor <span style="letter-spacing:-.25pt">Day, </span>Thanksgiving, Christmas Day). These days are clearly defined as days that deliveries from wholesalers are not expected to
<span style="letter-spacing:-.15pt">occur. However, </span>if there are holidays or planned facility closings, in which staff will not be available to accept a
<span style="letter-spacing:-.15pt">delivery, </span>you may need to provide notification to your respective wholesaler.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.15pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:27.4pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">If you are placing an order in the days before a holiday closure (either full- or partial-day), please use the available tools (wholesaler ordering systems, customer service call centers) to advise
your wholesaler that staff will not be available to receive orders. There are many expenses associated with a failed delivery: labor to pick the
<span style="letter-spacing:-.15pt">order, </span>loading it onto the delivery truck, transportation to the facility, transportation to return with the</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
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</v:shape><![endif]--><![if !vml]><span style="mso-ignore:vglayout;position:absolute;z-index:251671552;left:0px;margin-left:10px;margin-top:2321px;width:2px;height:267px"><img width="1" height="178" style="width:.0138in;height:1.8541in" src="cid:image029.png@01D5E725.7696FAF0" v:shapes="Line_x0020_2"></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">undelivered
order, restocking, etc. These costs are borne by the entire distribution system, so the entire system benefits when these expenses can be averted. Also, Cardinal Health has a $60 delivery fee imposed when a facility fails to inform the Cardinal distribution
center of a “planned” closure. A planned closure includes state/ city/county holidays for which Cardinal is still in operation. This fee will not be assessed if the delivery attempt failure is due to an unexpected facility closure, like unsafe winter weather
conditions.<o:p></o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in;text-autospace:none"><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:7.4pt;margin-right:0in;margin-bottom:0in;margin-left:20.0pt;margin-bottom:.0001pt;text-indent:16.0pt;text-autospace:none">
<b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660;background:lime;mso-highlight:lime">Questions:</span></b><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660">
<o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-indent:.5in;text-autospace:none"><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660">
</span></b><span style="font-size:14.0pt;font-family:"Times New Roman",serif">Kim Hankins<o:p></o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in"><span style="font-size:14.0pt;font-family:"Times New Roman",serif">503.399.7006<o:p></o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in"><span style="font-size:14.0pt;font-family:"Times New Roman",serif"><a href="mailto:Kim.Hankins@state.mn.us"><span style="color:blue">Kim.Hankins@state.mn.us</span></a></span><b><span style="font-size:16.0pt;font-family:"Georgia",serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-indent:.5in;text-autospace:none"><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:7.4pt;margin-right:0in;margin-bottom:0in;margin-left:20.0pt;margin-bottom:.0001pt;text-indent:16.0pt;text-autospace:none">
<b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660;background:lime;mso-highlight:lime">Social Media</span></b><b><span style="font-size:16.0pt;font-family:"Georgia",serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-indent:.5in;text-autospace:none"><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:19.25pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-autospace:none">
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to receive MMCAP Infuse information, industry news and updates via your social networks? MMCAP Infuse is active on Facebook, Twitter, Instagram and LinkedIn. Simply click on the icons below to connect with us on social media.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
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<table cellpadding="0" cellspacing="0" align="left">
<tbody>
<tr>
<td width="279" height="0"></td>
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<td width="91"></td>
<td width="310"></td>
<td width="91"></td>
</tr>
<tr>
<td height="1"></td>
<td rowspan="2" align="left" valign="top"><img width="61" height="61" style="width:.6319in;height:.6319in" src="cid:image030.png@01D5E725.7696FAF0" v:shapes="image16.png"></td>
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</table>
</span><![endif]><!--[if gte vml 1]></o:wrapblock><![endif]--><br style="mso-ignore:vglayout" clear="ALL">
<span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.25pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-top:.25pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif">
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-indent:2.5pt;text-autospace:none">
<span style="font-size:11.5pt;font-family:"Arial",sans-serif"><a href="https://www.facebook.com/MMCAPInfuse">https://www.facebook.com/MMCAPInfuse</a>
</span><span style="font-size:11.5pt;font-family:"Arial",sans-serif;color:#003660"><a href="https://twitter.com/MMCAPInfuse">https://twitter.com/MMCAPInfuse</a><b>
</b></span><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660"> </span></b><span style="font-size:11.5pt;font-family:"Arial",sans-serif;color:#003660"><a href="https://www.instagram.com/mmcapinfuse/">https://www.instagram.com/mmcapinfuse/</a>
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-indent:2.5pt;text-autospace:none">
<span style="font-size:11.5pt;font-family:"Arial",sans-serif;color:#003660"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-indent:2.5pt;text-autospace:none">
<span style="font-size:11.5pt;font-family:"Arial",sans-serif;color:#003660"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-indent:2.5pt;text-autospace:none">
<span style="font-size:11.5pt;font-family:"Arial",sans-serif;color:#003660"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-indent:2.5pt;text-autospace:none">
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<p class="MsoNormal" style="margin-left:.5in;text-indent:2.5pt;text-autospace:none">
<span style="font-size:11.5pt;font-family:"Arial",sans-serif;color:#003660"><a href="https://www.linkedin.com/signup/cold-join?session_redirect=https%3A%2F%2Fwww%2Elinkedin%2Ecom%2Fgroups%2F8805159%2F&trk=login_reg_redirect">https://www.linkedin.com/signup/cold-join?session_redirect=https%3A%2F%2Fwww%2Elinkedin%2Ecom%2Fgroups%2F8805159%2F&trk=login_reg_redirect</a>
<b><o:p></o:p></b></span></p>
<p class="MsoNormal" style="text-indent:.5in;text-autospace:none"><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="text-indent:.5in;text-autospace:none"><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="margin-left:56.6pt;text-autospace:none"><!--[if gte vml 1]><v:shape id="Group_x0020_9" o:spid="_x0000_s1028" type="#_x0000_t75" style='position:absolute;left:0;text-align:left;margin-left:671.8pt;margin-top:5.4pt;width:267.75pt;height:204pt;z-index:251681792;visibility:visible;mso-width-percent:0;mso-height-percent:0;mso-wrap-distance-left:9pt;mso-wrap-distance-top:0;mso-wrap-distance-right:9pt;mso-wrap-distance-bottom:0;mso-position-horizontal:absolute;mso-position-horizontal-relative:page;mso-position-vertical:absolute;mso-position-vertical-relative:text;mso-width-percent:0;mso-height-percent:0;mso-width-relative:page;mso-height-relative:page'>
<v:imagedata src="cid:image040.png@01D5E725.7696FAF0" o:title="" />
<o:lock v:ext="edit" aspectratio="f" />
<w:wrap anchorx="page"/>
</v:shape><![endif]--><![if !vml]><span style="mso-ignore:vglayout;position:absolute;z-index:251681792;left:0px;margin-left:1353px;margin-top:2660px;width:536px;height:408px"><img width="357" height="272" style="width:3.7222in;height:2.8333in" src="cid:image040.png@01D5E725.7696FAF0" v:shapes="Group_x0020_9"></span><![endif]><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660;background:lime;mso-highlight:lime">DSCSA
Information Corner</span></b><b><span style="font-size:16.0pt;font-family:"Georgia",serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-indent:.5in;text-autospace:none"><b><span style="font-size:16.0pt;font-family:"Georgia",serif;color:#003660"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><!--[if gte vml 1]><v:shape id="_x0000_s1027" type="#_x0000_t75" alt="From Page 9" style='position:absolute;left:0;text-align:left;margin-left:-3.75pt;margin-top:-75pt;width:72.05pt;height:36.6pt;rotation:318;z-index:-251636736;visibility:visible;mso-width-percent:0;mso-height-percent:0;mso-wrap-distance-left:9pt;mso-wrap-distance-top:0;mso-wrap-distance-right:9pt;mso-wrap-distance-bottom:0;mso-position-horizontal:absolute;mso-position-horizontal-relative:page;mso-position-vertical:absolute;mso-position-vertical-relative:text;mso-width-percent:0;mso-height-percent:0;mso-width-relative:page;mso-height-relative:page'>
<v:imagedata src="cid:image044.emz@01D5E725.7696FAF0" o:title="" />
<w:wrap anchorx="page"/>
</v:shape><![endif]--><![if !vml]><span style="mso-ignore:vglayout;position:absolute;z-index:-1895803904;left:0px;margin-left:-4px;margin-top:2485px;width:158px;height:152px"><img width="105" height="101" style="width:1.0972in;height:1.0555in" src="cid:image045.png@01D5E725.7696FAF0" alt="From Page 9" v:shapes="_x0000_s1027"></span><![endif]><span style="font-family:"Arial",sans-serif"><a href="https://www.fda.gov/drugs/drug-supply-chain-integrity/drug-supply-chain-security-act-dscsa"><span style="color:#215E9E">FDA’s
DSCSA web page</span></a><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.5pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><span style="font-family:"Arial",sans-serif;color:#414042">The 2013 Drug Supply Chain Security Act</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:.55pt;margin-right:307.65pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:100%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">(DSCSA) is a 10-year plan to an interoperable, electronic system to identify and trace</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:.1pt;margin-right:328.4pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:100%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">pharmaceutical products throughout their distribution in the United States to be completed by November 2023.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.1pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:292.25pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-align:justify;line-height:100%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">The DSCSA states, all dispensers, which includes most MMCAP Infuse Members, must already comply with<span style="letter-spacing:-.75pt">
</span>the following:</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.15pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:293.8pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-align:justify;text-indent:0in;line-height:100%;mso-list:l0 level1 lfo4;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.65pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">Confirm the entities you do business with are<span style="letter-spacing:-1.9pt">
</span>licensed or registered, also known as <b>Authorized <span style="letter-spacing:-.15pt">
Trading </span>Partners</b></span><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:.1pt;margin-right:303.7pt;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;text-indent:0in;line-height:100%;mso-list:l0 level2 lfo4;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042"><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">Check the registration of manufacturers and repackagers</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.1pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:81.15pt;text-indent:-9.2pt;mso-list:l0 level2 lfo4;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042"><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">Check the licensing of wholesalers/distributors and third-party logistics<span style="letter-spacing:-.75pt">
</span>providers</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.5pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:42.9pt;text-indent:-6.95pt;mso-list:l0 level1 lfo4;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.65pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">Receive, store, and provide product tracing<span style="letter-spacing:-.35pt">
</span>documentation</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:.55pt;margin-right:94.65pt;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;text-indent:0in;line-height:100%;mso-list:l0 level2 lfo4;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042"><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">Only<span style="letter-spacing:-.2pt">
</span>accept<span style="letter-spacing:-.2pt"> </span>prescription<span style="letter-spacing:-.25pt">
</span>drugs<span style="letter-spacing:-.2pt"> </span>that<span style="letter-spacing:-.2pt">
</span>are<span style="letter-spacing:-.2pt"> </span>accompanied<span style="letter-spacing:-.25pt">
</span>by<span style="letter-spacing:-.2pt"> </span>three<span style="letter-spacing:-.2pt">
</span>pieces<span style="letter-spacing:-.2pt"> </span>of<span style="letter-spacing:-.25pt">
</span>product<span style="letter-spacing:-.2pt"> </span>tracing documentation – 3T Data: transaction information, transaction
<span style="letter-spacing:-.15pt">history, </span>and transaction statement. If the trading partner you purchased the drugs from does not provide all this documentation, work with them to promptly get it, and quarantine the drugs until the documentation is<span style="letter-spacing:-.15pt">
</span>received.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.2pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:90.35pt;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;text-indent:0in;line-height:100%;mso-list:l0 level2 lfo4;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042"><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">Store the product tracing documentation you receive in paper or electronic format for six years.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.05pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:.05pt;margin-right:84.85pt;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;text-indent:0in;line-height:100%;mso-list:l0 level2 lfo4;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042"><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">Generate and provide all product tracing documentation with the transaction if you sell a prescription drug to a trading
<span style="letter-spacing:-.15pt">partner. </span><span style="letter-spacing:-.4pt">You
</span>do not need to provide this information when you dispense a prescription drug to a patient or if you sell to a pharmacy for dispensing to a specific<span style="letter-spacing:-.05pt">
</span>patient.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.15pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:42.9pt;text-indent:-6.95pt;mso-list:l0 level1 lfo4;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.65pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">Investigate and properly handle suspect and illegitimate<span style="letter-spacing:-.4pt">
</span>drugs</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:.55pt;margin-right:85.55pt;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;text-indent:0in;line-height:100%;mso-list:l0 level2 lfo4;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042"><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">Pharmacies must have a process to investigate and handle suspect and illegitimate prescription<span style="letter-spacing:-.2pt">
</span>drugs,<span style="letter-spacing:-.2pt"> </span>which<span style="letter-spacing:-.25pt">
</span>includes<span style="letter-spacing:-.2pt"> </span>drugs<span style="letter-spacing:-.2pt">
</span>that<span style="letter-spacing:-.15pt"> </span>may<span style="letter-spacing:-.15pt">
</span>be<span style="letter-spacing:-.2pt"> </span>or<span style="letter-spacing:-.2pt">
</span>have<span style="letter-spacing:-.2pt"> </span>evidence<span style="letter-spacing:-.2pt">
</span>that<span style="letter-spacing:-.15pt"> </span>it<span style="letter-spacing:-.2pt">
</span>is<span style="letter-spacing:-.2pt"> </span>counterfeit, diverted, stolen, intentionally adulterated, or unfit for distribution, including steps<span style="letter-spacing:-1.55pt">
</span>to:</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:.15pt;margin-right:105.55pt;margin-bottom:0in;margin-left:107.95pt;margin-bottom:.0001pt;text-indent:0in;line-height:100%;mso-list:l0 level3 lfo4;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.05pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">Quarantine and investigate suspect prescription drugs to determine if they<span style="letter-spacing:-2.15pt">
</span>are illegitimate;<span style="letter-spacing:-.1pt"> </span>and</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.05pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:114.9pt;text-indent:-7.0pt;mso-list:l0 level3 lfo4;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.05pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">If they are illegitimate, pharmacies should work with the manufacturer<span style="letter-spacing:-.6pt">
</span>and</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:.55pt;margin-right:0in;margin-bottom:0in;margin-left:107.95pt;margin-bottom:.0001pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">take specific steps to ensure patients do not receive the illegitimate drugs.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.5pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:94.9pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:100%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">Pharmacies must also notify FDA and the trading partners they bought the drug from and sold the drug to.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-top:.1pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:19.25pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:100%;text-autospace:none">
<!--[if gte vml 1]><v:shape id="_x0000_s1026" type="#_x0000_t75" alt="From Page 10" style='position:absolute;left:0;text-align:left;margin-left:-6.85pt;margin-top:-18.1pt;width:78.75pt;height:36.6pt;rotation:318;z-index:-251635712;visibility:visible;mso-width-percent:0;mso-height-percent:0;mso-wrap-distance-left:9pt;mso-wrap-distance-top:0;mso-wrap-distance-right:9pt;mso-wrap-distance-bottom:0;mso-position-horizontal:absolute;mso-position-horizontal-relative:page;mso-position-vertical:absolute;mso-position-vertical-relative:text;mso-width-percent:0;mso-height-percent:0;mso-width-relative:page;mso-height-relative:page'>
<v:imagedata src="cid:image046.emz@01D5E725.7696FAF0" o:title="" />
<w:wrap anchorx="page"/>
</v:shape><![endif]--><![if !vml]><span style="mso-ignore:vglayout;position:absolute;z-index:-1895802880;left:0px;margin-left:-9px;margin-top:3728px;width:168px;height:160px"><img width="112" height="107" style="width:1.1666in;height:1.1111in" src="cid:image047.png@01D5E725.7696FAF0" alt="From Page 10" v:shapes="_x0000_s1026"></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">In
addition to requirements under the DSCSA already subject to FDA audits, pharmaceutical products must be marked with a 2-D barcode that includes the four essential data points required by the DSCSA: Global Trade Item Number (GTIN) which embeds the NDC, serial
number, lot number, and expiration date. There must also be a human readable NDC and linear barcode on the product. On homogeneous cases there must be a 2-D barcode or linear barcode. This requirement was to go into effect as of November 27, 2017, however,
pharmaceutical manufacturing was not ready, so the FDA allowed products that were placed into commerce before November 27, 2018, to be “grandfathered,” exempting from serialization enforcement under the DSCSA.</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.3pt;text-autospace:none"><span style="font-size:11.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:26.95pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:100%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">The next requirement date on the DSCSA timeline of November 27, 2020, is a focus on dispensers. As of
<b>November 27, 2020</b>, dispensers can only purchase product that is serialized, unless it is the product has grand- fathered status. The only way to distinguish grandfathered product is to review the 3T Data which will identify when the product went into
commerce. If the 3T Data shows the product was placed into inventory before November 27, 2018, then the product is acceptable without a 2-D barcode. Facilities will need to update their Standard Operating Procedures (SOPs) to reflect the process to be used
to validate grandfathered status of a product received after November 27, 2020, if the product does not have a 2-D barcode. This will be auditable by the FDA through your facilities’ invoices, so it is recommended that changes to your SOPs be made as to ensure
this does not become an audit finding.<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:26.95pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:100%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:26.95pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:100%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">For questions and inquires please go to:
<a href="http://www.mmd.admin.state.mn.us/MMCAP/background/Default.aspx">http://www.mmd.admin.state.mn.us/MMCAP/background/Default.aspx</a>
</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-indent:.5in;text-autospace:none"><b><span style="font-size:16.0pt;font-family:"Georgia",serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#2F5496"><o:p> </o:p></span></p>
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" align="left" style="border-collapse:collapse;margin-left:7.5pt;margin-right:7.5pt">
<tbody>
<tr style="height:50.0pt">
<td width="112" valign="top" style="width:84.15pt;padding:0in 5.4pt 0in 5.4pt;height:50.0pt">
<p class="MsoNormal" style="mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element-anchor-horizontal:column;mso-height-rule:exactly">
<span style="color:#2F5496"><img border="0" width="73" height="60" style="width:.7569in;height:.625in" id="Picture_x0020_1" src="cid:image048.png@01D5E725.7696FAF0" alt="cid:image003.png@01D1E8D3.0CE82920"><o:p></o:p></span></p>
</td>
<td width="261" valign="top" style="width:195.45pt;padding:0in 5.4pt 0in 5.4pt;height:50.0pt">
<p class="MsoNormal" style="mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element-anchor-horizontal:column;mso-height-rule:exactly">
<a href="mailto:lori.doke@oregon.gov"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:#385623">Lori Doke</span></a><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:#2F5496">,
</span><span style="font-size:9.0pt;font-family:"Cambria",serif;color:#2F5496">CPPB, OPBC, CTAC</span><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:#2F5496"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element-anchor-horizontal:column;mso-height-rule:exactly">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:#2F5496">State Procurement Analyst<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element-anchor-horizontal:column;mso-height-rule:exactly">
<b><span style="font-family:"Times New Roman",serif;color:#2F5496">(C) </span></b><span style="font-family:"Times New Roman",serif;color:#2F5496">– (971) 719-1627<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element-anchor-horizontal:column;mso-height-rule:exactly">
<span style="font-family:"Times New Roman",serif;color:#385623">Department of Administrative Services<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element-anchor-horizontal:column;mso-height-rule:exactly">
<span style="font-family:"Times New Roman",serif;color:#385623">EGS-Procurement Services<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element-anchor-horizontal:column;mso-height-rule:exactly">
<span style="font-family:"Times New Roman",serif;color:#385623">1225 Ferry St. SE U140<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element-anchor-horizontal:column;mso-height-rule:exactly">
<span style="font-family:"Times New Roman",serif;color:#385623">Salem, OR 97301<o:p></o:p></span></p>
<p class="MsoNormal" style="mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element-anchor-horizontal:column;mso-height-rule:exactly">
<a href="http://procurement.oregon.gov/"><span style="color:blue">http://procurement.oregon.gov</span></a><span style="color:#2F5496"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-element:frame;mso-element-frame-hspace:9.0pt;mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element-anchor-horizontal:column;mso-height-rule:exactly">
<span style="color:#1F3864">Data Classification Level 2 – Limited<o:p></o:p></span></p>
</td>
</tr>
</tbody>
</table>
<p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:#2F5496">*****CONFIDENTIALITY NOTICE*****<br>
<br>
This e-mail may contain information that is privileged, confidential, or otherwise exempt from disclosure under applicable law. If you are not the addressee or it appears from the context or otherwise that you have received this e-mail in error, please advise
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