WE ARE NATIONAL SCRIPT

National Script is a full service pharmacy benefit management company that provides a comprehensive package of prescription management solutions designed to first increase the quality of care for members while delivering the lowest net cost to the plan sponsor. We have a reputation for exceptional Customer Service for plan sponsor’s members and their management team. Our high-touch approach to client services and our dedication to customer service makes us the alternative choice to the largest PBM’s in the Industry. We offer the service levels of a boutique with the pricing of a large PBM.

At National Script we value our clients and plan members. We strive to provide a seamless pharmacy benefit plan that meets the needs of both employer and individual plan member. Through plan governance we provide a fiscally conscious, member focused pharmacy benefit offering

WHY CHOOSE US?

WHAT WE DO

National Script aims to change the narrative around PBMs. We approach the management of our clients’ pharmacy benefit plans with honesty and integrity, working diligently to deliver value. Providing the plan sponsor flexibility in formulary and drug utilization management

DELIVERING VALUE

Striving to achieve lowest net cost. We want to encourage utilization of lower cost medications, whether it be an Over The Counter (OTC) option, generic, or lower cost brand drug.

MEMBER FOCUS

In-house member support call center. Proactive management of claim rejections in real-time. Large pharmacy network covering the United States.

SUPPORT

Proactive drug claim management. Our member support team is actively monitoring the claim rejection queue to proactively intervene to ensure the member receives the support they need.

BOTTOMLINE

Balancing cost savings and member disruption(abrasion). We will look for opportunities to substitute a lower cost alternative when appropriate.

TERMS

Standard 1 year agreement (we won’t lock you into a 3 year agreement like most PBMs)

OUR SERVICES

CUSTOM PLAN DESIGNS

Virtually any plan design can be managed.

EASY TO WORK

Through our state of the art processing system, full custom automation and knowledgeable staff, we pride ourselves in creating a simple and easy business solution for our clients.

CUSTOM REPORTING

Clients with specific reporting requirements have our promise and assurance that specific reporting requirements will be fulfilled on day one.

REBATE MANAGEMENT

Manufacture’s rebates are an important component of a plan sponsor’s drug spend. Our focus is to obtain the lowest net cost for our clients.

MEMBER SUPPORT

Our customer support representatives are enthusiastic with the goal to make our members feel their issues are resolved quickly and professionally.

COPAY ASSISTANCE

National Script can potentially aid with copay assistance on your specialty medication.

INTERESTED ON OUR SERVICES?

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Privacy Statement & Terms of Use

National Script is committed to protecting your privacy and developing technology that gives you the most powerful and safe online experience. This Privacy Statement
applies to the National Script Web site and governs data collection and usage. By using the National Script Web site, you consent to the data practices described in this statement.

Collection of your Personal Information

National Script collects personally identifiable information, such as your e-mail address, name, home or work address or telephone number. National Script also collects anonymous
demographic information, which is not unique to you, such as your ZIP code, age, gender, preferences, interests and favorites.

There is also information about your computer hardware and software that is automatically collected by National Script. This information can include: your IP address,
browser type, domain names, access times and referring Web site addresses. This information is used by National Script for the operation of the service, to maintain
quality of the service, and to provide general statistics regarding use of the National Script Web site.

Please keep in mind that if you directly disclose personally identifiable information or personally sensitive data through National Script public message boards, this
information may be collected and used by others. Note: National Script does not read any of your private online communications.

Use of your Personal Information

National Script collects and uses your personal information to operate the National Script Web site and deliver the services you have requested. National Script also uses your personally
identifiable information to inform you of other products or services available from National Script and its affiliates. National Script may also contact you via surveys to conduct
research about your opinion of current services or of potential new services that may be offered.

National Script does not sell, rent or lease its customer lists to third parties. National Script may, from time to time, contact you on behalf of external business partners about
a particular offering that may be of interest to you. In those cases, your unique personally identifiable information (e-mail, name, address, telephone number)
is not transferred to the third party. In addition, National Script may share data with trusted partners to help us perform statistical analysis, send you email or postal
mail, provide customer support, or arrange for deliveries. All such third parties are prohibited from using your personal information except to provide these
services to National Script, and they are required to maintain the confidentiality of your information.

National Script does not use or disclose sensitive personal information, such as race, religion, or political affiliations, without your explicit consent.

National Script keeps track of the Web sites and pages our customers visit within National Script, in order to determine what National Script services are the most popular. This data is used
to deliver customized content and advertising within National Script to customers whose behavior indicates that they are interested in a particular subject area.
National Script Web sites will disclose your personal information, without notice, only if required to do so by law or in the good faith belief that such action is
necessary to:

1. conform to the edicts of the law or comply with legal process served on National Script or the site;

1. protect and defend the rights or property of National Script; and,

1. act in urgent circumstances to protect the personal safety of National Script employees or agent, users of National Script, or the public.

Use of Cookies

The National Script Web site use “cookies” to help you personalize your online experience. A cookie is a text file that a Web site transfers to your computer to allow it
to remember specific information about your session while connected. Cookies cannot be used to run programs or deliver viruses to your computer. Cookies are
uniquely assigned to you and can only be read by a web server in the domain that issued the cookie to you.

One of the primary purposes of cookies is to provide a convenience feature to save you time. For example, if you personalize an National Script Web page or register with
an National Script site or service, a cookie helps National Script to recall your specific information on subsequent visits. This simplifies the process of recording your personal
information, such as billing addresses, shipping addresses, and so on. When you return to the same National Script Web site, the information you previously provided can
be retrieved, so you can easily use the National Script features that you customized.

You have the ability to accept or decline cookies. Most Web browsers automatically accept cookies, but you can usually modify your browser setting to decline
cookies if you prefer. If you choose to decline cookies, you may not be able to fully experience the interactive features of the National Script services or Web sites you
visit.

Security of Your Personal Information

LINKING POLICY AND DISCLAIMER

National Script may link to other Web sites created and maintained by other public and/or private organizations. National Script provides links to those Web sites as a service to our
users. The presence of a link is not a National Script endorsement of the Web site.

When users follow a link to an outside Web site, they are leaving National Script and are subject to the privacy and security policies of the owners/sponsors of the outside
Web site(s). National Script is not responsible for information collection practices on non-National Script Web sites.

Changes to this Statement

National Script will occasionally update this Privacy Statement to reflect company and customer feedback. National Script encourages you to periodically review this Statement to be
informed of how National Script is protecting your information.

Contact Information

National Script welcomes your comments regarding this Privacy Statement. If you believe that National Script has not adhered to this Statement, please contact National Script at (855) 628-2100. We
will use commercially reasonable efforts to promptly determine and remedy the problem.

1285 Centaur Drive
Suite 100
Lafayette, CO 80026
www.nationalscript.com

Your Information.

Your Rights.

Our Responsibilities.

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record	•	You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
	•	We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask us to correct your medical record	•	You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
	•	We may say “no” to your request, but we’ll tell you why in writing within 60 days.
Request confidential communications	•	You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
	•	We will say “yes” to all reasonable requests.
Ask us to limit what we use or share	•	You can ask us not to use or share certain health information for treatment, payment, or our operations.
	•	We are not required to agree to your request, and we may say “no” if it would affect your care.
	•	If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer.
	•	We will say “yes” unless a law requires us to share that information.
Get a list of those with whom we’ve shared information	•	You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
	•	We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost- based fee if you ask for another one within 12 months.
Get a copy of this privacy notice	•	You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose someone to act for you	•	If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information
	•	We will make sure the person has this authority and can act for you before we take any action.
File a complaint if you feel your rights are violated.	•	You can complain if you feel we have violated your rights by contacting us via email, mail or phone.
	•	National Script. 500 Discovery Parkway, Suite 375 Superior, CO 80027 P: 855-628-2100 privacy@nationalscript.com
	•	You can file a complaint with the U.S. Department of Health and Human Services. Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-6962
	•	We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.

In these cases, you have both the right and choice to tell us to:

In these cases, we never share your information unless you give us written permission:

• Share information with your family, close friends, or others involved in your care

• Share information in a disaster relief situation

• Include your information in a hospital directory

• Contact you for fundraising efforts

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

• Marketing purposes

• Sale of your information

• Most sharing of psychotherapy notes

In the case of fundraising:

• We may contact you for fundraising efforts, but you can tell us not to contact you again.

Our Uses and Disclosures

How do we typically use or share your health information? We typically use or share your health information in the following ways.

Treat you • We can use your health Example: We ask your physician information and share it for information when we review

		with other professionals who are treating you.	requests for medications which require authorization approval.
Run our organization	•	We can use and share your health information to run our practice, improve your care, and contact you when necessary.	*Example:* We use health information about you to manage your treatment and services.
Bill for your services	•	We can use and share your health information to bill and get payment from health plans or other entities.	*Example:* We give information about you to your health insurance plan so it will pay for your services

How else can we use or share your health information?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes.

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

Help with public health and safety issues	We can share health information about you for certain situations such as:
Help with public health and safety issues	•	Preventing disease
	•	Helping with product recalls
	•	Reporting adverse reactions to medications
	•	Reporting suspected abuse, neglect, or domestic violence
	•	Preventing or reducing a serious threat to anyone’s health or safety
Do research	•	We can use or share your information for health research.
Comply with the law	•	We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
Respond to organ and tissue donation requests	•	We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director

• We can share health information with a coroner, medical examiner, or funeral director when the individual dies.

Address workers’ compensation, law enforcement, and other government requests

We can use or share health information about you:

• For workers’ compensation claims

• For law enforcement purposes or with a law enforcement official

• With health oversight agencies for activities authorized by law

• For special government functions such as military, national security, and presidential protective services

Respond to lawsuits and legal actions

• We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Our Responsibilities

We are required by law to maintain the privacy and security of your protected health information.
We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
We must follow the duties and privacy practices described in this notice and give you a copy of it.
We will not use or share your information other than as described here unless you tell us we can in writing.
If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information see:

www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.