Percent Brand Name Generic Name Strength How Supplied NDC from AWP/SWP Adcetris. Amprya dalfampridine 10 mg 60 count bottle

Department of General Services Procurement Division Contract # 01-14- 65-57 Pharmaceutical Acquisitions Section Exhibit G-1 April 30, 2015 Walgreens Specialty Pharmacy LLC, Products Pricing Crescent Healthcare, Inc., Option Care Enterprises, Inc., River City Pharmacy, Inc. and Walgreens Home Care Inc. Percent Brand Name Generic Name Strength How Supplied NDC from AWP/SWP Adcetris Alphanate Alphanate AlphaNine AlphaNine AlphaNine brentuximab vedotin antihemophilic factor/von Willebrand factor complex [human] antihemophilic factor/von Willebrand factor complex [human] Coagulation Factor IX (Human) Coagulation Factor IX (Human) Coagulation Factor IX (Human) 50 mg single-use vial 51144-0050-01 14.00% 250 IU FVIII range vial 68516-4601-01 33.50% 500 IU FVIII range vial 68516-4602-01 33.50% 500 unit vial w/ 10mL diluent 1000 unit vial w/ 10mL diluent 1500 unit vial w/ 10mL diluent single-dose vial 68516-3601-02 30.00% single-dose vial 68516-3602-02 30.00% single-dose vial 68516-3603-02 30.00% Amprya dalfampridine 10 mg 60 count bottle 10144-0427-60 15.00% Apokyn apomorphine HCL injection 10 mg/ml 3 ml cartridge 27505-0004-05 14.00% Aralast NP alpha-1 proteinase inhibitor 0.5 g single-dose vial 00944-2802-01 13.00% Aralast NP alpha-1 proteinase inhibitor 1 g single-dose vial 00944-2802-02 13.00% 200 mcg/1 ml single-dose vial 55513-0006-01 14.50% 300 mcg/1 ml single-dose vial 55513-0110-01 14.50% 25 mcg/1 ml single-dose vial 55513-0002-04 14.50% 40 mcg/1 ml single-dose vial 55513-0003-04 14.50% 60 mcg/1 ml single-dose vial 55513-0004-04 14.50% 100 mcg/1 ml single-dose vial 55513-0005-04 14.50% 150 mcg/0.75 ml single-dose vial 55513-0053-04 14.50% 200 mcg/0.4 ml 300 mcg/0.6 ml 500 mcg/1 ml 25 mcg/0.42ml 40 mcg/0.4 ml 60 mcg/0.3 ml 100 mcg/0.5 ml 150 mcg/0.3ml 55513-0028-01 14.50% 55513-0111-01 14.50% 55513-0032-01 14.50% 55513-0057-04 14.50% 55513-0021-04 14.50% 55513-0023-04 14.50% 55513-0025-04 14.50% 55513-0027-04 14.50% Arzerra ofatumumab 1,000 mg/50 ml single-use vial 00173-0821-01 13.00% 1 of 14

ATryn antithrombin [recombinant] 1750 IU vial 42976-0121-02 15.50% Aubagio teriflunomide 7 mg tablet 58468-0211-01 14.75% Avandaryl rosiglitazone maleate and glimepiride 4 mg/1 mg tablet 00173-0841-13 15.00% Avandaryl rosiglitazone maleate and glimepiride 4 mg/2 mg tablet 00173-0842-13 15.00% Avandaryl rosiglitazone maleate and glimepiride 4 mg/4 mg tablet 00173-0843-13 15.00% Avandaryl rosiglitazone maleate and glimepiride 8 mg/2 mg tablet 00173-0844-13 15.00% Avandaryl rosiglitazone maleate and glimepiride 8 mg/4 mg tablet 00173-0845-13 15.00% Avandia rosiglitazone maleate 2 mg tablet 00173-0834-18 15.50% Avandia rosiglitazone maleate 4 mg tablet 00173-0835-13 15.50% Avandia rosiglitazone maleate 8 mg tablet 00173-0836-13 15.50% Avonex Avonex Avonex Baraclue Baraclue Baraclue Baraclue Betaseron interferon beta-1a interferon beta-1a interferon beta-1a 33 mcg (6.6 million intnl units) 30 mcg 30 mcg entecavir 0.5 mg tablet entecavir 0.5 mg tablet entecavir 1 mg tablet single-use vial single-use prefilled syringe Single-Use Prefilled Autoinjector entecavir 0.05 mg/ml oral solution interferon beta-1b 0.3 mg single-use vial 59627-0001-03 17.00% 59627-0002-05 17.00% 59627-0003-04 17.00% 00003-1611-12 14.00% 00003-1611-13 14.00% 00003-1612-12 14.00% 00003-1614-12 14.00% 50419-0523-35 17.00% Cayston aztreonam 75 mg single-use vial 61958-0901-01 15.50% Copaxone glatiramer acetate injection 20 mg w/40 mg of mannitol single-use prefilled syringe 68546-0317-30 17.00% Cystagon cysteamine 50 mg capsules 00378-9040-01 Cystagon cysteamine 150 mg capsules 00378-9045-01 LD - No Access LD - No Access Dacogen decitabine 50 mg single-dose vial 62856-0600-01 13.50% Dificid Enbrel Enbrel Enbrel Enbrel enoxaperi sodium enoxaperi sodium enoxaperi sodium Fidaxomicin etanercept etanercept etanercept 200 mg (bottle of 20) tablet single-use prefilled 50 mg syringe single-use prefilled 25 mg syringe single-use prefilled 50 mg SureClick autoinjector etanercept 25 mg multiple-use vial single-use prefilled 30 mg/0.3 ml syringe single-use prefilled 40 mg/0.4 ml syringe graduated single-use 60 mg/0.6 ml prefilled syringe 2 of 14 52015-0080-01 14.00% 58406-0435-04 15.75% 58406-0455-04 15.75% 58406-0445-04 15.75% 58406-0425-34 15.75% 00781-3133-63 26.00% 00781-3224-64 26.00% 00781-3356-66 26.00%

enoxaperi sodium enoxaperi sodium enoxaperi sodium enoxaperi sodium EPIVIR-HBV EPIVIR-HBV Epogen Epogen Epogen Epogen Epogen Epogen 80 mg/0.8 ml 100 mg/1 ml 120 mg/0.8 ml 150 mg/1 ml lamivudine 100 mg tablet graduated single-use prefilled syringe graduated single-use prefilled syringe graduated single-use prefilled syringe graduated single-use prefilled syringe lamivudine 240 ml oral solution single-dose preservative-free vial 2,000 units/1ml (citrate-buffered) single-dose preservative-free vial 3,000 units/1 ml (citrate-buffered) single-dose preservative-free vial 4,000 units/1 ml (citrate-buffered) single-dose preservative-free vial 10, 000 units/1 ml (citrate-buffered) multiple-dose preserved 10,000 units/1 ml vial multiple-dose preserved 20,000 units/1 ml vial 00781-3428-68 26.00% 00781-3500-69 26.00% 00781-3612-68 26.00% 00781-3655-69 26.00% 00173-0662-00 13.50% 00173-0663-00 13.50% 55513-0126-10 14.00% 55513-0267-10 14.00% 55513-0148-10 14.00% 55513-0144-10 14.00% 55513-0283-10 14.00% 55513-0478-10 14.00% Egrifta tesamorelin 2 mg single-use vial 44087-2011-02 14.00% Erivedge vismodegib 150 mg capsule 50242-0140-01 14.50% Exjade deferasirox 125 mg tablet 00078-0468-15 16.00% Exjade deferasirox 250 mg tablet 00078-0469-15 16.00% Exjade deferasirox 500 mg tablet 00078-0470-15 16.00% Eylea afilbercept injection 2 mg / 0.05 ml single-use vial 61755-0005-02 14.00% Flolan - generic Flolan - generic Forteo epoprostenol 0.5 mg single-dose vial epoprostenol 1.5 mg single-dose vial prefilled delivery device teriparatide injection 2.4 ml (pen) dalteparin sodium injection 2,500 IU / 0.2 ml syringe dalteparin sodium injection 5,000 IU / 0.2 ml syringe dalteparin sodium injection 7,500 IU / 0.3 ml syringe single-dose graduated dalteparin sodium injection 10,000 IU / 1 ml syringe dalteparin sodium injection 12,500 IU / 0.5 ml syringe dalteparin sodium injection 15,000 IU / 0.6 ml syringe dalteparin sodium injection 18,000 IU / 0.72 ml syringe dalteparin sodium injection 95,000 IU / 3.8 ml multiple dose vial 3 of 14 00703-1985-01 13.00% 00703-1995-01 13.00% 00002-8400-01 14.50% 62856-0250-10 14.00% 62856-0500-10 14.00% 62856-0750-10 14.00% 62856-0101-10 14.00% 62856-0125-10 14.00% 62856-0150-10 14.00% 62856-0180-10 14.00% 62856-0251-01 14.00%

Fuzeon Gablofen Gablofen Gablofen Gablofen Gablofen Gablofen enfuvirtide 90 mg single-use vial baclofen injection 50 mcg/1 ml single-use syringe baclofen injection 10,000 mcg/20 ml single-use syringe baclofen injection 10,000 mcg/20 ml single-use vial baclofen injection 20,000 mcg/20 ml single-use syringe baclofen injection 20,000 mcg/20 ml single-use vial baclofen injection 40,000 mcg/20 ml single-use syringe Gablofen baclofen injection 40,000 mcg/20 ml single-use vial Gammagard Liquid Immune Globulin Infusion (human) 10 ml single-use bottle Gammagard Liquid Immune Globulin Infusion (human) 25 ml single-use bottle Gammagard Liquid Immune Globulin Infusion (human) 50 ml single-use bottle Gammagard Liquid Immune Globulin Infusion (human) 100 ml single-use bottle Gammagard Liquid Immune Globulin Infusion (human) 200 ml single-use bottle Gammagard Liquid Immune Globulin Infusion (human) 300 ml single-use bottle Gammagard S/D Gammagard S/D Immune Globulin Intravenous (human) 2.5 g single-use bottle Immune Globulin Intravenous (human) 5 g single-use bottle 00004-0381-40 13.75% 45945-0151-01 13.50% 45945-0155-01 13.50% 45945-0155-02 13.50% 45945-0156-01 13.50% 45945-0156-02 13.50% 45945-0157-01 13.50% 45945-0157-02 13.50% 00944-2700-02 29.00% 00944-2700-03 29.00% 00944-2700-04 29.00% 00944-2700-05 29.00% 00944-2700-06 29.00% 00944-2700-07 29.00% 00944-2620-02 25.00% 00944-2620-03 25.00% Gammagard S/D Immune Globulin Intravenous (human) 10 g single-use bottle 00944-2620-04 25.00% Gammagard S/D LESS IGA Immune Globulin Intravenous (human) 5 g single-use bottle 00944-2655-03 25.00% Gammagard S/D LESS IGA Immune Globulin Intravenous (human) 10 g single-use bottle 00944-2655-04 25.00% Gamunex -C immune globuln injection [human] caprylate chromatography purified 10% 10 ml vial 13533-0800-12 25.00% Gamunex -C immune globuln injection [human] caprylate chromatography purified 10% 25 ml vial 13533-0800-15 25.00% Gamunex -C immune globuln injection [human] caprylate chromatography purified 10% 50 ml vial 13533-0800-20 25.00% Gamunex -C immune globuln injection [human] caprylate chromatography purified 10% 100 ml vial 13533-0800-71 25.00% Gamunex -C immune globuln injection [human] caprylate chromatography purified 10% 200 ml vial 13533-0800-24 25.00% Glassia alpha-1 proteinase inhibitor [human] 1 gm single-dose vial 00944-2884-01 13.00% Gleevec Gleevec H.P. Acthar Gel Hepsera imatinib mesylate imatinib mesylate repository corticostropin adefovir dipivoxil 100 mg tablet 00078-0401-34 17.25% 400 mg tablet 00078-0438-15 17.25% 8 USP/ml 5 ml multi-dose vial 63004-8710-01 14.75% 10 mg Tablet 61958-0501-01 14.00% Hizentra immune globuln subcutaneus [human] 20% 5 ml single-use vial 44206-0451-01 28.00% Hizentra immune globuln subcutaneus [human] 20% 10 ml single-use vial 44206-0452-02 28.00% 4 of 14

Hizentra immune globuln subcutaneus [human] 20% 20 ml single-use vial 44206-0454-04 28.00% Hizentra immune globuln subcutaneus [human] 20% 50 ml single-use vial 44206-0455-10 28.00% Humira Humira adalimumab adalimumab 20 mg prefilled glass syringe 00074-9374-02 16.50% 40 mg prefilled glass syringe 00074-3799-02 16.50% Hycamtin (oral) topotecan 0.25 mg capsule 00007-4205-11 14.50% Hycamtin (oral) topotecan 1.0 mg capsule 00007-4207-11 14.50% Iclusig ponatinib 15 mg tablet 76189-0535-60 14.50% Iclusig ponatinib 15 mg tablet 76189-0534-30 14.50% Nexplanon etonogestrel implant 68 mg single implant preloaded in needle 00052-0274-01 15.50% Increlex mecasemin 40 mg multi-dose vial 15054-1040-05 13.25% Inlyta Axitinib 1 mg tablet 00069-0145-01 15.00% Inlyta Axitinib 5 mg tablet 00069-0151-11 15.00% Inton A Inton A Inton A Interferon alfa-2b, recombinant Interferon alfa-2b, recombinant Interferon alfa-2b, recombinant 10 million IU per vial vial 00085-0571-02 15.00% 18 million IU per vial vial 00085-1110-01 15.00% 50 million IU per vial vial 00085-0539-01 15.00% Jakafi ruxolitinib 5 mg tablet 50881-0005-60 15.00% Jakafi ruxolitinib 10 mg tablet 50881-0010-60 15.00% Jakafi ruxolitinib 15 mg tablet 50881-0015-60 15.00% Jakafi ruxolitinib 20 mg tablet 50881-0020-60 15.00% Jakafi ruxolitinib 25 mg tablet 50881-0025-60 15.00% Jetrea ocriplasmin 2.5 mg/ml vial 24856-0001-00 13.50% Kadcyla ado-trastuzumab emtansine 100 mg vial 50242-0088-01 14.25% Kalbitor ecallantide 10 mg/ml vial 47783-0101-01 15.00% KOGENATE FS KOGENATE FS KOGENATE FS KOGENATE FS KOGENATE FS recombinant factor VIII (rfviii) recombinant factor VIII (rfviii) recombinant factor VIII (rfviii) recombinant factor VIII (rfviii) recombinant factor VIII (rfviii) 250 IU vial 00026-3782-20 34.00% 500 IU vial 00026-3783-30 34.00% 1000 IU vial 00026-3785-50 34.00% 2000 IU vial 00026-3786-60 34.00% 3000 IU vial 00026-3787-70 34.00% Krystexxa pegloticase 8 mg/ml vial 54396-0801-01 11.50% Kynamro mipmersen sodium 200 mg/ml pre-filled syringe 58468-0191-01 14.00% Letairis ambrisentan 5 mg tablet 61958-0801-02 16.25% Letairis ambrisentan 10 mg tablet 61958-0802-02 16.25% 5 of 14

LEUPROLIDE ACETATE LEUPROLIDE ACETATE 1 mg/0.2 ml vial 41616-0936-40 27.00% Ilaris canakinumab 180 mg vial 00078-0582-61 14.00% Lioresal Lioresal Lioresal Lioresal Lioresal lioresal lioresal lioresal lioresal lioresal 10 mg/20 ml ampules 58281-0560-01 13.50% 10 mg/5 ml ampules 58281-0561-02 13.50% 40 mg/20ml ampules 58281-0563-01 13.50% 10 mg/20 ml ampules 58281-0560-02 13.50% 40 mg/20ml ampules 58281-0563-02 13.50% 30 mg/0.3 ml pre-filled syringe 00075-0624-30 14.00% 40 mg/0.4 ml pre-filled syringe 00075-0620-40 14.00% 60 mg/0.6 ml pre-filled syringe 00075-0621-60 14.00% 80 mg/0.8 ml pre-filled syringe 00075-0622-80 14.00% 100 mg/1 ml pre-filled syringe 00075-0623-00 14.00% 300 mg/ 3 ml vial 00075-0626-03 14.00% 120 mg / 0.8 ml pre-filled syringe 00075-2912-01 14.00% 150 mg / 1 ml pre-filled syringe 00075-2915-01 14.00% Lucentis ranibizumab 0.5 mg vial 50242-0080-01 14.50% Lucentis ranibizumab 0.3 mg vial 50242-0082-01 14.50% Lupron Depot LEUPROLIDE ACETATE 3.75 mg pre-filled syringe 00074-3641-03 15.00% Lupron Depot LEUPROLIDE ACETATE 11.75 mg pre-filled syringe 00074-3663-03 15.00% Macugen pegaptanib sodium 0.3 mg pre-filled syringe 68782-0001-02 13.50% Makena hydroxyprogesterone caproate 1250 mg multi-dose vial 64011-0243-01 14.25% Matulane procarbazine 50 mg capsule 54482-0053-01 14.50% Mononine MuGard lyophilized concentrate of Factor IX GLY/CARB HOMOPOLY A/POT HYDROX 1000 IU vial 00053-6233-02 25.00% Not avaiable oral solution 89109-0108-01 13.50% Naglazyme galsufase 5 mg / 5 ml vial 68135-0020-01 12.25% Neulasta Neupogen Neupogen Neupogen Neupogen pegfilgrastim filgrastim filgrastim filgrastim filgrastim 6 mg / 0.6 ml pre-filled syringe 55513-0190-01 15.50% 300 mcg/ml vial 55513-0530-10 15.50% 480 mcg /1.6 ml vial 55513-0546-10 15.50% 300 mcg/ 0.5 ml pre-filled syringe 55513-0924-10 15.50% 480 mcg /0.8 ml pre-filled syringe 55513-0209-10 15.50% Nexavar sorafenib 400 mg tablet 50419-0488-58 16.00% ONDANSETRON IV ondansetron 2 mg vial 00143-9890-01 29.00% 6 of 14

ONDANSETRON IV ONDANSETRON IV ONDANSETRON IV ONDANSETRON IV ONDANSETRON IV Pegasys Pegasys Pegasys Pegasys ondansetron ondansetron ondansetron ondansetron ondansetron peginterferon alfa-2a peginterferon alfa-2a peginterferon alfa-2a peginterferon alfa-2a 2 mg vial 00703-7226-01 29.00% 2 mg vial 63323-0374-20 29.00% 4 mg vial 63323-0373-02 29.00% 5 mg vial 00703-7221-04 29.00% 6 mg vial 00409-4755-03 29.00% 180 mcg per 1 ml single use vial 00004-0350-09 16.50% 180 mcg per 0.5 ml pre-filled syringe 00004-0352-39 16.50% 180 mcg per 0.5 ml autoinjector 00004-0365-30 16.50% 135 mcg per 0.5 ml autoinjector 00004-0360-30 16.50% Perjeta pertuzumab 420 mg/14 ml vial 50242-0145-01 14.00% Pomalyst pomalidone 1 mg capsule 59572-0501-00 15.50% Pomalyst pomalidone 2 mg capsule 59572-0502-00 15.50% Pomalyst pomalidone 3 mg capsule 59572-0503-00 15.50% Pomalyst pomalidone 4 mg capsule 59572-0504-00 15.50% Procrit Procrit Procrit Procrit Procrit Procrit Procrit Promacta Promacta Promacta Promacta Reclast Remicade Revatio Revatio eltrombopag eltrombopag eltrombopag eltrombopag zoledronic acid infliximab sildenafil sildenafil 2000 Units/ml vial 59676-0302-01 16.00% 3000 Units/ml vial 59676-0303-01 16.00% 4000 Units/ml vial 59676-0304-01 16.00% 10,000 Units/ml vial 59676-0310-01 16.00% 40,000 Units/ml vial 59676-0340-01 16.00% 20,000 Units / 2 ml multi-dose vial 59676-0312-04 16.00% 20,000 Units/ml multi-dose vial 59676-0320-04 16.00% 12.5 mg tablet 00007-4643-13 15.00% 25 mg tablet 00007-4640-13 15.00% 50 mg tablet 00007-4641-13 15.00% 75 mg tablet 00007-4642-13 15.00% 5 mg/100 ml injection 00078-0435-61 13.50% 100 mg vial 57894-0030-01 16.00% 20 mg tablet 00069-4190-68 15.50% 10 mg (12.5 ml) vial 00069-0338-01 15.50% Revlimid lenalidomide 2.5 mg/ml capsule 59572-0402-00 16.25% Revlimid lenalidomide 5 mg capsule 59572-0405-00 16.25% Revlimid lenalidomide 10 mg capsule 59572-0410-00 16.25% 7 of 14

Revlimid lenalidomide 15 mg capsule 59572-0415-00 16.25% Revlimid lenalidomide 20 mg capsule 59572-0420-00 16.25% Revlimid lenalidomide 25 mg capsule 59572-0425-00 16.25% RhoGAM PLUS Rho(D) Immune Globulin (Human) 300 μg (1500 IU) prefilled syringe 00562-7805-01 14.25% RhoGAM PLUS Rho(D) Immune Globulin (Human) 50 μg (250 IU) prefilled syringe 00562-7806-01 10.50% RiaSTAP fibrinogen concentrate [human] 1 gm vial 63833-0891-51 14.00% Ribasphere ribavirin 200 mg tablet 66435-0102-16 60.00% Ribasphere ribavirin 400 mg tablet 66435-0103-56 26.00% Ribasphere ribavirin 600 mg tablet 66435-0104-56 26.00% Simponi golimumab 50 mg/0.5 ml prefilled syringe 57894-0070-01 15.75% Simponi golimumab 100 mg/1 ml prefilled syringe 57894-0071-01 15.75% Solesta Dextranomer in stabilized sodium hyaluronate 50 mg/ml, 15 mg/ml glass syringe 89114-0850-03 13.00% Soliris eculizumab 10 mg/ml single-use vial 25682-0001-01 13.50% Somavert pegvisomant 10 mg single-dose vial 00009-5176-01 13.75% Somavert pegvisomant 15 mg single-dose vial 00009-5178-01 13.75% Somavert pegvisomant 20 mg single-dose vial 00009-5180-01 13.75% Sprycel dasatinib 20 mg tablet 00003-0527-11 17.00% Sprycel dasatinib 50 mg tablet 00003-0528-11 17.00% Sprycel dasatinib 70 mg tablet 00003-0524-11 17.00% Sprycel dasatinib 80 mg tablet 00003-0855-22 17.00% Sprycel dasatinib 100 mg tablet 00003-0852-22 17.00% Sprycel dasatinib 140 mg tablet 00003-0857-22 17.00% Stelara ustekinumab 45 mg pre-filled syringe 57894-0060-03. 17.00% Stelara ustekinumab 90 mg pre-filled syringe 57894-0061-03 17.00% Stivarga regorafenib 40 mg tablet 50419-0171-03 15.00% Sutent sunitinib malate 12.5 mg capsule 00069-0550-38 15.75% Sutent sunitinib malate 25 mg capsule 00069-0770-38 15.75% Sutent sunitinib malate 50 mg capsule 00069-0980-38 15.75% Synagis palivizumab 50 mg vial 60574-4114-01 16.50% Synagis palivizumab 100 mg vial 60574-4113-01 16.50% Tarceva erlotinib 25 mg tablet 50242-0062-01 17.00% Tarceva erlotinib 100 mg tablet 50242-0063-01 17.00% 8 of 14

Tarceva erlotinib 150 mg tablet 50242-0064-01 17.00% Tasigna Nilotinib 150 mg capsule 00078-0592-87 15.00% Tasigna Nilotinib 200 mg capsule 00078-0526-87 15.00% Tecfidera dimethyl fumarate 120 mg capsule 64406-0005-01 16.50% Tecfidera dimethyl fumarate 240 mg capsule 64406-0006-02 16.50% Temodar temozolomide 5 mg capsule 00085-3004-01 16.00% Temodar temozolomide 20 mg capsule 00085-1519-01 16.00% Temodar temozolomide 100 mg capsule 00085-1366-01 16.00% Temodar temozolomide 140 mg capsule 00085-1425-02 16.00% Temodar temozolomide 180 mg capsule 00085-1430-02 16.00% Temodar temozolomide 250 mg capsule 00085-1417-01 16.00% Temodar temozolomide 180 mg vial 00085-1381-01 13.00% Testopel testosterone 78mg subcutaneous implant 43773-1001-02 9.50% Thalomid thalidomide 50 mg capsule 59572-0205-14 15.00% Thalomid thalidomide 100 mg capsule 59572-0210-15 15.00% Thalomid thalidomide 150 mg capsule 59572-0215-13 15.00% Thalomid thalidomide 200 mg capsule 59572-0220-16 15.00% Tobi tobramycin inhalation solution 300 mg / 5 ml ampule 00078-0494-71 15.75% Topi Podhaler tobramycin inhalation powder 28 mg capsule 00078-0630-35 15.75% Tracleer bosentan 62.5 mg tablet 66215-0101-06: 16.00% Tracleer bosentan 125 mg tablet 66215-0102-06 16.00% Tykerb lapatinib 250 mg tablet 00173-0752-00 15.00% Tysabri natalizumab 300 mg / 15 ml vial 64406-0008-01 15.00% Visudyne verteporfin 15 mg vial 50236-0001-15 13.50% Votrient pazopanib 200 mg tablet 00173-0804-09 15.00% VPRIV velaglucerase alfa 400 units vial 54092-0701-04. 13.75% Xalkori crizotinib 250 mg capsule 00069-8140-20 15.75% Xeloda capecitabine 500 mg tablet 00004-1101-50 16.50% Xiaflex coliagenase clostridum histolyticum 0.9 mg vial 66887-0003-01 12.50% Xolair omalizumab 150 mg / 5 ml vial 50242-0040-62. 15.50% Xtandi enzalutamide 40 mg capsule 00469-0125-99 14.00% Yervoy ipilimumab 50 mg/10 ml vial 00003-2327-11 14.50% 9 of 14

Yervoy ipilimumab 200 mg/40 ml vial 00003-2328-22 14.50% Zelboraf vemurafenib 240 mg tablet 50242-0090-01 15.00% Zoladex goserelin 3.6 mg implant 00310-0950-36 18.00% Zoladex goserelin 10.8 mg implant 00310-0951-30 18.00% Zytiga abiraterone acetate 1000 mg tablet 57894-0150-12 17.00% Travasol amino acid formulas 10% solution 00338-0644-06 15.50% Liposyn soybean oil 20% solution 00409-9791-02 15.50% Non-Specified Product Limited distribution pharmaceuticals 12.50% Non-limited distribution Branded pharmaceuticals 15.50% Non-limited distribution Generic pharmaceuticals 27.00% Infusion 12.00% 10 of 14

Department of General Services Procurement Division Contract # 01-14- 65-57 Pharmaceutical Acquisitions Section Exhibit G-2 April 30, 2015 Walgreens Specialty Pharmacy LLC, Services Pricing Crescent Healthcare, Inc., Option Care Enterprises, Inc., River City Pharmacy, Inc. and Walgreens Home Care Inc. PER DIEM INJECTABLE AND INFUSION SERVICES HCPCS Description of per diem* Injectable and Infusion Services Rate S9325 Home infusion therapy, pain management infusion $85.00 S9326 Home infusion therapy, continuous (twenty-four hours or more) pain management infusion $85.00 S9327 Home infusion therapy, intermittent (less than twenty-four hours) pain $85.00 S9329 Home infusion therapy, chemotherapy infusions $90.00 S9330 Home infusion therapy, continuous (twenty-four hours or more) chemotherapy infusion $90.00 S9331 Home infusion therapy, intermittent (less than twenty-four hours) chemotherapy infusion $95.00 S9335 Home therapy, hemodialysis $0.00 S9336 Home infusion therapy, continuous anticoagulant infusion therapy (e. g. Heparin) $85.00 S9338 Home infusion therapy, immunotherapy $90.00 S9340 Home therapy; enteral nutrition $10.00 S9341 Home therapy; enteral nutrition via gravity $15.00 S9342 Home therapy; enteral nutrition via pump $20.00 S9343 Home therapy; enteral nutrition via bolus $12.00 S9345 Home infusion therapy, anti-hemophilic agent infusion therapy (e. g. Factor viii) $85.00 S9346 Home infusion therapy, alpha-1-proteinase inhibitor (e. g. prolastin) $85.00 S9347 Home infusion therapy, uninterrupted, long-term, controlled rate intravenous or $90.00 subcutaneous infusion therapy (e. g. Epoprostenol) S9348 Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e. g. $90.00 dobutamine) S9351 Home infusion therapy, continuous or intermittent anti-emetic infusion therapy $85.00 S9353 Home infusion therapy, continuous insulin infusion therapy $70.00 S9355 Home infusion therapy, chelation therapy $85.00 S9357 Home infusion therapy, enzyme replacement intravenous therapy; (e. g. Imiglucerase) $90.00 S9359 Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e. g. Infliximab) $90.00 S9361 Home infusion therapy, diuretic intravenous therapy $80.00 S9363 Home infusion therapy, anti-spasmodic therapy $85.00 S9364 Home infusion therapy, total parenteral nutrition (tpn) $170.00 11 of 14

Department of General Services Procurement Division Contract # 01-14- 65-57 Pharmaceutical Acquisitions Section Exhibit G-2 April 30, 2015 Walgreens Specialty Pharmacy LLC, Services Pricing Crescent Healthcare, Inc., Option Care Enterprises, Inc., River City Pharmacy, Inc. and Walgreens Home Care Inc. S9365 S9366 S9367 S9368 S9370 S9372 S9373 S9374 S9375 S9376 S9377 S9379 S9490 S9494 S9497 S9500 S9501 S9502 S9503 S9504 S9537 Home infusion therapy, total parenteral nutrition (tpn); one liter per day Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day Home infusion therapy, total parenteral nutrition (tpn); more than two liters but no more than three liters per day Home infusion therapy, total parenteral nutrition (tpn); more than three liters per day Home therapy, intermittent anti-emetic injection therapy Home therapy; intermittent anticoagulant injection therapy (e. G. Heparin) Home infusion therapy, hydration therapy Home infusion therapy, hydration therapy; one liter per day Home infusion therapy, hydration therapy; more than one liter but no more than two liters per day Home infusion therapy, hydration therapy; more than two liters but no more than three liters per day Home infusion therapy, hydration therapy; more than three liters per day Home infusion therapy, infusion therapy, not otherwise classified Home infusion therapy, corticosteroid infusion Home infusion therapy, antibiotic, antiviral, or antifungal therapy Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 3 hours Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours Home infusion therapy, antibiotic, antiviral, or antifungal; once every 6 hours Home infusion therapy, antibiotic, antiviral, or antifungal; once every 4 hours Home therapy; hematopoietic hormone injection therapy (e. g. Erythropoietin, g-csf, gm.-csf) 12 of 14 $170.00 $180.00 $190.00 $200.00 $65.00 $65.00 $75.00 $75.00 $75.00 $80.00 $80.00 $85.00 $85.00 $105.00 $105.00 $90.00 $95.00 $100.00 $105.00 $105.00 $45.00

Department of General Services Procurement Division Contract # 01-14- 65-57 Pharmaceutical Acquisitions Section Exhibit G-2 April 30, 2015 Walgreens Specialty Pharmacy LLC, Services Pricing Crescent Healthcare, Inc., Option Care Enterprises, Inc., River City Pharmacy, Inc. and Walgreens Home Care Inc. S9542 S9558 S9559 S9560 S9562 S9590 Home injectable therapy, not otherwise classified Home injectable therapy; growth hormone Home injectable therapy, interferon Home injectable therapy; hormonal therapy (e. g. ; leuprolide, goserelin) Home injectable therapy, palivizumab Home therapy, irrigation therapy (e. g. Sterile irrigation of an organ or anatomical cavity) $65.00 $45.00 $45.00 $65.00 $50.00 $55.00 S9810 CPT Code 99601 Home therapy; professional pharmacy services for provision of infusion, specialty drug administration, and/or disease state management, not otherwise classified, per hour Infusion administration up to 2 hours $120.00 $130.00 CPT Code $65.00 99602 Infusion for each additional hour after two hours * "per diem" means infusion services that are bundled together and payment includes professional pharmacy services, patient monitoring, education, and counseling activities, all necessary supplies and equipment, and administrative and other support services. Diluent, Solution, Heparin, Saline, Sterile Water, Etc. are included. Drug products and nursing visits are coded separately from the per diem. 13 of 14

Department of General Services Procurement Division Contract # 01-14- 65-57 Pharmaceutical Acquisitions Section Exhibit G-2 April 30, 2015 Walgreens Specialty Pharmacy LLC, Services Pricing Crescent Healthcare, Inc., Option Care Enterprises, Inc., River City Pharmacy, Inc. and Walgreens Home Care Inc. COMPOUNDING SERVICES CODE Description of Compounding Services Rate S9430 Pharmacy compounding and dispensing services $25.00 B4189 Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix $201.85 B4193 B4197 B4199 B4216 B4220 B4222 B4224 B5000 B5100 Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength over 100 grams of protein - premix Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes) home mix per day Parenteral nutrition supply kit; premix, per day Parenteral nutrition supply kit; home mix, per day Parenteral nutrition administration kit, per day Parenteral nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal - amirosyn rf, nephramine, renamine - premix Parenteral nutrition solution: compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic - freamine hbc, hepatamine - premix PROFESSIONAL SERVICES $260.82 $317.54 $362.84 $8.77 $9.09 $11.21 $28.39 $13.50 $5.27 CODE Description of Professional Services Rate S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only $90.00 14 of 14