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MEDICAID SYSTEM (MMIS) ILLINOIS DEPARTMENT OF RUN DATE: 05/13/2021 PROVIDER SUBSYSTEM HEALTHCARE AND FAMILY SERVICES RUN TIME: 20:39:26 REPORT ID 2794D051 PAGE: 01

NUMERIC COMPLETE LIST OF PHARMACEUTICAL LABELERS WITH SIGNED REBATE AGREEMENTS IN EFFECT AS OF 07/01/2021

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

00002 00186 ASTRAZENECA PHARMACEUTICALS LP 00003 E.R. SQUIBB & SONS, LLC. 00187 US, LLC. 00004 HOFFMANN-LA ROCHE 00206 PHARMACEUTICALS LLC, 00006 MERCK & CO., INC. 00224 KONSYL PHARMACEUTICALS, INC. 00007 GLAXOSMITHKLINE 00225 B. F. ASCHER AND COMPANY, INC. 00008 WYETH PHARMACEUTICALS LLC, 00228 PHARMA, INC. 00009 AND COMPANY LLC 00245 UPSHER-SMITH LABORATORIES, INC. 00013 LABORATORIES DIV PFIZER INC 00254 PAR PHARMACEUTICAL INC. 00015 MEAD JOHNSON AND COMPANY 00259 MERZ PHARMACEUTICALS 00023 INC 00264 B. BRAUN MEDICAL INC. 00024 -AVENTIS, US LLC 00281 SAVAGE LABORATORIES 00025 PFIZER LABORATORIES DIV PFIZER INC 00299 GALDERMA LABORATORIES, L.P. 00026 BAYER HEALTHCARE LLC 00310 ASTRAZENECA PHARMACEUTICALS LP 00032 ABBVIE INC. 00338 BAXTER HEALTHCARE CORPORATION 00037 MEDA PHARMACEUTICALS, INC. 00378 PHARMACEUTICALS, INC. 00039 SANOFI-AVENTIS, US LLC 00406 SPEC GX, LLC 00046 WYETH PHARMACEUTICALS INC. 00407 GE HEALTHCARE, INC. 00049 ROERIG 00409 , INC. 00051 ABBVIE INC 00430 WARNER CHILCOTT (US) LLC 00052 ORGANON USA INC. 00456 , INC. 00053 CSL BEHRING L.L.C. 00469 ASTELLAS PHARMA US, INC. 00054 HIKMA PHARMACEUTICAL USA, INC. 00472 ACTAVIS PHARMA, INC. 00056 BRISTOL-MYERS SQUIBB PHARMA CO. 00485 EDWARDS PHARMACEUTICALS, INC. 00065 LABORATORIES, INC. 00486 BEACH PHARMACEUTICALS 00068 AVENTIS PHARMACEUTICALS 00487 NEPHRON PHARMACEUTICALS CORPORATION 00069 PFIZER LABORATORIES DIV PFIZER INC 00517 AMERICAN REGENT, INC. 00071 PARKE-DAVIS DIV OF PFIZER 00527 LANNETT COMPANY, INC. 00074 ABBVIE INC 00536 RUGBY LABORATORIES 00075 AVENTIS PHARMACEUTICALS, INC. 00548 AMPHASTAR PHARMACEUTICALS, INC. 00078 NOVARTIS 00555 USA, INC 00085 SCHERING CORPORATION 00562 KEDRION MELVILLE, INC. 00087 BRISTOL-MYERS SQUIBB COMPANY 00574 PADDOCK LABORATORIES, LLC. 00088 AVENTIS PHARMACEUTICALS 00575 TEVA PHARMACEUTICALS USA, INC 00093 TEVA PHARMACEUTICALS USA, INC. 00591 ACTAVIS PHARMA, INC. 00095 BAUSCH HEALTH US, LLC 00597 PHARMACEUTICALS 00096 PERSON & COVEY, INC. 00603 PAR PHARMACEUTICAL 00113 L. COMPANY 00641 HIKMA PHARMACEUTICAL USA, INC. 00115 IMPAX GENERICS 00642 EXELTIS USA, INC. 00116 XTTRIUM LABORATORIES, INC. 00682 MARNEL PHARMACEUTICALS, LLC 00121 PHARMACEUTICAL ASSOCIATES, INC. 00703 TEVA PARENTERAL MEDICINES INC 00131 UCB, INC. 00713 COSETTE PHARMACEUTICALS, INC. 00132 C B FLEET COMPANY INC 00777 DISTA PRODUCTS COMPANY 00143 HIKMA PHARMACEUTICAL USA, INC. 00781 SANDOZ 00145 STIEFEL LABORATORIES, INC, 00813 PHARMICS INC. 00168 E FOUGERA AND CO. 00832 UPSHER-SMITH LABORATORIES, LLC. 00169 NOVO NORDISK, INC. 00884 PEDINOL PHARMACAL INC 00172 TEVA PHARMACEUTICALS USA, INC 00904 MAJOR PHARMACEUTICALS 00173 GLAXOSMITHKLINE 00941 BAXTER HEALTHCARE CORPORATION 00178 MISSION PHARMACAL COMPANY 00944 BAXALTA US INC. 00185 EON LABS, INC. 00955 SANOFI-SYNTHELABO INC. MEDICAID SYSTEM (MMIS) ILLINOIS DEPARTMENT OF RUN DATE: 05/13/2021 PROVIDER SUBSYSTEM HEALTHCARE AND FAMILY SERVICES RUN TIME: 20:39:26 REPORT ID 2794D051 PAGE: 02

NUMERIC COMPLETE LIST OF PHARMACEUTICAL LABELERS WITH SIGNED REBATE AGREEMENTS IN EFFECT AS OF 07/01/2021

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

00990 ICU MEDICAL INC. 18657 HALOZYME THERAPEUTICS, INC. 00998 ALCON LABORATORIES, INC. 18860 , INC 05551 INC 20536 TALON THERAPEUTICS, INC 08221 ARBOR PHARM IRELAND LIMITED 21724 INDEPENDENCE PHARMACEUTICALS, LLC 10019 BAXTER HEALTHCARE CORPORATION 21922 ENCUBE ETHICALS PVT. LTD. 10094 AQUESTIVE THERAPEUTICS 23155 HERITAGE PHARMACEUTICALS, INC. 10122 CHIESI USA, INC. 23359 CENTURION LABS, LLC 10144 , INC. 23594 ZYLERA PHARMACEUTICALS, LLC 10147 PATRIOT PHARMACEUTICALS, LLC. 23635 SPEC GX, LLC. 10148 COTHERIX, INC. 24201 LEUCADIA PHARMACEUTICALS 10337 DOAK DERMATOLOGICS 24208 BAUSCH & LOMB INC. 10370 PAR PHARMACEUTICALS, INC. 24338 ARBOR PHARMACEUTICALS, LLC. 10454 SOLSTICE NEUROSCIENCES, LLC. 24385 AMERISOURCE BERGEN 10542 HILLESTAD PHARMACEUTICALS USA 24478 NEXTWAVE PHARMACEUTICALS, INC. 10572 AFFORDABLE PHARMACEUTICALS, LLC 24492 PARI RESPIRATORY EQUIPMENT, INC. 10599 INTERSECT ENT, INC. 24510 COLLEGIUM PHARMACEUTICAL, INC. 10631 SUN PHARMACEUTICALS INDUSTRIES, INC. 24658 PURACAP LAB. DBA BLU PHARMACEUTICALS 10702 KVK-TECH, INC. 24689 APNAR PHARMA LP 10885 GALEN US INCORPORATED 24979 TWI PHARMACEUTICALS, INC. 10922 INTENDIS, INC. 25010 BAUSCH HEALTH US, LLC 11042 MIDDLEBROOK PHARMACEUTICALS, INC. 25021 SAGENT PHARMACEUTICALS, INC. 11527 SHEFFIELD PHARMACEUTICALS 25208 MEDICURE INTERNATIONAL, INC. 11534 SUNRISE PHARMACEUTICAL, INC. 25682 11980 ALLERGAN INC 27241 AJANTA PHARMA LIMITED 11994 LANTHEUS MEDICAL IMAGING, INC. 27437 LUPIN PHARMACEUTICALS, INC. 12496 INDIVOR INC. 27505 US WORLDMEDS, LLC 12830 R.A. MCNEIL COMPANY 27808 TRIS PHARMA, INC. 13107 USA, INC. 28595 ALLEGIS PHARMACEUTICALS LLC 13517 E5 PHARMA, LLC 29033 NOSTRUM LABORATORIES 13533 GRIFOLS USA, LLC 29300 UNICHEM PHARMACEUTICALS, INC. 13548 BAUSCH HEALTH US, LLC 29978 CAPITAL PHARMACEUTICAL, LLC 13668 TORRENT PHARMACEUTICALS LIMITED 30237 DENDREON PHARMACEUTICALS LLC 13811 TRIGEN LABORATORIES, LLC 30698 VALIDUS PHARMACEUTICALS, INC. 13845 PARSOLEX GMP CENTER, INC. 31722 CAMBER PHARMACEUTICALS, INC. 13913 ASSERTIO THERAPEUTICS, INC. 33342 MACLEODS PHARMACEUTICALS LIMITED 13925 SETON PHARMACEUTICALS, LLC 33573 STESSO PHARMACEUTICALS 14539 HERITAGE PHARMACEUTICALS, INC. 35573 BUREL PHARMACEUTICALS 14789 NEXUS PHARMACEUTICALS, INC. 36000 BAXTER HEALTHCARE CORPORATION 15054 IPSEN BIOPHARMACEUTICALS 36800 TOPCO ASSOCIATES LLC 15370 CARWIN PHARMACEUTICAL ASSOCIATES, LLC. 37205 CARDINAL HEALTH 15584 , LLC. 39328 PATRIN PHARMA, INC. 16252 ACTAVIS PHARMA, INC. 39822 X-GEN PHARMACEUTICALS 16571 RISING PHARMACEUTICALS, INC 40076 PRESTIUM PHARMA, INC. 16714 NORTHSTAR RX LLC 40085 RENAISSANCE PHARMA, INC. 16729 ACCORD HEALTHCARE INC. 41616 SUN PHARMA GLOBAL, INC. 16781 BAUSCH HEALTH US, LLC 42023 PAR PHARMACEUTICAL, INC. 17314 JANSSEN PHARMACEUTICALS, INC 42043 ORCHIDPHARMA, INC. 17433 ENEMEEZ, INC. DBA SUMMIT PHARMACEUTICAL 42192 ACELLA PHARMACEUTICALS, LLC 17478 AKORN INC 42195 XSPIRE PHARMA LLC 17772 SUPERNUS PHARMACEUTICALS, INC. 42211 IROKO PHARMACEUTICALS LLC MEDICAID SYSTEM (MMIS) ILLINOIS DEPARTMENT OF RUN DATE: 05/13/2021 PROVIDER SUBSYSTEM HEALTHCARE AND FAMILY SERVICES RUN TIME: 20:39:26 REPORT ID 2794D051 PAGE: 03

NUMERIC COMPLETE LIST OF PHARMACEUTICAL LABELERS WITH SIGNED REBATE AGREEMENTS IN EFFECT AS OF 07/01/2021

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

42227 VIROPHARMA BIOLOGICS, INC. 47918 MANNKIND CORPORATION 42292 MYLAN INSTITUTIONAL INC. 48102 FERA PHARMACEUTICALS, LLC 42358 SENTYNL THERAPEUTICS, INC. 48818 ALLOS THERAPEUTICS INC. 42367 EAGLE PHARMACEUTICALS, INC. 49230 FRESENIUS MEDICAL CARE NORTH AMERICA 42385 LAURUS LABS PRIVATE LIMITED 49281 SANOFI PASTEUR INC 42388 EXELIXIS, INC. 49348 STRATEGIC SOURCING SERVICES LLC 42457 EMMAUS MEDICAL, INC. 49401 GLAXOSMITHKLINE LLC 42494 CAMERON PHARMACEUTICALS, LLC. 49411 CLOVER PHARMACEUTICALS CORPORATION 42543 VENSUN PHARMACEUTICALS, INC. 49483 TIME CAP LABORATORIES, INC. 42571 MICRO LABS LIMITED 49502 MYLAN SPECIALTY L.P. 42658 HISUN PHARMACEUTICALS USA, INC. 49687 ACTAVIS KADIAN LLC 42667 ACERUS PHARMACEUTICALS CORPORATION 49702 VIIV HEALTHCARE COMPANY 42702 PARAGON BIOTECK, INC. 49708 SUN PHARMACEUTICALS INDUSTRIES, INC. 42747 KYOWA KIRIN, INC, 49730 HERCON PHARMACEUTICALS, LLC 42794 SIGMAPHARM LABORATORIES, LLC 49884 PAR PHARMACEUTICAL 42799 EDENBRIDGE PHARMACEUTICALS LLC 49909 EDGEMONT PHARMACEUTICALS, LLC 42806 EPIC PHARMA LLC 49938 JACOBUS PHARMACEUTICALS CO INC. 42847 CURRAX PHARMACEUTICALS, LLC. 50102 AFAXYS PHARMA, INC. 42858 RHODES PHARMACEUTICALS L.P. 50111 TEVA PHARMACEUTICALS USA, INC 42865 PHARMA US, INC 50222 LEO PHARMA INC. 42998 MARATHON PHARMAEUTICALS, LLC 50228 SCIEGEN PHARMACEUTICALS, INC. 43066 BAXTER HEALTHCARE CORPORATION 50242 , INC. 43068 VANDA PHARMACEUTICALS, INC. 50261 THERAPEUTICSMD 43199 COUNTY LINE PHARMACEUTICALS, LLC 50268 AVPAK 43376 ZOGENIX, INC. 50383 HI-TECH PHARMACAL CO. INC. 43386 LUPIN PHARMACEUTICALS, INC. 50419 BAYER HEALTHCARE PHARMACEUTICALS, INC 43393 GENBIOPRO, INC. 50458 JANSSEN PHARMACEUTICALS, INC 43485 APRECIA PHARMACEUTICALS, LLC 50474 UCB, INC. 43538 MEDIMETRIKS PHARMACEUTICALS, INC. 50742 INGENUS PHARMACEUTICALS, LLC 43547 SOLCO HEALTHCARE USA, LLC 50844 LNK INTERNATIONAL, INC. 43598 DR. REDDY'S LABORATORIES, INC. 50881 INCYTE CORPORATION 43975 ANI PHARMACEUTICALS, INC. 50967 WOMENS CHOICE PHARMACEUTICALS 44087 EMD SERONO, INC. 50991 POLY PHARMACEUTICALS, INC. 44183 CURRAX PHARMACEUTICALS, LLC. 51021 SIRCLE LABORATORIES, LLC 44206 CSL BEHRING AG 51079 MYLAN INSTITUTIONAL, INC 44523 BIOCOMP PHARMA, INC. 51144 SEAGAN INC. 44567 WG CRITICAL CARE, LLC 51167 , INC. 45043 MANCHESTER PHARMACEUTICALS CORPORATION 51224 TAGI PHARMA, INC 45802 PERRIGO NEW YORK INC. 51248 ASTELLAS PHARMA US, INC. 45945 , LLC 51267 NALPROPION PHARMACEUTICALS 45963 ACTAVIS PHARMA, INC. 51285 TEVA WOMENS HEALTH INC 46017 MYLAN CONSUMER HEALTHCARE, INC. 51293 ECI PHARMACEUTICALS LLC 46122 AMERISOURCE BERGEN 51525 WALLACE PHARMACEUTICALS 46287 CMP PHARMA, INC. 51645 GEMINI PHARMACEUTICALS, INC. 46672 MIKART INC. 51660 OHM PHARMACEUTICALS, INC. 46783 MERZ NORTH AMERICA, INC. 51672 TARO PHARMACEUTICALS USA, INC. 47335 SUN PHARMACEUTICALS INDUSTRIES, INC. 51754 EXELA PHARMA SCIENCES 47426 HERON THERAPEUTICS, INC. 51759 TEVA PHARMACEUTICALS USA, INC 47781 ALVOGEN INC. 51801 NOMAX, INC. 47783 DYAX CORP. 51862 MAYNE PHARMA INC. MEDICAID SYSTEM (MMIS) ILLINOIS DEPARTMENT OF RUN DATE: 05/13/2021 PROVIDER SUBSYSTEM HEALTHCARE AND FAMILY SERVICES RUN TIME: 20:39:26 REPORT ID 2794D051 PAGE: 04

NUMERIC COMPLETE LIST OF PHARMACEUTICAL LABELERS WITH SIGNED REBATE AGREEMENTS IN EFFECT AS OF 07/01/2021

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

51991 BRECKENRIDGE PHARMACEUTICAL, INC. 56528 NEPHRO TECH INC 52015 OPTIMER PHARMACEUTICALS, INC. 57237 RISING HEALTH, LLC. 52054 AMEDRA PHARMACEUTICALS, LLC 57278 ROCKWELL MEDICAL, INC. 52244 ACTIENT PHARMACEUTICALS 57664 SUN PHARMACEUTICAL INDUSTRIES, INC. 52246 PARAPRO, LLC 57665 LEADIANT BIOSCIENCES, INC. 52268 BRAINTREE LABORATORIES INC. 57782 BAUSCH & LOMB INC. 52276 ORPHAN - EUROPE, SARL 57841 REDHILL BIOPHARMA, LTD. 52279 ORPHAN EUROPE SARL 57844 TEVA SELECT BRANDS 52427 ALMATICA PHARMA, INC. 57894 , INC 52440 , INC. 57902 JAZZ PHARMACEUTICALS, INC 52536 WILSHIRE PHARMACEUTICALS, INC. 57962 PHARMACYCLICS, LLC. 52544 ACTAVIS PHARMA, INC. 57970 DURATA THERAPEUTICS, INC. 52565 TELIGENT PHARMA, INC. 58284 BRAEBURN, INC. 52609 APO-PHARMA USA, INC. 58394 WYETH BIOPHARMA DIVISION OF WYETH 52652 AZURITY PHARMACEUTICALS, INC. 58406 IMMUNEX CORPORATION 52796 BONGEO PHARMACEUTICALS, INC. 58407 MAGNA PHARMACEUTICALS, INC. 52817 TRUPHARMA, LLC 58463 PRAGMA PHARMACEUTICALS, LLC 52856 PTC THERAPEUTICS, INC. 58468 GENZYME CORPORATION 52937 AMARIN PHARMACEUTICALS IRELAND LTD 58605 MCR-AMERICAN PHARMACEUTICALS, INC. 53097 THE PHARMA NETWORK, LLC 58657 METHOD PHARMACEUTICALS 53270 CANGENE BIOPHARMA, LLC 58768 NOVARTIS 53436 VIFOR PHARMA, INC. 58809 GM PHARMACEUTICALS, INC. 53451 ARBOR PHARMACEUTICALS 58914 APTALIS PHARMA US, INC. 53489 SUN PHARMACEUTICAL INDUSTRIES, INC. 59011 , L.P. 53746 59088 PURETEK CORPORATION 53885 LIFESCAN INC 59137 MEDEXUS PHARMA, INC. 54092 TAKEDA PHARMACEUTICALS AMERICA, INC. 59148 OTSUKA AMERICA PHARMACEUTICALS, INC. 54123 OREXO US, INC. 59210 WAKEFIELD PHARMACEUTICALS 54295 TRINITY PHARMACEUTICALS LLC 59310 TEVA RESPIRATORY, LLC 54436 ANTARES PHARMA, INC. 59338 AMAG PHARMACEUTICALS, INC. 54458 INTERNATIONAL LABORATORIES, LLC 59353 VIFOR (INTERNATIONAL) INC. 54482 LEADIANT BIOSCIENCES, INC. 59365 COOPER SURGICAL INC. 54505 LINEAGE THERAPEUTICS INC. 59385 BIODELIVERY SCIENCES INTERNATIONAL, INC 54643 BAXTER HEALTHCARE CORP. 59417 TAKEDA PHARMACEUTICALS AMERICA, INC. 54766 SEBELA PHARMACEUTICALS, INC. 59467 HIKMA SPECIALTY USA INC. 54838 SILARX PHARMACEUTICALS, INC. 59528 NEPHRO-TECH, INC. 54859 LLORENS PHARMACEUTICALS INT'L DIVISION 59572 CELGENE CORPORATION 54879 STI PHARMA, LLC 59617 STALLERGENES, INC. 54932 BIORAMO, LLC. 59627 IDEC MA, INC. 55111 DR. REDDY'S LABORATORIES, INC. 59630 SHIONOGI, INC. 55135 IMMUNOMEDICS, INC. 59651 AUROBINDO PHARMA USA, INC. 55150 AUROMEDICS PHARMA LLC 59676 JANSSEN PRODUCTS, LP 55253 CIMA LABS, INC. 59730 BIOTEST PHARMACEUTICALS CORPORATION 55292 RECORDATI RARE DISEASES, INC. 59746 JUBILANT CADISTA PHARMACEUTICALS, INC 55466 NEOLPHARMA, INC. 59762 GREENSTONE LLC 55494 DUCHESNAY USA, INC. 59767 DIGESTIVE CARE, INC. 55513 AMGEN INC. 59917 ADARE PHARMACEUTICALS, INC. 55566 FERRING PHARMACEUTICALS, INC. 59922 AKEBIA THERAPEUTICS, INC. 55670 MOORE MEDICAL 59923 AREVA PHARMACEUTICALS 55724 PFIZER LABORATORIES DIV PFIZER INC. 59987 VALEANT/DOW/DESCARTES ACQUISITION CORP. MEDICAID SYSTEM (MMIS) ILLINOIS DEPARTMENT OF RUN DATE: 05/13/2021 PROVIDER SUBSYSTEM HEALTHCARE AND FAMILY SERVICES RUN TIME: 20:39:26 REPORT ID 2794D051 PAGE: 05

NUMERIC COMPLETE LIST OF PHARMACEUTICAL LABELERS WITH SIGNED REBATE AGREEMENTS IN EFFECT AS OF 07/01/2021

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

60219 AMNEAL PHARMACEUTICALS 63402 SUNOVION PHARMACEUTICALS, INC. 60258 CURRAX PHARMACEUTICALS LLC 63459 , INC. 60432 MORTON GROVE PHARMACEUTICALS, INC 63481 ENDO PHARMACEUTICALS, INC. 60505 APOTEX CORP. 63646 TOLMAR, INC. 60574 MEDIMMUNE, INC. 63653 BRISTOL-MYERS SQUIBB/SANOFI PARTNERSHIP 60631 ARBOR PHARMACEUTICALS 63704 PHARMACIST PHARMACEUTICAL LLC 60687 AMERICAN HEALTH PACKAGING 63708 DUSA PHARMACEUTICALS INC 60758 PACIFIC PHARMA, INC. 63739 MCKESSON CORPORATION DBA SKY PACKAGING 60793 PFIZER LABORATORIES DIV PFIZER INC. 63801 SMG PHARMACEUTICALS, LLC 60846 GEMINI LABORATORIES, LLC 63824 BENCKISER, INC. 60923 INC. 63833 CSL BEHRING GMBH 60951 PAR PHARMACEUTICAL 63857 ALPHARMA BRANDED PRODUCTS DIVISION, INC 60977 BAXTER HEALTHCARE CORPORATION 63868 CHAIN DRUG MARKETING ASSOCIATION, INC. 61269 H2-PHARMA, LLC 64011 AMAG PHARMACEUTICALS, INC. 61314 FALCON PHARMACEUTICALS LTD. 64125 EXCELLIUM PHARMACEUTICAL, INC. 61442 CARLSBAD TECHNOLOGY, INC. 64193 BAXALTA INCORPORATED 61570 PFIZER LABORATORIES DIV PFIZER INC. 64208 BIO PRODUCTS LABORATORY, LTD 61621 ACELRX PHARMACEUTICALS, INC. 64253 MEDEFIL, INC. 61703 HOSPIRA, INC. 64370 PIERRE FABRE PHARMACEUTICALS, INC. 61748 VERSAPHARM INCORPORATED 64376 PAR PHARMACEUTICAL 61755 REGENERON PHARMACEUTICALS, INC. 64380 STRIDES PHARMA INC. 61874 ACTAVIS PHARMA, INC. 64406 BIOGEN INC. 61953 GRIFOLS USA, LLC 64455 BTA PHARMACEUTICALS, INC. 61958 GILEAD SCIENCES, INC. 64543 CAPELLON PHARMACEUTICALS, LTD. 61990 APOLLO PHARMACEUTICALS INC. 64597 AVANIR PHARMACEUTICALS, INC. 62011 STRATEGIC SOURCING SERVICES LLC 64661 JAYMAC PHARMACEUTICALS LLC 62037 ACTAVIS PHARMA, INC. 64679 WOCKHARDT AMERICAS, INC. 62064 THERATECHNOLOGIES INC. 64720 COREPHARMA, LLC 62107 PRIME MARKETING LLC 64764 TAKEDA PHARMACEUTICALS AMERICA, INC. 62135 CHARTWELL RX LLC 64842 TAIHO PHARMACEUTICAL CO., LTD. 62175 KREMERS URBAN, INC. 64875 , LLC 62225 OMEROS CORPORATION 64896 IMPAX LABORATORIES, INC. 62332 ALEMBIC PHARMACEUTICALS INC. 64950 LEHIGH VALLEY TECHNOLOGIES, INC. 62484 NOVA LABORATORIES, LTD 64980 RISING PHARMACEUTICALS, INC. 62541 VIVUS, INC. 65162 AMNEAL PHARMACEUTICALS LLC 62542 NEOS THERAPEUTICS, LP 65219 FRESENIUS KABI USA LLC 62559 ANIP ACQUISITION COMPANY 65224 PERSION PHARMACEUTICALS, LLC. 62584 AMERICAN HEALTH PACKAGING 65293 THE MEDICINES COMPANY 62756 SUN PHARMACEUTICAL INDUSTRIES INC. 65483 PROMETHEUS LABORATORIES, INC. 62847 THERAVANCE BIOPHARMA US, INC. 65580 UPSTATE PHARMA, LLC 62856 EISAI INC. 65597 DAIICHI SANKYO, INC. 62935 TOLMAR PHARMACEUTICALS, INC. 65628 AZURITY PHARMACEUTICALS, INC. 63004 MALLINCKRODT ARD LLC. 65649 , INC. 63010 AGOURON 65726 RELIANT PHARMACEUTICALS, INC. 63020 MILLENNIUM PHARMACEUTICALS, INC. 65757 , INC. 63044 NNODUM PHARMACEUTICALS CORP 65862 AUROBINDO PHARMA LTD. 63090 ACADIA PHARMACEUTICALS, INC. 66215 PHARMACEUTICALS U.S., INC. 63304 SUN PHARMACEUTICALS INDUSTRIES, INC. 66220 CUMBERLAND PHARMACEUTICALS, INC. 63323 FRESENIUS KABI USA, LLC 66302 UNITED THERAPEUTICS CORPORATION 63395 DAIICHI SANKYO, INC. 66435 KADMON PHARMACEUTICALS, LLC MEDICAID SYSTEM (MMIS) ILLINOIS DEPARTMENT OF RUN DATE: 05/13/2021 PROVIDER SUBSYSTEM HEALTHCARE AND FAMILY SERVICES RUN TIME: 20:39:26 REPORT ID 2794D051 PAGE: 06

NUMERIC COMPLETE LIST OF PHARMACEUTICAL LABELERS WITH SIGNED REBATE AGREEMENTS IN EFFECT AS OF 07/01/2021

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

66490 BAUSCH HEALTH US LLC 68850 STI PHARMA, LLC 66530 SPEAR DERMATOLOGY PRODUCTS, INC. 68875 NPS PHARMACEUTICALS INC. 66582 MERCK/SCHERING-PLOUGH JV 68968 NOVEN THERAPEUTICS, LLC. 66621 RARE DISEASE THERAPEUTICS, INC. 68974 TRAVERE THERAPEUTICS, INC 66658 AB 68982 OCTAPHARMA USA, INC. 66685 LEK PHARMACEUTICALS, INC. 68992 VELOXIS PHARMACEUTICALS 66689 VISTAPHARM, INC. 69076 QUINN PHARMACEUTICALS, LLC 66733 IMCLONE LLC 69087 CLARUS THERAPEUTICS, INC. 66758 PARENTA PHARMACEUTICALS, INC. 69097 CIPLA USA, INC. 66794 PIRAMAL CRITICAL CARE 69102 OWP PHARMACEUTICALS 66869 KOWA PHARMACEUTICALS AMERICA INC. 69117 YILING PHARMACEUTICAL, INC 66887 AUXILIUM PHARMACEUTICALS, INC. 69230 CAMBER CONSUMER CARE INC. 66993 69238 AMNEAL PHARMACEUTICALS, LLC 67108 BAXTER HEALTHCARE CORPORATION 69251 OTONOMY, INC. 67112 MEDECOR PHARMA, LLC 69292 AMICI PHARMACEUTICALS LLC 67253 PAR PHARMACEUTICAL 69315 LEADING PHARMA, LLC 67308 DUSA PHARMACEUTICALS, INC. 69339 DASH PHARMACEUTICALS, LLC. 67386 PHARMACEUTICALS, LLC 69344 ZYLA LIFE SCIENCES US INC. 67405 HARRIS PHARMACEUTICAL, INC. 69367 WESTMINSTER PHARMACEUTICALS, LLC. 67457 MYLAN INSTITUTIONAL LLC. 69387 BANNER LIFE SCIENCES LLC 67618 AVRIO HEALTH L.P. 69413 VYERA PHARMACEUTICALS, LLC 67857 PROMIUS PHARMA, LLC 69448 ACCORD BIOPHARMA INC. 67877 ASCEND LABORATORIES, L.L.C. 69452 BIONPHARMA, INC. 67919 , INC. 69488 ADVANCED ACCELERATOR APPLICATIONS USA, 67979 ENDO PHARMCEUTICALS INC. 69516 INTERCEPT PHARMACEUTICALS, INC. 68001 BLUEPOINT LABORATORIES 69543 VIRTUS PHARMACEUTICALS, LLC 68012 SANTARUS, INC. 69547 ADAPT PHARMA INC. 68025 VERTICAL PHARMACEUTICALS, LLC 69557 SCILEX PHARMACEUTICALS 68047 LARKEN LABORATORIES, INC. 69584 OXFORD PHARMACEUTICALS, LLC 68084 AMERICAN HEALTH PACKAGING 69616 CATALYST PHARMACEUTICALS, INC. 68094 PRECISION DOSE, INC. 69639 HELSINN THERAPEUTICS (U.S.), INC. 68134 PALMETTO PHARMACEUTICALS, INC. 69656 GLAXOSMITHKLINE LLC 68135 BIOMARIN PHARMACEUTICAL, INC. 69660 CLOVIS , INC. 68152 , INC. 69680 VITRUVIAS THERAPEUTICS, INC. 68180 LUPIN PHARMACEUTICALS, INC. 69751 EVOFEM, INC. 68220 ALAVEN PHARMACEUTICAL, LLC 69784 WOODWARD PHARMA SERVICES LLC 68308 MAYNE PHARMA INC. 69794 PHARMACEUTICAL INC. 68382 ZYDUS PHARMACEUTICALS (USA) INC. 69800 ADMA BIOLOGICS, INC. 68418 BIOCODEX, INC. 69809 HLS THERAPEUTICS (USA), INC. 68462 GLENMARK PHARMACEUTICALS, INC., USA 69853 PORTOLA PHARMACEUTICALS, INC. 68516 GRIFOLS USA, LLC 69865 DEPO NF SUB, LLC 68546 TEVA NEUROSCIENCE, INC. 69880 CHIASMA, INC 68599 MCKESSON MEDICAL SURGICAL 69911 CSL BEHRING LEGNAU AG 68611 , INC. 69918 AMRING PHARMACEUTICALS INC. 68645 LEGACY PHARMACEUTICAL PACKAGING, LLC 69932 BLUE EARTH DIAGNOSTICS LIMITED 68682 OCEANSIDE PHARMACEUTICALS 69967 ARISE PHARMACEUTICALS LLC 68727 JAZZ PHARMACEUTICALS, INC. 70000 CARDINAL HEALTH 110, LLC. DBA LEADER 68782 BAUSCH HEALTH US, LLC 70003 JACKSONVILLE PHARMACEUTICALS, INC. 68791 ROYAL PHARMACEUTICALS, LLC. 70007 ESPERO PHARMACEUTICALS, INC. 68817 ABRAXIS BIOSCIENCE, LLC 70010 GRANULES PHARMACEUTICALS, INC. MEDICAID SYSTEM (MMIS) ILLINOIS DEPARTMENT OF RUN DATE: 05/13/2021 PROVIDER SUBSYSTEM HEALTHCARE AND FAMILY SERVICES RUN TIME: 20:39:26 REPORT ID 2794D051 PAGE: 07

NUMERIC COMPLETE LIST OF PHARMACEUTICAL LABELERS WITH SIGNED REBATE AGREEMENTS IN EFFECT AS OF 07/01/2021

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

70020 R-PHARM US LLC. 70954 NOVITIUM PHARMA LLC 70069 SOMERSET THERAPEUTICS, LLC. 71045 CIPLA USA INC. 70114 COHERUS BIOSCIENCES, INC. 71090 STRONGBRIDGE U.S. INC. 70121 AMNEAL PHARMACEUTICALS, LLC 71093 ACI HEALTHCARE USA, INC. 70127 GREENWICH BIOSCIENCES INC. 71104 BIOVERATIV US LLC 70154 MONARCH PCM, LLC 71127 LABORATOIRE FRANCAIS DU FRACTIONNEMENT 70156 NOBLE PHARMACEUTICALS 71143 OPTINOSE US, INC. 70165 NEOS THERAPEUTICS BRANDS, LLC 71225 SLAYBACK PHARMA 70183 , INC. 71247 INNOGENIX, LLC 70194 SYNERGY PHARMACEUTICALS, INC. 71258 PROGENICS PHARMACEUTICALS, INC. 70199 CASPER PHARMA LLC 71274 PHARMING HEALTHCARE INC. 70211 TYCHASIS CORPORATION 71287 KITE PHARMA, INC. 70255 ARRAY BIOPHARMA INC. 71288 MEITHEAL PHARMACEUTICALS, INC. 70257 SAOL THERAPEUTICS, INC. 71308 TREVENA, INC. 70301 OPKO PHARMACEUTICALS, LLC 71332 RIGEL PHARMACEUTICALS, INC. 70347 ARALEZ PHARMACEUTICALS, INC. 71334 AGIOS PHARMACEUTICALS, INC. 70362 SKYLAR LABORATORIES, LLC 71336 , INC. 70363 CUTANEA LIFE SCIENCES LLC 71369 AKARX, INC. 70370 NEUROCRINE BIOSCIENCES, INC. 71376 IRONSHORE PHARMACEUTICALS, INC. 70377 BIOCON PHARMA INC. 71390 ACACIA PHARMA LTD 70382 OCULAR THERAPEUTIX, INC. 71394 SPARK THERAPEUTICS, INC. 70428 DERMIRA, INC. 71403 EPI HEALTH, LLC 70436 SLATE RUN PHARMACEUTICALS, LLC 71428 GLASSHOUSE PHARMACEUTICALS LLC 70437 PUMA , INC. 71518 BAUDAX BIO, INC. 70482 ADAMAS PHARMA LLC 71558 INSMED INCORPORATED 70504 APTEVO BIOTHERAPEUTICS LLC 71571 KALA PHARMACEUTICALS INC. 70505 ANALOG PHARMA, INC. 71626 MEDSTONE PHARMA LLC 70510 MITSUBISHI TANABE PHARMA AMERICA, INC. 71671 AGILE THERAPEUTICS, INC. 70512 SOLA PHARMACEUTICALS, LLC 71699 SK LIFE SCIENCE, INC. 70515 COVIS PHARMA S.A.R.L. 71715 PARATEK PHARMACEUTICALS, INC. 70539 RADIUS HEALTH, INC. 71770 MEDUNIK USA 70564 NAPO PHARMACEUTICALS, INC. 71773 TETRAPHASE PHARMACEUTICALS, INC. 70594 XELLIA PHARMACEUTICALS USA, LLC 71776 EYEVANCE PHARMACEUTICALS LLC 70621 BIOFRONTERA INC. 71777 LOXO ONCOLOGY, INC. 70644 GENERICUS, INC. 71779 VERASTEM, INC. 70655 RENAISSANCE SSA, LLC 71837 PARTNER THERAPEUTICS, INC. 70677 STRATEGIC SOURCING SERVICES LLC 71839 BE PHARMACEUTICALS INC. 70700 XIROMED, LLC. 71858 IBSA PHARMA, INC. 70709 CYCLE PHARMACEUTICALS, LTD. 71863 ETON PHARMACEUTICALS, INC. 70710 ZYDUS PHARMACEUTICALS (USA) INC. 71879 EYEPOINT PHARMACEUTICALS US, INC. 70720 TERSERA THERAPEUTICS LLC 71881 AIMMUNE THERAPEUTICS, INC. 70726 ITF PHARMA, INC. 71894 AVEXIS INC. 70727 AERIE PHARMACEUTICALS, INC. 71904 AMICUS THERAPEUTICS US, INC. 70748 LUPIN PHARMACEUTICALS INC. 71930 EYWA PHARMA 70752 QUAGEN PHARMACUETICALS LLC 71981 DOMPE FARMACEUTICI S.P.A. 70756 LIFESTAR PHARMA LLC 72000 NABRIVA THERAPEUTICS US, INC. 70801 FLEXION THERAPEUTICS, INC. 72028 HARMONY BIOSCIENCES, LLC 70839 NODEN PHARMA USA, INC. 72060 INTRA-CELLULAR THERAPIES, INC. 70842 , INC. 72064 BLUEPRINT MEDICINES CORPORATION 70860 ATHENEX PHARMACEUTICAL DIVISION, LLC 72065 XERIS PHARMACEUTICALS, INC. MEDICAID SYSTEM (MMIS) ILLINOIS DEPARTMENT OF RUN DATE: 05/13/2021 PROVIDER SUBSYSTEM HEALTHCARE AND FAMILY SERVICES RUN TIME: 20:39:26 REPORT ID 2794D051 PAGE: 08

NUMERIC COMPLETE LIST OF PHARMACEUTICAL LABELERS WITH SIGNED REBATE AGREEMENTS IN EFFECT AS OF 07/01/2021

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

72078 MYLAN INSTITUTIONAL LLC 73207 DECIPHERA PHARMACEUTICALS, LLC 72089 EVOKE PHARMA INC. 73292 NS PHARMA, INC. 72124 CIRCASSIA PHARMACEUTICALS INC. 73302 HRA PHARMA AMERICA, INC. 72126 AKCEA THERAPEUTICS, INC. 73380 INNATE PHARMA, INC. 72152 SAGE THERAPEUTICS 73462 G1 THERAPEUTICS INC. 72171 NOVIMMUNE S.A. 73473 SOLARIS PHARMA CORPORATION 72187 STEMLINE THERAPEUTICS, INC. 73535 MORPHOSYS US INC. 72205 NOVADOZ PHARMACEUTICALS, LLC 73594 PHARMACOSMOS THERAPEUTICS INC 72237 KARYOPHARM THERAPEUTICS 74527 MACROGENICS, INC. 72252 NEURELIS, INC. 74676 VERITY PHARMACEUTICALS INC. 72266 FOSUN PHARMA USA 75626 AURINIA PHARMA U.S. INC. 72305 PROVELL PHARMACEUTICALS, LLC. 75826 WINDER LABORATORIES, LLC 72356 FOAMIX PHARMACEUTICALS INC. 75834 NIVAGEN PHARMACEUTICALS INC. 72426 ESPERION THERAPEUTICS, INC. 75854 AVION PHARMACEUTICALS 72485 ARMAS PHARMACEUTICALS INC. 75987 USA, INC. 72493 UROGEN PHARMA, INC. 76045 FRESENIUS KABI USA, LLC 72495 MILLICENT U.S., INC. 76075 ONYX PHARMACEUTICAL 72511 AMGEN USA INC. 76125 KEDRION BIOPHARMA, INC 72512 AVERITAS PHARMA, INC. 76179 KEDRION S.P.A. 72516 ORYZA PHARMACEUTICALS, INC. 76189 ARIAD PHARMACEUTICALS, INC. 72570 DELSAM PHARMA LLC. 76204 RITEDOSE PHARMACEUTICALS, LLC 72572 CIVICA, INC. 76282 EXELAN PHARMACEUTICALS, INC 72578 VIONA PHARMACEUTICALS INC. 76299 MIST PHARMACEUTICALS, LLC 72579 BEIGENE USA, INC. 76329 INTERNATIONAL SYSTEMS, LTD 72603 NORTHSTAR RX LLC 76336 HRA PHARMA AMERICA INC. 72606 CELLTRION USA, INC. 76346 CORCEPT THERAPEUTICS INCORPORATED 72607 EPIZYME, INC. 76385 BAYSHORE PHARMACEUTICALS LLC 72611 ALMAJECT, INC. 76388 ASPEN GLOBAL INCORPORATED 72618 BIOHAVEN PHARMACEUTICALS, INC. 76431 AMRYT PHARMACEUTICALS DAC 72626 ASEGUA THERAPEUTICS LLC 76439 VIRTUS PHARMACEUTICALS, LLC 72647 OAKRUM PHARMA, LLC, 78670 USWM, LLC 72677 VIELA BIO, INC. 79672 NEXTGEN PHARMACEUTICALS LLC 72694 SERVIER PHARMACEUTICALS LLC 89141 MIDATECH PHARMA US INC. 72721 HEARTWOOD PHARMA 99207 BAUSCH HEALTH US, LLC 72733 SANOFI US CORPORATION 72763 ESTRENO PHARMACEUTICALS LLC 72769 BIOCRYST PHARMACEUTICALS, INC. 72786 GLOBAL BLOOD THERAPEUTICS, INC. 72829 RHYTHM PHARMACEUTICALS, INC. 72888 ADVAGEN PHARMA LTD 72893 ACROTECH BIOPHARMA LLC 72912 ADLON THERAPEUTICS L.P. 72928 Q BIOMED, INC. 72974 MYOVANT SCIENCES, INC. 73042 Y-MABS THERAPEUTICS, INC 73070 NOVO NORDISK PHARMA, INC. 73079 EIGER BIOPHARMACEUTICALS INC. 73090 EUSA PHARMA (US) LLC 73150 TG THERAPEUTICS, INC. 73153 JUNO THERAPEUTICS, INC.