Investor Presentaiton
U.S. pharmacy distribution & reimbursement system
Services agreement
Formulary agreement
Manufacturer
Wholesaler payment for product
Formulary rebates
Third-Party
Payer/
Health Plan
Drug
Wholesaler
Product shipment
Services and
data fees
(specialty)
Product shipment
Discounts and rebates
Pharmacy payment for product
Pharmacy
Negotiation
PSAO¹
Participation
Pharmacy
Benefit
Manager
% pass
through of
rebate
Services contracts
Admin fees and
reimbursement to PBM
Prescription reimbursement
Product movement
Financial flow
Contract relationship
Prime vendor agreement
Network participation
Dispense
prescription
Copayment or
Coinsurance
Patient
Insurance premiums
1Only if applicable. Not all pharmacies participate in a pharmacy services administrator organization (PSAO).
Note: Chart reflects patient-administered, outpatient prescriptions drugs. This chart is illustrative. It is not intended to be a complete representation of every type of financial, product flow, or contractual
relationship in the marketplace.
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