Pharmacy Benefit Management Program

The AIG Pharmacy Benefit Management Program is designed to meet the specific needs of workers’ compensation injuries. Our goal is to save you time and money, while providing an efficient system for your injured workers to receive their injury-related prescriptions.

Program Highlights:

• Access to Tmesys® nationwide network of pharmacies 24 hours a day

• No out-of-pocket expense for your injured worker after pharmacy setup

• Online processing of prescriptions

• Benefits designed to an individual level

• Customer Help Desk to respond to questions 24 hours a day

• Online Medical Provider Listing to help injured workers find a local pharmacy

Pharmacies are connected to Tmesys by a central communications system Dear Employer: designed to process each medication request at the point of sale. Please provide your injured employee with the following information to present to a participating network pharmacy: Injured workers have access to over 70,000 preferred pharmacies Tmesys Help Desk: nationwide. In most cases, these 800-964-2531 neighborhood pharmacies are located Fax: 800-365-6337 close to your employees’ homes or Workers’ Compensation Claim places of business. Administrator: AIG Tmesys Pharmacy Network* Over 70,000 pharmacies, including large chains and many neighborhood independent pharmacies

A&P Drugs 4 Less Henry Ford Medical Center Osco Shaws/Osco Pharmacy Accredo Health Group Duane Reade Pharmacy Owens Pharmacy Shop ’n Save Pharmacy Acme Pharmacy E. W. James Pharmacy Hi-School Pharmacy Park Nicollet Pharmacy Shopko Pharmacy Eagle Pharmacy Pharmacy Pharmacy Shoppers Pharmacy Anchor Pharmacy Eastside Pharmacy Hometown Pharmacy Pharmacy ShopRite Pharmacy Arrow Prescription Center Eaton Apothecary Hy-Vee Pharmacy Peoples Smith’s Pharmacy Aurora Pharmacy Pharmacy Pharmacy Pharmaca Integrative Snyder Drug Emporium Baker’s Pharmacy Edwards Pharmacy Kerr Drug Pharmacy Star Pharmacy Bartell Drugs Express Pharmacy Pharmacy PharmaCare Pharmacy Sterling Drug Bashas’ United Drug Fagen Pharmacy Pharmacy Pharmacy Express Stop & Shop Pharmacy Bel Air Pharmacy Fairview Pharmacy Kings Pharmacy Pharmacy Plus Super 1 Pharmacy Pharmacy Family Drug Store Kinney Drugs Pick ’N Save Pharmacy Super G BI-LO Pharmacy Klingensmith’s Super Fresh Pharmacy Bi-Mart Family Pharmacy Kmart Pharmacy Price Chopper Pharmacy Super Rx Pharmacy Bioscript Pharmacy Food City Pharmacy Knight Drugs Price Cutter Pharmacy Target BJ’s Pharmacy Pharmacy Kohll’s Pharmacy Professional Pharmacy The Prescription Shoppe Brookshire’s Pharmacy Food Town Pharmacy Kopp Drug Thriftway Drugs Buy-Rite Pharmacy Pharmacy Pharmacy QFC Pharmacy Thrifty White Drug Caremark Pharmacy Fred’s Pharmacy Lewis Family Drug QuickChek Pharmacy Times Pharmacy Carle Rx Express Fresh Market Pharmacy Lifechek Drug QVL Pharmacy Tom Thumb Pharmacy Carrs Fruth Pharmacy Longs Drugs Rainbow Pharmacy Tops Pharmacy City Market Pharmacy Fry’s Pharmacy Louis and Clark Raley’s Drug Center U-Save Pharmacy Clinic Pharmacy Gemmel Pharmacy Lowes Marketplace Pharmacy United Pharmacy Coborn’s/Cash Wise Gerbes Pharmacy Lucky Pharmacy USA Drug Community Pharmacy Pharmacy Marsh Drugs Reasors Pharmacy Village Pharmacy Concord Drugs Glen’s Pharmacy Martin’s Pharmacy Red Cross Pharmacy Pharmacy ContinuCare Good Day Pharmacy May’s Drug Store Ridley’s Pharmacy VG’s Pharmacy Pharmacy Med-Fast Pharmacy Pharmacy Waldbaum’s Pharmacy Cub Pharmacy H-E-B Pharmacy Medical Arts Pharmacy Ritzman Pharmacy CVS Pharmacy Food & Pharmacy Medicap Pharmacy Rosauers Pharmacy D&W Pharmacy Hannaford Medicine Shoppe Safeway Pharmacy Wegman Pharmacy Dahl’s Pharmacy Happy Harry’s Med-X Drug Sam’s Club Weis Pharmacy Dierbergs Pharmacy Pharmacy Save Mart Pharmacy White Drug Dillon Pharmacy Harps Pharmacy Minyard Pharmacy Sav Mor Pharmacy Winn-Dixie Discount Drug Mart Navarro Discount Save-Rite Pharmacy Yokes Pharmacy Doc’s Drugs Hartig Drug Pharmacies Savon Pharmacy Drug Emporium Harvest Foods NeighborCare Pharmacy Pharmacy Drug Mart Harveys Supermarket Nucara Scolaris Pharmacy Drug Warehouse Hen House Pharmacy Shaw’s Pharmacy

*List subject to change. This is a partial listing only.

American International Group, Inc. (AIG) is a leading global insurance organization serving customers How to locate a Tmesys pharmacy: in more than 100 countries and jurisdictions. AIG companies serve commercial, institutional, and individual customers through one of the most extensive worldwide property-casualty networks of any Call Tmesys at 866-599-5426. A Tmesys representative will assist insurer. In addition, AIG companies are leading providers of life insurance and retirement services in the . AIG common stock is listed on the New York Stock Exchange and the Tokyo Stock you with the location of a participating pharmacy in your area. Exchange. How to enroll in mail order delivery: Additional information about AIG can be found at www.aig.com | YouTube: www.youtube.com/aig | Twitter: @AIGinsurance | LinkedIn: www.linkedin.com/company/aig Call PMSI at 800-237-7676, ext. 87602 to receive a Mail Order AIG is the marketing name for the worldwide property-casualty, life and retirement, and general Pharmacy Prescription Form or fax a prescription directly to 800- insurance operations of American International Group, Inc. For additional information, please visit our website at www.aig.com. All products and services are written or provided by subsidiaries or affiliates 532-2151. A PMSI representative will contact you directly to obtain of American International Group, Inc. Products or services may not be available in all countries, and all necessary information. coverage is subject to actual policy language. Non-insurance products and services may be provided by independent third parties. Certain property-casualty coverages may be provided by a surplus lines Visit www.aig.com/intellirisk, and click on “Find Nearby Medical insurer. Surplus lines insurers do not generally participate in state guaranty funds, and insureds are therefore not protected by such funds. Care,” to locate a pharmacy near you. © American International Group, Inc. All rights reserved. © 2016 PMSI. Tmesys is a registered trademark of PMSI, Inc. 1/16 SP 927T