Technical_Exhibit_3_revised_09172021_0002.pdf

TECHNICAL EXHIBIT 3

ESTIMATED WORKLOAD DATA “ASSUMPTIONS”

The following estimates are reflective of the per annum volumes and rate beginning January 1, 2020 through December 31, 2020 (CY 2020) relevant to the CLIN structures of this RFP. The volumes and rates are provided for historical data only and does not guarantee the government will order the same volumes and at the same rate during the solicitation of these services. Please note that due to nature of these services, the estimated quantities are subject to change (increase or decrease) due to regulatory and statutory requirements and Program requirements.

Energy Black Lung Total Total Total Total Total Total Total Discounts (100%AWP for Drugs, and Paid Amounts for DME)

CY2020 -

Baseline

Base Period

Option Period 1

Period 2

Period 3

Period 4

Base + All Option Periods

Brand Name Retail $24,160,372.64

$11,647,071.13

$35,807,443.77

$31,331,513.30

$39,477,706.76

$41,451,592.09

$43,524,171.70

$45,700,380.28

$201,485,364.13

Generic Name Retail $22,074,776.75

$6,289,249.99

$28,364,026.74

$24,109,422.73

$29,509,933.42

$30,100,132.09

$30,702,134.73

$31,316,177.43

$145,737,800.39

Brand Name (Mail order or 84 or more day supply)

$12,084,406.20

$1,015,783.73

$13,100,189.93

$11,462,666.19

$14,442,959.40

$15,165,107.37

$15,923,362.74

$16,719,530.87

$73,713,626.56

Generic Name (Mail order or 84 or more day supply)

$14,489,004.31

$715,230.07

$15,204,234.38

$12,923,599.22

$15,818,485.45

$16,134,855.16

$16,457,552.26

$16,786,703.31

$78,121,195.40

Compounded Drugs $16,255,867.73

$16,255,867.73

$2,709,311.29

$1,625,586.77

$812,793.39

$406,396.69

$203,198.35

$5,757,286.49

Specialty Drugs (Brand Name Retail)

$44,553,607.58

$112,695.19

$44,666,302.77

$39,827,453.30

$51,138,450.04

$54,718,141.54

$58,548,411.45

$62,646,800.25

$266,879,256.60

Specialty Drugs (Generic Name Retail)

$3,881,017.46

$130,078.71

$4,011,096.17

$3,576,560.75

$4,592,304.01

$4,913,765.29

$5,257,728.86

$5,625,769.88

$23,966,128.77

Mail order or 84 or more day supply)

$10,097,649.77

$24,125.94

$10,121,775.71

$9,025,250.01

$11,588,421.01

$12,399,610.48

$13,267,583.21

$14,196,314.04

$60,477,178.75 Specialty Drugs (Generic Name Mail order or 84 or more day supply)

$1,781,502.80

$40,099.97

$1,821,602.77

$1,624,262.47

$2,085,553.01

$2,231,541.72

$2,387,749.64

$2,554,892.12

$10,883,998.96

Rx Supplies $614,919.40

$5,942.93

$620,862.33

$543,254.54

$684,500.72

$718,725.75

$754,662.04

$792,395.14

$3,493,538.20

Durable Medical Equipment

(DME)

$6,813,998.09

$433,420.67

$7,247,418.76

$317,074.57 $399,513.96 $419,489.66

$440,464.14

$462,487.35

$2,039,029.67

Total Discount CLINS = $156,807,122.73

$20,413,698.33

$177,220,821.06

$137,450,368.37 $171,363,414.54 $179,065,754.54

$187,670,217.47

$197,004,649.01

$872,554,403.93

Rebates (Prescription Volume)

Brand Name Retail 46394 25200 71594 62645 78932 82879 87023 91374 402853 Brand Name (mail order or 84 or more day supply)

10311

10827

11368

50119

Retail)

19448

Mail order or 84 or more day supply)

Total Rebate CLINS = 73753 93008 97743 102722 107955 475181