MEDICAID SYSTEM (MMIS) ILLINOIS DEPARTMENT OF RUN DATE: 05/13/2021 PROVIDER SUBSYSTEM HEALTHCARE AND FAMILY SERVICES RUN TIME: 20:39:26 REPORT ID 2794D052 PAGE: 01

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

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

00051 ABBVIE INC 65757 , INC. 00074 ABBVIE INC 28595 ALLEGIS PHARMACEUTICALS LLC 00032 ABBVIE INC. 00023 INC 68817 ABRAXIS BIOSCIENCE, LLC 11980 ALLERGAN INC 71390 ACACIA PHARMA LTD 48818 ALLOS THERAPEUTICS INC. 63090 ACADIA PHARMACEUTICALS, INC. 72611 ALMAJECT, INC. 69448 ACCORD BIOPHARMA INC. 52427 ALMATICA PHARMA, INC. 16729 ACCORD HEALTHCARE INC. 71336 , INC. 42192 ACELLA PHARMACEUTICALS, LLC 63857 ALPHARMA BRANDED PRODUCTS DIVISION, INC 61621 ACELRX PHARMACEUTICALS, INC. 47781 ALVOGEN INC. 42667 ACERUS PHARMACEUTICALS CORPORATION 59338 AMAG PHARMACEUTICALS, INC. 71093 ACI HEALTHCARE USA, INC. 64011 AMAG PHARMACEUTICALS, INC. 10144 , INC. 52937 AMARIN PHARMACEUTICALS LTD 72893 ACROTECH BIOPHARMA LLC 52054 AMEDRA PHARMACEUTICALS, LLC 49687 KADIAN LLC 60687 AMERICAN HEALTH PACKAGING 00228 ACTAVIS PHARMA, INC. 62584 AMERICAN HEALTH PACKAGING 00472 ACTAVIS PHARMA, INC. 68084 AMERICAN HEALTH PACKAGING 00591 ACTAVIS PHARMA, INC. 00517 AMERICAN REGENT, INC. 16252 ACTAVIS PHARMA, INC. 24385 AMERISOURCE BERGEN 45963 ACTAVIS PHARMA, INC. 46122 AMERISOURCE BERGEN 52544 ACTAVIS PHARMA, INC. 05551 INC 61874 ACTAVIS PHARMA, INC. 55513 AMGEN INC. 62037 ACTAVIS PHARMA, INC. 72511 AMGEN USA INC. 66215 PHARMACEUTICALS U.S., INC. 69292 AMICI PHARMACEUTICALS LLC 52244 ACTIENT PHARMACEUTICALS 71904 AMICUS THERAPEUTICS US, INC. 70482 ADAMAS PHARMA LLC 53746 69547 ADAPT PHARMA INC. 60219 AMNEAL PHARMACEUTICALS 59917 ADARE PHARMACEUTICALS, INC. 65162 AMNEAL PHARMACEUTICALS LLC 72912 ADLON THERAPEUTICS L.P. 69238 AMNEAL PHARMACEUTICALS, LLC 69800 ADMA BIOLOGICS, INC. 70121 AMNEAL PHARMACEUTICALS, LLC 72888 ADVAGEN PHARMA LTD 00548 AMPHASTAR PHARMACEUTICALS, INC. 69488 ADVANCED ACCELERATOR APPLICATIONS USA, 69918 AMRING PHARMACEUTICALS INC. 70727 AERIE PHARMACEUTICALS, INC. 76431 AMRYT PHARMACEUTICALS DAC 50102 AFAXYS PHARMA, INC. 70505 ANALOG PHARMA, INC. 10572 AFFORDABLE PHARMACEUTICALS, LLC 43975 ANI PHARMACEUTICALS, INC. 71671 AGILE THERAPEUTICS, INC. 62559 ANIP ACQUISITION COMPANY 71334 AGIOS PHARMACEUTICALS, INC. 54436 ANTARES PHARMA, INC. 63010 AGOURON 24689 APNAR PHARMA LP 71881 AIMMUNE THERAPEUTICS, INC. 52609 APO-PHARMA USA, INC. 27241 AJANTA PHARMA LIMITED 61990 APOLLO PHARMACEUTICALS INC. 71369 AKARX, INC. 60505 CORP. 72126 AKCEA THERAPEUTICS, INC. 43485 APRECIA PHARMACEUTICALS, LLC 59922 AKEBIA THERAPEUTICS, INC. 42865 APTALIS PHARMA US, INC 17478 AKORN INC 58914 APTALIS PHARMA US, INC. 68220 ALAVEN PHARMACEUTICAL, LLC 70504 APTEVO BIOTHERAPEUTICS LLC 00065 LABORATORIES, INC. 10094 AQUESTIVE THERAPEUTICS 00998 ALCON LABORATORIES, INC. 70347 ARALEZ PHARMACEUTICALS, INC. 62332 ALEMBIC PHARMACEUTICALS INC. 08221 ARBOR PHARM IRELAND LIMITED 25682 53451 ARBOR PHARMACEUTICALS 68611 , INC. 60631 ARBOR PHARMACEUTICALS MEDICAID SYSTEM (MMIS) ILLINOIS DEPARTMENT OF RUN DATE: 05/13/2021 PROVIDER SUBSYSTEM HEALTHCARE AND FAMILY SERVICES RUN TIME: 20:39:26 REPORT ID 2794D052 PAGE: 02

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

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

24338 ARBOR PHARMACEUTICALS, LLC. 00941 BAXTER HEALTHCARE CORPORATION 59923 AREVA PHARMACEUTICALS 10019 BAXTER HEALTHCARE CORPORATION 76189 ARIAD PHARMACEUTICALS, INC. 36000 BAXTER HEALTHCARE CORPORATION 69967 ARISE PHARMACEUTICALS LLC 43066 BAXTER HEALTHCARE CORPORATION 72485 ARMAS PHARMACEUTICALS INC. 60977 BAXTER HEALTHCARE CORPORATION 70255 ARRAY BIOPHARMA INC. 67108 BAXTER HEALTHCARE CORPORATION 67877 ASCEND LABORATORIES, L.L.C. 00026 BAYER HEALTHCARE LLC 72626 ASEGUA THERAPEUTICS LLC 50419 BAYER HEALTHCARE PHARMACEUTICALS, INC 76388 ASPEN GLOBAL INCORPORATED 76385 BAYSHORE PHARMACEUTICALS LLC 13913 , INC. 71839 BE PHARMACEUTICALS INC. 00469 ASTELLAS PHARMA US, INC. 00486 BEACH PHARMACEUTICALS 51248 ASTELLAS PHARMA US, INC. 72579 BEIGENE USA, INC. 00186 ASTRAZENECA PHARMACEUTICALS LP 64208 BIO PRODUCTS LABORATORY, LTD 00310 ASTRAZENECA PHARMACEUTICALS LP 68418 BIOCODEX, INC. 70860 ATHENEX PHARMACEUTICAL DIVISION, LLC 44523 BIOCOMP PHARMA, INC. 75626 AURINIA PHARMA U.S. INC. 70377 PHARMA INC. 65862 AUROBINDO PHARMA LTD. 72769 BIOCRYST PHARMACEUTICALS, INC. 13107 AUROBINDO PHARMA USA, INC. 59385 BIODELIVERY SCIENCES INTERNATIONAL, INC 59651 AUROBINDO PHARMA USA, INC. 70621 BIOFRONTERA INC. 55150 AUROMEDICS PHARMA LLC 59627 IDEC MA, INC. 66887 AUXILIUM PHARMACEUTICALS, INC. 64406 BIOGEN INC. 64597 AVANIR PHARMACEUTICALS, INC. 72618 BIOHAVEN PHARMACEUTICALS, INC. 00068 AVENTIS PHARMACEUTICALS 68135 BIOMARIN PHARMACEUTICAL, INC. 00088 AVENTIS PHARMACEUTICALS 69452 BIONPHARMA, INC. 00075 AVENTIS PHARMACEUTICALS, INC. 54932 BIORAMO, LLC. 72512 AVERITAS PHARMA, INC. 59730 BIOTEST PHARMACEUTICALS CORPORATION 71894 AVEXIS INC. 71104 US LLC 75854 AVION PHARMACEUTICALS 69932 BLUE EARTH DIAGNOSTICS LIMITED 50268 AVPAK 68001 BLUEPOINT LABORATORIES 67618 AVRIO HEALTH L.P. 72064 BLUEPRINT CORPORATION 52652 AZURITY PHARMACEUTICALS, INC. 00597 BOEHRINGER INGELHEIM PHARMACEUTICALS 65628 AZURITY PHARMACEUTICALS, INC. 52796 BONGEO PHARMACEUTICALS, INC. 00264 B. BRAUN MEDICAL INC. 58284 BRAEBURN, INC. 00225 B. F. ASCHER AND COMPANY, INC. 52268 BRAINTREE LABORATORIES INC. 69387 BANNER LIFE SCIENCES LLC 51991 BRECKENRIDGE PHARMACEUTICAL, INC. 71518 BAUDAX BIO, INC. 00087 BRISTOL-MYERS SQUIBB COMPANY 24208 BAUSCH & LOMB INC. 00056 BRISTOL-MYERS SQUIBB PHARMA CO. 57782 BAUSCH & LOMB INC. 63653 BRISTOL-MYERS SQUIBB/ PARTNERSHIP 66490 US LLC 64455 BTA PHARMACEUTICALS, INC. 00095 BAUSCH HEALTH US, LLC 35573 BUREL PHARMACEUTICALS 13548 BAUSCH HEALTH US, LLC 00132 C B FLEET COMPANY INC 16781 BAUSCH HEALTH US, LLC 69230 CAMBER CONSUMER CARE INC. 25010 BAUSCH HEALTH US, LLC 31722 CAMBER PHARMACEUTICALS, INC. 68782 BAUSCH HEALTH US, LLC 42494 CAMERON PHARMACEUTICALS, LLC. 99207 BAUSCH HEALTH US, LLC 53270 CANGENE BIOPHARMA, LLC 00187 BAUSCH HEALTH US, LLC. 64543 CAPELLON PHARMACEUTICALS, LTD. 64193 BAXALTA INCORPORATED 29978 CAPITAL PHARMACEUTICAL, LLC 00944 BAXALTA US INC. 37205 54643 BAXTER HEALTHCARE CORP. 70000 CARDINAL HEALTH 110, LLC. DBA LEADER 00338 BAXTER HEALTHCARE CORPORATION 61442 CARLSBAD TECHNOLOGY, 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 2794D052 PAGE: 03

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

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

15370 CARWIN PHARMACEUTICAL ASSOCIATES, LLC. 00777 DISTA PRODUCTS COMPANY 70199 CASPER PHARMA LLC 10337 DOAK DERMATOLOGICS 69616 CATALYST PHARMACEUTICALS, INC. 71981 DOMPE FARMACEUTICI S.P.A. 59572 CORPORATION 43598 DR. REDDY'S LABORATORIES, INC. 72606 CELLTRION USA, INC. 55111 DR. REDDY'S LABORATORIES, INC. 23359 CENTURION LABS, LLC 55494 DUCHESNAY USA, INC. 63459 , INC. 57970 DURATA THERAPEUTICS, INC. 63868 CHAIN DRUG MARKETING ASSOCIATION, INC. 63708 DUSA PHARMACEUTICALS INC 62135 CHARTWELL RX LLC 67308 DUSA PHARMACEUTICALS, INC. 69880 CHIASMA, INC 47783 DYAX CORP. 10122 CHIESI USA, INC. 00168 E FOUGERA AND CO. 55253 CIMA LABS, INC. 00003 E.R. SQUIBB & SONS, LLC. 71045 CIPLA USA INC. 42367 EAGLE PHARMACEUTICALS, INC. 69097 CIPLA USA, INC. 51293 ECI PHARMACEUTICALS LLC 72124 CIRCASSIA PHARMACEUTICALS INC. 42799 EDENBRIDGE PHARMACEUTICALS LLC 72572 CIVICA, INC. 49909 EDGEMONT PHARMACEUTICALS, LLC 69087 CLARUS THERAPEUTICS, INC. 00485 EDWARDS PHARMACEUTICALS, INC. 49411 CLOVER PHARMACEUTICALS CORPORATION 73079 EIGER INC. 69660 CLOVIS , INC. 62856 EISAI INC. 46287 CMP PHARMA, INC. 00002 AND COMPANY 70114 COHERUS BIOSCIENCES, INC. 44087 EMD SERONO, INC. 24510 COLLEGIUM PHARMACEUTICAL, INC. 42457 EMMAUS MEDICAL, INC. 59365 COOPER SURGICAL INC. 21922 ENCUBE ETHICALS PVT. LTD. 76346 CORCEPT THERAPEUTICS INCORPORATED 63481 ENDO PHARMACEUTICALS, INC. 64720 COREPHARMA, LLC 67979 ENDO PHARMCEUTICALS INC. 00713 COSETTE PHARMACEUTICALS, INC. 17433 ENEMEEZ, INC. DBA SUMMIT PHARMACEUTICAL 10148 COTHERIX, INC. 00185 EON LABS, INC. 43199 COUNTY LINE PHARMACEUTICALS, LLC 71403 EPI HEALTH, LLC 70515 COVIS PHARMA S.A.R.L. 42806 EPIC PHARMA LLC 44206 CSL BEHRING AG 72607 EPIZYME, INC. 63833 CSL BEHRING GMBH 72426 ESPERION THERAPEUTICS, INC. 00053 CSL BEHRING L.L.C. 70007 ESPERO PHARMACEUTICALS, INC. 69911 CSL BEHRING LEGNAU AG 72763 ESTRENO PHARMACEUTICALS LLC 67919 , INC. 71863 ETON PHARMACEUTICALS, INC. 66220 CUMBERLAND PHARMACEUTICALS, INC. 73090 EUSA PHARMA (US) LLC 60258 CURRAX PHARMACEUTICALS LLC 69751 EVOFEM, INC. 42847 CURRAX PHARMACEUTICALS, LLC. 72089 EVOKE PHARMA INC. 44183 CURRAX PHARMACEUTICALS, LLC. 64125 EXCELLIUM PHARMACEUTICAL, INC. 70363 CUTANEA LIFE SCIENCES LLC 51754 EXELA PHARMA SCIENCES 70709 CYCLE PHARMACEUTICALS, LTD. 76282 EXELAN PHARMACEUTICALS, INC 63395 , INC. 42388 , INC. 65597 DAIICHI SANKYO, INC. 00642 EXELTIS USA, INC. 64875 , LLC 71879 EYEPOINT PHARMACEUTICALS US, INC. 69339 DASH PHARMACEUTICALS, LLC. 71776 EYEVANCE PHARMACEUTICALS LLC 73207 DECIPHERA PHARMACEUTICALS, LLC 71930 EYWA PHARMA 72570 DELSAM PHARMA LLC. 13517 E5 PHARMA, LLC 30237 DENDREON PHARMACEUTICALS LLC 61314 FALCON PHARMACEUTICALS LTD. 69865 DEPO NF SUB, LLC 48102 FERA PHARMACEUTICALS, LLC 70428 DERMIRA, INC. 55566 FERRING PHARMACEUTICALS, INC. 59767 DIGESTIVE CARE, INC. 70801 FLEXION THERAPEUTICS, 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 2794D052 PAGE: 04

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

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

72356 FOAMIX PHARMACEUTICALS INC. 00004 HOFFMANN-LA ROCHE 00456 , INC. 75987 USA, INC. 72266 FOSUN PHARMA USA 00409 , INC. 65219 FRESENIUS KABI USA LLC 61703 HOSPIRA, INC. 63323 FRESENIUS KABI USA, LLC 76336 HRA PHARMA AMERICA INC. 76045 FRESENIUS KABI USA, LLC 73302 HRA PHARMA AMERICA, INC. 49230 FRESENIUS MEDICAL CARE 61269 H2-PHARMA, LLC 00299 GALDERMA LABORATORIES, L.P. 71858 IBSA PHARMA, INC. 10885 GALEN US INCORPORATED 00990 ICU MEDICAL INC. 00407 GE HEALTHCARE, INC. 66733 IMCLONE LLC 60846 GEMINI LABORATORIES, LLC 58406 IMMUNEX CORPORATION 51645 GEMINI PHARMACEUTICALS, INC. 55135 IMMUNOMEDICS, INC. 43393 GENBIOPRO, INC. 00115 IMPAX GENERICS 50242 , INC. 64896 IMPAX LABORATORIES, INC. 70644 GENERICUS, INC. 50881 CORPORATION 58468 GENZYME CORPORATION 21724 INDEPENDENCE PHARMACEUTICALS, LLC 61958 , INC. 12496 INDIVOR INC. 15584 GILEAD SCIENCES, LLC. 50742 INGENUS PHARMACEUTICALS, LLC 71428 GLASSHOUSE PHARMACEUTICALS LLC 73380 INNATE PHARMA, INC. 00007 GLAXOSMITHKLINE 71247 INNOGENIX, LLC 00173 GLAXOSMITHKLINE 71558 INSMED INCORPORATED 49401 GLAXOSMITHKLINE LLC 10922 INTENDIS, INC. 69656 GLAXOSMITHKLINE LLC 69516 INTERCEPT PHARMACEUTICALS, INC. 68462 GLENMARK PHARMACEUTICALS, INC., USA 54458 INTERNATIONAL LABORATORIES, LLC 72786 GLOBAL BLOOD THERAPEUTICS, INC. 76329 INTERNATIONAL SYSTEMS, LTD 58809 GM PHARMACEUTICALS, INC. 10599 INTERSECT ENT, INC. 70010 GRANULES PHARMACEUTICALS, INC. 72060 INTRA-CELLULAR THERAPIES, INC. 59762 GREENSTONE LLC 15054 IPSEN BIOPHARMACEUTICALS 70127 GREENWICH BIOSCIENCES INC. 42211 IROKO PHARMACEUTICALS LLC 13533 GRIFOLS USA, LLC 71376 IRONSHORE PHARMACEUTICALS, INC. 61953 GRIFOLS USA, LLC 70726 ITF PHARMA, INC. 68516 GRIFOLS USA, LLC 70003 JACKSONVILLE PHARMACEUTICALS, INC. 73462 G1 THERAPEUTICS INC. 49938 JACOBUS PHARMACEUTICALS CO INC. 18657 THERAPEUTICS, INC. 57894 , INC 72028 HARMONY BIOSCIENCES, LLC 17314 JANSSEN PHARMACEUTICALS, INC 67405 HARRIS PHARMACEUTICAL, INC. 50458 JANSSEN PHARMACEUTICALS, INC 72721 HEARTWOOD PHARMA 59676 JANSSEN PRODUCTS, LP 69639 HELSINN THERAPEUTICS (U.S.), INC. 64661 JAYMAC PHARMACEUTICALS LLC 49730 HERCON PHARMACEUTICALS, LLC 18860 , INC 14539 HERITAGE PHARMACEUTICALS, INC. 57902 JAZZ PHARMACEUTICALS, INC 23155 HERITAGE PHARMACEUTICALS, INC. 68727 JAZZ PHARMACEUTICALS, INC. 47426 HERON THERAPEUTICS, INC. 59746 JUBILANT CADISTA PHARMACEUTICALS, INC 50383 HI-TECH PHARMACAL CO. INC. 73153 , INC. 00054 HIKMA PHARMACEUTICAL USA, INC. 66435 KADMON PHARMACEUTICALS, LLC 00143 HIKMA PHARMACEUTICAL USA, INC. 71571 KALA PHARMACEUTICALS INC. 00641 HIKMA PHARMACEUTICAL USA, INC. 72237 KARYOPHARM THERAPEUTICS 59467 HIKMA SPECIALTY USA INC. 76125 KEDRION BIOPHARMA, INC 10542 HILLESTAD PHARMACEUTICALS USA 00562 KEDRION MELVILLE, INC. 42658 HISUN PHARMACEUTICALS USA, INC. 76179 KEDRION S.P.A. 69809 HLS THERAPEUTICS (USA), INC. 71287 KITE 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 2794D052 PAGE: 05

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

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

00224 KONSYL PHARMACEUTICALS, INC. 59137 MEDEXUS PHARMA, INC. 66869 KOWA PHARMACEUTICALS AMERICA INC. 25208 MEDICURE INTERNATIONAL, INC. 62175 KREMERS URBAN, INC. 43538 MEDIMETRIKS PHARMACEUTICALS, INC. 10702 KVK-TECH, INC. 60574 MEDIMMUNE, INC. 42747 KYOWA KIRIN, INC, 71626 MEDSTONE PHARMA LLC 00113 L. COMPANY 71770 MEDUNIK USA 71127 LABORATOIRE FRANCAIS DU FRACTIONNEMENT 71288 MEITHEAL PHARMACEUTICALS, INC. 00527 LANNETT COMPANY, INC. 70842 , INC. 11994 LANTHEUS MEDICAL IMAGING, INC. 00006 MERCK & CO., INC. 68047 LARKEN LABORATORIES, INC. 66582 MERCK/SCHERING-PLOUGH JV 42385 LAURUS LABS PRIVATE LIMITED 46783 MERZ NORTH AMERICA, INC. 54482 LEADIANT BIOSCIENCES, INC. 00259 MERZ PHARMACEUTICALS 57665 LEADIANT BIOSCIENCES, INC. 58657 METHOD PHARMACEUTICALS 69315 LEADING PHARMA, LLC 42571 MICRO LABS LIMITED 68645 LEGACY PHARMACEUTICAL PACKAGING, LLC 89141 MIDATECH PHARMA US INC. 64950 LEHIGH VALLEY TECHNOLOGIES, INC. 11042 MIDDLEBROOK PHARMACEUTICALS, INC. 66685 LEK PHARMACEUTICALS, INC. 46672 MIKART INC. 50222 LEO PHARMA INC. 63020 MILLENNIUM PHARMACEUTICALS, INC. 24201 LEUCADIA PHARMACEUTICALS 72495 MILLICENT U.S., INC. 70183 , INC. 00178 MISSION PHARMACAL COMPANY 53885 LIFESCAN INC 76299 MIST PHARMACEUTICALS, LLC 70756 LIFESTAR PHARMA LLC 70510 MITSUBISHI TANABE PHARMA AMERICA, INC. 54505 LINEAGE THERAPEUTICS INC. 70154 MONARCH PCM, LLC 54859 LLORENS PHARMACEUTICALS INT'L DIVISION 55670 MOORE MEDICAL 50844 LNK INTERNATIONAL, INC. 73535 MORPHOSYS US INC. 71777 LOXO ONCOLOGY, INC. 60432 MORTON GROVE PHARMACEUTICALS, INC 67386 LUNDBECK PHARMACEUTICALS, LLC 46017 CONSUMER HEALTHCARE, INC. 70748 LUPIN PHARMACEUTICALS INC. 42292 MYLAN INSTITUTIONAL INC. 27437 LUPIN PHARMACEUTICALS, INC. 72078 MYLAN INSTITUTIONAL LLC 43386 LUPIN PHARMACEUTICALS, INC. 67457 MYLAN INSTITUTIONAL LLC. 68180 LUPIN PHARMACEUTICALS, INC. 51079 MYLAN INSTITUTIONAL, INC 33342 MACLEODS PHARMACEUTICALS LIMITED 00378 MYLAN PHARMACEUTICALS, INC. 74527 MACROGENICS, INC. 49502 MYLAN SPECIALTY L.P. 58407 MAGNA PHARMACEUTICALS, INC. 72974 MYOVANT SCIENCES, INC. 00904 MAJOR PHARMACEUTICALS 72000 NABRIVA THERAPEUTICS US, INC. 63004 ARD LLC. 51267 NALPROPION PHARMACEUTICALS 45945 MALLINCKRODT, LLC 70564 NAPO PHARMACEUTICALS, INC. 45043 MANCHESTER PHARMACEUTICALS CORPORATION 55466 NEOLPHARMA, INC. 47918 MANNKIND CORPORATION 70165 NEOS THERAPEUTICS BRANDS, LLC 42998 MARATHON PHARMAEUTICALS, LLC 62542 NEOS THERAPEUTICS, LP 00682 MARNEL PHARMACEUTICALS, LLC 56528 NEPHRO TECH INC 51862 MAYNE PHARMA INC. 59528 NEPHRO-TECH, INC. 68308 MAYNE PHARMA INC. 00487 NEPHRON PHARMACEUTICALS CORPORATION 63739 MCKESSON CORPORATION DBA SKY PACKAGING 72252 NEURELIS, INC. 68599 MCKESSON MEDICAL SURGICAL 70370 NEUROCRINE BIOSCIENCES, INC. 58605 MCR-AMERICAN PHARMACEUTICALS, INC. 79672 NEXTGEN PHARMACEUTICALS LLC 00015 AND COMPANY 24478 NEXTWAVE PHARMACEUTICALS, INC. 00037 MEDA PHARMACEUTICALS, INC. 14789 NEXUS PHARMACEUTICALS, INC. 67112 MEDECOR PHARMA, LLC 75834 NIVAGEN PHARMACEUTICALS INC. 64253 MEDEFIL, INC. 63044 NNODUM PHARMACEUTICALS 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 2794D052 PAGE: 06

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

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

70156 NOBLE PHARMACEUTICALS 71715 PARATEK PHARMACEUTICALS, INC. 70839 NODEN PHARMA USA, INC. 66758 PARENTA PHARMACEUTICALS, INC. 51801 NOMAX, INC. 24492 PARI RESPIRATORY EQUIPMENT, INC. 16714 NORTHSTAR RX LLC 00071 PARKE-DAVIS DIV OF 72603 NORTHSTAR RX LLC 13845 PARSOLEX GMP CENTER, INC. 29033 NOSTRUM LABORATORIES 71837 PARTNER THERAPEUTICS, INC. 62484 NOVA LABORATORIES, LTD 39328 PATRIN PHARMA, INC. 72205 NOVADOZ PHARMACEUTICALS, LLC 10147 PATRIOT PHARMACEUTICALS, LLC. 00078 00884 PEDINOL PHARMACAL INC 58768 NOVARTIS 45802 PERRIGO INC. 68968 NOVEN THERAPEUTICS, LLC. 65224 PERSION PHARMACEUTICALS, LLC. 72171 NOVIMMUNE S.A. 00096 PERSON & COVEY, INC. 70954 NOVITIUM PHARMA LLC 00013 PFIZER LABORATORIES DIV PFIZER INC 73070 NOVO NORDISK PHARMA, INC. 00025 PFIZER LABORATORIES DIV PFIZER INC 00169 NOVO NORDISK, INC. 00069 PFIZER LABORATORIES DIV PFIZER INC 68875 NPS PHARMACEUTICALS INC. 55724 PFIZER LABORATORIES DIV PFIZER INC. 73292 NS PHARMA, INC. 60793 PFIZER LABORATORIES DIV PFIZER INC. 72647 OAKRUM PHARMA, LLC, 61570 PFIZER LABORATORIES DIV PFIZER INC. 68682 OCEANSIDE PHARMACEUTICALS 00121 PHARMACEUTICAL ASSOCIATES, INC. 68982 OCTAPHARMA USA, INC. 00009 PHARMACIA AND COMPANY LLC 70382 OCULAR THERAPEUTIX, INC. 63704 PHARMACIST PHARMACEUTICAL LLC 51660 OHM PHARMACEUTICALS, INC. 73594 PHARMACOSMOS THERAPEUTICS INC 62225 OMEROS CORPORATION 57962 PHARMACYCLICS, LLC. 76075 ONYX PHARMACEUTICAL 00813 PHARMICS INC. 70301 OPKO PHARMACEUTICALS, LLC 71274 PHARMING HEALTHCARE INC. 52015 OPTIMER PHARMACEUTICALS, INC. 64370 PIERRE FABRE PHARMACEUTICALS, INC. 71143 OPTINOSE US, INC. 66794 PIRAMAL CRITICAL CARE 42043 ORCHIDPHARMA, INC. 50991 POLY PHARMACEUTICALS, INC. 54123 OREXO US, INC. 69853 , INC. 00052 ORGANON USA INC. 58463 PRAGMA PHARMACEUTICALS, LLC 52276 ORPHAN - EUROPE, SARL 66993 52279 ORPHAN EUROPE SARL 68094 PRECISION DOSE, INC. 72516 ORYZA PHARMACEUTICALS, INC. 40076 PRESTIUM PHARMA, INC. 69251 OTONOMY, INC. 62107 PRIME MARKETING LLC 59148 OTSUKA AMERICA PHARMACEUTICALS, INC. 71258 PROGENICS PHARMACEUTICALS, INC. 69102 OWP PHARMACEUTICALS 65483 PROMETHEUS LABORATORIES, INC. 69584 OXFORD PHARMACEUTICALS, LLC 67857 PROMIUS PHARMA, LLC 60758 PACIFIC PHARMA, INC. 72305 PROVELL PHARMACEUTICALS, LLC. 00574 PADDOCK LABORATORIES, LLC. 52856 PTC THERAPEUTICS, INC. 68134 PALMETTO PHARMACEUTICALS, INC. 70437 PUMA , INC. 00603 PAR PHARMACEUTICAL 24658 PURACAP LAB. DBA BLU PHARMACEUTICALS 49884 PAR PHARMACEUTICAL 59011 , L.P. 60951 PAR PHARMACEUTICAL 59088 PURETEK CORPORATION 64376 PAR PHARMACEUTICAL 72928 Q BIOMED, INC. 67253 PAR PHARMACEUTICAL 70752 QUAGEN PHARMACUETICALS LLC 00254 PAR PHARMACEUTICAL INC. 69076 QUINN PHARMACEUTICALS, LLC 42023 PAR PHARMACEUTICAL, INC. 12830 R.A. MCNEIL COMPANY 10370 PAR PHARMACEUTICALS, INC. 70020 R-PHARM US LLC. 42702 PARAGON BIOTECK, INC. 70539 RADIUS HEALTH, INC. 52246 PARAPRO, LLC 66621 RARE DISEASE THERAPEUTICS, 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 2794D052 PAGE: 07

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

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

63824 RECKITT BENCKISER, INC. 73473 SOLARIS PHARMA CORPORATION 55292 RECORDATI RARE DISEASES, INC. 43547 SOLCO HEALTHCARE USA, LLC 57841 REDHILL BIOPHARMA, LTD. 10454 SOLSTICE NEUROSCIENCES, LLC. 61755 REGENERON PHARMACEUTICALS, INC. 70069 SOMERSET THERAPEUTICS, LLC. 65726 RELIANT PHARMACEUTICALS, INC. 71394 SPARK THERAPEUTICS, INC. 40085 RENAISSANCE PHARMA, INC. 66530 SPEAR DERMATOLOGY PRODUCTS, INC. 70655 RENAISSANCE SSA, LLC 00406 SPEC GX, LLC 42858 RHODES PHARMACEUTICALS L.P. 23635 SPEC GX, LLC. 72829 RHYTHM PHARMACEUTICALS, INC. 68152 , INC. 71332 RIGEL PHARMACEUTICALS, INC. 59617 STALLERGENES, INC. 57237 RISING HEALTH, LLC. 72187 STEMLINE THERAPEUTICS, INC. 16571 RISING PHARMACEUTICALS, INC 33573 STESSO PHARMACEUTICALS 64980 RISING PHARMACEUTICALS, INC. 54879 STI PHARMA, LLC 76204 RITEDOSE PHARMACEUTICALS, LLC 68850 STI PHARMA, LLC 57278 ROCKWELL MEDICAL, INC. 00145 STIEFEL LABORATORIES, INC, 00049 ROERIG 49348 STRATEGIC SOURCING SERVICES LLC 68791 ROYAL PHARMACEUTICALS, LLC. 62011 STRATEGIC SOURCING SERVICES LLC 00536 RUGBY LABORATORIES 70677 STRATEGIC SOURCING SERVICES LLC 72152 SAGE THERAPEUTICS 64380 STRIDES PHARMA INC. 25021 SAGENT PHARMACEUTICALS, INC. 71090 STRONGBRIDGE U.S. INC. 65649 , INC. 41616 SUN PHARMA GLOBAL, INC. 00781 SANDOZ 62756 SUN PHARMACEUTICAL INDUSTRIES INC. 49281 SANOFI PASTEUR INC 53489 SUN PHARMACEUTICAL INDUSTRIES, INC. 72733 SANOFI US CORPORATION 57664 SUN PHARMACEUTICAL INDUSTRIES, INC. 00024 SANOFI-AVENTIS, US LLC 10631 SUN PHARMACEUTICALS INDUSTRIES, INC. 00039 SANOFI-AVENTIS, US LLC 47335 SUN PHARMACEUTICALS INDUSTRIES, INC. 00955 SANOFI-SYNTHELABO INC. 49708 SUN PHARMACEUTICALS INDUSTRIES, INC. 68012 SANTARUS, INC. 63304 SUN PHARMACEUTICALS INDUSTRIES, INC. 70257 SAOL THERAPEUTICS, INC. 63402 SUNOVION PHARMACEUTICALS, INC. 60923 INC. 11534 SUNRISE PHARMACEUTICAL, INC. 00281 SAVAGE LABORATORIES 17772 SUPERNUS PHARMACEUTICALS, INC. 00085 SCHERING CORPORATION 66658 SWEDISH ORPHAN BIOVITRUM AB 50228 SCIEGEN PHARMACEUTICALS, INC. 70194 SYNERGY PHARMACEUTICALS, INC. 69557 SCILEX PHARMACEUTICALS 51224 TAGI PHARMA, INC 51144 SEAGAN INC. 64842 TAIHO PHARMACEUTICAL CO., LTD. 54766 SEBELA PHARMACEUTICALS, INC. 54092 TAKEDA PHARMACEUTICALS AMERICA, INC. 42358 SENTYNL THERAPEUTICS, INC. 59417 TAKEDA PHARMACEUTICALS AMERICA, INC. 72694 SERVIER PHARMACEUTICALS LLC 64764 TAKEDA PHARMACEUTICALS AMERICA, INC. 13925 SETON PHARMACEUTICALS, LLC 20536 TALON THERAPEUTICS, INC 11527 PHARMACEUTICALS 51672 TARO PHARMACEUTICALS USA, INC. 59630 SHIONOGI, INC. 52565 TELIGENT PHARMA, INC. 42794 SIGMAPHARM LABORATORIES, LLC 70720 TERSERA THERAPEUTICS LLC 54838 SILARX PHARMACEUTICALS, INC. 71773 TETRAPHASE PHARMACEUTICALS, INC. 51021 SIRCLE LABORATORIES, LLC 68546 TEVA NEUROSCIENCE, INC. 71699 SK LIFE SCIENCE, INC. 00703 TEVA PARENTERAL MEDICINES INC 70362 SKYLAR LABORATORIES, LLC 00172 USA, INC 70436 SLATE RUN PHARMACEUTICALS, LLC 00555 TEVA PHARMACEUTICALS USA, INC 71225 SLAYBACK PHARMA 00575 TEVA PHARMACEUTICALS USA, INC 63801 SMG PHARMACEUTICALS, LLC 50111 TEVA PHARMACEUTICALS USA, INC 70512 SOLA PHARMACEUTICALS, LLC 51759 TEVA PHARMACEUTICALS USA, 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 2794D052 PAGE: 08

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

NDC NDC PREFIX LABELER NAME PREFIX LABELER NAME

00093 TEVA PHARMACEUTICALS USA, INC. 42227 VIROPHARMA BIOLOGICS, INC. 59310 TEVA RESPIRATORY, LLC 69543 VIRTUS PHARMACEUTICALS, LLC 57844 TEVA SELECT BRANDS 76439 VIRTUS PHARMACEUTICALS, LLC 51285 TEVA WOMENS HEALTH INC 66689 VISTAPHARM, INC. 73150 TG THERAPEUTICS, INC. 69680 VITRUVIAS THERAPEUTICS, INC. 65293 THE MEDICINES COMPANY 62541 VIVUS, INC. 53097 THE PHARMA NETWORK, LLC 69413 VYERA PHARMACEUTICALS, LLC 50261 THERAPEUTICSMD 59210 WAKEFIELD PHARMACEUTICALS 62064 THERATECHNOLOGIES INC. 51525 WALLACE PHARMACEUTICALS 62847 THERAVANCE BIOPHARMA US, INC. 00430 WARNER CHILCOTT (US) LLC 49483 TIME CAP LABORATORIES, INC. 69367 WESTMINSTER PHARMACEUTICALS, LLC. 52440 , INC. 44567 WG CRITICAL CARE, LLC 62935 TOLMAR PHARMACEUTICALS, INC. 52536 WILSHIRE PHARMACEUTICALS, INC. 63646 TOLMAR, INC. 75826 WINDER LABORATORIES, LLC 36800 TOPCO ASSOCIATES LLC 64679 WOCKHARDT AMERICAS, INC. 13668 TORRENT PHARMACEUTICALS LIMITED 50967 WOMENS CHOICE PHARMACEUTICALS 68974 TRAVERE THERAPEUTICS, INC 69784 WOODWARD PHARMA SERVICES LLC 71308 TREVENA, INC. 58394 BIOPHARMA DIVISION OF WYETH 13811 TRIGEN LABORATORIES, LLC 00046 WYETH PHARMACEUTICALS INC. 54295 TRINITY PHARMACEUTICALS LLC 00008 WYETH PHARMACEUTICALS LLC, 27808 TRIS PHARMA, INC. 00206 WYETH PHARMACEUTICALS LLC, 52817 TRUPHARMA, LLC 39822 X-GEN PHARMACEUTICALS 24979 TWI PHARMACEUTICALS, INC. 70594 XELLIA PHARMACEUTICALS USA, LLC 70211 TYCHASIS CORPORATION 72065 XERIS PHARMACEUTICALS, INC. 00131 UCB, INC. 70700 XIROMED, LLC. 50474 UCB, INC. 42195 XSPIRE PHARMA LLC 69794 PHARMACEUTICAL INC. 00116 XTTRIUM LABORATORIES, INC. 29300 UNICHEM PHARMACEUTICALS, INC. 73042 Y-MABS THERAPEUTICS, INC 66302 CORPORATION 69117 YILING PHARMACEUTICAL, INC 00245 UPSHER-SMITH LABORATORIES, INC. 43376 ZOGENIX, INC. 00832 UPSHER-SMITH LABORATORIES, LLC. 68382 ZYDUS PHARMACEUTICALS (USA) INC. 65580 UPSTATE PHARMA, LLC 70710 ZYDUS PHARMACEUTICALS (USA) INC. 72493 UROGEN PHARMA, INC. 69344 ZYLA LIFE SCIENCES US INC. 27505 US WORLDMEDS, LLC 23594 ZYLERA PHARMACEUTICALS, LLC 78670 USWM, LLC 59987 VALEANT/DOW/DESCARTES ACQUISITION CORP. 30698 VALIDUS PHARMACEUTICALS, INC. 43068 VANDA PHARMACEUTICALS, INC. 68992 VELOXIS PHARMACEUTICALS 42543 VENSUN PHARMACEUTICALS, INC. 71779 VERASTEM, INC. 74676 VERITY PHARMACEUTICALS INC. 61748 VERSAPHARM INCORPORATED 51167 , INC. 68025 VERTICAL PHARMACEUTICALS, LLC 72677 VIELA BIO, INC. 59353 VIFOR (INTERNATIONAL) INC. 53436 VIFOR PHARMA, INC. 49702 VIIV HEALTHCARE COMPANY 72578 VIONA PHARMACEUTICALS INC.