August 2003 ! No. 2003-138 PHC 1130

To: Drug coverage limitations for SeniorCare Pharmacies HMOs and Other participants Managed Care Programs Effective for dates of service (DOS) on September 1, 2003. A future Update will provide and after September 1, 2003, prescription further information about SeniorCare levels of drug products of drug manufacturers that participation. have not signed a separate SeniorCare rebate agreement with the Wisconsin Department of Health and Family Services State rebate agreements (DHFS) will no longer be covered for Exisiting federal Medicaid rebate agreements SeniorCare participants with incomes with drug manufacturers do not cover drugs for greater than 200% of the Federal Poverty SeniorCare participants with incomes greater Level (FPL). This Wisconsin Medicaid and BadgerCare Update contains information than 200% of the FPL. For these participants, s. about the change in coverage and 49.688(6), Wis. Stats., requires SeniorCare to includes a list identifying the drug cover drugs from only those manufacturers who manufacturers that will continue to have signed a separate SeniorCare rebate provide drugs for these SeniorCare agreement with the DHFS. As a result, drugs participants. supplied by manufacturers who have declined to Changes in drug coverage enter into a separate SeniorCare rebate agreement will not be covered for participants Effective for dates of service on and after with incomes greater than 200% of the FPL September 1, 2003, drugs for manufacturers (participant levels 2b and 3), effective for dates who have not signed a separate SeniorCare of service on and after September 1, 2003. rebate agreement with the Wisconsin Department of Health and Family Services Note: SeniorCare participants in levels 1 and 2a (DHFS) will no longer be covered for (incomes less than 200% of the FPL) will not be SeniorCare participants with incomes greater affected by this change in coverage. than 200% of the Federal Poverty Level (FPL). Participants with income greater than 200% of Participating drug manufacturers the FPL are included in levels 2b and 3 of the SeniorCare levels of participation. Refer to Attachment 2 lists all drug manufacturers that Attachment 1 of this Wisconsin Medicaid and have signed federal Medicaid rebate agreements. BadgerCare Update for complete descriptions For these drug manufacturers, Attachment 2 of participant levels effective with any new indicates those who have also signed a separate SeniorCare benefit period beginning on or after SeniorCare rebate agreement as of August 1, 2003.

Department of Health and Family Services This list is also available on the Wisconsin received a prescription that will no longer be Medicaid Web site at www.dhfs.state.wi.us/ covered on September 1, 2003. The report will medicaid/ in the Data Tables section of the assist pharmacies in finding acceptable, covered Pharmacy Handbook and on the SeniorCare substitute drugs for their participants. Web site at www.dhfs.state.wi.us/seniorcare/index.htm. Availability of noncovered drugs rior After August 1, 2003, the list will be updated on A participant in level 2b or 3 may make the Pauthorization a quarterly basis with any additional drug decision to purchase a drug, even though the is not an option manufacturers who choose to sign a separate drug is not covered by SeniorCare. Should the to obtain SeniorCare rebate agreement. coverage for participant choose to do this, the pharmacy may drugs from bill the participant for the entire cost of that manufacturers Availability of covered drugs drug. without a separate, signed When a drug manufacturer’s products are not SeniorCare rebate covered for a participant because the Providers and participants should understand the agreement for manufacturer has not signed a separate following under these circumstances: participants in SeniorCare rebate agreement, providers who • The entire cost of the noncovered drug levels 2b and 3. submit claims for a noncovered drug will receive becomes the participant’s responsibility. the explanation of benefits (EOB) code “245” • If the participant is in the spenddown or with the message, “A separate SeniorCare Drug deductible period, any amount paid for Rebate Agreement is Not on File. This Drug noncovered drugs will not be applied to their Code is not a benefit for this Participant.” spenddown or deductible.

To aid the participant in maximizing their Prior authorization benefits, providers are encouraged to check the Prior authorization is not an option to obtain Wisconsin Medicaid or SeniorCare Web sites for coverage for drugs from manufacturers without other covered manufacturers of the drug. If a a separate, signed SeniorCare rebate agreement covered manufacturer for the drug exists and the for participants in levels 2b and 3. participant’s pharmacy does not carry the drug, providers may choose to either stock the drug or refer the participant to another pharmacy that does stock the drug. A pharmacy should not tell The Wisconsin Medicaid and BadgerCare a participant that a drug is not covered if it is Update is the first source of program policy and billing information for providers. available through another manufacturer. Wisconsin Medicaid, BadgerCare, and SeniorCare are administered by the Division of Pharmacies will be mailed a report of their Health Care Financing, Wisconsin Department of SeniorCare participants who have recently Health and Family Services, P.O. Box 309, Madison, WI 53701-0309. For questions, call Provider Services at (800) 947-9627 or (608) 221-9883 or visit our Web site at www.dhfs.state.wi.us/medicaid/.

2 Wisconsin Medicaid and BadgerCare Service-Specific Information ! August 2003 ! No. 2003-138 ATTACHMENT 1 Levels of SeniorCare participation

The following table lists the four levels of participation in SeniorCare.

SeniorCare participation levels

SeniorCare level Federal Poverty Level (FPL) Participant income limit • Individual — $14,368 or lower 1 ≤ 160% FPL • Couple — $19,392 or lower • Individual — $14,369 to $17,960 2a > 160 ≤ 200% FPL • Couple — $19,393 to $24,240 • Individual — $17,961 to $21,552 2b > 200 ≤ 240% FPL • Couple — $24,241 to $29,088 • Individual — $21,553 or higher 3 > 240% FPL • Couple — $29,089 or higher

Wisconsin Medicaid and BadgerCare Service-Specific Information ! August 2003 ! No. 2003-138 3 ATTACHMENT 2 Participating drug manufacturers

The Manufacturer Table on the following pages lists all drug manufacturers that have signed federal Medicaid rebate agreements. Those manufacturers that have signed a separate SeniorCare rebate agreement with the Department of Health and Family Services as of August 1, 2003, are indicated by a “Y” next to their name in the SeniorCare (SC) column of the table. This list will also be provided on the Wisconsin Medicaid Web site at www.dhfs.state.wi.us/medicaid/ in the Data Tables section of the Pharmacy Handbook and on the SeniorCare Web site at www.dhfs.state.wi.us/seniorcare/index.htm. Additional drug manufacturers that sign a separate SeniorCare rebate agreement after August 1, 2003, will be updated in the Data Tables on a quarterly basis.

4 Wisconsin Medicaid and BadgerCare Service-Specific Information ! August 2003 ! No. 2003-138 MANUFACTURER TABLE 14-Aug-03

NEW LABELER NAME START END SC NEW LABELER NAME START END SC

00002 01/01/91 Y 00066 DERMIK LABORATORIES 01/01/91 00003 E R SQUIBB AND SONS INC. 01/01/91 Y 00067 NOVARTIS CONSUMER HEALT 01/01/91 Y 00004 HOFFMANN LAROCHE INC 01/01/91 Y 00068 HOECHST MARION ROUSSEL I 01/01/91 00005 AYERST LABORATORI 01/01/91 Y 00069 INC 01/01/91 Y 00006 MERCK SHARP & DOHME 01/01/91 Y 00070 ARCOLA LABORATORIES 07/01/93 00007 SMITHKLINE BEECHAM CORP 01/01/91 Y 00071 PARKE DAVIS 01/01/91 Y 00008 WYETH AYERST LABORATORI 01/01/91 Y 00072 WESTWOOD SQUIBB PHARMA 01/01/91 Y 00009 PHARMACIA AND 01/01/91 Y 00074 01/01/91 Y 00013 PHARMACIA AND UPJOHN 01/01/91 Y 00075 RHONE-POULENC RORER PHA 01/01/91 00015 MEAD JOHNSON AND COMPA 01/01/91 Y 00076 STAR PHARMACEUTICALS INC 01/01/91 Y 00023 INC. 01/01/91 Y 00078 NOVARTIS PHARMACEUTICAL 01/01/91 Y 00024 SANOFI SYNTHELABO 01/01/91 00083 NOVARTIS PHARMACEUTICAL 01/01/91 Y 00025 G.D. SEARLE & CO. 01/01/91 Y 00085 SCHERING PLOUGH PHARMA 01/01/91 00026 BAYER CORPORATION PHAR 01/01/91 Y 00086 ELAN PHARMACEUTICALS, IN 01/01/91 00028 NOVARTIS PHARMACEUTICAL 01/01/91 Y 00087 BRISTOL-MYERS SQUIBB COM 01/01/91 Y 00029 SMITHKLINE BEECHAM CORP 01/01/91 Y 00088 HOECHST MARION ROUSSEL, 01/01/91 00031 WYETH AYERST LABORATORI 01/01/91 Y 00089 3M PHARMACEUTICALS 01/01/91 00032 SOLVAY PHARMACEUTICALS 01/01/91 Y 00091 SCHWARZ PHARMA, INC. 01/01/91 Y 00034 THE PURDUE FREDERICK CO 01/01/91 Y 00093 TEVA PHARMACEUTICALS 01/01/91 Y 00037 CARTER- WALLACE, INC. 01/01/91 Y 00095 ECR PHARMACEUTICALS 07/01/93 Y 00039 HOECHST MARION ROUSSEL I 01/01/91 00096 PERSON & COVEY INC. 04/01/99 00043 NOVARTIS CONSUMER HEALT 01/01/91 Y 00108 SMITHKLINE BEECHAM CORP 01/01/91 Y 00044 KNOLL PHARMA (UNIT OF BAS 01/01/91 Y 00115 GLOBAL PHARMACEUTICAL C 01/01/91 Y 00045 MCNEIL PHARMACEUTICAL 01/01/91 Y 00116 XTTRIUM LABORATORIES, INC 01/01/02 00046 WYETH AYERST LABORATORI 01/01/91 Y 00118 BAYER CORPORATION--ALLER 01/01/91 00047 WARNER CHILCOTT LABORAT 01/01/91 00121 PHARMACEUTICAL ASSOCIAT 01/01/91 Y 00048 KNOLL PHARMACEUTICAL CO 01/01/91 Y 00126 COLGATE ORAL PHARMACEU 01/01/91 Y 00049 PFIZER-ROERIG 01/01/91 Y 00131 SCHWARZ PHARMA, INC. 01/01/91 Y 00051 SOLVAY PHARMACEUTICALS 10/01/97 Y 00132 C B FLEET COMPANY INC. 01/01/91 00052 ORGANON INC. 01/01/91 00135 SMITHKLINE BEECHAM 01/01/95 Y 00053 AVENTIS BEHRING 01/01/91 00143 WEST-WARD PHARMACEUTIC 01/01/91 Y 00054 ROXANE LABORATORIES, INC. 01/01/91 00145 STIEFEL LABORATORIES INC. 01/01/91 00056 DU PONT PHARMACEUTICALS 01/01/91 Y 00149 PROCTER & GAMBLE PHARMA 01/01/91 Y 00058 CIBA VISION CORPORATION 01/01/91 00152 THE GRAY PHARMACEUTICAL 01/01/91 00062 ORTHO MCNEIL PHARMACEUT 01/01/91 Y 00165 BLAINE COMPANY, INC. 01/01/92 00064 HEALTHPOINT LTD 07/01/95 Y 00168 E FOUGERA AND CO, DIV OF A 01/01/91 00065 LABORATORIES, INC. 01/01/91 00169 NOVO NORDISK PHARMACEU 01/01/91 Y

1 N = NEW; D = DELETED; X = COVERED (NO REBATE AGREEMENT);Y=SENIORCARE REBATE AGREEMENT ON FILE

Wisconsin Medicaid and BadgerCare Service-Specific Information l August 2003 l No. 2003-138 5 NEW LABELER NAME START END SC NEW LABELER NAME START END SC

00172 ZENITH LABORATORIES, INC 01/01/91 Y 00456 FOREST PHARMACEUTICALS I 01/01/91 00173 GLAXO WELLCOME, INC. 01/01/91 Y N 00462 PHARMADERM 07/01/03 00178 MISSION PHARMACAL COMPA 01/01/91 Y 00469 LYPHOMED DIVISION FUJISA 01/01/91 00182 GOLDLINE LABORATORIES IN 01/01/91 Y 00472 ALPHARMA, USPD 01/01/91 00185 EON LABS MANUFACTURING, I 01/01/91 Y 00482 BRADLEY PHARMACEUTICALS 01/01/91 Y 00186 ASTRA PHARMACEUTICAL PR 01/01/91 Y 00485 EDWARDS PHARMACEUTICAL 01/01/91 Y 00187 ICN PHARMACEUTICALS INC. 01/01/91 00486 BEACH PRODUCTS INC 01/01/91 Y 00192 BAYER CORPORATION--BIOLO 10/01/94 00487 NEPHRON PHARMACEUTICAL 04/01/92 Y 00205 WYETH AYERST LABORATORI 01/01/91 00496 FERNDALE LABORATORIES IN 01/01/91 Y 00206 WYETH AYERST LABORATORI 01/01/91 Y 00501 WARNER-LAMBERT 04/01/95 00209 SCHEIN PHARMACEUTICALS, I 10/01/94 Y 00514 DOW HICKAM PHARMACEUTIC 01/01/91 00214 GLAXOSMITHKLINE 04/01/02 Y 00517 AMERICAN REGENT LABORAT 07/01/93 00224 KONSYL PHARMACEUTICALS, 01/01/92 00525 PAN AMERICAN LABORATORI 01/01/91 Y 00225 B F ASHER COMPANY INC., 01/01/91 00527 LANNETT COMPANY INC. 07/01/94 Y 00228 PUREPAC PHARM. CO., DIV KA 01/01/91 Y 00535 GILBERT LABORATORIES 07/01/02 00245 UPSHER-SMITH LABORATORI 01/01/91 Y 00536 RUGBY LABORATORIES INC 01/01/91 Y 00254 VINTAGE PHARMACEUTICALS, 04/01/93 00548 INTERNATIONAL MEDICATION 01/01/91 Y 00256 FLEMING AND COMPANY 10/01/91 Y 00555 BARR LABORATORIES INC 01/01/91 00258 INWOOD LABORATORIES INC 01/01/91 00573 WYETH AYERST LABORATORI 01/01/91 00259 MERZ PHARMACEUTICALS 01/01/91 00574 PADDOCK LABORATORIES, IN 01/01/91 Y 00264 B BRAUN MEDICAL, INC. 01/01/91 00575 BAKER NORTON PHARMACEU 01/01/91 00277 LASER INC 01/01/91 Y 00585 CORPORATION 01/01/91 00281 SAVAGE LABORATORIES, DIV 01/01/91 00590 DU PONT PHARMACEUTICALS 01/01/91 Y 00288 FLUORITAB CORPORATION 10/01/91 00591 WATSON PHARMA, INC 07/01/01 Y 00299 GALDERMA, L.T. 01/01/91 00597 BOEHRINGER INGELHEIM PHA 01/01/91 Y 00300 TAP PHARMACEUTICALS INC 01/01/91 Y 00603 PRODUCTS, INC. 01/01/91 Y 00304 J J BALAN 01/01/91 00615 NCS HEALTHCARE 01/01/91 Y 00310 PHARMACEUTICALS 01/01/91 Y 00641 WYETH AYERST LABORATORI 01/01/91 Y 00327 UNITED GUARDIAN, INC. 01/01/91 Y 00642 EVERETT LABORATORIES 01/01/91 Y 00332 BIOCRAFT LABORATORIES, IN 01/01/91 Y 00665 INTERNATIONAL LABORATORI 01/01/91 Y 00338 BAXTER HEALTHCARE CORPO 01/01/91 Y 00677 UNITED RESEARCH LABORAT 01/01/91 Y 00364 SCHEIN PHARMACEUTICAL IN 01/01/91 Y 00682 MARNEL PHARMACEUTICALS I 01/01/91 00369 SCHERING CORPORATION 01/01/91 00689 DANIELS PHARMACEUTICALS, 01/01/91 Y 00372 SCOT-TUSSIN PHARMACAL C 04/01/92 00703 GENSIA SICOR PHARMACEUTI 07/01/92 Y 00378 PHARMACEUTICALS, I 01/01/91 Y 00713 G AND W LABORATORIES INC 01/01/91 Y 00402 STERIS LABORATORIES, INC. 01/01/91 Y 00766 SMITHKLINE BEECHAM 01/01/91 Y 00406 MALLINCKRODT SPECIALTY C 07/01/93 Y 00777 DISTA PRODUCTS CO DIV OF 01/01/91 Y 00414 SUPPOSITORIA LABORATORIE 04/01/94 00781 GENEVA PHARMACEUTICALS, 01/01/91 00421 THE FIELDING PHARMACEUTI 01/01/91 Y 00785 UAD LABORATORIES INC 01/01/91 00430 WARNER CHILCOTT LABORAT 01/01/98 00813 PHARMICS INC. 01/01/91 00451 MURO PHARMACEUTICAL INC 01/01/91 Y 00832 ROSEMONT PHARMACEUTICA 01/01/91 Y

2 N = NEW; D = DELETED; X = COVERED (NO REBATE AGREEMENT);Y=SENIORCARE REBATE AGREEMENT ON FILE

Wisconsin Medicaid and BadgerCare Service-Specific Information l August 2003 l No. 2003-138 6 NEW LABELER NAME START END SC NEW LABELER NAME START END SC

00879 HALSEY DRUG COMPANY, INC 04/01/98 17518 3M PHARMACEUTICALS 01/01/01 00884 PEDINOL PHARMACAL INC 01/01/91 Y 17714 ADVANCE PHARMACEUTICAL 10/01/91 00904 MAJOR PHARMACEUTICALS 01/01/91 Y 18393 HOFFMANN LAROCHE INC 01/01/91 00905 SCHIAPPARELLI SEARLE 01/01/91 Y 19810 BRISTOL-MYERS SQUIBB COM 01/01/91 Y X 00941 BAXTER 12/01/92 X 22840 GREER LABORATORIES 04/01/97 00944 BAXTER BIOTECH 01/01/91 23317 BARRE NMC 01/01/91 Y 00955 SANOFI SYNTHELABO 01/01/96 24208 BAUSCH AND LOMB PHARMAC 01/01/91 Y 00998 ALCON -PUERTO RICO- INC. 01/01/91 24385 BERGEN BRUNSWIG DRUG C 10/01/91 04142 BIOCODEX INCORPORATED 01/01/02 25074 PENEDERM INCORPORATED 01/01/97 08004 MCNEIL-PPC INC. 10/01/98 25382 DERMA SCIENCES INC. 01/01/91 N 08080 TYCO HEALTHCARE GROUP, L 07/01/03 27280 COLLAGENEX PHARMACEUTI 04/01/99 Y 08290 BD BECTON DICKINSON 07/01/00 28105 HILL DERMACEUTICALS 01/01/91 Y 08880 KENDALL HEALTHCARE PROD 01/01/91 31096 D & K HEALTHCARE RESOURC 04/01/01 D 08881 LEADER 10/01/01 07/01/03 D 36652 LEADER 10/01/01 07/01/03 10019 BAXTER HEALTHCARE CORPO 10/01/01 Y 37000 PROCTER & GAMBLE DISTRIB 10/01/91 10158 GLAXOSMITHKLINE 04/01/02 Y 37205 LEADER BRAND PRODUCTS 10/01/94 10235 CHEMRICH LABORATORIES IN 01/01/96 38130 ECONO MED PHARMACEUTIC 01/01/91 10267 CONTRACT PHARMACAL COR 01/01/91 Y 38245 COPLEY PHARMACEUTICAL, I 01/01/91 Y 10337 DOAK DERMATOLOGICS DIVIS 07/01/02 Y X 38697 BERKELEY BIOLOGICAL 01/01/93 10542 HILLESTAD INTERNATIONAL, I 04/01/94 Y 38779 MEDISCA, INC. 04/01/02 10892 LUNSCO INC 01/01/91 Y 39506 SOMERSET PHARMACEUTICA 01/01/91 10956 THE REESE CHEMICAL COMP 10/01/91 Y 39822 PHARMA-TEK INC. 07/01/00 11098 AKORN MANUFACTURING INC 01/01/96 44087 SERONO LABORATORIES, INC. 10/01/91 Y 11383 WEEKS & LEO CO., INC. 01/01/03 44184 BAJAMAR CHEMICAL CO INC 01/01/91 11523 SCHERING PLOUGH HEALTHC 04/01/03 44206 ZLB BIOPLASMA, INC. 04/01/02 Y 11530 GLAXOSMITHKLINE 04/01/02 Y 45800 SMITHKLINE BEECHAM CORP 01/01/91 Y 11584 INTERNATIONAL ETHICAL LAB 01/01/03 45802 CLAY-PARK LABS INC 01/01/91 11701 COLOPLAST CORPORATION 10/01/91 Y 45985 STEWART-JACKSON PHARMA 01/01/91 Y 11808 ION LABORATORIES, INC. 01/01/91 46287 CAROLINA MEDICAL PRODUC 10/01/93 11980 ALLERGAN INC 01/01/91 Y 46672 MIKART INC 01/01/91 Y 11994 BERLEX LABORATORIES 01/01/02 Y 47028 SENECA PHARMACEUTICALS I 01/01/91 12463 ABANA PHARMACEUTICALS IN 10/01/91 48017 HEALTHPOINT LTD 01/01/92 Y 12496 RECKITT & COLMAN PHARMA 01/01/94 48878 OMNII PRODUCTS 10/01/99 12830 R.A. MCNEIL 01/01/91 Y 49158 TARO PHARMACEUTICALS DB 10/01/02 12939 MARLOP PHARMACEUTICALS, 01/01/91 49281 AVENTIS PASTEUR, INC. 10/01/93 15127 SELECT BRAND DISTRIBUTOR 04/01/95 49348 MC KESSON CORPORATION V 01/01/91 16837 JOHNSON & JOHNSON - MERC 10/01/96 49483 TIME-CAP LABS, INC. 10/01/92 Y 17205 LAYTON BIOSCIENCE, INC 01/01/01 49502 DEY LABORATORIES INC 01/01/91 17236 DIXON-SHANE INC. 01/01/91 Y N 49614 MEDICINE SHOPPE INTERNATI 07/01/03 Y 17314 ALZA CORPORATION 01/01/91 Y 49669 ALPHA THERAPEUTIC CORPO 01/01/91 Y 17478 AKORN INC 01/01/91 49692 SMITHKLINE BEECHAM CORP 01/01/91 Y

3 N = NEW; D = DELETED; X = COVERED (NO REBATE AGREEMENT);Y=SENIORCARE REBATE AGREEMENT ON FILE

Wisconsin Medicaid and BadgerCare Service-Specific Information l August 2003 l No. 2003-138 7 NEW LABELER NAME START END SC NEW LABELER NAME START END SC

49730 HERCON LABORATORIES COR 10/01/91 52747 U.S. PHARMACEUTICAL CORP 01/01/91 Y X 49735 SCIENTIFIC HOSPITAL SUPPLI 07/01/94 52761 GENDERM 01/01/91 49884 PAR PHARMACEUTICAL INC 01/01/91 Y 52769 AMERICAN RED CROSS 01/01/91 49938 JACOBUS PHARMACEUTICALS 01/01/91 53014 MEDEVA PHARMACEUTICALS 01/01/91 Y 50111 SIDMAK LABORATORIES, INC. 01/01/91 Y 53062 BETA PHARMACEUTICALS INC 01/01/91 50242 INC 01/01/91 53100 SMITHKLINE BEECHAM 01/01/91 Y 50313 PROPHARMA, INCORPORATE 04/01/96 53265 ABLE LABORATORIES INC. 01/01/91 Y 50383 HI-TECH PHARMACAL CO. INC. 01/01/91 Y 53303 CARRINGTON LABORATORIES 01/01/91 Y 50419 BERLEX LABORATORIES, INC., 01/01/91 Y 53489 MUTUAL PHARMACEUTICAL C 01/01/91 Y 50458 JANSSEN PHARMACEUTICA IN 01/01/91 Y 53706 DELTA PHARMACEUTICALS 01/01/91 50474 UCB PHARMA, INC. 01/01/91 Y 53746 INTERPHARM, INC. 01/01/91 Y 50484 SMITH & NEPHEW, INC. 07/01/00 53807 RIJ PHARMACEUTICAL CORPO 01/01/91 50486 BLAIREX LABORATORIES 01/01/91 Y 53905 CHIRON CORPORATION 01/01/91 50564 JEROME STEVENS PHARMAC 01/01/91 54002 HYPERION MEDICAL, INC. 04/01/98 50580 MCNEIL CONSUMER HEALTHC 04/01/99 Y D 54022 VITALINE CORPORATION 01/01/91 07/01/03 50752 CREIGHTON PRODUCTS COR 07/01/93 54092 ROBERTS PHARMACEUTICAL 04/01/93 50844 LNK INTERNATIONAL, INC. 10/01/96 54129 IMMUNO-U.S. INC 01/01/91 D 50862 GUY & O'NEILL, INC. 07/01/97 07/01/03 54391 R AND D LABORATORIES, INC. 01/01/91 Y 50962 XACTDOSE, INCORPORATED 01/01/96 54396 BTG PHARMACEUTICALS 10/01/91 50991 POLY PHARMACEUTICAL CO., 01/01/91 Y 54482 SIGMA-TAU PHARMACEUTICA 01/01/91 Y 51079 UDL LABORATORIES, INC. 01/01/91 Y 54643 BAXTER HEALTHCARE CORP. 04/01/01 Y 51284 ZILA PHARMACEUTICALS, INC 07/01/98 54746 INTERFERON SCIENCES INC. 07/01/97 51285 DURAMED PHARMACEUTICAL 01/01/91 54799 OCUSOFT INC 01/01/91 Y 51479 DURA PHARMACEUTICALS INC 01/01/91 54838 SILARX PHARMACEUTICALS, I 07/01/91 Y 51552 GALLIPOT INC. 10/01/94 54859 LLORENS PHARMACEUTICAL 10/01/01 Y 51672 TARO PHARMACEUTICALS INC 01/01/91 D 54979 PHARMACISTS CHOICE 01/01/91 07/01/03 51674 BLANSETT PHARMACAL CO., I 01/01/91 Y 55053 ECONOLAB 01/01/91 51801 NOMAX, INC. 07/01/95 Y 55111 DR REDDY'S LABORATORIES, 04/01/03 Y 51817 PHARMASCIENCE, INC. 07/01/97 Y 55298 3M PHARMACEUTICALS 04/01/02 51991 BRECKENRIDGE INC., 01/01/91 55370 MOVA PHARMACEUTICAL COR 07/01/92 Y 52041 DAYTON LABORATORIES 04/01/96 55390 BEDFORD LABORATORIES 07/01/96 52152 AMIDE PHARMACEUTICAL INC. 01/01/91 Y D 55422 PHARMAKON LABS, INC. 10/01/01 04/01/03 D 52238 MIZA PHARMACEUTICALS USA 07/01/02 07/01/03 55513 INC. 01/01/91 Y 52268 BRAINTREE LABORATORIES I 01/01/91 Y 55515 OCLASSEN PHARMACEUTICAL 01/01/91 Y 52297 FOXMEYER DRUG COMPANY 01/01/93 55566 FERRING LABORATORIES 04/01/94 52316 D.S.C. LABORATORIES, DIV OF 10/01/94 55654 TRI-MED LABORATORIES, INC. 04/01/93 Y 52544 WATSON LABORATORIES, INC 01/01/91 Y 55688 SPEYWOOD PHARMACEUTICA 01/01/91 52555 MARTEC PHARMACEUTICALS, 01/01/91 Y 55806 EFFCON LABORATORIES INC. 01/01/91 Y 52569 GENERAMED, INC. 01/01/91 55953 NOVOPHARM, INC. 01/01/91 Y 52604 JONES PHARMA, INCORPORA 04/01/99 Y 56091 JOHNSON AND JOHNSON MED 04/01/00 52735 FAMILY PHARMACY 01/01/91 D 56146 NEXSTAR PHARMACEUTICALS 07/01/96 07/01/03

4 N = NEW; D = DELETED; X = COVERED (NO REBATE AGREEMENT);Y=SENIORCARE REBATE AGREEMENT ON FILE

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D 56151 LEADER 10/01/01 07/01/03 59075 ELAN PHARMACEUTICALS, IN 07/01/93 57267 NOVARTIS PHARMACEUTICAL 01/01/91 Y 59148 OTSUKA AMERICA 07/01/92 Y 57459 NASTECH PHARMACEUTICAL 04/01/03 59196 WE PHARMACEUTICALS, INC. 07/01/92 Y 57664 CARACO PHARMACEUTICAL L 01/01/91 Y 59229 HORUS THERAPEUTICS 10/01/97 Y 57665 ENZON, INC. 01/01/91 59243 SAGE PHARMACEUTICALS INC 01/01/02 57706 WYETH AYERST LABORATORI 01/01/91 59291 IYATA PHARMACEUTICAL, INC. 01/01/99 Y 57782 BAUSCH & LOMB PHARMACEU 10/01/94 Y 59310 INVAX LABS, INC 10/01/92 Y 57844 GATE PHARMACEUTICALS 01/01/91 Y 59366 GLADES PHARMACEUTICALS 01/01/93 57894 CENTOCOR, INC 01/01/99 59390 ALTAIRE PHARMACEUTICALS, 10/01/92 57896 GERI-CARE PHARMACEUTICA 01/01/93 59417 LOTUS BIOCHEMICAL CORP 01/01/96 58063 MGI PHARMA, INC. 01/01/91 59439 ASCENT PEDIATRICS INC. 07/01/97 X 58160 SK BEECHAM 01/01/91 59441 ROBERTS PHARMACEUTICAL 04/01/93 58177 ETHEX CORPORATION 01/01/91 59528 NEPHRO-TECH, INC. 10/01/92 Y 58178 U.S. BIOSCIENCE INC 01/01/91 59572 CELGENE CORPORATION 10/01/97 Y 58211 TOPIX PHARMACEUTICALS IN 10/01/99 59627 , INC. 07/01/96 58223 KIRKMAN SALES COMPANY 10/01/91 59630 HORIZON PHARMACEUTICAL 04/01/93 Y 58281 MEDTRONIC INC 04/01/93 59640 UNICO HOLDINGS, INC. 04/01/93 Y 58291 SNUVA INCORPORATED 07/01/92 Y 59676 ORTHO BIOTECH, INC. 07/01/93 58298 ELGE INC. 10/01/93 59702 ATLEY PHARMACEUTICALS IN 07/01/93 Y X 58337 BERNA PRODUCTS 01/01/93 59730 NABI 07/01/98 58394 GENETICS INSTITUTE, INC. 01/01/97 Y 59743 ALPHAGEN LABORATORIES, I 01/01/94 Y 58406 IMMUNEX CORPORATION 01/01/91 59746 TRIGEN LABORATORIES 01/01/00 Y 58407 HUCKABY PHARMACAL INC., 07/01/98 59762 GREENSTONE LIMITED 07/01/93 Y 58437 PENN LABS, INCORPORATED 07/01/94 Y 59767 DIGESTIVE CARE, INC. 04/01/97 Y 58468 GENZYME CORPORATION 01/01/91 59772 APOTHECON, INC. 07/01/93 Y 58521 RICHWOOD PHARMACEUTICA 10/01/92 59879 PECOS PHARMACEUTICAL 07/01/94 58605 MCR-AMERICAN PHARMACEU 01/01/92 Y 59911 WYETH AYERST LABORATORI 07/01/93 Y 58607 MARTIN EKWEALOR PHARMA 01/01/92 59930 WARRICK PHARMACEUTICALS 07/01/93 D 58634 AMERICAN GENERICS, INC. 10/01/93 07/01/03 60258 CYPRESS PHARMACEUTICAL, 10/01/93 Y 58768 CIBA VISION OPHTHALMICS 07/01/91 Y 60267 HOPE PHARMACEUTICALS 04/01/95 Y 58790 ADVANCED VISION RESEARC 10/01/97 60432 MORTON GROVE PHARMACEU 10/01/94 Y 58809 GM PHARMACEUTICALS, INC. 07/01/98 60492 CANGENE CORPORATION 07/01/95 58826 COATS ALOE INTERNATIONAL 01/01/91 60505 APOTEX USA, INC 01/01/94 58869 DARTMOUTH PHARMACEUTIC 10/01/91 Y 60553 TRISENOX 10/01/02 58879 VITAMED LABORATORIES, INC 10/01/91 60574 MEDIMMUNE, INC. 01/01/95 58887 NOVARTIS PHARMACEUTICAL 01/01/91 Y 60575 RESPA PHARMACEUTICAL, IN 01/01/95 Y 58914 SCANDIPHARM INC 01/01/92 60598 KOS PHARMS 07/01/97 Y 58980 STRATUS PHARMACEUTICALS 04/01/93 Y 60758 PACIFIC PHARMA 07/01/97 Y 59011 L.P. 01/01/96 Y 60793 , INC 10/01/94 Y 59016 NICHE PHARMACEUTICALS, IN 10/01/92 60951 ENDO PHARMACEUTICALS, IN 04/01/94 Y 59060 NOVO NORDISK PHARMACEU 01/01/03 60976 FARO PHARMACEUTICALS, IN 10/01/94 Y

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60999 ABG LABORATORIES, INCORP 07/01/94 63304 RANBAXY PHARMACEUTICALS 10/01/97 Y 61073 AMKAS LABORATORIES 01/01/97 Y 63323 AMERICAN PHARMACEUTICAL 04/01/98 61113 ASTRA ZENECA LP 01/01/95 63395 DAIICHI PHARMACEUTICAL CO 10/01/97 Y 61314 FALCON OPHTHALMICS, INC. 01/01/95 63402 SEPRACOR, INC. 04/01/99 61392 HEARTLAND HEALTHCARE SE 04/01/95 63430 PATHOGENESIS CORPORATIO 01/01/98 61442 CARLSBAD TECHNOLOGY, INC 04/01/99 63459 , INC. 04/01/99 Y 61451 POLYMEDICA PHARMACEUTIC 01/01/96 Y 63481 ENDO PHARMACEUTICALS, IN 04/01/98 Y D 61471 SEQUUS PHARMACEUTICALS, 04/01/98 07/01/03 63653 BRISTOL-MYERS SQUIBB/SAN 01/01/98 Y 61570 MONARCH PHARMACEUTICAL 01/01/95 Y 63717 HAWTHORN PHARMACEUTICA 07/01/99 Y 61598 LTC PRODUCTS, INC. 04/01/95 Y 63739 SKY PHARMACEUTICALS PAC 01/01/98 Y 61646 IOMED LABORATORIES, INC. 07/01/95 63801 SEVEN OAKS PHARMACEUTIC 01/01/99 61703 FAULDING PHARMACEUTICAL 01/01/96 63807 EXCELSIOR MEDICAL CORP 04/01/99 61748 VERSAPHARM INCORPORATE 04/01/96 63824 ADAMS LABORATORIES 01/01/00 Y 61772 BAUSCH AND LOMB 01/01/96 Y 63857 FAULDING LABORATORIES 01/01/98 Y 61787 HEALTH CARE PRODUCTS DIV 10/01/98 63868 CHAIN DRUG MARKETING ASS 04/01/98 Y 61799 THE LIPSOME COMPANY, INC 04/01/96 63921 AMERIDERM LABORATORIES, 04/01/00 Y 61924 DERMARITE INDUSTRIES LLC 07/01/99 Y 63955 GYNETICS, INC 07/01/98 61958 , INCORPO 04/01/96 64011 THER-RX CORPORATION 10/01/99 62022 CTEX PHARMACEUTICALS, IN 01/01/96 Y 64019 CEBERT PHARMACEUTICALS 01/01/00 Y 62037 ANDRX PHARMACEUTICALS, I 04/01/97 Y 64029 PARKEDALE PHARMACEUTICA 07/01/98 Y 62053 SANGSTAT MEDICAL CORPOR 07/01/98 64054 EMT-RX 07/01/02 Y 62107 PRIME MARKETING L.L.C. 07/01/96 64108 OPTICS LABORATORY INC 10/01/01 62161 ORPHAN MEDICAL, INC. 01/01/97 64116 INTERMUNE PHARMACEUTICA 04/01/99 62175 KREMERS URBAN 04/01/96 Y 64125 EXCELLIUM PHARMACEUTICA 07/01/99 Y 62269 APOTHECON/INVAMED INC. 01/01/96 Y 64193 BAXTER HEALTHCARE CORPO 07/01/00 62294 DIHOMA CHEMICAL & MFG CO 01/01/99 64248 WOMEN'S FIRST HEALTHCAR 07/01/00 62338 ROCAP, INC. 10/01/96 64253 MEDEFIL, INC. 01/01/01 62341 MCNEIL-PPC, INC 01/01/00 64365 LIGAND PHARMACEUTICALS 07/01/99 Y 62436 BIOGLAN PHARMA, INC. 01/01/02 64376 BOCA PHARMACAL, INC 01/01/99 62541 VIVUS, INC. 04/01/97 Y 64406 IDEC PHARMACEUTICALS CO 04/01/02 62584 AMERICAN HEALTH PACKAGIN07/01/97 Y 64455 D J PHARMA, INC. 04/01/99 Y 62592 UCYCLYD PHARMAM, INC. 10/01/96 64543 CAPELLON PHARMACEUTICAL 04/01/99 62794 BERTEK PHARMACEUTICALS, 01/01/97 64681 MGP APOTHECON 01/01/01 Y 62856 EISAI INC. 01/01/97 Y 64682 COLLAGENEX PHARMACEUTI 07/30/01 Y 63004 QUESTCOR PHARMACEUTICA 07/01/02 Y 64727 WESTERN RESEARCH LABOR 01/01/03 63010 AGOURON PHARMACEUTICAL 01/01/97 Y 64731 INTEGRITY PHARMACEUTICAL 07/01/99 N 63020 MILLENNIUM PHARMACEUTIC 07/01/03 Y 64764 TAKEDA PHARMACEUTICALS 10/01/99 Y 63032 CONNETICS CORPORATION 10/01/97 Y 64860 STADA PHARMACEUTICALS, I 01/01/03 Y 63044 NNODUM CORPORATION 04/01/97 Y 64875 , LLC 04/01/01 63162 BALLAY PHARMACEUTICALS 07/01/97 64894 BONE CARE INTERNATIONAL, 01/01/00 Y 63252 RADFORD THERAPEUTICS 04/01/98 64899 WALSH DISTRIBUTION, INC 10/01/99

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64980 RISING PHARMACEUTICALS, I 10/01/99 Y 66591 aaiPHARMA 01/01/03 65086 SANTEN INCORPORATED 07/01/00 Y 66594 PRO-PHARMA LLC 01/01/03 65162 R & S PHARMA, INC. 04/01/00 Y 66607 RARE DISEASE THERAPEUTIC 07/01/02 Y 65199 VIRCO PHARMACEUTICALS, IN 04/01/00 Y 66663 PHARMELLE, LLC 10/01/02 D 65219 AMERICAN PHARMACEUTICAL 04/01/00 07/01/03 66685 LEK PHARMACEUTICALS, INC. 04/01/02 Y 65224 ZYBER PHARMACEUTICALS, I 01/01/00 66689 VISTAPHARM, INC. 10/01/02 Y 65234 AMARIN PHARMACEUTICALS, I 04/01/01 Y 66758 PARENTA PHARMACEUTICALS 10/01/02 65271 ASLUNG PHARMACEUTICAL L 04/01/01 Y 66779 REGENT LABS, INC 07/01/02 Y 65430 DEX GEN PHARMACEUTICALS, 07/01/01 66794 RX HOLDINGS, LLC (dba RxELI 07/01/02 65473 ODYSSEY PHARMACEUTICAL, 07/01/00 66813 ATHLON PHARMACEUTICALS, 07/01/02 Y 65483 PROMETHEUS LABORATORIE 07/01/00 Y 66825 BIOCODEX, INC. 07/01/02 Y 65580 UPSTATE PHARMA, LLC 04/01/02 Y N 66860 CURA PHARMACEUTICAL CO. I 07/01/03 65581 PROPST PHARMACEUTICALS, 01/01/01 66869 PROETHIC LABORATORIES, LL 07/01/02 65597 SANKYO PHARMA, INC. 01/01/01 Y 66870 AMBI PHARMACEUTICALS, INC 07/01/02 Y 65649 , IN 01/01/01 N 66887 AUXILIUM PHARMACEUTICALS 07/01/03 65726 , 01/01/01 Y N 66934 INKINE PHARMACEUTICALS 07/01/03 65757 TRANSKARYOTIC THERAPIES, 01/01/01 66977 MPM MEDICAL INC. 01/01/03 Y 65759 D & K HEALTHCARE RESOURC 10/01/01 66992 WRASER PHARMACEUTICALS 10/01/02 D 65772 LINK PHARMACEUTICAL 01/01/02 07/01/03 66993 10/01/02 65779 FAIRVIEW HEALTH SERVICES 04/01/03 67000 VERUM PHARMACEUTICALS, I 01/01/03 65847 SCIOS INC. 07/01/02 67112 MEDECOR PHARMA, LLC 04/01/03 65880 SIRIUS LABORATORIES, INC. 07/01/01 67181 COLORADO BIOLABS, INC. 10/01/02 65893 CODY LABORATORIES, INC 07/01/02 67204 VINDEX PHARMACEUTICALS, I 10/01/02 65939 LIFECYCLE VENTURES, INC 01/01/01 67211 PHARMION CORPORATION 10/01/02 Y 65976 ORAPHARMA 04/01/02 67253 STADA PHARMACEUTICALS, I 01/01/03 Y 66203 ORGANON SANOFI-SYNTHELA 04/01/02 N 67286 ESP PHARMA, INC 07/01/03 66213 PBM PHARMACEUTICALS, INC 01/01/02 67336 TEAMM PHARMACEUTICALS, I 01/01/03 66215 PHARMACEUTICAL 10/01/01 Y N 67523 ABER PHARMACEUTICALS, IN 07/01/03 Y 66239 SCIENTIFIC LABORATORIES, I 07/01/02 Y 67546 ROMARK PHARMACEUTICALS, 04/01/03 66302 UNITED THERAPEUTICS CORP 10/01/02 67857 REDDY PHARMACEUTICALS, I 04/01/03 66346 PEDIAMED PHARMACEUTICAL 04/01/02 N 67870 AXIOM PHARMACEUTICAL CO 07/01/03 Y 66424 SDA LABORATORIES 07/01/02 Y 74684 GLAXOSMITHKLINE 04/01/02 Y N 66435 THREE RIVERS PHARMACEUTI 07/01/03 Y 99207 MEDICIS DERMATOLOGICS IN 07/01/93 66440 AERO PHARMACEUTICALS, IN 01/01/03 66460 NUPHARMX, LLC 10/01/01 66479 XANODYNE PHARMACAL, INC 07/01/02 Y 66490 XCEL PHARMACEUTICALS, IN 07/01/02 Y 66500 NOVAVAX, INC 10/01/02 66530 SPEAR DERMATOLOGY PROD 04/01/02 66576 SYNTHO PHARMACEUTICALS, 01/01/03 66582 MSP MARKETING SERVICES, L 10/01/02 Y

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