REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 1 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1003069832 4,785 4,129 86.29 88.13 -1.84 1003111782 81 63 77.77 69.84 7.93 1003152497 2,437 2,213 90.80 91.69 -0.89 1003195801 180 143 79.44 81.04 -1.60 1003242686 2,364 2,115 89.46 90.81 -1.35 1003242694 258 226 87.59 87.91 -0.32 1003242959 3,119 2,629 84.28 87.95 -3.67 1003262072 801 671 83.77 88.28 -4.51 1003289034 2,327 2,177 93.55 94.02 -0.47 1003334970 306 262 85.62 0.00 85.62 1003821109 2,525 2,206 87.36 90.26 -2.90 1003821182 6,201 5,470 88.21 89.81 -1.60 1003827247 469 413 88.05 88.65 -0.60 1003833112 87 70 80.45 87.36 -6.91 1003833252 1,838 1,610 87.59 87.84 -0.25 1003859737 34 30 88.23 92.50 -4.27 1003863689 1,716 1,510 87.99 90.29 -2.30 1003890252 1,976 1,683 85.17 86.88 -1.71 1003915240 -1 -1 0.00 90.58 -90.58 1003917709 309 271 87.70 88.59 -0.89 1003919788 3,132 2,782 88.82 90.13 -1.31 1003923673 2,423 2,174 89.72 91.12 -1.40 1003928524 277 245 88.44 87.04 1.40 1003973496 1,281 1,107 86.41 89.54 -3.13 1003976069 346 309 89.30 91.83 -2.53 1013000124 1,033 882 85.38 85.69 -0.31 1013001049 200 158 79.00 80.54 -1.54 1013010701 3,487 3,064 87.86 90.05 -2.19 1013010792 660 575 87.12 88.41 -1.29 1013011675 235 200 85.10 85.13 -0.03 1013011782 3,903 3,429 87.85 89.54 -1.69 1013016252 180 164 91.11 90.34 0.77 1013016260 490 441 90.00 90.46 -0.46 1013018894 269 232 86.24 89.37 -3.13 1013025675 1,379 1,198 86.87 86.73 0.14 1013131689 621 526 84.70 84.54 0.16 1013140938 1,641 1,495 91.10 92.72 -1.62 1013164177 1,311 1,163 88.71 92.52 -3.81 1013229517 3,196 2,769 86.63 87.86 -1.23 1013319235 82 82 100.00 97.72 2.28 1013343961 981 894 91.13 93.51 -2.38 1013355098 2,295 1,957 85.27 87.13 -1.86 1013384668 931 768 82.49 85.93 -3.44 1013434315 11 9 81.81 0.00 81.81 1013435098 112 87 77.67 0.00 77.67

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 2 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1013435734 678 581 85.69 0.00 85.69 1013435742 906 745 82.22 0.00 82.22 1013468370 562 440 78.29 85.47 -7.18 1013922012 2,595 2,239 86.28 87.92 -1.64 1013922111 4,754 4,023 84.62 87.44 -2.82 1013924018 2,547 2,185 85.78 89.03 -3.25 1013930395 779 676 86.77 88.47 -1.70 1013934264 3,179 2,795 87.92 89.17 -1.25 1023023025 5,527 4,836 87.49 89.87 -2.38 1023023124 1,600 1,436 89.75 89.96 -0.21 1023023975 796 669 84.04 82.97 1.07 1023035284 2,303 2,047 88.88 91.12 -2.24 1023064698 353 179 50.70 52.38 -1.68 1023084985 8,028 6,942 86.47 88.01 -1.54 1023101797 165 140 84.84 84.03 0.81 1023111713 3,540 3,088 87.23 89.21 -1.98 1023117215 411 368 89.53 89.19 0.34 1023117264 775 702 90.58 92.98 -2.40 1023119724 248 225 90.72 91.93 -1.21 1023125663 1,504 1,331 88.49 88.76 -0.27 1023136132 742 639 86.11 87.42 -1.31 1023173440 1,541 1,363 88.44 89.79 -1.35 1023186855 2,048 1,775 86.66 87.48 -0.82 1023188448 492 444 90.24 91.61 -1.37 1023247426 2,790 2,352 84.30 86.89 -2.59 1023305125 1,683 1,425 84.67 86.53 -1.86 1023321015 2,983 2,553 85.58 88.41 -2.83 1023356565 1,091 911 83.50 87.08 -3.58 1023417458 1,354 1,186 87.59 91.45 -3.86 1023495272 615 430 69.91 70.43 -0.52 1033125489 840 722 85.95 89.23 -3.28 1033136296 1,272 1,130 88.83 90.16 -1.33 1033203328 2,574 2,299 89.31 91.14 -1.83 1033203443 1,573 1,324 84.17 86.63 -2.46 1033210885 429 399 93.00 92.07 0.93 1033212881 2,594 2,310 89.05 88.83 0.22 1033213442 262 217 82.82 88.70 -5.88 1033215421 1,608 1,363 84.76 88.05 -3.29 1033217682 1,898 1,669 87.93 88.97 -1.04 1033218227 507 453 89.34 89.45 -0.11 1033228911 3,076 2,380 77.37 79.21 -1.84 1033239330 4,725 4,009 84.84 86.70 -1.86 1033243621 5,790 5,094 87.97 89.15 -1.18 1033256474 1,913 1,668 87.19 88.87 -1.68 1033256953 304 275 90.46 86.87 3.59

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 3 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1033293550 1,017 867 85.25 87.36 -2.11 1033343082 4,981 4,407 88.47 89.02 -0.55 1033349345 7,281 6,277 86.21 88.33 -2.12 1033350558 3,734 3,207 85.88 87.60 -1.72 1033456371 350 311 88.85 91.15 -2.30 1033507165 425 362 85.17 88.40 -3.23 1033510029 961 862 89.69 90.91 -1.22 1033513551 1,478 1,189 80.44 82.76 -2.32 1033535570 145 130 89.65 88.34 1.31 1033636550 212 176 83.01 0.00 83.01 1033638044 687 556 80.93 0.00 80.93 1033661764 207 189 91.30 92.64 -1.34 1043200363 4,387 3,861 88.01 90.70 -2.69 1043204902 800 701 87.62 88.10 -0.48 1043227002 4,133 3,681 89.06 89.97 -0.91 1043230485 485 439 90.51 91.04 -0.53 1043237209 2,097 1,828 87.17 90.07 -2.90 1043237217 419 391 93.31 92.05 1.26 1043252497 1,837 1,649 89.76 90.45 -0.69 1043309735 36 0 0.00 0.00 0.00 1043312077 219 194 88.58 88.84 -0.26 1043313489 4,488 3,959 88.21 89.63 -1.42 1043313810 4 3 75.00 0.00 75.00 1043313893 4,218 3,758 89.09 89.54 -0.45 1043317027 2,104 1,772 84.22 86.52 -2.30 1043318918 1,485 1,304 87.81 90.44 -2.63 1043319239 198 174 87.87 89.71 -1.84 1043350804 1,450 1,273 87.79 88.99 -1.20 1043369028 553 454 82.09 85.63 -3.54 1043386428 7,423 6,793 91.51 91.23 0.28 1043394299 126 119 94.44 92.91 1.53 1043446453 1,529 1,366 89.33 89.36 -0.03 1043491780 4,975 4,507 90.59 92.09 -1.50 1043524317 3,076 980 31.85 34.96 -3.11 1043579824 3,409 2,990 87.70 89.17 -1.47 1043588627 2,052 1,781 86.79 88.25 -1.46 1043694508 2,121 1,852 87.31 89.95 -2.64 1043735723 86 75 87.20 82.69 4.51 1043738776 369 313 84.82 0.00 84.82 1053301242 4,755 3,781 79.51 80.42 -0.91 1053334912 352 312 88.63 87.14 1.49 1053338228 2,156 1,864 86.45 88.29 -1.84 1053356360 3,874 3,517 90.78 93.13 -2.35 1053359703 765 659 86.14 84.01 2.13 1053404426 138 117 84.78 92.76 -7.98

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 4 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1053404483 208 182 87.50 90.31 -2.81 1053408906 5 3 60.00 45.45 14.55 1053410258 227 209 92.07 91.36 0.71 1053414722 159 144 90.56 89.32 1.24 1053414748 3,921 3,463 88.31 89.18 -0.87 1053414755 1,162 1,046 90.01 91.43 -1.42 1053414813 1,705 1,514 88.79 88.05 0.74 1053533810 734 103 14.03 18.31 -4.28 1053682146 840 574 68.33 73.87 -5.54 1053690867 136 124 91.17 84.21 6.96 1053796698 277 246 88.80 87.83 0.97 1053855510 83 65 78.31 79.22 -0.91 1063434629 247 214 86.63 88.92 -2.29 1063439206 993 867 87.31 87.47 -0.16 1063439230 130 114 87.69 96.12 -8.43 1063511251 2,920 2,611 89.41 92.01 -2.60 1063511269 104 96 92.30 88.27 4.03 1063513836 225 200 88.88 87.64 1.24 1063515542 5,008 4,350 86.86 89.38 -2.52 1063515757 2,184 1,922 88.00 89.59 -1.59 1063515823 1,018 897 88.11 90.16 -2.05 1063515831 6,549 5,908 90.21 91.67 -1.46 1063519288 116 97 83.62 82.05 1.57 1063519908 625 526 84.16 86.97 -2.81 1063521086 1,334 1,145 85.83 86.15 -0.32 1063538742 1,681 1,506 89.58 91.75 -2.17 1063586311 1,517 1,361 89.71 89.98 -0.27 1063593069 1,923 1,710 88.92 89.56 -0.64 1063773919 1,146 1,006 87.78 90.43 -2.65 1063815470 49 49 100.00 100.00 0.00 1063821312 902 828 91.79 92.14 -0.35 1063848620 3,034 2,740 90.30 91.62 -1.32 1063895977 694 580 83.57 85.25 -1.68 1063939106 816 729 89.33 0.00 89.33 1063966729 85 74 87.05 84.41 2.64 1073031704 155 130 83.87 0.00 83.87 1073044806 423 343 81.08 85.60 -4.52 1073524633 293 262 89.41 87.45 1.96 1073530218 1,630 1,479 90.73 91.73 -1.00 1073530242 2,405 2,063 85.77 88.10 -2.33 1073535639 1,042 883 84.74 86.30 -1.56 1073535647 2,110 1,881 89.14 90.29 -1.15 1073535878 828 748 90.33 91.29 -0.96 1073537494 6,695 5,923 88.46 89.77 -1.31 1073544136 1,082 942 87.06 89.62 -2.56

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 5 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1073546511 9 9 100.00 93.33 6.67 1073564928 860 757 88.02 90.97 -2.95 1073608998 93 24 25.80 23.65 2.15 1073610911 1,373 1,218 88.71 90.30 -1.59 1073612206 853 776 90.97 91.08 -0.11 1073612263 1,012 891 88.04 89.78 -1.74 1073612271 514 467 90.85 89.65 1.20 1073612297 280 242 86.42 86.71 -0.29 1073616579 1,571 1,325 84.34 85.07 -0.73 1073616744 3,093 2,788 90.13 91.91 -1.78 1073616835 1,636 1,447 88.44 86.59 1.85 1073616843 2,386 2,107 88.30 89.65 -1.35 1073651063 2,801 2,374 84.75 85.69 -0.94 1073685608 921 781 84.79 85.86 -1.07 1073698338 3 2 66.66 100.00 -33.34 1073732376 348 290 83.33 79.06 4.27 1073740981 2,026 1,778 87.75 89.24 -1.49 1073774162 427 382 89.46 89.18 0.28 1073861118 56 1 1.78 3.63 -1.85 1073909701 9 6 66.66 66.66 0.00 1073935904 103 95 92.23 92.92 -0.69 1073962718 1,951 1,774 90.92 91.54 -0.62 1083053359 876 706 80.59 85.24 -4.65 1083083950 1,007 880 87.38 87.46 -0.08 1083132948 414 348 84.05 0.00 84.05 1083135685 954 849 88.99 92.74 -3.75 1083163943 220 179 81.36 86.84 -5.48 1083631188 2 2 100.00 100.00 0.00 1083631220 417 347 83.21 82.33 0.88 1083711923 610 544 89.18 92.17 -2.99 1083713218 -1 -1 0.00 88.37 -88.37 1083713226 15 15 100.00 100.00 0.00 1083713283 3,219 2,798 86.92 89.36 -2.44 1083713291 426 374 87.79 90.14 -2.35 1083713325 171 155 90.64 89.45 1.19 1083715783 624 563 90.22 90.56 -0.34 1083717755 2,440 2,231 91.43 94.20 -2.77 1083717854 2,426 2,164 89.20 90.44 -1.24 1083739254 4,678 4,161 88.94 89.72 -0.78 1083759260 2,022 1,746 86.35 86.92 -0.57 1083845259 5,750 4,908 85.35 85.94 -0.59 1083877591 130 120 92.30 93.86 -1.56 1083882377 6,061 5,295 87.36 87.81 -0.45 1093005217 1,197 1,064 88.88 91.80 -2.92 1093008690 152 134 88.15 91.25 -3.10

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 6 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1093035933 1,783 1,548 86.81 89.51 -2.70 1093071698 314 246 78.34 84.50 -6.16 1093107088 1,341 1,156 86.20 87.29 -1.09 1093107864 364 349 95.87 99.11 -3.24 1093112336 3 0 0.00 0.00 0.00 1093123937 2,410 2,125 88.17 90.24 -2.07 1093137564 127 104 81.88 85.32 -3.44 1093228009 689 624 90.56 0.00 90.56 1093232696 181 153 84.53 0.00 84.53 1093234825 96 82 85.41 0.00 85.41 1093266082 363 314 86.50 93.22 -6.72 1093720195 11,057 9,589 86.72 89.82 -3.10 1093732240 1,894 1,645 86.85 90.46 -3.61 1093733891 1,491 1,311 87.92 90.36 -2.44 1093809022 70 55 78.57 83.54 -4.97 1093811093 90 84 93.33 91.42 1.91 1093814238 241 212 87.96 87.38 0.58 1093817025 215 205 95.34 94.94 0.40 1093818106 4,017 3,469 86.35 86.91 -0.56 1093818775 4,229 3,697 87.42 89.06 -1.64 1093902652 742 671 90.43 88.82 1.61 1093948184 1,699 1,472 86.63 88.40 -1.77 1093955155 740 664 89.72 89.75 -0.03 1093993206 846 763 90.18 91.37 -1.19 1104069707 23 23 100.00 100.00 0.00 1104235803 222 200 90.09 90.47 -0.38 1104252774 2,976 2,665 89.54 90.57 -1.03 1104375625 352 318 90.34 90.06 0.28 1104819143 3,695 3,363 91.01 92.16 -1.15 1104831106 2,796 2,463 88.09 89.70 -1.61 1104831205 7,906 6,582 83.25 86.60 -3.35 1104843358 2,925 2,552 87.24 88.05 -0.81 1104857259 514 454 88.32 91.99 -3.67 1104858141 86 78 90.69 94.18 -3.49 1104925346 278 248 89.20 88.66 0.54 1104925353 168 139 82.73 83.41 -0.68 1104927987 337 286 84.86 85.81 -0.95 1104928456 47 42 89.36 77.77 11.59 1104929645 2,026 1,792 88.45 90.18 -1.73 1104929884 627 548 87.40 88.84 -1.44 1104935402 43 36 83.72 82.92 0.80 1104961739 517 438 84.71 87.23 -2.52 1104986710 885 780 88.13 89.90 -1.77 1114001955 462 406 87.87 90.72 -2.85 1114014081 2,998 2,582 86.12 87.29 -1.17

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 7 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1114020807 4,122 3,629 88.03 89.07 -1.04 1114025764 3,430 3,009 87.72 89.33 -1.61 1114028990 90 84 93.33 93.08 0.25 1114029311 454 397 87.44 88.20 -0.76 1114039260 2,120 1,914 90.28 91.57 -1.29 1114064276 299 270 90.30 91.00 -0.70 1114082534 999 871 87.18 87.88 -0.70 1114109840 1,986 1,703 85.75 88.36 -2.61 1114156510 396 312 78.78 83.07 -4.29 1114192358 2,367 1,319 55.72 58.46 -2.74 1114193349 1,808 1,560 86.28 86.57 -0.29 1114193943 1,397 1,221 87.40 88.31 -0.91 1114217247 1,036 893 86.19 88.22 -2.03 1114228558 114 110 96.49 92.79 3.70 1114229846 547 462 84.46 86.14 -1.68 1114234903 180 178 98.88 98.85 0.03 1114306602 2,217 1,893 85.38 88.96 -3.58 1114328739 496 381 76.81 79.21 -2.40 1114361011 331 284 85.80 87.03 -1.23 1114375235 303 162 53.46 59.70 -6.24 1114932068 1,721 1,504 87.39 88.35 -0.96 1114932118 4,597 4,036 87.79 88.64 -0.85 1114932217 442 396 89.59 88.84 0.75 1114936622 636 579 91.03 91.97 -0.94 1114944378 2,547 2,210 86.76 89.18 -2.42 1124009121 3,709 236 6.36 5.06 1.30 1124045380 2,047 1,799 87.88 90.65 -2.77 1124052550 3 2 66.66 66.66 0.00 1124102645 500 434 86.80 88.02 -1.22 1124112412 2,302 1,969 85.53 87.31 -1.78 1124114848 253 222 87.74 94.13 -6.39 1124115324 2,366 2,086 88.16 89.43 -1.27 1124121819 3,443 3,006 87.30 89.29 -1.99 1124121975 936 816 87.17 89.55 -2.38 1124122791 500 421 84.20 87.75 -3.55 1124221957 83 67 80.72 85.93 -5.21 1124291497 2 0 0.00 40.00 -40.00 1124321427 1,464 1,283 87.63 88.85 -1.22 1124342746 1,371 1,234 90.00 91.16 -1.16 1124434865 1,788 1,572 87.91 88.69 -0.78 1124546130 142 122 85.91 0.00 85.91 1134146301 2,183 1,910 87.49 89.95 -2.46 1134146392 2,089 1,876 89.80 91.17 -1.37 1134161581 734 617 84.05 85.56 -1.51 1134212509 323 285 88.23 91.86 -3.63

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 8 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1134222573 1,717 1,448 84.33 86.21 -1.88 1134222821 2,196 1,957 89.11 89.68 -0.57 1134222995 5,379 4,581 85.16 86.53 -1.37 1134223803 29 27 93.10 95.45 -2.35 1134250954 -9 -7 0.00 89.59 -89.59 1134257173 1,226 1,110 90.53 92.49 -1.96 1134284391 268 237 88.43 86.85 1.58 1134285737 2,798 2,394 85.56 88.37 -2.81 1134301864 1,673 1,469 87.80 91.79 -3.99 1134306897 2 2 100.00 100.00 0.00 1134326978 1,663 1,401 84.24 85.66 -1.42 1134372881 202 178 88.11 88.47 -0.36 1134468184 1,104 941 85.23 87.93 -2.70 1134519671 626 520 83.06 90.82 -7.76 1134548415 1,099 953 86.71 89.00 -2.29 1134555717 1,571 1,384 88.09 91.85 -3.76 1134646680 666 585 87.83 0.00 87.83 1134679517 98 94 95.91 95.23 0.68 1144241993 2,140 1,888 88.22 87.69 0.53 1144247313 3,678 3,243 88.17 89.92 -1.75 1144248949 2,849 2,514 88.24 90.70 -2.46 1144267501 5,788 5,019 86.71 88.73 -2.02 1144285578 2,258 2,012 89.10 89.45 -0.35 1144313511 811 729 89.88 91.19 -1.31 1144313578 1,184 1,055 89.10 90.50 -1.40 1144323833 2,029 1,781 87.77 90.34 -2.57 1144355116 1,000 835 83.50 84.23 -0.73 1144374596 1,729 1,405 81.26 82.73 -1.47 1144452640 849 742 87.39 89.42 -2.03 1144454273 16 16 100.00 91.30 8.70 1144467077 1,812 1,587 87.58 88.64 -1.06 1144523424 1,758 1,527 86.86 88.18 -1.32 1144542994 3,577 3,109 86.91 87.73 -0.82 1144548215 3,009 2,665 88.56 90.92 -2.36 1144603010 8,470 7,167 84.61 85.38 -0.77 1144609611 2,103 1,845 87.73 89.27 -1.54 1144748112 200 175 87.50 0.00 87.50 1144757329 41 35 85.36 100.00 -14.64 1154338119 2,285 1,924 84.20 86.57 -2.37 1154343713 691 585 84.65 82.30 2.35 1154348324 326 262 80.36 81.19 -0.83 1154348399 1,901 1,647 86.63 89.78 -3.15 1154349819 80 71 88.75 91.04 -2.29 1154352607 1,242 1,069 86.07 88.00 -1.93 1154420347 69 64 92.75 91.73 1.02

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 9 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1154420354 487 429 88.09 89.18 -1.09 1154420388 15 14 93.33 91.66 1.67 1154421519 400 342 85.50 88.00 -2.50 1154422921 2,611 2,279 87.28 89.04 -1.76 1154424612 1,951 1,694 86.82 87.16 -0.34 1154424638 6,099 5,424 88.93 90.22 -1.29 1154424836 110 99 90.00 91.37 -1.37 1154424844 3,722 3,260 87.58 90.58 -3.00 1154424919 7,057 6,241 88.43 89.82 -1.39 1154424927 2,614 2,255 86.26 86.88 -0.62 1154428092 1,628 1,442 88.57 89.51 -0.94 1154483220 5,089 4,390 86.26 88.24 -1.98 1154582245 4 4 100.00 100.00 0.00 1154590628 1,358 1,181 86.96 86.77 0.19 1154615128 5,690 5,157 90.63 90.62 0.01 1154757748 2,658 2,307 86.79 88.60 -1.81 1154779353 1,930 1,717 88.96 89.24 -0.28 1154849636 932 785 84.22 0.00 84.22 1164442992 6,702 5,853 87.33 88.66 -1.33 1164449302 2,567 2,262 88.11 89.21 -1.10 1164449336 1,253 1,103 88.02 88.94 -0.92 1164521365 245 221 90.20 89.62 0.58 1164521373 704 623 88.49 89.37 -0.88 1164521381 106 95 89.62 87.86 1.76 1164521399 316 273 86.39 86.32 0.07 1164525663 2,398 2,120 88.40 89.65 -1.25 1164525838 1,638 1,413 86.26 85.08 1.18 1164525929 5,008 4,404 87.93 88.59 -0.66 1164525937 3,815 3,327 87.20 88.38 -1.18 1164526307 118 105 88.98 87.42 1.56 1164526836 475 419 88.21 88.85 -0.64 1164529004 2,091 1,894 90.57 90.44 0.13 1164560009 2,079 1,821 87.59 91.56 -3.97 1164560157 1,628 1,397 85.81 87.93 -2.12 1164596318 1,571 1,346 85.67 86.46 -0.79 1164634952 115 0 0.00 0.00 0.00 1164644969 1,176 1,006 85.54 88.04 -2.50 1164796215 213 179 84.03 87.29 -3.26 1164800355 559 478 85.50 83.77 1.73 1164803698 37 2 5.40 0.00 5.40 1164806899 7,344 6,082 82.81 84.60 -1.79 1164826921 1,720 1,532 89.06 89.39 -0.33 1164850806 1,171 1,009 86.16 86.15 0.01 1164870366 150 132 88.00 82.11 5.89 1164949764 71 65 91.54 0.00 91.54

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 10 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1174040745 708 598 84.46 0.00 84.46 1174041651 418 346 82.77 0.00 82.77 1174540314 2,496 2,180 87.33 89.48 -2.15 1174541916 1,053 968 91.92 92.30 -0.38 1174570840 198 179 90.40 91.73 -1.33 1174622302 729 643 88.20 88.61 -0.41 1174622377 2,892 2,588 89.48 91.36 -1.88 1174622385 1,318 1,162 88.16 89.65 -1.49 1174624803 544 498 91.54 93.37 -1.83 1174626873 760 660 86.84 86.11 0.73 1174626881 54 52 96.29 96.70 -0.41 1174626949 2,591 2,241 86.49 87.97 -1.48 1174627848 465 409 87.95 88.11 -0.16 1174639041 3,799 3,441 90.57 91.18 -0.61 1174650949 1,523 1,332 87.45 88.86 -1.41 1174650998 4,475 3,764 84.11 86.49 -2.38 1174682223 2,840 2,515 88.55 89.63 -1.08 1174693592 16 16 100.00 0.00 100.00 1174722797 154 133 86.36 89.71 -3.35 1174767073 271 244 90.03 90.00 0.03 1174779219 946 15 1.58 1.98 -0.40 1174779607 2,325 2,013 86.58 88.29 -1.71 1174802912 34 26 76.47 89.28 -12.81 1174847586 3,036 2,524 83.13 85.50 -2.37 1174859722 850 747 87.88 90.13 -2.25 1174860993 2,289 1,920 83.87 85.59 -1.72 1174888689 3,971 3,646 91.81 93.57 -1.76 1174922546 2,008 1,773 88.29 90.38 -2.09 1174927057 1,666 1,443 86.61 88.99 -2.38 1174994925 313 274 87.53 93.13 -5.60 1184072936 2,475 2,092 84.52 84.28 0.24 1184148488 61 57 93.44 0.00 93.44 1184164162 228 205 89.91 91.60 -1.69 1184640047 10 2 20.00 33.33 -13.33 1184716011 129 118 91.47 89.09 2.38 1184722068 1,259 1,060 84.19 87.07 -2.88 1184723314 74 64 86.48 92.83 -6.35 1184723322 72 68 94.44 87.63 6.81 1184723421 371 335 90.29 88.58 1.71 1184727851 1,533 1,275 83.17 83.73 -0.56 1184727869 3,728 3,291 88.27 91.36 -3.09 1184728859 1,458 1,268 86.96 89.23 -2.27 1184760795 39 39 100.00 100.00 0.00 1184776866 2,105 1,851 87.93 89.31 -1.38 1184796971 1,231 1,055 85.70 86.57 -0.87

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 11 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1184811572 641 515 80.34 81.74 -1.40 1184814618 1,325 1,188 89.66 92.86 -3.20 1184841280 1,925 1,649 85.66 86.56 -0.90 1184865388 251 219 87.25 87.04 0.21 1184927162 357 321 89.91 88.57 1.34 1184930372 3,032 2,536 83.64 84.59 -0.95 1184949703 1,145 979 85.50 88.72 -3.22 1184949810 3,256 2,925 89.83 91.01 -1.18 1184953457 1,286 1,112 86.46 86.94 -0.48 1184984213 1,971 1,733 87.92 90.83 -2.91 1194057927 8 6 75.00 100.00 -25.00 1194169615 167 145 86.82 88.94 -2.12 1194244194 1,560 1,332 85.38 0.00 85.38 1194244947 194 159 81.95 0.00 81.95 1194730275 1,355 1,197 88.33 90.55 -2.22 1194730291 3,629 3,257 89.74 91.16 -1.42 1194730796 1,579 1,419 89.86 91.53 -1.67 1194737734 1,685 1,509 89.55 91.98 -2.43 1194742346 1,865 1,617 86.70 88.08 -1.38 1194744342 9,358 8,214 87.77 89.11 -1.34 1194747998 426 354 83.09 84.13 -1.04 1194756254 308 284 92.20 90.48 1.72 1194806240 998 854 85.57 86.35 -0.78 1194823740 2,670 2,283 85.50 87.81 -2.31 1194824334 140 111 79.28 76.86 2.42 1194826891 367 312 85.01 86.73 -1.72 1194828681 1,137 1,003 88.21 89.04 -0.83 1194828871 1,932 1,704 88.19 89.65 -1.46 1194829523 194 167 86.08 89.02 -2.94 1194835876 311 262 84.24 87.50 -3.26 1194862177 1,147 1,006 87.70 88.28 -0.58 1194874123 1,812 1,580 87.19 88.87 -1.68 1194881078 672 587 87.35 91.27 -3.92 1205080363 629 596 94.75 95.17 -0.42 1205246808 868 744 85.71 87.11 -1.40 1205260833 718 620 86.35 89.23 -2.88 1205811015 214 199 92.99 90.82 2.17 1205831963 70 0 0.00 0.00 0.00 1205840857 3,868 3,448 89.14 89.45 -0.31 1205841152 1,107 949 85.72 86.88 -1.16 1205841202 507 420 82.84 85.41 -2.57 1205841301 3,064 2,706 88.31 89.38 -1.07 1205853462 1,599 1,398 87.42 90.06 -2.64 1205853785 3 3 100.00 100.00 0.00 1205856895 804 732 91.04 89.98 1.06

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 12 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1205901881 2,122 1,820 85.76 88.51 -2.75 1205934171 2,297 2,026 88.20 90.92 -2.72 1205939790 38 34 89.47 100.00 -10.53 1205948759 181 157 86.74 86.34 0.40 1205974961 1,254 1,040 82.93 90.97 -8.04 1205975778 2,660 2,290 86.09 88.89 -2.80 1205991627 1,436 1,318 91.78 92.79 -1.01 1205992948 7,716 6,537 84.72 84.60 0.12 1215013248 2,894 2,553 88.21 89.88 -1.67 1215018049 23 20 86.95 85.71 1.24 1215024419 1,282 1,076 83.93 83.90 0.03 1215024617 83 79 95.18 90.90 4.28 1215030069 963 841 87.33 88.97 -1.64 1215030903 5,161 4,551 88.18 90.36 -2.18 1215068572 81 46 56.79 67.07 -10.28 1215154208 2,135 1,852 86.74 87.31 -0.57 1215156708 706 599 84.84 87.45 -2.61 1215262597 4,612 4,020 87.16 88.35 -1.19 1215288642 1,077 956 88.76 89.73 -0.97 1215299383 200 176 88.00 86.21 1.79 1215302807 2,210 1,917 86.74 89.83 -3.09 1215306378 65 50 76.92 76.36 0.56 1215312483 812 703 86.57 90.94 -4.37 1215318209 1,045 915 87.55 88.88 -1.33 1215375597 1,672 1,488 88.99 90.82 -1.83 1215482419 159 132 83.01 81.02 1.99 1215488317 535 475 88.78 91.04 -2.26 1215932215 477 419 87.84 90.03 -2.19 1215942834 1,672 1,391 83.19 84.40 -1.21 1215950597 1,484 1,285 86.59 89.07 -2.48 1215954474 2,956 2,627 88.87 90.32 -1.45 1215957808 1,288 1,139 88.43 89.52 -1.09 1215966502 740 632 85.40 88.54 -3.14 1215979034 2,035 1,757 86.33 87.68 -1.35 1225051261 1,766 1,524 86.29 87.02 -0.73 1225055486 1,939 1,725 88.96 90.11 -1.15 1225055494 3,998 3,469 86.76 88.60 -1.84 1225108459 231 214 92.64 89.87 2.77 1225121692 1,671 1,443 86.35 88.69 -2.34 1225130784 531 466 87.75 92.59 -4.84 1225131071 892 797 89.34 90.48 -1.14 1225138118 1,937 1,712 88.38 89.60 -1.22 1225143266 746 637 85.38 89.31 -3.93 1225261795 1,472 1,298 88.17 89.19 -1.02 1225273444 651 599 92.01 91.74 0.27

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 13 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1225412562 4,407 3,757 85.25 87.62 -2.37 1225422009 1,771 1,520 85.82 89.71 -3.89 1225457344 1,450 1,292 89.10 90.73 -1.63 1225464746 2,635 2,225 84.44 86.60 -2.16 1225554629 2,467 2,001 81.11 76.74 4.37 1235116823 1,696 1,507 88.85 90.83 -1.98 1235151036 690 586 84.92 86.96 -2.04 1235156407 174 150 86.20 86.95 -0.75 1235157033 1,826 1,635 89.53 89.02 0.51 1235205873 2,361 2,034 86.14 87.64 -1.50 1235222662 1,388 1,203 86.67 89.72 -3.05 1235222696 460 398 86.52 89.53 -3.01 1235232091 11,130 9,756 87.65 90.07 -2.42 1235232927 6,870 6,037 87.87 89.40 -1.53 1235232935 3,082 2,730 88.57 89.84 -1.27 1235237108 923 826 89.49 89.80 -0.31 1235237710 94 76 80.85 88.14 -7.29 1235242983 276 248 89.85 91.09 -1.24 1235294497 684 592 86.54 88.74 -2.20 1235310806 2,607 2,282 87.53 89.55 -2.02 1235360181 2,542 2,277 89.57 89.34 0.23 1235372137 1,030 916 88.93 91.45 -2.52 1235375742 3,255 2,605 80.03 80.74 -0.71 1235466061 1,963 1,669 85.02 86.38 -1.36 1235513797 871 747 85.76 88.36 -2.60 1235514860 85 81 95.29 96.63 -1.34 1235524299 755 661 87.54 91.40 -3.86 1235565755 3,247 2,899 89.28 91.09 -1.81 1235585662 2,108 1,825 86.57 87.88 -1.31 1235657974 261 228 87.35 0.00 87.35 1245206697 26 16 61.53 63.41 -1.88 1245206945 3,514 2,984 84.91 87.46 -2.55 1245245240 1,160 998 86.03 86.85 -0.82 1245247204 6,970 6,210 89.09 91.56 -2.47 1245252808 762 686 90.02 91.79 -1.77 1245257419 3,565 3,060 85.83 89.03 -3.20 1245257484 2,893 2,526 87.31 88.67 -1.36 1245263052 1,523 1,315 86.34 88.37 -2.03 1245274018 4,462 3,841 86.08 87.94 -1.86 1245331016 403 367 91.06 89.73 1.33 1245333004 3,754 3,262 86.89 89.20 -2.31 1245333012 1,815 1,597 87.98 88.19 -0.21 1245333707 3,758 3,215 85.55 88.15 -2.60 1245333723 3,975 3,496 87.94 88.77 -0.83 1245333939 444 397 89.41 94.62 -5.21

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 14 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1245337187 591 530 89.67 93.06 -3.39 1245339431 271 220 81.18 80.44 0.74 1245367838 1,308 1,155 88.30 90.71 -2.41 1245384692 3,356 2,818 83.96 86.43 -2.47 1245431675 1,655 1,407 85.01 87.00 -1.99 1245521020 1,848 1,586 85.82 86.32 -0.50 1245537059 4,203 4,033 95.95 97.25 -1.30 1245637990 1,577 1,368 86.74 87.02 -0.28 1245660844 141 29 20.56 23.80 -3.24 1255315909 4,967 4,190 84.35 86.69 -2.34 1255336285 1,651 1,414 85.64 86.40 -0.76 1255351078 736 665 90.35 90.92 -0.57 1255353058 324 291 89.81 91.09 -1.28 1255353819 1,178 1,014 86.07 87.38 -1.31 1255358495 6,417 5,698 88.79 90.94 -2.15 1255430450 267 226 84.64 89.40 -4.76 1255430468 412 353 85.67 84.88 0.79 1255430476 -2 -1 0.00 90.36 -90.36 1255430484 537 483 89.94 90.81 -0.87 1255430492 -4 -4 0.00 100.00 -100.00 1255434015 2,324 2,047 88.08 90.18 -2.10 1255434023 1,175 1,040 88.51 89.69 -1.18 1255434080 141 125 88.65 91.03 -2.38 1255434791 61 52 85.24 87.50 -2.26 1255434924 4,513 3,883 86.04 87.41 -1.37 1255434932 66 58 87.87 87.93 -0.06 1255438198 1,521 1,368 89.94 90.87 -0.93 1255463766 748 669 89.43 92.25 -2.82 1255564308 3,400 3,003 88.32 90.28 -1.96 1255565347 1,916 1,627 84.91 87.33 -2.42 1255609806 103 83 80.58 83.21 -2.63 1255629820 2,375 1,982 83.45 84.09 -0.64 1255659322 568 483 85.03 87.07 -2.04 1255758769 2,009 1,704 84.81 88.62 -3.81 1255762134 957 850 88.81 90.41 -1.60 1255767109 1,236 1,059 85.67 88.58 -2.91 1255767869 1,362 1,222 89.72 89.13 0.59 1255796082 89 72 80.89 92.52 -11.63 1255850079 1,279 1,094 85.53 0.00 85.53 1255859971 85 77 90.58 0.00 90.58 1265450001 283 225 79.50 85.23 -5.73 1265450068 2,757 2,419 87.74 88.97 -1.23 1265459614 4,604 4,025 87.42 87.26 0.16 1265460901 5,512 4,723 85.68 87.50 -1.82 1265472682 78 77 98.71 100.00 -1.29

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 15 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1265475560 4,255 3,640 85.54 87.48 -1.94 1265531461 270 231 85.55 89.28 -3.73 1265531479 101 87 86.13 88.59 -2.46 1265531503 412 373 90.53 89.55 0.98 1265533962 -1 -1 0.00 84.90 -84.90 1265535033 1,943 1,658 85.33 86.27 -0.94 1265535934 2,802 2,472 88.22 89.36 -1.14 1265535967 4,915 4,393 89.37 89.95 -0.58 1265539100 967 850 87.90 89.96 -2.06 1265554497 3,261 2,901 88.96 90.44 -1.48 1265591317 3,654 3,215 87.98 88.76 -0.78 1265626394 680 599 88.08 89.07 -0.99 1265694228 4,596 3,910 85.07 85.24 -0.17 1265700777 472 419 88.77 92.75 -3.98 1265840292 2,585 2,294 88.74 90.36 -1.62 1265944599 2 2 100.00 0.00 100.00 1265950588 3,509 1,935 55.14 54.31 0.83 1265963839 53 46 86.79 0.00 86.79 1275051989 79 68 86.07 0.00 86.07 1275064016 347 269 77.52 83.37 -5.85 1275079451 8 8 100.00 0.00 100.00 1275088320 117 109 93.16 94.16 -1.00 1275549925 131 114 87.02 89.06 -2.04 1275598146 0 0 0.00 0.00 0.00 1275601411 1,098 954 86.88 89.72 -2.84 1275605065 316 268 84.81 84.76 0.05 1275632408 -4 -5 0.00 87.66 -87.66 1275632416 875 779 89.02 89.19 -0.17 1275632515 128 109 85.15 89.17 -4.02 1275634024 72 64 88.88 88.86 0.02 1275636755 94 81 86.17 89.71 -3.54 1275636946 1,707 1,494 87.52 88.71 -1.19 1275636953 1,642 1,433 87.27 87.23 0.04 1275646945 111 109 98.19 95.00 3.19 1275671703 858 696 81.11 86.90 -5.79 1275679888 498 433 86.94 89.07 -2.13 1275761199 722 614 85.04 87.92 -2.88 1275769481 3,070 2,686 87.49 89.78 -2.29 1275772238 5,371 4,643 86.44 89.32 -2.88 1275807935 722 631 87.39 87.17 0.22 1275834848 19 19 100.00 93.75 6.25 1275835928 4,520 3,985 88.16 89.12 -0.96 1275856338 11 11 100.00 100.00 0.00 1275894156 83 81 97.59 100.00 -2.41 1275969487 806 694 86.10 89.57 -3.47

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 16 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1285171728 2,148 1,916 89.19 90.47 -1.28 1285172197 1,290 1,156 89.61 89.97 -0.36 1285649384 3,906 3,379 86.50 88.31 -1.81 1285651430 618 538 87.05 90.68 -3.63 1285652081 2,331 2,011 86.27 89.41 -3.14 1285656074 769 633 82.31 85.76 -3.45 1285665521 1,103 843 76.42 80.02 -3.60 1285668061 358 315 87.98 89.06 -1.08 1285668079 303 258 85.14 83.19 1.95 1285715185 733 571 77.89 78.07 -0.18 1285726372 93 77 82.79 75.78 7.01 1285728097 974 851 87.37 89.19 -1.82 1285732412 2,200 1,728 78.54 83.27 -4.73 1285732834 385 326 84.67 86.79 -2.12 1285733428 195 174 89.23 93.99 -4.76 1285735043 666 595 89.33 89.00 0.33 1285736223 83 78 93.97 96.77 -2.80 1285738955 2,181 1,902 87.20 87.13 0.07 1285741330 2,032 1,786 87.89 89.77 -1.88 1285789024 2,891 2,530 87.51 87.78 -0.27 1285804229 7,822 7,058 90.23 90.12 0.11 1295026565 1,470 1,291 87.82 87.18 0.64 1295100790 820 737 89.87 92.80 -2.93 1295161131 3,150 2,787 88.47 89.56 -1.09 1295162816 0 0 0.00 0.00 0.00 1295173573 3,641 3,286 90.24 93.34 -3.10 1295289742 39 17 43.58 71.11 -27.53 1295706810 40 38 95.00 87.50 7.50 1295738953 408 348 85.29 87.90 -2.61 1295740298 5,784 5,092 88.03 90.20 -2.17 1295740397 1,582 1,353 85.52 86.10 -0.58 1295752442 5,132 4,394 85.61 88.94 -3.33 1295757219 170 148 87.05 91.54 -4.49 1295829117 117 90 76.92 78.87 -1.95 1295834430 262 223 85.11 87.82 -2.71 1295836070 291 260 89.34 91.42 -2.08 1295838738 4,062 3,515 86.53 87.95 -1.42 1295838977 1,787 1,571 87.91 88.57 -0.66 1295838985 734 669 91.14 91.34 -0.20 1295839967 2,590 2,203 85.05 86.89 -1.84 1295849180 140 125 89.28 89.94 -0.66 1295852606 1,945 1,736 89.25 91.00 -1.75 1295896983 144 126 87.50 89.58 -2.08 1295903656 60 54 90.00 92.45 -2.45 1306079389 2,879 2,319 80.54 83.57 -3.03

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 17 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1306161534 2,796 2,504 89.55 91.66 -2.11 1306174230 1,817 1,577 86.79 87.00 -0.21 1306239876 295 242 82.03 85.71 -3.68 1306245733 1,611 1,403 87.08 88.07 -0.99 1306270574 5,015 4,457 88.87 89.06 -0.19 1306272828 3,153 2,827 89.66 91.12 -1.46 1306272901 325 293 90.15 88.49 1.66 1306283072 2 2 100.00 0.00 100.00 1306363486 383 331 86.42 0.00 86.42 1306364021 492 400 81.30 0.00 81.30 1306851928 131 110 83.96 88.88 -4.92 1306863568 903 788 87.26 89.71 -2.45 1306873666 1,135 988 87.04 89.67 -2.63 1306888128 1,035 912 88.11 89.00 -0.89 1306930458 315 264 83.80 85.26 -1.46 1306933510 199 179 89.94 89.71 0.23 1306945597 40 33 82.50 90.10 -7.60 1306946769 -1 -1 0.00 91.82 -91.82 1306949094 7,086 6,326 89.27 90.86 -1.59 1306949151 1,259 1,060 84.19 86.96 -2.77 1316030778 526 468 88.97 90.26 -1.29 1316030786 686 622 90.67 91.32 -0.65 1316040165 3,868 3,415 88.28 89.51 -1.23 1316040173 1,554 1,338 86.10 88.31 -2.21 1316041486 178 156 87.64 88.88 -1.24 1316048184 264 240 90.90 92.07 -1.17 1316052350 486 431 88.68 86.50 2.18 1316079247 923 780 84.50 84.76 -0.26 1316164395 20 20 100.00 89.03 10.97 1316188550 2,172 1,872 86.18 88.13 -1.95 1316205537 312 286 91.66 92.64 -0.98 1316213531 41 0 0.00 0.00 0.00 1316230287 1,763 1,527 86.61 88.96 -2.35 1316232416 2,041 1,729 84.71 88.83 -4.12 1316240435 4,897 4,060 82.90 84.88 -1.98 1316964570 2,434 2,172 89.23 91.66 -2.43 1316964588 548 487 88.86 92.24 -3.38 1316969975 744 675 90.72 90.76 -0.04 1326060120 282 242 85.81 85.80 0.01 1326063025 687 630 91.70 91.88 -0.18 1326065590 1,319 1,160 87.94 90.36 -2.42 1326066127 3,122 2,819 90.29 92.00 -1.71 1326131772 1,125 1,062 94.40 93.66 0.74 1326131780 431 364 84.45 89.11 -4.66 1326141011 4,849 4,231 87.25 88.15 -0.90

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 18 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1326141029 2,016 1,749 86.75 87.47 -0.72 1326141185 3,166 2,768 87.42 88.66 -1.24 1326141193 4,239 3,736 88.13 89.07 -0.94 1326146135 256 247 96.48 97.01 -0.53 1326235821 1,623 1,404 86.50 88.48 -1.98 1326245176 3,690 3,282 88.94 90.25 -1.31 1326315102 30 25 83.33 80.55 2.78 1326366493 86 76 88.37 87.50 0.87 1326378332 3,624 3,182 87.80 90.10 -2.30 1326386319 1,213 1,009 83.18 85.55 -2.37 1326396714 744 639 85.88 87.33 -1.45 1326442237 1,120 1,005 89.73 91.73 -2.00 1326447764 2,059 1,829 88.82 89.62 -0.80 1326467572 982 851 86.65 88.09 -1.44 1326566183 6 6 100.00 0.00 100.00 1326590050 174 161 92.52 93.80 -1.28 1336137496 1,068 936 87.64 88.70 -1.06 1336156397 2,687 2,282 84.92 88.21 -3.29 1336161991 723 625 86.44 88.76 -2.32 1336166503 113 101 89.38 86.27 3.11 1336166578 2,003 1,779 88.81 90.26 -1.45 1336182500 660 576 87.27 88.62 -1.35 1336222801 598 523 87.45 89.98 -2.53 1336231786 1,241 1,064 85.73 90.17 -4.44 1336242106 9,487 8,276 87.23 88.96 -1.73 1336242197 2,399 2,090 87.11 88.37 -1.26 1336242817 4,239 3,717 87.68 89.24 -1.56 1336242973 2,175 1,891 86.94 88.48 -1.54 1336246271 2,086 1,826 87.53 88.34 -0.81 1336248525 2,049 1,828 89.21 90.59 -1.38 1336248566 6 6 100.00 100.00 0.00 1336258631 13 13 100.00 100.00 0.00 1336296490 2,759 2,483 89.99 90.44 -0.45 1336393172 133 123 92.48 95.90 -3.42 1336413160 854 712 83.37 87.31 -3.94 1336413434 5,535 5,027 90.82 91.95 -1.13 1336424167 27 24 88.88 97.05 -8.17 1336455674 11 5 45.45 46.66 -1.21 1336472802 1,207 1,016 84.17 87.90 -3.73 1336509363 231 191 82.68 89.03 -6.35 1336582097 206 160 77.66 80.97 -3.31 1336667203 878 740 84.28 0.00 84.28 1336668334 321 276 85.98 0.00 85.98 1346257375 71 59 83.09 83.50 -0.41 1346262144 317 278 87.69 89.50 -1.81

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 19 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1346262904 326 273 83.74 84.04 -0.30 1346267580 2,665 2,348 88.10 89.79 -1.69 1346281979 15,628 13,281 84.98 87.00 -2.02 1346332350 88 77 87.50 87.20 0.30 1346334943 307 284 92.50 92.58 -0.08 1346343019 4,033 3,523 87.35 89.75 -2.40 1346343043 883 786 89.01 89.80 -0.79 1346343100 2,160 1,839 85.13 86.33 -1.20 1346343118 3,289 2,825 85.89 87.93 -2.04 1346344017 4,890 4,321 88.36 90.04 -1.68 1346347283 3,457 3,016 87.24 88.06 -0.82 1346349560 443 401 90.51 90.70 -0.19 1346485547 2,417 2,166 89.61 90.35 -0.74 1346566080 21,398 18,519 86.54 87.59 -1.05 1346623204 338 290 85.79 87.63 -1.84 1346657129 424 356 83.96 84.67 -0.71 1346679412 2,393 1,993 83.28 84.14 -0.86 1346761020 47 46 97.87 0.00 97.87 1356362305 3,310 2,927 88.42 90.62 -2.20 1356364673 460 381 82.82 85.74 -2.92 1356369151 1,994 1,779 89.21 91.41 -2.20 1356369193 919 826 89.88 92.45 -2.57 1356375141 271 248 91.51 92.19 -0.68 1356375273 3,460 3,020 87.28 88.58 -1.30 1356400402 2,936 2,593 88.31 90.02 -1.71 1356440556 64 52 81.25 86.72 -5.47 1356440580 841 750 89.17 89.10 0.07 1356440598 356 329 92.41 91.54 0.87 1356440697 -3 -2 0.00 87.05 -87.05 1356442131 38 29 76.31 79.41 -3.10 1356444020 5,923 5,118 86.40 88.82 -2.42 1356444053 1,558 1,360 87.29 88.65 -1.36 1356444087 301 248 82.39 83.13 -0.74 1356444129 3,221 2,818 87.48 88.59 -1.11 1356445027 6,293 5,665 90.02 92.54 -2.52 1356445159 4 3 75.00 100.00 -25.00 1356448294 2,432 2,125 87.37 88.89 -1.52 1356488308 1,208 1,058 87.58 90.51 -2.93 1356536791 807 699 86.61 87.56 -0.95 1356578470 932 816 87.55 89.44 -1.89 1356593396 2,229 1,903 85.37 87.42 -2.05 1356633531 3,683 3,262 88.56 88.38 0.18 1356673008 443 373 84.19 85.35 -1.16 1356745129 513 452 88.10 89.24 -1.14 1356868434 479 413 86.22 0.00 86.22

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 20 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1366449282 2 2 100.00 100.00 0.00 1366469462 9 9 100.00 100.00 0.00 1366472292 73 62 84.93 90.78 -5.85 1366475949 719 604 84.00 82.40 1.60 1366483265 755 664 87.94 88.68 -0.74 1366488280 876 731 83.44 88.71 -5.27 1366488389 2,640 2,287 86.62 87.91 -1.29 1366488454 1,287 1,068 82.98 85.57 -2.59 1366514150 2,542 2,220 87.33 88.56 -1.23 1366515819 279 241 86.37 92.14 -5.77 1366521577 987 890 90.17 91.54 -1.37 1366540916 535 470 87.85 86.55 1.30 1366541500 197 178 90.35 88.56 1.79 1366541609 -2 -2 0.00 86.60 -86.60 1366545030 2,976 2,585 86.86 88.02 -1.16 1366546699 348 302 86.78 92.29 -5.51 1366553737 148 127 85.81 91.28 -5.47 1366556342 2,980 2,607 87.48 88.53 -1.05 1366558959 5,159 4,436 85.98 87.05 -1.07 1366570699 1,335 1,195 89.51 90.53 -1.02 1366585200 2,098 1,723 82.12 83.70 -1.58 1366588972 566 500 88.33 88.49 -0.16 1366597874 810 705 87.03 88.32 -1.29 1366670952 5,444 4,699 86.31 88.04 -1.73 1366684656 2,680 2,325 86.75 88.44 -1.69 1366802407 2,090 1,925 92.10 93.63 -1.53 1366878571 646 594 91.95 91.59 0.36 1366890964 96 82 85.41 90.90 -5.49 1366960338 584 485 83.04 0.00 83.04 1376061309 706 599 84.84 0.00 84.84 1376061507 224 187 83.48 0.00 83.48 1376069112 228 185 81.14 88.81 -7.67 1376095752 1,086 719 66.20 69.50 -3.30 1376558478 4,780 4,109 85.96 87.32 -1.36 1376560524 1,778 1,546 86.95 89.62 -2.67 1376561175 4,403 3,970 90.16 92.28 -2.12 1376565465 306 267 87.25 92.28 -5.03 1376577163 142 122 85.91 87.87 -1.96 1376579052 807 548 67.90 71.50 -3.60 1376585562 826 723 87.53 89.76 -2.23 1376613703 12 9 75.00 90.90 -15.90 1376640201 405 375 92.59 90.43 2.16 1376642512 26 24 92.30 73.33 18.97 1376646059 2,124 1,873 88.18 90.31 -2.13 1376692954 366 313 85.51 86.61 -1.10

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 21 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1376802959 1,361 1,186 87.14 90.53 -3.39 1376822619 537 470 87.52 90.95 -3.43 1376830729 1,284 1,090 84.89 87.13 -2.24 1376857540 3,457 3,107 89.87 91.13 -1.26 1376866343 374 318 85.02 79.66 5.36 1376914903 995 872 87.63 90.01 -2.38 1376972307 174 157 90.22 91.93 -1.71 1376979229 2,016 1,776 88.09 91.02 -2.93 1376979971 3,360 2,980 88.69 90.97 -2.28 1376980789 608 535 87.99 90.07 -2.08 1386038149 1,625 1,413 86.95 87.75 -0.80 1386070233 1,647 1,428 86.70 89.26 -2.56 1386077634 612 531 86.76 89.30 -2.54 1386152007 834 711 85.25 0.00 85.25 1386634947 1,159 975 84.12 86.32 -2.20 1386659464 1,455 1,229 84.46 87.57 -3.11 1386659472 5,645 4,952 87.72 90.06 -2.34 1386659480 8,150 7,451 91.42 92.37 -0.95 1386659985 858 768 89.51 90.36 -0.85 1386661536 1,840 1,594 86.63 87.71 -1.08 1386700268 5,270 4,658 88.38 89.52 -1.14 1386746303 116 91 78.44 78.37 0.07 1386747079 76 68 89.47 86.02 3.45 1386747814 5,626 4,933 87.68 89.38 -1.70 1386827582 931 802 86.14 88.42 -2.28 1386874287 1,756 1,590 90.54 92.23 -1.69 1386891141 177 143 80.79 89.49 -8.70 1386904886 1,027 622 60.56 68.09 -7.53 1386906014 2,019 1,722 85.28 86.76 -1.48 1386943785 3,535 3,092 87.46 87.15 0.31 1396128203 4,208 3,626 86.16 86.93 -0.77 1396137758 74 59 79.72 85.29 -5.57 1396146452 2,037 1,623 79.67 81.65 -1.98 1396171237 762 666 87.40 88.17 -0.77 1396195913 820 647 78.90 78.33 0.57 1396297297 3,524 3,117 88.45 90.03 -1.58 1396750246 367 305 83.10 82.92 0.18 1396750394 1,729 1,499 86.69 88.27 -1.58 1396750493 2,529 2,234 88.33 89.17 -0.84 1396755401 4,506 3,983 88.39 89.60 -1.21 1396762555 1,808 1,588 87.83 91.25 -3.42 1396800710 280 213 76.07 86.13 -10.06 1396832598 1,809 1,546 85.46 86.22 -0.76 1396842357 1,078 947 87.84 90.04 -2.20 1396844585 136 125 91.91 94.26 -2.35

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 22 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1396848081 307 276 89.90 92.50 -2.60 1396886701 2,719 2,328 85.61 86.72 -1.11 1396890638 320 301 94.06 95.87 -1.81 1396984522 2,347 2,040 86.91 86.91 0.00 1407038862 1,961 1,712 87.30 89.62 -2.32 1407057706 2,887 2,551 88.36 89.14 -0.78 1407104284 1,104 953 86.32 87.35 -1.03 1407145014 4,299 3,799 88.36 90.21 -1.85 1407161722 1,431 1,253 87.56 89.24 -1.68 1407188451 10,362 9,239 89.16 91.61 -2.45 1407204951 541 422 78.00 80.15 -2.15 1407367931 411 361 87.83 0.00 87.83 1407372048 99 81 81.81 88.00 -6.19 1407397706 2 2 100.00 83.69 16.31 1407807191 1,343 91 6.77 7.97 -1.20 1407843584 1,653 1,377 83.30 84.47 -1.17 1407867070 6 5 83.33 100.00 -16.67 1407873664 2,005 1,789 89.22 90.50 -1.28 1407873672 222 184 82.88 76.74 6.14 1407878069 710 637 89.71 91.64 -1.93 1407898851 921 798 86.64 88.39 -1.75 1407949860 597 515 86.26 87.94 -1.68 1407949878 799 725 90.73 91.83 -1.10 1407954373 377 300 79.57 82.74 -3.17 1407957236 650 591 90.92 90.13 0.79 1407959265 6,337 5,579 88.03 89.34 -1.31 1407959844 1,684 1,407 83.55 85.78 -2.23 1407959968 3,924 3,439 87.64 88.70 -1.06 1417040841 465 433 93.11 93.47 -0.36 1417050105 6,291 5,529 87.88 89.59 -1.71 1417050113 2,345 2,074 88.44 90.11 -1.67 1417050287 1,303 1,142 87.64 89.26 -1.62 1417055633 127 99 77.95 81.28 -3.33 1417056615 25 22 88.00 88.42 -0.42 1417060179 33 26 78.78 86.04 -7.26 1417182296 1,012 826 81.62 82.13 -0.51 1417216128 175 14 8.00 11.76 -3.76 1417240334 2,187 1,900 86.87 89.28 -2.41 1417331430 1,568 1,296 82.65 86.31 -3.66 1417395872 166 144 86.74 94.84 -8.10 1417409350 581 480 82.61 81.63 0.98 1417476425 111 97 87.38 0.00 87.38 1417478322 257 229 89.10 92.89 -3.79 1417483058 335 278 82.98 83.61 -0.63 1417499252 134 120 89.55 98.95 -9.40

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 23 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1417974684 330 287 86.96 88.43 -1.47 1417975210 4,535 4,022 88.68 90.48 -1.80 1417979212 728 619 85.02 85.88 -0.86 1427069087 10 10 100.00 100.00 0.00 1427070085 359 302 84.12 87.45 -3.33 1427075662 1,862 1,673 89.84 90.38 -0.54 1427075696 1,828 1,609 88.01 87.58 0.43 1427081439 1,473 1,366 92.73 91.76 0.97 1427087709 523 457 87.38 91.21 -3.83 1427099324 304 277 91.11 90.90 0.21 1427105584 1,972 1,768 89.65 89.74 -0.09 1427124189 1,288 1,101 85.48 86.28 -0.80 1427131804 3,919 3,375 86.11 88.22 -2.11 1427151281 2,373 1,991 83.90 86.12 -2.22 1427151299 3,510 3,134 89.28 89.79 -0.51 1427151901 858 763 88.92 90.61 -1.69 1427155365 1,674 1,480 88.41 90.24 -1.83 1427157619 208 177 85.09 86.04 -0.95 1427157643 -4 -4 0.00 90.51 -90.51 1427164052 2,249 2,039 90.66 92.21 -1.55 1427166149 1,385 1,202 86.78 88.38 -1.60 1427167956 5 3 60.00 84.31 -24.31 1427194570 360 316 87.77 89.44 -1.67 1427250448 38 9 23.68 2.43 21.25 1427395649 310 284 91.61 90.21 1.40 1427441294 1,300 1,147 88.23 89.11 -0.88 1427448927 1,860 1,634 87.84 90.43 -2.59 1427462506 1,378 1,047 75.97 78.67 -2.70 1427509561 1,318 1,094 83.00 86.25 -3.25 1437121019 2,145 1,868 87.08 89.57 -2.49 1437154481 1,169 1,022 87.42 89.46 -2.04 1437170628 2,014 1,796 89.17 90.00 -0.83 1437171097 641 553 86.27 84.98 1.29 1437176674 1,437 1,299 90.39 91.93 -1.54 1437252103 870 784 90.11 90.04 0.07 1437252137 2,051 1,816 88.54 89.13 -0.59 1437252202 4,790 4,170 87.05 88.46 -1.41 1437252871 129 110 85.27 91.12 -5.85 1437252939 915 800 87.43 86.60 0.83 1437258647 188 166 88.29 89.58 -1.29 1437258654 -8 -8 0.00 88.92 -88.92 1437258662 276 253 91.66 90.67 0.99 1437260643 72 61 84.72 88.88 -4.16 1437290947 496 425 85.68 83.19 2.49 1437294329 433 385 88.91 90.16 -1.25

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 24 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1437332574 1,172 1,051 89.67 90.96 -1.29 1437443116 28 2 7.14 8.10 -0.96 1437448701 310 255 82.25 83.80 -1.55 1437456084 1,312 1,131 86.20 89.31 -3.11 1437462330 331 63 19.03 17.59 1.44 1437492246 939 810 86.26 85.76 0.50 1437505880 85 68 80.00 79.72 0.28 1437551165 284 262 92.25 91.08 1.17 1437570652 3,039 2,656 87.39 88.73 -1.34 1437596616 3,632 3,328 91.62 94.84 -3.22 1437676822 1,062 904 85.12 0.00 85.12 1437677135 1,870 1,595 85.29 0.00 85.29 1437677168 923 802 86.89 0.00 86.89 1447273305 1,388 1,193 85.95 87.36 -1.41 1447276506 786 696 88.54 90.68 -2.14 1447276571 4 3 75.00 33.33 41.67 1447278247 1,224 1,087 88.80 90.64 -1.84 1447284237 879 777 88.39 89.95 -1.56 1447316716 798 700 87.71 90.37 -2.66 1447319595 4,516 3,981 88.15 88.51 -0.36 1447322235 554 500 90.25 91.54 -1.29 1447344734 676 596 88.16 89.12 -0.96 1447351143 300 273 91.00 91.07 -0.07 1447353115 2,682 2,293 85.49 86.43 -0.94 1447353149 2,069 1,809 87.43 88.41 -0.98 1447353214 2,029 1,754 86.44 88.14 -1.70 1447354113 566 485 85.68 85.36 0.32 1447357660 2,007 1,746 86.99 89.11 -2.12 1447359542 475 338 71.15 72.64 -1.49 1447359641 108 103 95.37 91.13 4.24 1447359658 637 576 90.42 89.42 1.00 1447359666 -3 -3 0.00 87.89 -87.89 1447359674 75 64 85.33 79.37 5.96 1447359682 386 326 84.45 86.46 -2.01 1447359781 696 635 91.23 91.29 -0.06 1447368618 8,128 6,789 83.52 85.02 -1.50 1447476999 286 71 24.82 32.95 -8.13 1447500400 562 522 92.88 93.37 -0.49 1447553698 4,239 3,671 86.60 89.78 -3.18 1447573969 3,936 3,363 85.44 88.22 -2.78 1447654215 454 392 86.34 90.94 -4.60 1447655147 180 170 94.44 88.59 5.85 1447673215 1,280 1,104 86.25 87.77 -1.52 1447683578 3,434 2,930 85.32 86.08 -0.76 1447684766 984 874 88.82 91.04 -2.22

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 25 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1447776521 918 793 86.38 0.00 86.38 1457344988 1,065 942 88.45 88.61 -0.16 1457395774 487 409 83.98 87.54 -3.56 1457413965 351 295 84.04 81.92 2.12 1457430977 1,384 1,241 89.66 90.92 -1.26 1457450686 450 406 90.22 89.66 0.56 1457450694 244 212 86.88 88.02 -1.14 1457450785 175 157 89.71 87.05 2.66 1457450793 437 388 88.78 89.44 -0.66 1457454076 1,719 1,500 87.26 87.92 -0.66 1457454126 3,244 2,848 87.79 88.31 -0.52 1457454134 2,677 2,335 87.22 88.94 -1.72 1457454944 1,758 1,535 87.31 89.18 -1.87 1457455123 477 411 86.16 88.17 -2.01 1457457533 230 213 92.60 94.87 -2.27 1457461238 636 538 84.59 88.80 -4.21 1457465437 1,762 1,548 87.85 89.65 -1.80 1457529208 1,795 1,555 86.62 89.22 -2.60 1457534919 740 638 86.21 85.10 1.11 1457684409 186 172 92.47 94.81 -2.34 1457685190 282 248 87.94 86.03 1.91 1457722084 1,710 1,430 83.62 86.08 -2.46 1457738924 808 699 86.50 86.39 0.11 1457763401 2,572 2,258 87.79 88.00 -0.21 1457775454 2,124 1,862 87.66 88.50 -0.84 1457792160 3,122 2,759 88.37 89.66 -1.29 1457794950 594 563 94.78 93.01 1.77 1457872137 65 50 76.92 88.63 -11.71 1457878050 631 522 82.72 0.00 82.72 1457878159 1,307 1,099 84.08 0.00 84.08 1457878779 845 731 86.50 0.00 86.50 1467467019 300 273 91.00 92.63 -1.63 1467467530 34 33 97.05 93.54 3.51 1467469510 1,002 898 89.62 92.21 -2.59 1467470260 2,269 1,938 85.41 88.25 -2.84 1467471490 391 340 86.95 90.30 -3.35 1467479618 3,213 2,845 88.54 91.19 -2.65 1467486258 400 347 86.75 88.66 -1.91 1467551606 291 265 91.06 90.86 0.20 1467553222 113 101 89.38 87.36 2.02 1467553297 896 780 87.05 88.75 -1.70 1467555144 2,748 2,458 89.44 91.30 -1.86 1467555300 119 98 82.35 82.50 -0.15 1467556134 1,161 1,006 86.64 88.49 -1.85 1467559393 5,872 5,046 85.93 85.44 0.49

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 26 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1467561423 1,644 1,430 86.98 88.83 -1.85 1467622357 2,690 2,337 86.87 89.60 -2.73 1467685552 378 336 88.88 89.36 -0.48 1467770644 1,052 895 85.07 86.44 -1.37 1467823096 1,503 1,346 89.55 88.87 0.68 1467851881 1,138 964 84.71 87.13 -2.42 1467888313 3,129 2,713 86.70 88.62 -1.92 1467888990 3,888 3,478 89.45 91.07 -1.62 1467893370 1,093 954 87.28 90.21 -2.93 1467979161 138 122 88.40 0.00 88.40 1477070423 794 686 86.39 0.00 86.39 1477079283 305 269 88.19 92.94 -4.75 1477086627 692 598 86.41 87.59 -1.18 1477517589 1,725 1,472 85.33 87.00 -1.67 1477531473 272 227 83.45 87.09 -3.64 1477543015 2,790 2,581 92.50 93.55 -1.05 1477568558 1,561 1,394 89.30 90.30 -1.00 1477568566 982 847 86.25 89.21 -2.96 1477568574 4,820 4,340 90.04 91.50 -1.46 1477569853 1,257 1,100 87.50 87.57 -0.07 1477570620 1,839 1,628 88.52 89.85 -1.33 1477599850 1,430 1,238 86.57 86.82 -0.25 1477611663 379 340 89.70 91.42 -1.72 1477651354 4,740 4,387 92.55 92.15 0.40 1477656155 3,825 3,360 87.84 90.33 -2.49 1477663474 4,665 4,036 86.51 87.55 -1.04 1477716777 1,936 1,727 89.20 90.97 -1.77 1477737237 2,354 2,015 85.59 86.95 -1.36 1477860930 1,796 1,507 83.90 86.72 -2.82 1477880185 1,260 1,087 86.26 89.46 -3.20 1477898468 1,402 988 70.47 74.18 -3.71 1477932937 675 605 89.62 90.85 -1.23 1477989044 2,100 1,837 87.47 87.40 0.07 1477989077 2,698 2,384 88.36 90.50 -2.14 1477989325 1,016 868 85.43 87.03 -1.60 1477995165 625 572 91.52 92.29 -0.77 1487047874 190 164 86.31 87.09 -0.78 1487067336 866 750 86.60 88.69 -2.09 1487078150 755 664 87.94 87.27 0.67 1487171906 414 355 85.74 0.00 85.74 1487172060 1,153 1,027 89.07 0.00 89.07 1487172961 24 23 95.83 0.00 95.83 1487640314 428 93 21.72 20.67 1.05 1487644795 65 64 98.46 96.96 1.50 1487669339 1,949 1,661 85.22 88.36 -3.14

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 27 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1487669487 5,852 5,102 87.18 90.36 -3.18 1487669586 9,331 8,087 86.66 88.77 -2.11 1487671640 1,485 1,297 87.34 89.50 -2.16 1487752036 1,071 951 88.79 89.83 -1.04 1487752416 2,535 2,218 87.49 89.19 -1.70 1487753620 -6 -4 0.00 89.26 -89.26 1487755260 -13 -12 0.00 90.66 -90.66 1487755807 379 339 89.44 94.23 -4.79 1487756870 84 77 91.66 91.59 0.07 1487757167 4,734 4,133 87.30 87.71 -0.41 1487757175 2,147 1,843 85.84 87.92 -2.08 1487757829 1,477 1,270 85.98 88.93 -2.95 1487799011 343 335 97.66 96.00 1.66 1487864096 1,216 1,086 89.30 90.02 -0.72 1487935474 2,834 2,394 84.47 85.56 -1.09 1487967477 3,062 2,609 85.20 89.44 -4.24 1487974234 3,302 2,919 88.40 89.66 -1.26 1487977799 120 114 95.00 96.70 -1.70 1487996351 1,142 1,014 88.79 91.78 -2.99 1497049555 68 42 61.76 80.41 -18.65 1497063275 23 17 73.91 87.87 -13.96 1497094346 1,919 1,609 83.84 86.41 -2.57 1497099949 13 9 69.23 80.00 -10.77 1497106694 317 285 89.90 90.07 -0.17 1497147854 152 117 76.97 90.22 -13.25 1497162457 562 498 88.61 88.42 0.19 1497272926 109 89 81.65 0.00 81.65 1497290688 289 255 88.23 89.74 -1.51 1497701098 6,024 5,161 85.67 85.41 0.26 1497760011 4,160 3,697 88.87 90.38 -1.51 1497767966 154 98 63.63 65.55 -1.92 1497772651 2,828 2,494 88.18 90.39 -2.21 1497839393 1,583 1,402 88.56 88.87 -0.31 1497845457 506 439 86.75 89.86 -3.11 1497854681 621 570 91.78 92.22 -0.44 1497858187 4,770 4,140 86.79 87.34 -0.55 1497858245 2,487 2,153 86.57 87.37 -0.80 1497861017 3,954 3,509 88.74 89.12 -0.38 1497912653 584 502 85.95 85.03 0.92 1508040536 2,188 1,879 85.87 88.75 -2.88 1508146010 29 4 13.79 28.57 -14.78 1508174814 1,320 1,113 84.31 85.28 -0.97 1508190430 1,703 1,501 88.13 89.77 -1.64 1508398991 197 175 88.83 90.44 -1.61 1508883778 326 297 91.10 88.94 2.16

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 28 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1508884305 4,113 3,677 89.39 90.74 -1.35 1508886029 2,274 1,935 85.09 87.07 -1.98 1508921768 3,309 2,724 82.32 82.92 -0.60 1508959933 1,565 1,344 85.87 89.64 -3.77 1508965708 533 490 91.93 90.76 1.17 1508969205 1,976 1,738 87.95 87.37 0.58 1508969270 80 70 87.50 89.47 -1.97 1508969296 3,693 3,218 87.13 88.02 -0.89 1508969361 2,527 2,224 88.00 88.13 -0.13 1508969379 1,540 1,381 89.67 91.67 -2.00 1508998840 4,607 4,201 91.18 90.80 0.38 1518005545 921 790 85.77 86.44 -0.67 1518033273 814 779 95.70 93.16 2.54 1518060383 6,370 5,680 89.16 90.68 -1.52 1518064450 1,346 1,177 87.44 88.65 -1.21 1518066703 148 132 89.18 87.74 1.44 1518066729 184 154 83.69 85.87 -2.18 1518066737 -8 -7 0.00 89.83 -89.83 1518076041 4 4 100.00 100.00 0.00 1518157064 355 311 87.60 90.20 -2.60 1518158351 1,945 1,678 86.27 88.65 -2.38 1518161363 507 435 85.79 84.44 1.35 1518202209 3,296 2,912 88.34 88.38 -0.04 1518244425 134 121 90.29 93.20 -2.91 1518316785 165 146 88.48 87.71 0.77 1518364827 1,888 1,664 88.13 90.68 -2.55 1518366277 2 2 100.00 100.00 0.00 1518369214 45 37 82.22 81.25 0.97 1518467638 108 95 87.96 0.00 87.96 1518483635 595 495 83.19 0.00 83.19 1518484559 241 209 86.72 0.00 86.72 1518978170 476 411 86.34 88.41 -2.07 1518984756 3,928 3,541 90.14 91.13 -0.99 1518984780 1,217 1,114 91.53 91.18 0.35 1518989177 585 499 85.29 87.63 -2.34 1528021375 3,239 2,814 86.87 86.99 -0.12 1528060852 1,030 930 90.29 91.69 -1.40 1528062403 994 866 87.12 90.83 -3.71 1528073129 309 276 89.32 92.35 -3.03 1528080181 421 365 86.69 84.15 2.54 1528085768 2,344 2,065 88.09 90.40 -2.31 1528097441 315 283 89.84 93.02 -3.18 1528137494 1,291 1,137 88.07 90.59 -2.52 1528159423 282 249 88.29 87.85 0.44 1528161023 1,262 1,054 83.51 84.66 -1.15

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 29 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1528161064 3,424 2,909 84.95 87.02 -2.07 1528161155 912 812 89.03 91.97 -2.94 1528161221 3,737 3,269 87.47 90.15 -2.68 1528161296 1,903 1,684 88.49 90.79 -2.30 1528162294 1,537 1,345 87.50 89.62 -2.12 1528165461 338 319 94.37 94.09 0.28 1528167483 5 5 100.00 100.00 0.00 1528167731 362 316 87.29 89.04 -1.75 1528167756 125 110 88.00 87.31 0.69 1528208782 1,808 1,631 90.21 90.54 -0.33 1528209137 946 850 89.85 90.31 -0.46 1528236007 2 2 100.00 0.00 100.00 1528265808 22 22 100.00 98.11 1.89 1528293768 4,766 4,261 89.40 89.51 -0.11 1528299252 341 316 92.66 91.30 1.36 1528306032 79 3 3.79 3.03 0.76 1528398674 14 0 0.00 0.00 0.00 1528417276 150 128 85.33 90.00 -4.67 1528442084 1,272 1,091 85.77 88.97 -3.20 1528482288 1,878 1,643 87.48 88.26 -0.78 1528494184 2,733 2,467 90.26 91.23 -0.97 1528494549 1,733 1,497 86.38 88.10 -1.72 1528498193 0 0 0.00 100.00 -100.00 1528516382 855 772 90.29 90.75 -0.46 1528573623 123 118 95.93 88.00 7.93 1528586492 153 126 82.35 0.00 82.35 1538145610 297 247 83.16 83.17 -0.01 1538176649 2,712 2,328 85.84 88.52 -2.68 1538193321 1,191 976 81.94 85.09 -3.15 1538222153 2,297 2,004 87.24 89.83 -2.59 1538225800 644 557 86.49 87.35 -0.86 1538228689 1,913 1,665 87.03 88.83 -1.80 1538244827 907 797 87.87 90.14 -2.27 1538253828 1,755 1,559 88.83 92.64 -3.81 1538262209 4,393 3,778 86.00 87.23 -1.23 1538262274 10 9 90.00 87.50 2.50 1538263207 2,424 2,169 89.48 91.16 -1.68 1538263330 15 15 100.00 97.29 2.71 1538266473 1,618 1,415 87.45 90.42 -2.97 1538268743 -1 -1 0.00 85.42 -85.42 1538268750 43 39 90.69 95.20 -4.51 1538268768 1,719 1,546 89.93 91.47 -1.54 1538268776 -10 -9 0.00 90.61 -90.61 1538268875 -8 -7 0.00 89.96 -89.96 1538280912 3,409 2,910 85.36 87.62 -2.26

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 30 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1538297106 512 451 88.08 88.13 -0.05 1538373824 45 45 100.00 100.00 0.00 1538394671 9 5 55.55 100.00 -44.45 1538448378 348 296 85.05 86.18 -1.13 1538450242 341 323 94.72 96.54 -1.82 1538496179 1,019 862 84.59 85.97 -1.38 1538507876 1,125 976 86.75 87.28 -0.53 1538513346 841 660 78.47 81.19 -2.72 1538564596 730 626 85.75 86.26 -0.51 1538591722 535 478 89.34 88.78 0.56 1538672142 473 426 90.06 92.68 -2.62 1538686225 2,150 1,846 85.86 0.00 85.86 1538688387 998 840 84.16 0.00 84.16 1548229933 1,903 1,609 84.55 86.76 -2.21 1548264591 46 0 0.00 0.00 0.00 1548275613 46 38 82.60 85.71 -3.11 1548287659 1 1 100.00 100.00 0.00 1548288996 210 186 88.57 90.65 -2.08 1548293129 622 552 88.74 86.83 1.91 1548322118 40 34 85.00 71.73 13.27 1548328743 69 63 91.30 94.11 -2.81 1548332331 599 491 81.96 83.15 -1.19 1548363039 222 186 83.78 82.64 1.14 1548363211 2,914 2,559 87.81 86.97 0.84 1548363229 1,814 1,643 90.57 90.91 -0.34 1548364219 2,418 2,104 87.01 88.34 -1.33 1548368426 2,403 2,053 85.43 87.95 -2.52 1548369770 344 313 90.98 89.82 1.16 1548369788 622 554 89.06 89.90 -0.84 1548369887 -4 -4 0.00 91.36 -91.36 1548378300 2,088 1,830 87.64 90.62 -2.98 1548489016 3,709 3,272 88.21 91.09 -2.88 1548494628 3,155 2,699 85.54 87.68 -2.14 1548512122 2,628 2,306 87.74 90.33 -2.59 1548516586 6,439 5,541 86.05 88.40 -2.35 1548539646 355 317 89.29 91.59 -2.30 1548543762 931 822 88.29 88.37 -0.08 1548570955 775 705 90.96 90.43 0.53 1548597065 1,339 1,176 87.82 89.23 -1.41 1548664550 1,235 1,043 84.45 87.07 -2.62 1548666431 642 543 84.57 83.08 1.49 1548687908 0 0 0.00 0.00 0.00 1558307447 132 106 80.30 82.57 -2.27 1558318683 990 847 85.55 84.75 0.80 1558353110 714 631 88.37 89.26 -0.89

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 31 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1558376509 50 39 78.00 96.22 -18.22 1558376632 6,946 6,134 88.30 91.73 -3.43 1558376657 6,276 5,451 86.85 90.10 -3.25 1558388702 2,455 2,158 87.90 89.45 -1.55 1558389353 1,766 1,552 87.88 88.73 -0.85 1558390476 259 219 84.55 82.16 2.39 1558392613 92 86 93.47 89.62 3.85 1558395343 516 450 87.20 88.44 -1.24 1558438333 798 705 88.34 90.40 -2.06 1558450247 2,338 2,041 87.29 90.64 -3.35 1558462317 396 348 87.87 87.55 0.32 1558462390 -9 -8 0.00 89.03 -89.03 1558464230 3,077 2,753 89.47 90.02 -0.55 1558465229 4,556 4,100 89.99 91.07 -1.08 1558492439 765 678 88.62 90.60 -1.98 1558545111 189 174 92.06 91.63 0.43 1558547984 2,589 2,224 85.90 89.74 -3.84 1558593822 1,323 1,158 87.52 87.78 -0.26 1558671446 2,275 1,955 85.93 87.93 -2.00 1558698076 10 9 90.00 87.50 2.50 1558724682 855 739 86.43 87.16 -0.73 1558744151 1,404 1,228 87.46 87.99 -0.53 1558763235 164 146 89.02 89.14 -0.12 1558779496 1,663 1,528 91.88 91.73 0.15 1558796177 1,917 1,672 87.21 90.81 -3.60 1558881037 822 699 85.03 88.63 -3.60 1558889279 1,857 1,603 86.32 0.00 86.32 1558889287 232 202 87.06 0.00 87.06 1568405850 896 793 88.50 89.25 -0.75 1568425098 199 183 91.95 90.98 0.97 1568477644 1,666 1,452 87.15 89.18 -2.03 1568477651 1,109 912 82.23 85.59 -3.36 1568477669 4,663 4,028 86.38 88.23 -1.85 1568489714 1,864 1,628 87.33 88.76 -1.43 1568509339 255 220 86.27 90.27 -4.00 1568514677 715 624 87.27 87.60 -0.33 1568517738 227 197 86.78 94.02 -7.24 1568528446 475 471 99.15 98.56 0.59 1568565240 1,886 1,628 86.32 87.93 -1.61 1568673036 131 127 96.94 99.24 -2.30 1568681716 2,106 1,905 90.45 91.82 -1.37 1568761963 586 515 87.88 88.98 -1.10 1568770857 2,130 1,828 85.82 88.10 -2.28 1568816874 1,021 796 77.96 79.86 -1.90 1568827020 155 137 88.38 85.11 3.27

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 32 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1568843241 1,137 968 85.13 87.70 -2.57 1568843688 4,591 4,154 90.48 89.47 1.01 1568869634 26 15 57.69 34.78 22.91 1568898401 0 0 0.00 0.00 0.00 1568898419 680 548 80.58 82.41 -1.83 1568898625 1,886 1,621 85.94 89.59 -3.65 1568902724 168 132 78.57 85.00 -6.43 1568919124 172 158 91.86 90.71 1.15 1568980290 231 201 87.01 0.00 87.01 1568981553 784 671 85.58 0.00 85.58 1578011896 1,116 894 80.10 84.92 -4.82 1578082566 357 317 88.79 0.00 88.79 1578578423 1,789 1,560 87.19 89.28 -2.09 1578578571 867 756 87.19 88.36 -1.17 1578578670 3,030 2,675 88.28 90.56 -2.28 1578580726 2,002 1,787 89.26 92.80 -3.54 1578580734 926 804 86.82 89.09 -2.27 1578614467 488 407 83.40 82.71 0.69 1578640652 1,010 833 82.47 85.23 -2.76 1578661500 524 472 90.07 90.76 -0.69 1578662714 240 215 89.58 89.46 0.12 1578662771 4 4 100.00 100.00 0.00 1578666251 2,712 2,392 88.20 89.81 -1.61 1578666269 1,415 1,221 86.28 87.49 -1.21 1578666913 1,312 1,129 86.05 87.36 -1.31 1578667242 5,245 4,556 86.86 87.62 -0.76 1578710521 3,728 3,139 84.20 86.60 -2.40 1578742037 1,711 1,505 87.96 88.85 -0.89 1578819959 557 485 87.07 87.40 -0.33 1578826327 674 589 87.38 88.95 -1.57 1578826962 239 212 88.70 92.08 -3.38 1578891669 508 428 84.25 86.28 -2.03 1578924221 41 39 95.12 95.08 0.04 1578928446 954 855 89.62 91.37 -1.75 1588048714 7,232 6,174 85.37 85.85 -0.48 1588061394 1,886 1,717 91.03 91.25 -0.22 1588061741 60 48 80.00 90.27 -10.27 1588069181 844 753 89.21 90.28 -1.07 1588090443 1,792 1,551 86.55 89.52 -2.97 1588099022 956 701 73.32 74.35 -1.03 1588115463 1,459 1,321 90.54 92.27 -1.73 1588180608 1 0 0.00 0.00 0.00 1588630032 16,112 13,587 84.32 86.08 -1.76 1588679435 1,016 842 82.87 89.29 -6.42 1588679682 728 617 84.75 90.96 -6.21

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 33 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1588681746 533 485 90.99 90.47 0.52 1588692156 427 376 88.05 88.99 -0.94 1588698377 1,012 855 84.48 87.04 -2.56 1588705388 3 3 100.00 100.00 0.00 1588751788 2,013 1,722 85.54 86.52 -0.98 1588761423 91 75 82.41 87.50 -5.09 1588764559 1,823 1,644 90.18 91.74 -1.56 1588768543 1,082 922 85.21 87.16 -1.95 1588795488 1,358 1,200 88.36 91.54 -3.18 1588832497 276 234 84.78 86.47 -1.69 1588866065 5,438 4,739 87.14 89.11 -1.97 1588890297 2,442 2,086 85.42 88.26 -2.84 1588944748 512 439 85.74 87.62 -1.88 1598007213 117 110 94.01 90.90 3.11 1598101826 348 307 88.21 88.66 -0.45 1598149635 1,442 1,244 86.26 87.42 -1.16 1598153785 21 16 76.19 66.66 9.53 1598162240 5,429 4,718 86.90 88.72 -1.82 1598171910 2,024 1,747 86.31 88.59 -2.28 1598207037 95 86 90.52 95.08 -4.56 1598272379 344 298 86.62 0.00 86.62 1598282972 485 412 84.94 0.00 84.94 1598284457 1,130 998 88.31 0.00 88.31 1598295784 99 87 87.87 90.42 -2.55 1598700718 1,200 1,073 89.41 91.25 -1.84 1598765570 187 32 17.11 40.00 -22.89 1598770133 24 20 83.33 0.00 83.33 1598774002 430 379 88.13 90.64 -2.51 1598782757 1,336 1,143 85.55 89.29 -3.74 1598782765 1,787 1,596 89.31 90.73 -1.42 1598782799 240 227 94.58 90.03 4.55 1598787152 646 558 86.37 88.96 -2.59 1598787566 5,495 5,055 91.99 92.62 -0.63 1598820755 2,567 2,261 88.07 90.31 -2.24 1598858920 759 666 87.74 86.22 1.52 1598858961 436 380 87.15 89.63 -2.48 1598868358 4,653 4,059 87.23 89.22 -1.99 1598868937 5,526 4,848 87.73 88.74 -1.01 1598988503 1,236 1,062 85.92 90.81 -4.89 1609024595 805 681 84.59 88.17 -3.58 1609207356 1,925 1,737 90.23 92.15 -1.92 1609283688 1,194 1,072 89.78 91.51 -1.73 1609295716 2,917 2,474 84.81 86.97 -2.16 1609302173 1,540 1,337 86.81 90.50 -3.69 1609311760 8 6 75.00 0.00 75.00

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 34 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1609323203 54 49 90.74 86.88 3.86 1609393099 354 310 87.57 0.00 87.57 1609395433 604 528 87.41 0.00 87.41 1609807767 392 317 80.86 84.41 -3.55 1609823053 9,964 9,246 92.79 93.16 -0.37 1609827906 1,663 1,406 84.54 87.25 -2.71 1609885375 193 175 90.67 93.17 -2.50 1609887264 1,900 1,635 86.05 88.82 -2.77 1609891308 807 746 92.44 93.20 -0.76 1609893841 2,229 1,940 87.03 89.54 -2.51 1609893858 1,604 1,396 87.03 90.71 -3.68 1609893874 1,033 917 88.77 89.85 -1.08 1609895655 961 851 88.55 90.61 -2.06 1609898261 228 198 86.84 90.30 -3.46 1609920982 1,739 1,543 88.72 89.69 -0.97 1609942366 4,497 3,782 84.10 86.39 -2.29 1609973544 3,892 3,444 88.48 89.96 -1.48 1609975804 532 462 86.84 90.94 -4.10 1609975812 470 405 86.17 89.62 -3.45 1609975820 330 284 86.06 86.45 -0.39 1609975838 698 616 88.25 89.60 -1.35 1609975895 868 792 91.24 90.09 1.15 1609977115 247 222 89.87 94.16 -4.29 1609977446 404 357 88.36 88.44 -0.08 1609977453 0 0 0.00 90.28 -90.28 1609979434 48 37 77.08 77.63 -0.55 1609979467 552 484 87.68 87.91 -0.23 1609979475 1,480 1,321 89.25 90.49 -1.24 1619014453 1,719 1,486 86.44 87.57 -1.13 1619027034 1,317 989 75.09 84.19 -9.10 1619060555 4,524 3,831 84.68 85.93 -1.25 1619060845 1,338 1,175 87.81 89.54 -1.73 1619063872 1 1 100.00 100.00 0.00 1619070117 2,415 2,083 86.25 88.18 -1.93 1619070158 3,821 3,378 88.40 90.85 -2.45 1619070380 1,885 1,698 90.07 91.49 -1.42 1619070471 1,872 1,636 87.39 87.56 -0.17 1619070489 2,836 2,485 87.62 89.87 -2.25 1619074119 395 363 91.89 94.06 -2.17 1619076817 -7 -7 0.00 93.40 -93.40 1619076825 76 70 92.10 90.58 1.52 1619086907 13 13 100.00 95.45 4.55 1619110061 11,348 10,499 92.51 92.09 0.42 1619163375 146 125 85.61 89.83 -4.22 1619213212 21 0 0.00 0.00 0.00

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 35 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1619259025 5,710 5,017 87.86 88.99 -1.13 1619270501 928 823 88.68 88.90 -0.22 1619296761 23 0 0.00 0.00 0.00 1619494218 27 22 81.48 0.00 81.48 1619495587 119 98 82.35 0.00 82.35 1619499381 802 651 81.17 85.68 -4.51 1619931946 5,169 4,450 86.09 88.46 -2.37 1619987385 2,063 1,790 86.76 87.75 -0.99 1619994852 2,123 1,890 89.02 91.08 -2.06 1629008636 170 157 92.35 91.14 1.21 1629103916 6 5 83.33 0.00 83.33 1629123807 1,849 1,668 90.21 92.76 -2.55 1629137773 1,635 1,468 89.78 90.21 -0.43 1629153911 607 516 85.00 88.90 -3.90 1629171301 1,811 1,601 88.40 89.74 -1.34 1629171392 1,766 1,522 86.18 88.66 -2.48 1629172390 1,960 1,714 87.44 89.31 -1.87 1629175567 7,084 6,120 86.39 88.38 -1.99 1629177829 -30 -27 0.00 89.31 -89.31 1629177969 -9 -10 0.00 90.27 -90.27 1629179403 91 81 89.01 88.55 0.46 1629180633 834 743 89.08 89.83 -0.75 1629181383 225 186 82.66 84.54 -1.88 1629189899 852 757 88.84 89.98 -1.14 1629226634 3,307 2,813 85.06 87.83 -2.77 1629366109 3,284 2,129 64.82 66.89 -2.07 1629387352 9 9 100.00 80.00 20.00 1629405592 250 226 90.40 91.40 -1.00 1629416557 684 599 87.57 89.56 -1.99 1629469838 995 855 85.92 89.02 -3.10 1629477377 729 674 92.45 90.63 1.82 1639112444 44 39 88.63 95.31 -6.68 1639234768 1 0 0.00 100.00 -100.00 1639241425 952 885 92.96 92.28 0.68 1639262363 307 270 87.94 90.90 -2.96 1639272305 3,753 3,231 86.09 87.60 -1.51 1639273303 1,857 1,596 85.94 86.84 -0.90 1639278872 79 72 91.13 92.79 -1.66 1639278971 165 154 93.33 90.96 2.37 1639281900 152 121 79.60 83.73 -4.13 1639303001 939 831 88.49 88.26 0.23 1639312200 188 158 84.04 86.95 -2.91 1639379498 2,371 2,076 87.55 89.38 -1.83 1639456502 2,889 2,533 87.67 89.61 -1.94 1639535156 2,564 2,198 85.72 86.30 -0.58

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 36 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1639559966 1,075 966 89.86 90.83 -0.97 1639563943 526 454 86.31 90.95 -4.64 1639565989 1,727 1,533 88.76 90.11 -1.35 1639697337 251 212 84.46 0.00 84.46 1639698624 403 340 84.36 0.00 84.36 1649204439 746 639 85.65 89.22 -3.57 1649227133 166 146 87.95 88.64 -0.69 1649285727 448 379 84.59 85.33 -0.74 1649285743 6,778 5,852 86.33 87.57 -1.24 1649297896 1,578 1,357 85.99 89.80 -3.81 1649317579 32 2 6.25 16.66 -10.41 1649325184 1,277 1,120 87.70 91.19 -3.49 1649363870 853 738 86.51 88.03 -1.52 1649373275 2,780 2,477 89.10 89.91 -0.81 1649374315 5,649 5,090 90.10 90.85 -0.75 1649374943 3,533 2,805 79.39 83.29 -3.90 1649378290 281 262 93.23 89.00 4.23 1649379835 25 23 92.00 100.00 -8.00 1649386616 258 223 86.43 82.08 4.35 1649402017 833 724 86.91 89.79 -2.88 1649518036 24 19 79.16 60.00 19.16 1649546094 643 591 91.91 91.35 0.56 1649550807 -1 -1 0.00 0.00 0.00 1649577727 499 449 89.97 90.50 -0.53 1649579582 1,943 1,693 87.13 89.60 -2.47 1649693359 849 723 85.15 87.27 -2.12 1649710625 88 73 82.95 78.08 4.87 1649720483 2,529 2,032 80.34 84.05 -3.71 1649724733 659 585 88.77 88.88 -0.11 1649784646 0 0 0.00 0.00 0.00 1649798059 102 86 84.31 0.00 84.31 1649798364 808 703 87.00 0.00 87.00 1659327146 9,234 7,998 86.61 86.93 -0.32 1659356525 1,913 1,729 90.38 92.74 -2.36 1659386738 1,921 1,689 87.92 90.34 -2.42 1659386746 10,023 8,703 86.83 88.57 -1.74 1659386753 4,973 4,311 86.68 88.45 -1.77 1659398808 2,754 2,477 89.94 91.69 -1.75 1659423903 752 655 87.10 86.20 0.90 1659426153 1,110 1,011 91.08 91.20 -0.12 1659430999 570 493 86.49 92.66 -6.17 1659470607 98 87 88.77 88.06 0.71 1659470805 137 122 89.05 89.97 -0.92 1659474583 16,948 15,697 92.61 93.01 -0.40 1659474799 1 1 100.00 100.00 0.00

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 37 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1659475085 304 257 84.53 85.34 -0.81 1659475325 1,073 967 90.12 88.60 1.52 1659475754 1,871 1,786 95.45 96.81 -1.36 1659479202 4,280 3,797 88.71 89.93 -1.22 1659484319 71 54 76.05 81.01 -4.96 1659512879 1,363 1,152 84.51 88.57 -4.06 1659533107 1,131 995 87.97 88.96 -0.99 1659562486 298 255 85.57 85.85 -0.28 1659614766 852 754 88.49 87.50 0.99 1659655652 427 378 88.52 90.40 -1.88 1659707222 4,757 4,290 90.18 91.96 -1.78 1659707594 2,994 2,641 88.20 89.14 -0.94 1659738151 26 24 92.30 95.65 -3.35 1659798361 2,733 2,398 87.74 89.39 -1.65 1659825982 3 0 0.00 46.42 -46.42 1669487518 1,212 1,024 84.48 87.11 -2.63 1669487666 1,912 1,628 85.14 86.67 -1.53 1669487765 5,767 4,989 86.50 89.81 -3.31 1669489662 2,646 2,267 85.67 87.88 -2.21 1669498325 4,314 3,713 86.06 88.35 -2.29 1669499810 1,949 1,714 87.94 90.49 -2.55 1669499828 2,293 2,011 87.70 89.51 -1.81 1669500450 633 566 89.41 90.06 -0.65 1669510459 5,354 4,650 86.85 88.43 -1.58 1669552303 8,282 7,094 85.65 86.65 -1.00 1669556478 1,693 1,496 88.36 90.84 -2.48 1669570693 817 683 83.59 84.52 -0.93 1669571808 153 140 91.50 87.53 3.97 1669573440 87 79 90.80 91.23 -0.43 1669575007 4,196 3,628 86.46 88.59 -2.13 1669575346 3,228 2,890 89.52 90.44 -0.92 1669575353 907 805 88.75 90.72 -1.97 1669577110 2,660 2,325 87.40 87.82 -0.42 1669580056 3,248 2,915 89.74 91.50 -1.76 1669589230 70 21 30.00 84.20 -54.20 1669601068 3,553 3,035 85.42 86.60 -1.18 1669626164 4,296 3,644 84.82 87.34 -2.52 1669639902 2,030 1,725 84.97 86.38 -1.41 1669640223 795 689 86.66 89.46 -2.80 1669649133 482 424 87.96 86.30 1.66 1669771796 1,494 1,292 86.47 86.78 -0.31 1669808507 3,252 2,872 88.31 90.16 -1.85 1669808564 71 62 87.32 88.29 -0.97 1669842076 122 112 91.80 94.52 -2.72 1679084115 19 19 100.00 0.00 100.00

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 38 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1679588529 821 726 88.42 87.94 0.48 1679588776 3,637 3,177 87.35 88.43 -1.08 1679590830 2,023 1,720 85.02 88.32 -3.30 1679633812 2,535 2,257 89.03 88.82 0.21 1679638167 1,549 1,297 83.73 84.14 -0.41 1679660872 3,229 2,829 87.61 90.26 -2.65 1679666044 4 4 100.00 100.00 0.00 1679676365 3,420 2,945 86.11 88.18 -2.07 1679677637 1,931 1,721 89.12 90.68 -1.56 1679806731 808 720 89.10 90.52 -1.42 1679938898 1 1 100.00 100.00 0.00 1679941108 17 16 94.11 100.00 -5.89 1689043556 511 466 91.19 92.12 -0.93 1689048381 257 233 90.66 88.54 2.12 1689122905 519 469 90.36 92.34 -1.98 1689128647 726 617 84.98 88.33 -3.35 1689188286 56 48 85.71 0.00 85.71 1689191744 326 273 83.74 0.00 83.74 1689193435 1,041 911 87.51 0.00 87.51 1689691206 2,399 1,990 82.95 85.01 -2.06 1689691842 3,732 3,277 87.80 89.73 -1.93 1689733743 73 64 87.67 94.54 -6.87 1689775439 42 41 97.61 90.94 6.67 1689777377 2,534 2,180 86.02 88.10 -2.08 1689777435 1,115 994 89.14 90.23 -1.09 1689777450 139 116 83.45 89.63 -6.18 1689777534 164 136 82.92 83.04 -0.12 1689980146 141 126 89.36 87.11 2.25 1699008516 1,188 1,053 88.63 90.42 -1.79 1699119883 442 401 90.72 92.26 -1.54 1699159467 1,221 1,102 90.25 92.09 -1.84 1699187765 2,444 2,208 90.34 95.15 -4.81 1699190769 2,024 1,788 88.33 90.33 -2.00 1699293316 495 415 83.83 0.00 83.83 1699293662 427 370 86.65 0.00 86.65 1699720441 1,960 1,580 80.61 82.73 -2.12 1699792861 1,488 1,315 88.37 89.24 -0.87 1699793497 3,216 2,797 86.97 88.78 -1.81 1699797258 255 228 89.41 87.97 1.44 1699797431 4,562 3,825 83.84 84.67 -0.83 1699826289 298 265 88.92 93.88 -4.96 1699827261 215 193 89.76 90.20 -0.44 1699857490 396 321 81.06 87.33 -6.27 1699874891 147 134 91.15 89.68 1.47 1699877092 75 69 92.00 86.07 5.93

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 39 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1699878363 11 10 90.90 100.00 -9.10 1699878397 3,683 3,146 85.41 88.72 -3.31 1699878454 1,242 1,039 83.65 84.77 -1.12 1699878462 1,914 1,583 82.70 84.43 -1.73 1699878538 1,695 1,468 86.60 88.04 -1.44 1699924621 1,154 1,005 87.08 87.41 -0.33 1699933564 1,549 1,290 83.27 88.32 -5.05 1699946160 111 99 89.18 86.80 2.38 1699957381 495 426 86.06 91.12 -5.06 1700024528 2,267 1,962 86.54 88.97 -2.43 1700063435 59 53 89.83 86.00 3.83 1700108115 5,477 4,655 84.99 85.79 -0.80 1700154366 3,646 3,110 85.29 88.23 -2.94 1700212230 2,297 2,002 87.15 88.45 -1.30 1700246717 97 87 89.69 92.62 -2.93 1700247970 565 473 83.71 86.03 -2.32 1700304615 83 73 87.95 0.00 87.95 1700803947 2,689 2,379 88.47 90.53 -2.06 1700808367 463 410 88.55 88.30 0.25 1700810645 1,537 1,362 88.61 88.81 -0.20 1700881943 133 120 90.22 93.54 -3.32 1700903416 890 813 91.34 91.00 0.34 1700923117 34 33 97.05 96.42 0.63 1700925898 982 880 89.61 91.34 -1.73 1700937661 3,529 3,030 85.86 86.56 -0.70 1700980117 215 190 88.37 85.08 3.29 1700980471 734 644 87.73 90.15 -2.42 1700982402 163 32 19.63 22.75 -3.12 1700983640 1,605 1,380 85.98 89.63 -3.65 1700985900 567 477 84.12 86.81 -2.69 1700985918 9 8 88.88 78.37 10.51 1700989324 2,856 2,450 85.78 88.26 -2.48 1700989407 3,764 3,409 90.56 91.05 -0.49 1700989563 5,634 4,931 87.52 89.07 -1.55 1700989571 1,191 1,047 87.90 88.70 -0.80 1700995008 220 194 88.18 88.02 0.16 1710022595 1,010 863 85.44 87.01 -1.57 1710025366 448 402 89.73 87.23 2.50 1710049291 2,973 2,628 88.39 91.02 -2.63 1710059506 249 211 84.73 83.11 1.62 1710070644 118 104 88.13 94.44 -6.31 1710080452 1 1 100.00 100.00 0.00 1710080486 2,223 1,945 87.49 89.46 -1.97 1710080494 5,153 4,451 86.37 88.33 -1.96 1710084652 570 482 84.56 88.24 -3.68

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 40 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1710085691 2,074 1,772 85.43 87.39 -1.96 1710086053 450 398 88.44 89.72 -1.28 1710086913 -6 -5 0.00 89.93 -89.93 1710086921 132 115 87.12 89.67 -2.55 1710086939 271 251 92.61 92.24 0.37 1710086947 1,398 1,205 86.19 87.43 -1.24 1710086954 79 69 87.34 90.20 -2.86 1710158126 139 118 84.89 83.87 1.02 1710209473 454 397 87.44 88.59 -1.15 1710313317 886 785 88.60 91.61 -3.01 1710318274 1,386 1,228 88.60 90.17 -1.57 1710390380 1,473 1,130 76.71 77.95 -1.24 1710919568 423 369 87.23 89.52 -2.29 1720005820 7 7 100.00 100.00 0.00 1720005978 1,328 1,158 87.19 88.55 -1.36 1720007610 5,974 5,233 87.59 88.77 -1.18 1720039316 1,953 1,743 89.24 89.63 -0.39 1720044720 2,181 1,926 88.30 89.95 -1.65 1720089998 1,601 1,361 85.00 87.42 -2.42 1720093826 2,901 2,527 87.10 90.19 -3.09 1720181365 2,113 1,892 89.54 89.45 0.09 1720181407 4,717 4,119 87.32 88.96 -1.64 1720181498 804 736 91.54 91.57 -0.03 1720182496 3,457 3,035 87.79 89.62 -1.83 1720187065 622 564 90.67 90.89 -0.22 1720189418 71 57 80.28 77.65 2.63 1720189582 -2 -2 0.00 86.44 -86.44 1720191661 9,294 8,044 86.55 88.90 -2.35 1720191927 1,388 1,171 84.36 86.37 -2.01 1720216641 1,849 1,541 83.34 87.46 -4.12 1720227770 2,029 1,756 86.54 88.52 -1.98 1720356728 0 0 0.00 0.00 0.00 1720361199 1,340 1,137 84.85 85.54 -0.69 1720366446 150 150 100.00 100.00 0.00 1720414980 115 95 82.60 92.00 -9.40 1720436439 221 179 80.99 82.15 -1.16 1720452345 629 564 89.66 93.27 -3.61 1720506447 612 511 83.49 0.00 83.49 1720506454 679 560 82.47 0.00 82.47 1720518574 90 76 84.44 95.16 -10.72 1730106980 1,576 1,448 91.87 92.29 -0.42 1730113523 182 167 91.75 90.42 1.33 1730121534 388 338 87.11 83.90 3.21 1730162355 96 93 96.87 93.33 3.54 1730194333 1,393 1,201 86.21 87.06 -0.85

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 41 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1730194812 3,507 3,077 87.73 89.32 -1.59 1730194838 4,617 3,996 86.54 89.37 -2.83 1730221532 2,063 1,795 87.00 87.15 -0.15 1730248733 6,206 5,291 85.25 83.97 1.28 1730253832 2,274 2,029 89.22 91.47 -2.25 1730280439 -12 -11 0.00 90.10 -90.10 1730282369 1,360 1,226 90.14 90.52 -0.38 1730282419 1,384 1,230 88.87 89.90 -1.03 1730286667 7,486 6,664 89.01 91.64 -2.63 1730288978 -8 -7 0.00 92.10 -92.10 1730298217 1,692 721 42.61 46.45 -3.84 1730306283 112 106 94.64 93.54 1.10 1730321274 1,701 1,468 86.30 88.53 -2.23 1730327305 1,210 1,017 84.04 85.15 -1.11 1730446196 866 774 89.37 90.22 -0.85 1730478827 15,201 14,155 93.11 90.80 2.31 1730482894 431 412 95.59 97.14 -1.55 1730541913 257 211 82.10 86.77 -4.67 1730566126 103 91 88.34 91.87 -3.53 1730573098 298 27 9.06 5.76 3.30 1730694878 49 39 79.59 0.00 79.59 1740203413 3,425 2,780 81.16 82.53 -1.37 1740207992 2,494 2,185 87.61 91.58 -3.97 1740246677 5,916 5,107 86.32 88.18 -1.86 1740275973 252 217 86.11 88.15 -2.04 1740284298 1,147 994 86.66 88.21 -1.55 1740295823 1,201 1,050 87.42 89.15 -1.73 1740295831 1,068 901 84.36 87.79 -3.43 1740295849 3,514 3,166 90.09 91.68 -1.59 1740297746 1,238 1,059 85.54 87.66 -2.12 1740340702 490 437 89.18 90.85 -1.67 1740345792 2,870 2,580 89.89 91.59 -1.70 1740351204 68 56 82.35 90.44 -8.09 1740374974 463 408 88.12 89.34 -1.22 1740377613 227 199 87.66 89.23 -1.57 1740381433 209 189 90.43 88.18 2.25 1740383421 3,655 3,147 86.10 87.06 -0.96 1740383439 6,673 5,977 89.56 90.60 -1.04 1740389998 495 461 93.13 92.54 0.59 1740463405 2,957 2,642 89.34 91.05 -1.71 1740475078 444 371 83.55 87.45 -3.90 1740535715 509 449 88.21 91.37 -3.16 1740538545 4,032 3,593 89.11 93.02 -3.91 1740545888 5,387 4,605 85.48 86.91 -1.43 1740582774 4,137 3,636 87.88 89.75 -1.87

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 42 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1740588383 1,255 1,077 85.81 88.88 -3.07 1740608181 76 69 90.78 89.34 1.44 1740613140 543 484 89.13 90.31 -1.18 1740616333 1,707 1,494 87.52 90.32 -2.80 1740616689 2,078 1,831 88.11 91.04 -2.93 1740701929 400 354 88.50 87.30 1.20 1740707058 446 388 86.99 0.00 86.99 1750308714 5,913 5,239 88.60 89.07 -0.47 1750308904 2,994 2,630 87.84 88.58 -0.74 1750308912 1,174 1,032 87.90 91.33 -3.43 1750315206 1,485 1,300 87.54 88.26 -0.72 1750396602 2,031 1,797 88.47 89.35 -0.88 1750396750 4,611 4,001 86.77 89.40 -2.63 1750396859 1,091 945 86.61 88.67 -2.06 1750398756 6,068 5,389 88.81 90.40 -1.59 1750444311 1,528 1,434 93.84 94.73 -0.89 1750446175 1,050 919 87.52 89.44 -1.92 1750464798 1,035 909 87.82 87.16 0.66 1750480992 190 171 90.00 84.68 5.32 1750482535 638 572 89.65 89.69 -0.04 1750484432 2,686 2,385 88.79 89.82 -1.03 1750484440 3,976 3,464 87.12 87.93 -0.81 1750485421 1,252 1,103 88.09 90.36 -2.27 1750486494 1,440 1,255 87.15 88.84 -1.69 1750486510 1,647 1,454 88.28 91.05 -2.77 1750489308 3,143 2,695 85.74 86.36 -0.62 1750489639 1,390 1,210 87.05 90.64 -3.59 1750517108 341 311 91.20 91.30 -0.10 1750517827 1 1 100.00 100.00 0.00 1750538195 47 44 93.61 97.22 -3.61 1750589156 309 260 84.14 85.75 -1.61 1750627931 98 50 51.02 60.63 -9.61 1750714176 221 191 86.42 83.77 2.65 1750717690 1,014 870 85.79 90.73 -4.94 1750808275 130 113 86.92 0.00 86.92 1750808622 534 435 81.46 0.00 81.46 1750809489 751 649 86.41 0.00 86.41 1750890109 1,847 1,584 85.76 88.27 -2.51 1760409924 1,702 1,494 87.77 91.15 -3.38 1760497614 957 835 87.25 89.63 -2.38 1760497796 3 3 100.00 0.00 100.00 1760497861 6,597 5,696 86.34 87.45 -1.11 1760498059 814 693 85.13 88.75 -3.62 1760516850 3,077 2,748 89.30 90.70 -1.40 1760523526 434 290 66.82 75.04 -8.22

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 43 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1760557227 166 157 94.57 91.42 3.15 1760561179 753 634 84.19 86.86 -2.67 1760585459 3,175 2,763 87.02 87.52 -0.50 1760585467 3 3 100.00 100.00 0.00 1760591796 3,888 3,450 88.73 89.70 -0.97 1760595573 648 571 88.11 85.81 2.30 1760638829 38 30 78.94 80.88 -1.94 1760664460 1,307 1,157 88.52 87.84 0.68 1760784359 33 31 93.93 96.00 -2.07 1760806947 311 242 77.81 79.62 -1.81 1760818280 1,850 1,612 87.13 89.33 -2.20 1760818330 2,809 2,476 88.14 88.82 -0.68 1760818363 252 205 81.34 78.26 3.08 1760880520 76 73 96.05 95.60 0.45 1760909451 422 361 85.54 0.00 85.54 1760927602 1 2 200.00 75.00 125.00 1760994008 12 11 91.66 0.00 91.66 1770500936 3,288 2,906 88.38 90.28 -1.90 1770509218 101 78 77.22 81.45 -4.23 1770528994 4 0 0.00 0.00 0.00 1770586349 0 0 0.00 0.00 0.00 1770587644 7,879 6,874 87.24 89.55 -2.31 1770620205 2,561 2,213 86.41 87.88 -1.47 1770648933 461 413 89.58 89.39 0.19 1770684524 88 72 81.81 89.77 -7.96 1770685158 140 118 84.28 88.63 -4.35 1770686446 198 166 83.83 88.26 -4.43 1770686461 1,964 1,699 86.50 87.46 -0.96 1770686529 2,609 2,270 87.00 89.72 -2.72 1770731515 1,737 1,502 86.47 87.93 -1.46 1770741480 1,492 1,307 87.60 91.09 -3.49 1770810855 160 0 0.00 0.00 0.00 1770828212 1,806 1,583 87.65 89.06 -1.41 1770845166 1,966 1,728 87.89 88.81 -0.92 1770883407 682 611 89.58 89.75 -0.17 1770888455 225 176 78.22 72.67 5.55 1770906737 1,107 987 89.15 91.29 -2.14 1770911414 4,169 3,591 86.13 89.70 -3.57 1770911588 171 154 90.05 89.07 0.98 1770919961 426 391 91.78 93.14 -1.36 1770952715 357 327 91.59 89.03 2.56 1780010074 519 505 97.30 59.24 38.06 1780030163 48 3 6.25 20.00 -13.75 1780079756 1,397 1,197 85.68 89.00 -3.32 1780080911 187 165 88.23 91.13 -2.90

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 44 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1780103788 127 113 88.97 0.00 88.97 1780601955 284 253 89.08 88.85 0.23 1780606343 224 198 88.39 86.24 2.15 1780610907 4,667 3,867 82.85 84.58 -1.73 1780626135 397 178 44.83 43.84 0.99 1780672469 2,616 2,220 84.86 86.95 -2.09 1780699322 1,323 1,196 90.40 90.85 -0.45 1780736785 327 286 87.46 90.32 -2.86 1780774075 762 673 88.32 87.77 0.55 1780777110 699 598 85.55 87.06 -1.51 1780777151 832 731 87.86 90.24 -2.38 1780782649 383 334 87.20 88.88 -1.68 1780787127 3,205 2,838 88.54 89.74 -1.20 1780787457 43 39 90.69 80.95 9.74 1780787481 4,930 4,128 83.73 85.82 -2.09 1780787549 2,680 2,391 89.21 89.74 -0.53 1780813394 1,921 1,617 84.17 87.25 -3.08 1780820209 3,203 2,720 84.92 86.82 -1.90 1780868513 1,840 1,606 87.28 88.02 -0.74 1780958744 202 28 13.86 13.11 0.75 1790022671 307 271 88.27 85.67 2.60 1790085496 1,669 1,489 89.21 90.50 -1.29 1790111961 3,330 2,964 89.00 90.16 -1.16 1790122463 769 640 83.22 87.91 -4.69 1790216984 533 471 88.36 88.19 0.17 1790702934 4,745 4,152 87.50 89.93 -2.43 1790702942 1,875 1,656 88.32 88.58 -0.26 1790702967 2,160 1,911 88.47 89.62 -1.15 1790707354 488 410 84.01 86.01 -2.00 1790716850 257 226 87.93 89.24 -1.31 1790729457 2,674 2,363 88.36 89.78 -1.42 1790784585 738 132 17.88 32.50 -14.62 1790823870 3,975 3,538 89.00 91.70 -2.70 1790826642 671 568 84.64 88.50 -3.86 1790853810 7,149 6,113 85.50 86.30 -0.80 1790884906 771 702 91.05 91.79 -0.74 1790884914 911 777 85.29 86.14 -0.85 1790884922 37 33 89.18 91.54 -2.36 1790884989 1,143 1,043 91.25 91.75 -0.50 1790884997 179 159 88.82 90.41 -1.59 1790888253 1,828 1,621 88.67 89.26 -0.59 1790888550 4,370 3,869 88.53 89.33 -0.80 1790888568 1,605 1,401 87.28 86.54 0.74 1790923555 450 409 90.88 85.94 4.94 1801083449 2,559 2,302 89.95 91.21 -1.26

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 45 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1801087556 30 29 96.66 88.23 8.43 1801154281 8 7 87.50 69.23 18.27 1801193503 878 774 88.15 91.33 -3.18 1801201231 379 326 86.01 0.00 86.01 1801207287 1,779 1,560 87.68 88.91 -1.23 1801222716 375 312 83.20 85.50 -2.30 1801231642 3,227 1,674 51.87 51.75 0.12 1801244348 105 93 88.57 89.11 -0.54 1801296116 2,127 1,826 85.84 87.35 -1.51 1801296983 132 116 87.87 91.11 -3.24 1801313572 153 126 82.35 0.00 82.35 1801822127 3 3 100.00 96.10 3.90 1801829221 1,942 1,699 87.48 89.23 -1.75 1801838370 51 49 96.07 97.29 -1.22 1801908819 393 345 87.78 86.51 1.27 1801917364 3,023 2,607 86.23 89.29 -3.06 1801924162 3,939 3,338 84.74 87.51 -2.77 1801925987 815 628 77.05 80.43 -3.38 1801946991 1,732 1,475 85.16 86.79 -1.63 1801958517 605 534 88.26 90.53 -2.27 1801968698 836 681 81.45 85.94 -4.49 1801990577 1,219 1,071 87.85 88.91 -1.06 1801995014 264 226 85.60 88.88 -3.28 1801995022 1,979 1,688 85.29 86.33 -1.04 1801995030 110 94 85.45 87.56 -2.11 1801995048 68 64 94.11 89.86 4.25 1801995147 -8 -7 0.00 91.32 -91.32 1801999578 1,875 1,662 88.64 88.98 -0.34 1801999586 2,682 2,350 87.62 89.78 -2.16 1811018195 1,005 900 89.55 90.47 -0.92 1811022569 118 104 88.13 89.78 -1.65 1811060650 61 60 98.36 100.00 -1.64 1811069321 2,162 1,865 86.26 87.87 -1.61 1811090590 5,021 4,340 86.43 88.80 -2.37 1811091580 450 387 86.00 86.98 -0.98 1811095466 1,457 1,279 87.78 89.83 -2.05 1811096050 1,240 1,017 82.01 86.01 -4.00 1811096159 240 222 92.50 87.46 5.04 1811098676 1,438 1,288 89.56 91.35 -1.79 1811136096 667 562 84.25 86.00 -1.75 1811136880 523 443 84.70 84.86 -0.16 1811197486 6 5 83.33 100.00 -16.67 1811197676 1,289 1,129 87.58 89.86 -2.28 1811248412 2,900 2,229 76.86 77.28 -0.42 1811343502 1,146 1,019 88.91 89.16 -0.25

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 46 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1811358138 5 0 0.00 0.00 0.00 1811415045 800 682 85.25 0.00 85.25 1811416712 369 321 86.99 0.00 86.99 1811902919 2,144 1,839 85.77 87.35 -1.58 1811914062 3,588 3,138 87.45 89.40 -1.95 1811990146 942 792 84.07 88.30 -4.23 1821003906 2,981 2,542 85.27 88.59 -3.32 1821003922 6,804 5,948 87.41 89.34 -1.93 1821015074 1,071 974 90.94 90.96 -0.02 1821015082 249 237 95.18 96.88 -1.70 1821015926 75 70 93.33 94.36 -1.03 1821030628 2,323 2,100 90.40 90.46 -0.06 1821087990 587 536 91.31 92.01 -0.70 1821143173 280 244 87.14 90.14 -3.00 1821157827 218 191 87.61 82.17 5.44 1821191503 1,629 1,424 87.41 87.62 -0.21 1821195751 749 638 85.18 87.44 -2.26 1821197062 500 441 88.20 89.99 -1.79 1821199522 208 180 86.53 89.53 -3.00 1821199662 438 381 86.98 89.61 -2.63 1821342262 380 310 81.57 84.28 -2.71 1821361346 1,868 1,641 87.84 89.06 -1.22 1821387911 12,690 11,484 90.49 91.24 -0.75 1821424771 3,177 2,763 86.96 89.59 -2.63 1821457789 8 6 75.00 300.00 -225.00 1821463373 922 821 89.04 91.39 -2.35 1821465568 348 320 91.95 91.72 0.23 1821517673 298 259 86.91 0.00 86.91 1821535816 3,490 3,163 90.63 91.62 -0.99 1831104835 3,518 3,085 87.69 91.62 -3.93 1831104918 3,833 3,308 86.30 86.65 -0.35 1831104926 5,859 5,092 86.90 88.89 -1.99 1831104934 3,275 2,784 85.00 86.13 -1.13 1831106830 1,336 1,196 89.52 89.42 0.10 1831116086 2,275 1,976 86.85 90.01 -3.16 1831116953 5 5 100.00 100.00 0.00 1831120989 581 538 92.59 88.50 4.09 1831136761 1,817 1,344 73.96 74.45 -0.49 1831205442 175 150 85.71 91.95 -6.24 1831263227 1,224 1,051 85.86 87.28 -1.42 1831290527 277 233 84.11 87.48 -3.37 1831292515 3,355 2,915 86.88 88.38 -1.50 1831292523 1,295 1,142 88.18 90.01 -1.83 1831293265 137 118 86.13 91.08 -4.95 1831293505 1,491 1,338 89.73 90.84 -1.11

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 47 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1831298082 177 155 87.57 89.20 -1.63 1831375229 1,707 1,498 87.75 90.13 -2.38 1831380971 4,889 4,349 88.95 90.60 -1.65 1831386226 277 248 89.53 89.89 -0.36 1831441419 2,305 2,015 87.41 90.59 -3.18 1831454040 338 285 84.31 86.18 -1.87 1831500032 1,311 1,196 91.22 93.63 -2.41 1831501881 616 513 83.27 85.79 -2.52 1831522234 1,345 1,102 81.93 86.27 -4.34 1831525773 3,673 3,263 88.83 89.92 -1.09 1831525781 2,697 2,371 87.91 89.80 -1.89 1831532944 346 315 91.04 92.94 -1.90 1831533892 796 698 87.68 91.10 -3.42 1831576982 299 269 89.96 93.00 -3.04 1831587476 84 71 84.52 87.20 -2.68 1831593953 964 826 85.68 87.66 -1.98 1831616598 1,563 1,348 86.24 0.00 86.24 1831618669 648 554 85.49 0.00 85.49 1831618685 331 300 90.63 0.00 90.63 1831632645 3 3 100.00 0.00 100.00 1841205796 1,642 1,365 83.13 86.29 -3.16 1841205846 5,657 4,939 87.30 90.52 -3.22 1841205945 1,096 967 88.22 90.74 -2.52 1841211596 2,183 1,892 86.66 86.45 0.21 1841211620 1,152 1,013 87.93 91.01 -3.08 1841217007 900 819 91.00 91.62 -0.62 1841253523 833 733 87.99 89.96 -1.97 1841355260 871 769 88.28 88.97 -0.69 1841373883 675 597 88.44 88.85 -0.41 1841379443 782 688 87.97 87.91 0.06 1841391620 328 301 91.76 92.00 -0.24 1841393527 2,502 2,158 86.25 88.74 -2.49 1841393535 5,121 4,543 88.71 91.52 -2.81 1841399086 29 26 89.65 90.24 -0.59 1841473972 666 586 87.98 89.52 -1.54 1841548021 248 217 87.50 89.41 -1.91 1841607223 3,737 3,211 85.92 86.06 -0.14 1841611167 1,724 1,615 93.67 92.86 0.81 1841626462 3,016 2,592 85.94 88.39 -2.45 1841629672 573 447 78.01 78.78 -0.77 1841718715 275 226 82.18 0.00 82.18 1841718731 362 309 85.35 0.00 85.35 1851306708 820 718 87.56 88.95 -1.39 1851306955 6,007 5,046 84.00 85.72 -1.72 1851314165 501 428 85.42 86.65 -1.23

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 48 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1851318018 2,723 2,362 86.74 89.66 -2.92 1851329502 412 369 89.56 89.12 0.44 1851362081 2,681 2,302 85.86 87.50 -1.64 1851388219 711 631 88.74 89.18 -0.44 1851432710 2,108 1,932 91.65 92.33 -0.68 1851490049 395 358 90.63 90.03 0.60 1851494546 1,687 1,472 87.25 87.23 0.02 1851495816 1,964 1,742 88.69 89.23 -0.54 1851499404 974 830 85.21 86.91 -1.70 1851538144 1,533 1,353 88.25 90.08 -1.83 1851588339 4,565 4,121 90.27 91.38 -1.11 1851660807 1,058 922 87.14 89.61 -2.47 1851681993 30 21 70.00 73.07 -3.07 1851723522 610 522 85.57 89.77 -4.20 1851742050 190 172 90.52 93.49 -2.97 1861406118 941 839 89.16 92.56 -3.40 1861419020 2,195 1,970 89.74 91.52 -1.78 1861419038 161 135 83.85 93.12 -9.27 1861430811 910 833 91.53 92.44 -0.91 1861507808 470 400 85.10 86.91 -1.81 1861591059 281 243 86.47 87.26 -0.79 1861595209 1,271 1,096 86.23 86.92 -0.69 1861595571 11 11 100.00 100.00 0.00 1861595613 4,075 3,514 86.23 88.98 -2.75 1861600355 302 272 90.06 91.19 -1.13 1861613994 958 814 84.96 86.98 -2.02 1861632606 108 87 80.55 86.86 -6.31 1861794315 1,093 991 90.66 89.85 0.81 1861799199 255 221 86.66 88.62 -1.96 1861828451 2,268 1,915 84.43 86.21 -1.78 1861851859 1,232 1,067 86.60 87.61 -1.01 1861903023 463 404 87.25 89.93 -2.68 1861919748 94 87 92.55 94.44 -1.89 1871012690 417 375 89.92 0.00 89.92 1871502757 208 185 88.94 89.94 -1.00 1871509521 1,091 938 85.97 90.54 -4.57 1871510040 398 338 84.92 88.76 -3.84 1871515437 374 338 90.37 89.54 0.83 1871529099 1,784 1,459 81.78 85.66 -3.88 1871560631 2,142 1,921 89.68 91.62 -1.94 1871604082 42 41 97.61 98.27 -0.66 1871612705 101 76 75.24 81.67 -6.43 1871658039 3,507 3,130 89.25 91.18 -1.93 1871675660 896 811 90.51 91.01 -0.50 1871677906 1,504 1,323 87.96 88.72 -0.76

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 49 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1871684787 6 5 83.33 92.30 -8.97 1871686204 566 515 90.98 90.37 0.61 1871686246 125 111 88.80 91.91 -3.11 1871696567 3,535 3,108 87.92 88.84 -0.92 1871696633 3,118 2,772 88.90 89.32 -0.42 1871696708 144 128 88.88 90.45 -1.57 1871740555 1,694 1,516 89.49 91.09 -1.60 1871746537 214 171 79.90 84.74 -4.84 1871785592 42 32 76.19 72.50 3.69 1871811513 1,340 1,162 86.71 87.58 -0.87 1871899617 2,426 2,120 87.38 89.21 -1.83 1871928325 724 633 87.43 90.29 -2.86 1871929224 1,393 702 50.39 43.13 7.26 1871929463 5,284 4,685 88.66 90.22 -1.56 1881001311 68 20 29.41 25.58 3.83 1881038230 3,318 2,904 87.52 88.72 -1.20 1881611028 3,372 3,100 91.93 93.24 -1.31 1881611051 195 169 86.66 86.14 0.52 1881625945 32 30 93.75 94.91 -1.16 1881653525 1,755 1,518 86.49 88.57 -2.08 1881793073 280 248 88.57 85.33 3.24 1881793081 923 804 87.10 85.86 1.24 1881793099 237 216 91.13 89.73 1.40 1881796993 321 271 84.42 85.05 -0.63 1881797629 62 56 90.32 91.66 -1.34 1881797645 1,279 1,100 86.00 87.87 -1.87 1881797652 2,915 2,596 89.05 91.06 -2.01 1881815181 347 280 80.69 79.37 1.32 1881849263 316 247 78.16 90.12 -11.96 1881931525 4 4 100.00 100.00 0.00 1881961662 370 286 77.29 79.21 -1.92 1891090601 321 291 90.65 92.98 -2.33 1891094439 13 13 100.00 92.48 7.52 1891160008 869 775 89.18 90.30 -1.12 1891193066 512 453 88.47 90.16 -1.69 1891212288 399 331 82.95 0.00 82.95 1891213518 234 207 88.46 0.00 88.46 1891227922 324 272 83.95 94.02 -10.07 1891712030 2,507 2,211 88.19 90.47 -2.28 1891718128 360 328 91.11 90.88 0.23 1891762134 8,810 7,787 88.38 90.30 -1.92 1891814000 45 38 84.44 93.93 -9.49 1891888020 1,707 1,512 88.57 88.93 -0.36 1891894028 770 687 89.22 93.61 -4.39 1891894093 4,619 4,028 87.20 89.05 -1.85

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 50 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1891894135 731 653 89.32 88.61 0.71 1891896593 335 286 85.37 85.53 -0.16 1891898599 1,529 1,326 86.72 90.09 -3.37 1891898664 2,935 2,547 86.78 88.13 -1.35 1891899563 1,255 1,114 88.76 90.34 -1.58 1891938833 632 561 88.76 88.85 -0.09 1891940060 2,157 1,765 81.82 81.60 0.22 1891980694 2,023 1,760 86.99 89.96 -2.97 1902042708 2,677 2,346 87.63 89.28 -1.65 1902121247 343 265 77.25 74.40 2.85 1902142649 1,439 1,281 89.02 88.28 0.74 1902232572 211 177 83.88 87.38 -3.50 1902277239 2,027 1,185 58.46 56.24 2.22 1902357130 1,008 850 84.32 86.81 -2.49 1902811003 6,646 5,794 87.18 89.20 -2.02 1902811078 57 50 87.71 83.33 4.38 1902823156 2,620 2,325 88.74 92.21 -3.47 1902824709 1,797 1,650 91.81 93.41 -1.60 1902848500 1,089 965 88.61 90.83 -2.22 1902853112 126 125 99.20 98.38 0.82 1902900673 1,608 1,381 85.88 88.54 -2.66 1902904550 487 423 86.85 86.87 -0.02 1902905144 1,181 1,043 88.31 90.46 -2.15 1902905243 124 110 88.70 88.95 -0.25 1902909831 245 214 87.34 86.08 1.26 1902941818 945 794 84.02 85.82 -1.80 1902991375 218 204 93.57 93.68 -0.11 1912001686 1,665 1,443 86.66 88.14 -1.48 1912004847 2,723 2,409 88.46 90.47 -2.01 1912006156 81 63 77.77 81.78 -4.01 1912008756 590 529 89.66 88.88 0.78 1912013889 2,226 1,988 89.30 90.69 -1.39 1912131384 1,749 1,549 88.56 89.98 -1.42 1912147455 90 88 97.77 97.16 0.61 1912174384 336 275 81.84 83.33 -1.49 1912200122 3,080 2,713 88.08 90.06 -1.98 1912231309 349 323 92.55 92.45 0.10 1912239096 18 9 50.00 60.00 -10.00 1912330937 861 741 86.06 89.14 -3.08 1912333865 2,250 1,914 85.06 88.29 -3.23 1912342221 16 12 75.00 88.00 -13.00 1912347915 220 201 91.36 85.50 5.86 1912425646 640 561 87.65 0.00 87.65 1912428616 71 62 87.32 0.00 87.32 1912433228 933 147 15.75 49.51 -33.76

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 51 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1912912015 7,136 6,337 88.80 90.27 -1.47 1912912098 4,062 3,497 86.09 88.33 -2.24 1912918152 925 811 87.67 89.85 -2.18 1912924168 3,282 2,842 86.59 89.33 -2.74 1912926023 3,061 2,637 86.14 86.74 -0.60 1912931700 407 350 85.99 87.36 -1.37 1912986001 4,128 3,532 85.56 88.60 -3.04 1922013002 2,993 2,621 87.57 89.95 -2.38 1922013028 1,345 1,144 85.05 89.72 -4.67 1922013929 5,061 4,400 86.93 88.28 -1.35 1922015924 1,439 1,226 85.19 89.52 -4.33 1922025170 3,825 3,379 88.33 89.53 -1.20 1922035856 1,384 1,202 86.84 89.11 -2.27 1922049816 1 1 100.00 100.00 0.00 1922100973 266 231 86.84 82.65 4.19 1922101609 965 868 89.94 89.40 0.54 1922101617 2,814 2,513 89.30 91.07 -1.77 1922102672 103 89 86.40 87.21 -0.81 1922106574 892 782 87.66 89.60 -1.94 1922107168 659 586 88.92 87.33 1.59 1922107176 711 630 88.60 88.59 0.01 1922153170 1,168 1,027 87.92 90.25 -2.33 1922177898 934 820 87.79 88.38 -0.59 1922191113 222 184 82.88 83.47 -0.59 1922240100 252 223 88.49 87.86 0.63 1922246818 2,194 1,862 84.86 84.18 0.68 1922249259 1,306 1,149 87.97 88.49 -0.52 1922278605 2,710 2,431 89.70 91.13 -1.43 1922290527 1,232 1,086 88.14 88.96 -0.82 1922351519 3,945 3,385 85.80 86.22 -0.42 1922433374 1,708 1,521 89.05 90.88 -1.83 1922526946 865 749 86.58 0.00 86.58 1922559400 535 479 89.53 89.76 -0.23 1932114030 3,842 3,282 85.42 87.20 -1.78 1932114881 4,190 3,712 88.59 89.23 -0.64 1932114931 651 541 83.10 85.74 -2.64 1932126190 3,401 3,022 88.85 91.82 -2.97 1932144912 3,994 3,429 85.85 88.23 -2.38 1932188836 1,035 918 88.69 91.16 -2.47 1932200631 275 248 90.18 89.22 0.96 1932202629 1,193 1,026 86.00 87.66 -1.66 1932207800 1,915 1,638 85.53 88.50 -2.97 1932208170 142 119 83.80 90.10 -6.30 1932212925 4,607 4,088 88.73 90.37 -1.64 1932219888 3,788 3,191 84.23 85.23 -1.00

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 52 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1932235199 424 366 86.32 86.62 -0.30 1932245784 1,320 1,156 87.57 89.29 -1.72 1932271053 3,337 2,935 87.95 88.29 -0.34 1932287448 867 759 87.54 86.82 0.72 1932296894 7 4 57.14 61.53 -4.39 1932328192 3,412 3,015 88.36 90.15 -1.79 1932332053 659 560 84.97 87.00 -2.03 1932385366 3,340 2,858 85.56 87.94 -2.38 1932442514 3,450 3,049 88.37 90.95 -2.58 1932458981 1,017 931 91.54 93.25 -1.71 1932508363 1,694 1,511 89.19 90.41 -1.22 1932513090 1,014 902 88.95 88.84 0.11 1932572294 1,161 1,028 88.54 89.76 -1.22 1932586351 271 258 95.20 94.16 1.04 1932587250 145 136 93.79 88.93 4.86 1932626561 1,996 1,769 88.62 0.00 88.62 1942201173 2,002 1,725 86.16 88.79 -2.63 1942215892 585 493 84.27 86.01 -1.74 1942223250 222 191 86.03 88.14 -2.11 1942226097 1,726 1,604 92.93 92.81 0.12 1942227103 2,545 2,285 89.78 90.22 -0.44 1942231535 584 506 86.64 85.27 1.37 1942234448 476 378 79.41 75.38 4.03 1942257654 387 325 83.97 89.28 -5.31 1942257662 2,220 1,959 88.24 88.40 -0.16 1942267497 149 135 90.60 90.07 0.53 1942303631 1,610 1,360 84.47 86.85 -2.38 1942309133 645 586 90.85 91.12 -0.27 1942313606 258 216 83.72 83.45 0.27 1942350392 1,168 999 85.53 87.04 -1.51 1942368147 924 755 81.70 81.30 0.40 1942377668 592 513 86.65 88.80 -2.15 1942394234 3,172 2,817 88.80 91.32 -2.52 1942394358 1,210 1,097 90.66 93.13 -2.47 1942397146 2,226 2,007 90.16 92.55 -2.39 1942400171 69 66 95.65 97.77 -2.12 1942403308 616 585 94.96 96.72 -1.76 1942430343 331 281 84.89 83.20 1.69 1942447321 741 641 86.50 80.95 5.55 1942534193 236 202 85.59 82.73 2.86 1942542808 820 714 87.07 88.94 -1.87 1942563416 180 161 89.44 87.39 2.05 1942607767 1,221 1,075 88.04 89.79 -1.75 1942649447 88 76 86.36 90.72 -4.36 1942728811 349 317 90.83 0.00 90.83

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 53 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1942740907 142 123 86.61 88.79 -2.18 1952318917 2,286 1,983 86.74 88.54 -1.80 1952324667 70 62 88.57 86.11 2.46 1952328114 4,534 3,972 87.60 89.32 -1.72 1952328122 2,303 2,068 89.79 90.94 -1.15 1952328155 16 13 81.25 82.35 -1.10 1952400145 100 95 95.00 90.89 4.11 1952404394 3,861 3,491 90.41 92.06 -1.65 1952404642 3,556 3,146 88.47 89.52 -1.05 1952404709 4,708 4,280 90.90 92.35 -1.45 1952408668 2,497 2,212 88.58 90.64 -2.06 1952414757 154 130 84.41 88.73 -4.32 1952416992 308 273 88.63 87.61 1.02 1952419582 73 65 89.04 84.61 4.43 1952471716 599 530 88.48 91.25 -2.77 1952480113 1,744 1,507 86.41 87.79 -1.38 1952586364 3,298 2,842 86.17 87.33 -1.16 1952596868 1,484 1,330 89.62 90.17 -0.55 1952634115 1,102 966 87.65 90.90 -3.25 1952655425 114 79 69.29 79.80 -10.51 1952711889 1,614 1,429 88.53 90.30 -1.77 1952849317 175 148 84.57 82.12 2.45 1962417592 2,880 2,426 84.23 86.18 -1.95 1962429134 315 278 88.25 90.83 -2.58 1962440859 1,162 1,032 88.81 89.50 -0.69 1962505651 3,276 2,882 87.97 90.40 -2.43 1962505669 1,033 874 84.60 86.04 -1.44 1962505727 5,437 4,802 88.32 89.04 -0.72 1962549055 880 785 89.20 92.07 -2.87 1962584755 1,035 911 88.01 89.92 -1.91 1962595314 387 328 84.75 84.76 -0.01 1962595330 138 117 84.78 85.59 -0.81 1962640060 814 697 85.62 87.77 -2.15 1962688598 864 745 86.22 87.47 -1.25 1962748194 16 14 87.50 100.00 -12.50 1962787176 -1 -1 0.00 0.00 0.00 1962823039 862 796 92.34 91.73 0.61 1962839498 3 2 66.66 100.00 -33.34 1962849281 926 783 84.55 86.91 -2.36 1962886333 125 99 79.20 87.03 -7.83 1962928689 630 541 85.87 0.00 85.87 1962942326 5 4 80.00 0.00 80.00 1972510071 95 95 100.00 100.00 0.00 1972520112 2,155 1,854 86.03 88.72 -2.69 1972520146 3,163 2,735 86.46 88.19 -1.73

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 54 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1972525533 715 613 85.73 86.30 -0.57 1972528586 3,634 3,204 88.16 90.14 -1.98 1972539294 175 159 90.85 92.41 -1.56 1972560688 269 11 4.08 5.63 -1.55 1972579811 587 538 91.65 92.35 -0.70 1972600815 6,105 5,304 86.87 87.98 -1.11 1972602175 1,169 1,021 87.33 88.87 -1.54 1972604676 472 427 90.46 91.12 -0.66 1972605327 1,268 1,106 87.22 88.87 -1.65 1972606457 4,773 4,199 87.97 89.15 -1.18 1972606663 3,968 3,539 89.18 89.37 -0.19 1972606739 4,052 3,531 87.14 87.98 -0.84 1972606747 6,068 5,311 87.52 88.78 -1.26 1972637783 2,316 2,041 88.12 92.37 -4.25 1972750792 1,992 1,789 89.80 90.48 -0.68 1972776573 1,489 1,286 86.36 88.84 -2.48 1972795623 2,118 1,849 87.29 89.65 -2.36 1972828226 937 841 89.75 89.81 -0.06 1972905560 1,605 1,349 84.04 86.16 -2.12 1972920577 659 580 88.01 91.42 -3.41 1972940377 1,814 1,663 91.67 90.58 1.09 1972958361 109 84 77.06 84.25 -7.19 1982004289 1,228 1,078 87.78 89.77 -1.99 1982030573 4,474 3,939 88.04 90.35 -2.31 1982050670 1,312 1,169 89.10 87.44 1.66 1982071296 16 10 62.50 61.90 0.60 1982121562 458 397 86.68 0.00 86.68 1982142626 611 504 82.48 83.35 -0.87 1982602991 137 10 7.29 17.36 -10.07 1982611943 2,588 2,340 90.41 90.30 0.11 1982621124 4,827 4,221 87.44 88.81 -1.37 1982626545 576 501 86.97 89.80 -2.83 1982626552 1,680 1,447 86.13 87.82 -1.69 1982626784 527 457 86.71 87.86 -1.15 1982665170 1,098 978 89.07 88.93 0.14 1982701827 1,950 1,689 86.61 89.67 -3.06 1982703104 61 53 86.88 86.72 0.16 1982703112 834 744 89.20 91.03 -1.83 1982703179 266 224 84.21 87.45 -3.24 1982703187 449 418 93.09 90.26 2.83 1982703195 375 332 88.53 87.60 0.93 1982706057 26 24 92.30 89.47 2.83 1982707626 111 98 88.28 92.42 -4.14 1982707634 103 86 83.49 80.68 2.81 1982707741 4,957 4,344 87.63 88.77 -1.14

REPORT: CR40070-R0001 NORTH CAROLINA DEPARTMENT OF HEALTH AND HUMAN SERVICES PROCESS DATE: 06/16/2018 PAYER: DMA NCTRACKS PROCESS TIME: 15:45:36 PAGE: 55 PHARMACY GENERIC DISPENSING RATE REPORT - BY PROVIDER INCLUDES ALL PROVIDERS - QUARTER 04/2018 THRU 06/2018 (FOR CLAIMS PROCESSING EFFECTIVE 08/01/2018) TOTAL TOTAL GENERIC PREV QUARTER NPI CLAIMS GENERIC DISPENSING RATE % GENERIC % VARIANCE 1982707758 1,633 1,467 89.83 91.02 -1.19 1982707816 11 9 81.81 90.90 -9.09 1982709309 8,567 6,610 77.15 78.42 -1.27 1982710554 3,188 2,526 79.23 80.50 -1.27 1982735981 2,759 2,381 86.29 89.69 -3.40 1982776514 1,140 1,015 89.03 90.12 -1.09 1982779286 3,649 3,115 85.36 85.89 -0.53 1982797114 1,345 1,226 91.15 92.44 -1.29 1982797833 133 114 85.71 87.66 -1.95 1982863742 483 423 87.57 87.41 0.16 1982875423 644 548 85.09 84.25 0.84 1982894960 162 144 88.88 87.16 1.72 1982911616 4,113 3,605 87.64 89.15 -1.51 1982973293 485 442 91.13 93.63 -2.50 1992000533 1,571 1,431 91.08 92.01 -0.93 1992056261 230 199 86.52 81.41 5.11 1992131569 3,586 3,164 88.23 90.85 -2.62 1992132708 216 184 85.18 85.77 -0.59 1992163372 1,965 1,719 87.48 88.94 -1.46 1992741888 1,860 1,755 94.35 92.93 1.42 1992788020 2,051 1,777 86.64 87.12 -0.48 1992804116 1,034 913 88.29 89.15 -0.86 1992804124 258 225 87.20 88.15 -0.95 1992804132 298 272 91.27 87.76 3.51 1992805345 198 184 92.92 88.13 4.79 1992806731 714 634 88.79 88.92 -0.13 1992808661 1,758 1,526 86.80 87.45 -0.65 1992808679 1,684 1,555 92.33 92.34 -0.01 1992817902 1,215 1,038 85.43 83.03 2.40 1992819973 1,955 1,777 90.89 91.75 -0.86 1992881619 1,351 1,144 84.67 87.02 -2.35 1992896419 1,132 953 84.18 86.02 -1.84 1992989552 93 83 89.24 90.62 -1.38 1992992531 1,745 1,617 92.66 92.48 0.18 ALL PROVIDERS 3,754,981 3,261,390 86.85