56-19 Exhibit - Agreement with Meritain Health as Third Party Administrator.pdf

Pharmacy Meritain Health Pharmacy Management benefit administration integrated with Meritain Health medical benefit Township of West Orange MH Tier 4/1/2019 RB16-T4 Reinvested Rebates Pharmacy Benefits Retail Brand Discount 17.50% Net effective generic discount 79.00% Retail dispensing fee $1.20 Mail Brand Discount plus dispensing Fee 18.00% Net effective generic discount, plus dispensing Fee 80.00% Specialty Specialty Discount 13.50% Specialty dispensing Fee $1.20 Rebates Retail Brand $0.00 Mail Brand $0.00 Specialty Brand $0.00 Formulary: Rates are based on an open formulary and our broad national network. Additional formulary and network offerings and corresponding rates are available upon request. All Meritain Health Pharmacy Management offerings include the benefit of rebates and are delivered in various ways. Our recommended model is the Reinvested Model, which offers the greatest benefit for our clients and their members, including: (1) lowering net cost at time of purchase with reduced costs on all drugs, not just on rebate eligible drugs. (2) reducing the incentive toward higher cost brand drugs caused by rebates. (3) eliminating the volatility associated with which drugs are rebate eligible. (4) immediate realization of value without pay-out lag that is

centive toward higher cost brand drugs caused by rebates. (3) eliminating the volatility associated with which drugs are rebate eligible. (4) immediate realization of value without pay-out lag that is typical with rebates. We offer a traditional rebate model, wherein the rebates are paid out to the plan sponsor. While the traditional rebate model can yield significant savings when rebate eligible drugs are utilized, lower cost alternatives may exist that offer lower net cost to plan. For groups focused on low fixed costs, we offer a model with the benefit of rebates in the form of an admin credit. Generic discount and dispensing fee guarantees cover Multi-Source products only. The brand discount and dispensing fee guarantees apply to non-Multi-Source products. High Deductible Health Plans (HDHP) are subject to a fee of $2.00 per script. 1/3/2019