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Drug Type

PER

EMPLOYEE

PER MONTH

# OF CLAIM

SERVICE

LINES

# OF

CLAIMANTS

MEMBER PAID

% PLAN PAID

OF TOTAL

PLAN PAID

PLAN PAID

DRUG

CLASSIFICATION

$79.46

671

117

$19,868.45

77.86 %

$243,873.25

Brand

$22.60

4,568

329

$46,990.00

22.14 %

$69,360.51

Generic

$102.06

5,239

$66,858.45

$313,233.76

Page 16 of 28

Paid: 7/1/2016 to 6/29/2017

Episode Treatment Groups, third party software included in Design180 ™, is the proprietary and copyrighted

intellectual property of Symmetry ™. Copyright © 2015, NavigatorMD, Inc.

PRESERVATION HOUSING MANAGEMENT

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