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<p class="MsoNormal" style="margin-left:.25in;text-autospace:none"><span style="font-size:12.0pt;font-family:"Times New Roman",serif">Hello,
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.25in;text-autospace:none"><span style="font-size:12.0pt;font-family:"Times New Roman",serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.25in;text-autospace:none"><span style="font-size:12.0pt;font-family:"Times New Roman",serif">I wanted to let you know that MMCAP, our Representative, Kim Hankins, and suppliers are working hard to provide updates about
products that are in short supply that are needed by all states and information on the supply chain for Medical and Pharmaceutical Products as they receive the information<span style="color:#1F497D">.</span><o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:#1F497D"> Updates will be provided as we received them.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.25in;text-autospace:none"><span style="font-size:10.0pt;font-family:"Times New Roman",serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.25in;text-autospace:none"><span style="font-size:12.0pt;font-family:"Times New Roman",serif">Below is information received from the MMCAP Newsletter March 2020:<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.25in;text-autospace:none"><span style="font-size:12.0pt;font-family:"Times New Roman",serif"><o:p> </o:p></span></p>
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<span style="font-size:8.0pt;font-family:"Times New Roman",serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:4.65pt;margin-right:26.25pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:101%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">As MMCAP Infuse members across the country become increasingly impacted by the COVID-19 virus, we want to assure you that our state and agency leaders continue to monitor the situation. We have plans
in place that prioritize the safety of our team members and partners as well as the continuation of MMCAP<span style="letter-spacing:-2.2pt">
</span>Infuse services. Our teams remain in constant communication with our contracted vendors who are monitoring the availability of needed supplies.
<span style="letter-spacing:-.3pt">(You </span>can find our vendors’ contracts and product offerings on<span style="letter-spacing:-1.35pt">
</span>our</span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:.2pt;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif"><a href="http://www.mmd.admin.state.mn.us/MMCAP/Account/Login.aspx"><span style="color:#215E9E">legacy website</span></a><span style="color:#414042">. Please note you must be logged in to access this information.)</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="mso-margin-top-alt:.05pt;margin-right:26.25pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:101%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">MMCAP Infuse is also working with leaders at state and national organizations such as HSCA and NASPO to gain a broader understanding of the situation and to help inform any business decisions moving
forward.</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:27.6pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:101%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">For the most accurate and up-to-date information and guidance related to the COVID-19 virus, please visit the Center for Disease Control (CDC) or the World Health Organization (WHO):</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:5.15in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:206%;text-autospace:none">
<span style="font-family:"Arial",sans-serif"><a href="http://www.cdc.gov/coronavirus"><span style="color:#215E9E">Center for Disease Control (CDC)</span></a><span style="color:#215E9E">
</span><a href="https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public"><span style="color:#215E9E">World Health Organization (WHO)</span></a>
<o:p></o:p></span></p>
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<span style="font-family:"Arial",sans-serif">Generally,<span style="color:#1F497D">
</span><span style="color:black">for those entities who have order history that there are Allocations in place and folks may not receive their whole order. Contact Jim for more information concerning COVID 19 test kits, he has two company’s providing tests,
one is a Blood test and the other is non FDA approved, both would need additional verification, but these test kits are available. If you haven’t been ordering products that are on short supply, masks, hand sanitizers, etc., you won’t be able to get these
products.</span><o:p></o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:5.15in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:206%;text-autospace:none">
<span style="font-family:"Arial",sans-serif">If you have questions please call Jim @ 651 201.2440<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:5.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-autospace:none"><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><img border="0" width="543" height="48" style="width:5.6597in;height:.5in" id="_x0000_i1026" src="cid:image015.png@01D5FD22.4C709660"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.15pt;text-autospace:none"><span style="font-size:13.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:1.7pt;margin-left:.5in;text-autospace:none">
<b><span style="font-family:"Arial",sans-serif;color:#414042">Influenza Vaccine Direct from Manufacturers</span></b><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="text-autospace:none"><b><span style="font-size:10.5pt;font-family:"Arial",sans-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:red">Contact the vendors directly to place your pre-book orders.<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:39.95pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;text-align:justify;text-indent:2.85pt;line-height:101%;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 are posted on the MMCAP Infuse legacy website log in and click on the Contracts tab.</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="text-indent:.5in;text-autospace:none"><b><span style="font-family:"Arial",sans-serif;color:#414042">Reminder:</span></b><span style="font-family:"Arial",sans-serif;color:#414042">
</span><span style="font-family:"Arial",sans-serif;color:#7030A0">Be sure to communicate to the vendors when placing your orders that you are an</span><!--[if gte vml 1]><v:shape id="_x0000_s1032" type="#_x0000_t75" alt="Continued on Page 6" style='position:absolute;left:0;text-align:left;margin-left:492.3pt;margin-top:731.95pt;width:119.35pt;height:36.6pt;rotation:318;z-index:251702272;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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MMCAP Infuse member and want to be attached to MMCAP Infuse contract pricing.<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:13.0pt;font-family:"Arial",sans-serif;color:#7030A0"><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:.35pt;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:-7.55pt;line-height:101%;mso-list:l0 level3 lfo2;text-autospace:none">
<![if !supportLists]><span style="font-size:12.0pt;line-height:101%;font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.45pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:101%;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:.15pt;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:-7.55pt;line-height:101%;mso-list:l0 level3 lfo2;text-autospace:none">
<![if !supportLists]><span style="font-size:12.0pt;line-height:101%;font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.45pt"><span style="mso-list:Ignore">•<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:101%;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="mso-margin-top-alt:9.55pt;margin-right:0in;margin-bottom:0in;margin-left:79.5pt;margin-bottom:.0001pt;text-align:justify;text-indent:-7.55pt;mso-list:l0 level3 lfo2;text-autospace:none">
<![if !supportLists]><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.45pt"><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="text-autospace:none"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="font-size:12.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
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<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><u><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#414042">Shortages</span></u></b><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#414042"> : There are alternatives please ask the question.<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:12.0pt;font-family:"Arial",sans-serif;color:#414042"><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><u><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#414042">Cardinal</span></u></b><b><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#414042"> orders have skyrocketed. Picking times have gone to 8+ hours. Cardinal is
on a fair share allocation system and information can be obtained at the website. There is a process in place for new members, sign-ups, etc.
<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"><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">
<!--[if gte vml 1]><v:shape id="Line_x0020_243" o:spid="_x0000_s1031" type="#_x0000_t75" style='position:absolute;left:0;text-align:left;margin-left:0;margin-top:.05pt;width:.75pt;height:132.75pt;z-index:251701248;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'>
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</v:shape><![endif]--><![if !vml]><span style="mso-ignore:vglayout;position:absolute;z-index:251701248;left:0px;margin-left:10px;margin-top:1332px;width:2px;height:266px"><img width="1" height="177" style="width:.0138in;height:1.8472in" src="cid:image026.png@01D5FD22.4BAEF410" v:shapes="Line_x0020_243"></span><![endif]><b><span style="font-size:14.0pt;font-family:"Arial",sans-serif;color:#414042">Sunovion
Product Distribution</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;text-align:justify;line-height:12.6pt;mso-line-height-rule:exactly;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">Sunovion has recently notified MMCAP Infuse that its licensing agreement with Novartis for Arcapta®<span style="letter-spacing:-.2pt">
</span>Neohaler®,<span style="letter-spacing:-.2pt"> </span>Utibron®<span style="letter-spacing:-.25pt">
</span>Neohaler®<span style="letter-spacing:-.2pt"> </span>and<span style="letter-spacing:-.2pt">
</span>Seebri®<span style="letter-spacing:-.2pt"> </span>Neohaler®<span style="letter-spacing:-.2pt">
</span>will<span style="letter-spacing:-.2pt"> </span>end<span style="letter-spacing:-.25pt">
</span>March<span style="letter-spacing:-.15pt"> </span>31,<span style="letter-spacing:-.25pt">
</span>2020,<span style="letter-spacing:-.2pt"> </span>and<span style="letter-spacing:-.2pt">
</span>these products will no longer be available in the U.S. Products are expected to be depleted
<span style="letter-spacing:-.15pt">quickly. </span>Sunovion will continue to honor contract pricing until June 30, 2020, or until supply is depleted. Novartis<span style="letter-spacing:-2.2pt">
</span>does not have plans to license the products through any other vendors in the U.S.</span><span style="font-family:"Arial",sans-serif;color:#1F497D">
</span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
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<span style="font-size:14.5pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-align:justify;text-autospace:none">
<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="font-size:12.0pt;color:#215E9E">Link to FDA’s DSCSA web page</span></a><span style="color:#1F497D">
</span></span><span style="font-size:10.0pt;font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.15pt;text-autospace:none"><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">
<b><span style="font-size:14.0pt;font-family:"Arial",sans-serif;color:#414042">DSCSA Q&A</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:39.05pt;line-height:12.6pt;mso-line-height-rule:exactly;text-autospace:none">
<b><span style="font-family:"Arial",sans-serif;color:#414042">What does DSCSA stand for?</span></b><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:.55pt;margin-right:13.7pt;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;line-height:101%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">DSCSA stands for the Drug Supply Chain Security Act, which is Title II of the Drug Quality and Security Act (DQSA)</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"><b><span style="font-family:"Arial",sans-serif;color:#414042">What is the purpose of the DSCSA?</span></b><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:.55pt;margin-right:13.7pt;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;line-height:101%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">The purpose of DSCSA is to create an electronic system to track and trace certain prescription drugs in the United States.</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"><b><span style="font-family:"Arial",sans-serif;color:#414042">What is DSCSA Compliance?</span></b><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:.55pt;margin-right:26.25pt;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;line-height:101%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">DSCSA outlines critical steps to build an electronic, interoperable system to identify and trace certain prescription drugs as they are distributed in the U.S. In this outline there are requirements
laid out for Authorized Trading Partners. MMCAP Infuse members who either serve as a point of pharmaceutical distribution (i.e., DOCs may have a central supply, and may bring in pharmaceuticals to a central location and distribute them among the prisons in
their system), or as a pharmacy, dispensing medications are required to be compliant with the DSCSA</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: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">Does DSCSA apply to OTC drugs or are OTCs exempt?</span></b><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:.55pt;margin-right:116.75pt;margin-bottom:0in;margin-left:68.95pt;margin-bottom:.0001pt;text-indent:3.05pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">DSCSA applies to prescription drugs in finished dosage form for human use.</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="margin-left:.5in;text-autospace:none"><b><span style="font-family:"Arial",sans-serif;color:#414042">What is product tracing?</span></b><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:.55pt;margin-right:28.25pt;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;line-height:101%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">Product tracing is the ability to trace potentially contaminated product, the consumption of which may cause an adverse health impact, through the supply chain. Product tracing is found not only with
drugs but can be used in food safety as well.</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"><b><span style="font-family:"Arial",sans-serif;color:#414042">What is serialization in pharmaceuticals?</span></b><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:.55pt;margin-right:55.15pt;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;line-height:101%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">Serializing product, the assigning of unique, traceable numbers to individual saleable units, is the cornerstone of all the regulations. Serialization is a complex process that will have a ripple effect
throughout operations at both pharmaceutical companies and their contract manufacturing and packaging partners.</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:116.75pt;margin-bottom:0in;margin-left:34.65pt;margin-bottom:.0001pt;text-autospace:none">
<b><span style="font-family:"Arial",sans-serif;color:#414042">As an MMCAP Infuse member, what do I need to do to be compliant with the DSCSA?</span></b><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
<p class="MsoNormal" style="mso-margin-top-alt:.55pt;margin-right:0in;margin-bottom:0in;margin-left:1.0in;margin-bottom:.0001pt;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">Under DSCSA, most MMCAP Infuse members must already comply with the following:</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="margin-left:114.9pt;text-indent:-7.0pt;mso-list:l0 level4 lfo2;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.5pt"><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 licensed or registered, also known as<span style="letter-spacing:-2.1pt">
</span>Authorized</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">Trading Partners</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:153.15pt;margin-bottom:.0001pt;text-indent:-9.25pt;mso-list:l0 level5 lfo2;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<span style="letter-spacing:-.2pt">
</span>repackagers</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:.05pt;margin-right:0in;margin-bottom:0in;margin-left:153.15pt;margin-bottom:.0001pt;text-indent:-9.25pt;mso-list:l0 level5 lfo2;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:-1.1pt">
</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:114.85pt;text-indent:-6.95pt;mso-list:l0 level4 lfo2;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.5pt"><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:0in;margin-right:47.8pt;margin-bottom:0in;margin-left:143.95pt;margin-bottom:.0001pt;text-indent:-9.2pt;line-height:101%;mso-list:l0 level5 lfo2;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]><!--[if gte vml 1]><v:shape id="Line_x0020_253" o:spid="_x0000_s1033" type="#_x0000_t75" style='position:absolute;left:0;text-align:left;margin-left:0;margin-top:64.2pt;width:.75pt;height:133.5pt;z-index:251709440;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:image029.png@01D5FD22.4BAEF410" 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:251709440;left:0px;margin-left:10px;margin-top:2172px;width:2px;height:267px"><img width="1" height="178" style="width:.0138in;height:1.8541in" src="cid:image029.png@01D5FD22.4BAEF410" v:shapes="Line_x0020_253"></span><![endif]><span style="font-family:"Arial",sans-serif;color:#414042">Only
accept prescription drugs that are accompanied by three pieces of product 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<span style="letter-spacing:-.25pt">
</span>all<span style="letter-spacing:-.2pt"> </span>this<span style="letter-spacing:-.2pt">
</span>documentation,<span style="letter-spacing:-.25pt"> </span>work<span style="letter-spacing:-.2pt">
</span>with<span style="letter-spacing:-.2pt"> </span>them<span style="letter-spacing:-.2pt">
</span>to<span style="letter-spacing:-.2pt"> </span>promptly<span style="letter-spacing:-.2pt">
</span>get<span style="letter-spacing:-.25pt"> </span>it,<span style="letter-spacing:-.2pt">
</span>and<span style="letter-spacing:-.25pt"> </span>quarantine<span style="letter-spacing:-.2pt">
</span>the drugs until the documentation is<span style="letter-spacing:-.3pt"> </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:34.85pt;margin-bottom:0in;margin-left:143.95pt;margin-bottom:.0001pt;text-indent:-.05pt;line-height:101%;mso-list:l0 level5 lfo2;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:0in;margin-right:76.4pt;margin-bottom:0in;margin-left:143.95pt;margin-bottom:.0001pt;text-indent:-9.2pt;line-height:101%;mso-list:l0 level5 lfo2;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<span style="letter-spacing:-1.55pt">
</span>if you sell to a pharmacy for dispensing to a specific patient.</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:.05pt;margin-right:0in;margin-bottom:0in;margin-left:114.9pt;margin-bottom:.0001pt;text-indent:-7.0pt;mso-list:l0 level4 lfo2;text-autospace:none">
<![if !supportLists]><span style="font-family:"Arial",sans-serif;color:#414042;letter-spacing:-.5pt"><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:-.45pt">
</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:39.25pt;margin-bottom:0in;margin-left:143.95pt;margin-bottom:.0001pt;text-indent:-9.2pt;line-height:101%;mso-list:l0 level5 lfo2;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 drugs, which includes drugs that may be or have evidence that it is counterfeit,<span style="letter-spacing:-.3pt">
</span>diverted,<span style="letter-spacing:-.35pt"> </span>stolen,<span style="letter-spacing:-.3pt">
</span>intentionally<span style="letter-spacing:-.3pt"> </span>adulterated,<span style="letter-spacing:-.35pt">
</span>or<span style="letter-spacing:-.35pt"> </span>unfit<span style="letter-spacing:-.3pt">
</span>for<span style="letter-spacing:-.3pt"> </span>distribution,<span style="letter-spacing:-.35pt">
</span>including steps to:</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:.05pt;margin-right:33.55pt;margin-bottom:0in;margin-left:2.5in;margin-bottom:.0001pt;text-indent:-.05pt;line-height:101%;mso-list:l0 level6 lfo2;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:-.05pt"> </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="mso-margin-top-alt:0in;margin-right:29.3pt;margin-bottom:0in;margin-left:2.5in;margin-bottom:.0001pt;text-indent:-6.95pt;line-height:101%;mso-list:l0 level6 lfo2;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 and<span style="letter-spacing:-1.8pt">
</span>take specific steps to ensure patients do not receive the illegitimate drugs. Pharmacies must also notify FDA and the trading partners they bought the drug from and sold the drug<span style="letter-spacing:-.15pt">
</span>to.</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:5.0pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-top:.35pt;text-autospace:none"><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>
<p class="MsoNormal" style="margin-top:.35pt;text-autospace:none"><!--[if gte vml 1]><o:wrapblock><v:shape id="_x0000_s1029" type="#_x0000_t75" style='position:absolute;margin-left:36pt;margin-top:14.95pt;width:406.7pt;height:36pt;z-index:-251632640;visibility:visible;mso-width-percent:0;mso-height-percent:0;mso-wrap-distance-left:0;mso-wrap-distance-top:0;mso-wrap-distance-right:0;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:image030.emz@01D5FD22.4BAEF410" o:title="" />
<w:wrap type="topAndBottom" anchorx="page"/>
</v:shape><![endif]--><![if !vml]><span style="mso-ignore:vglayout">
<table cellpadding="0" cellspacing="0" align="left">
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</tr>
<tr>
<td></td>
<td><img width="542" height="48" style="width:5.6458in;height:.5in" src="cid:image020.png@01D5FD22.4C709660" v:shapes="_x0000_s1029"></td>
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<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:13.5pt;font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="mso-margin-top-alt:0in;margin-right:26.25pt;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;line-height:101%;text-autospace:none">
<span style="font-family:"Arial",sans-serif;color:#414042">Want to receive MMCAP Infuse information, industry news and updates via your social networks? MMCAP Infuse is active on Facebook, Twitter, Instagram and LinkedIn. </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="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:.25pt;text-autospace:none"><span style="font-size:6.5pt;font-family:"Arial",sans-serif;color:#1F497D">
</span><span style="font-family:"Arial",sans-serif;color:black">Also, if you have further questions, please contact Kim Hankins Oregon’s MMCAP Representative
<a href="mailto:kim.hankins@state.mn.us">kim.hankins@state.mn.us</a>, or at 503 999-5013.<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:.25pt;text-autospace:none"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-top:.25pt;text-autospace:none"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-top:.25pt;text-autospace:none"><span style="font-size:12.0pt;font-family:"Arial",sans-serif;color:#1F497D"> Be safe, take care..<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"><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:.7638in;height:.625in" id="Picture_x0020_1" src="cid:image021.png@01D5FD22.4C709660" 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">
<span style="font-size:12.0pt;font-family:"Times New Roman",serif;color:#385623"><a href="mailto:lori.doke@oregon.gov"><span style="color:#385623">Lori Doke</span></a></span><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">
<span style="color:#2F5496"><a href="http://procurement.oregon.gov/"><span style="color:blue">http://procurement.oregon.gov</span></a><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>
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