Exhibit_M_-_Pharmacy_Claims_Pricing_File_(1_TAB_TO_COMPLETE,_DO_NOT_SUBMIT)_FINAL.xlsx

XLSX spreadsheet 5 MB Posted Jun 30, 2025

Attached to: 25-P-115TF Self-Funded Group Health Plan Administrative Services
Solicitation number: 25-P-115TF
Issued by: Volusia County, Florida

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File	Type	Posted
25-P-115TF_Self-Funded_Group_Health_Plan_Administrative_Services_(Addendum_#6_Revision).pdf	PDF	Aug 6, 2025
25-P-115TF_Self-Funded_Group_Health_Plan_Administrative_Services.pdf	PDF	Jul 1, 2025
Exhibit_D_-_Insurance_Requirements_(For_DRAFT_Contract)_FINAL_.pdf	PDF	Jun 30, 2025
25-P-115TF_Self-Funded_Group_Health_Plan_Admin_Srvs_Agreement_FINAL_DRAFT.pdf	PDF	Jun 30, 2025
Exhibit_M_-_Pharmacy_Claims_Pricing_File_(1_TAB_TO_COMPLETE,_DO_NOT_SUBMIT)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Exhibit_L_-_Medical_Discount_Pricing_File_(3_TABS_TO_COMPLETE,_DO_NOT_SUBMIT)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Exhibit_K_–_Medical_Claims_Pricing_File_(3_TABS_TO_COMPLETE,_DO_NOT_SUBMIT)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Exhibit_J_-_Large_Claims_2022-2024_(3_TABS_to_VIEW)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Exhibit_I_-_Census_(3_TABS_to_VIEW)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Exhibit_H_-_Claims_Experience_(2_TABS_to_VIEW)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Exhibit_G_-_County_Computing_Security_Procedures_FINAL.pdf	PDF	Jun 30, 2025
Exhibit_F_-_HIPPA_Business_Associate_Agreement_FINAL.pdf	PDF	Jun 30, 2025
Exhibit_E_-_Human_Trafficking_Affidavit_FINAL.pdf	PDF	Jun 30, 2025
Exhibit_C_-_Summary_Plan_Document_(2025)_FINAL.pdf	PDF	Jun 30, 2025
Attachment_B.1_Pharmacy_Pricing_Guarantees_(1_TAB_TO_COMPLETE)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Exhibit_B_-_Fees_and_Performance_Guarantees_FINAL.docx	DOCX document	Jun 30, 2025
Exhibit_A.4_-_Onsite_Job_Descriptions_FINAL.pdf	PDF	Jun 30, 2025
Exhibit_A.3_-_Claims_Reporting_Fields_FINAL.pdf	PDF	Jun 30, 2025
Attachment_A.2_-_Network_and_Formulary_Disruption_(4_TABS_TO_COMPLETE)_FINAL.xlsx	XLSX spreadsheet	Jun 30, 2025
Attachment_A.1_-_Worksheet_Health_Plan_Administrative_Services_FINAL.docx	DOCX document	Jun 30, 2025
Exhibit_A_-_Scope_of_Services_FINAL.pdf	PDF	Jun 30, 2025

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Prescription Drug

PRESCRIPTION DRUG RE-PRICING - CONFIDENTIAL - DO NOT SUBMIT THIS INFORMATION WITH YOUR PROPOSAL

Pharmacy Claims Pricing

INSTRUCTIONS: Provide the Ingredient Cost for each script provided based on the AWP on the fill dates given. Highlight the prescription numbers of any claim which you are not able to price. Enter the ingredient cost per script in the highlighted field.
Claim #	Member #	Relationship	Billing NPI	Billing Name	NDC	Drug Name	Quantity Dispensed	Days Supply	Retail/Mail	Generic/Brand	Specialty Indicator	Date Rx Filled	AWP	Ingredient Cost
621188	414551	EMPLOYEE	1366541088	45TH MDSS/SGSR PATRICK AFB	24658050210	SIMVASTATIN 20 MG TABLET	90	90	RETAIL	GENERIC	N	20240409	$303.95
278458	606349	EMPLOYEE	1245631936	A PLUS PHARMACY	42385095330	EMTRICITABINE-TENOFV 200-300MG	30	30	RETAIL	GENERIC	Y	20240312	$2,100.20
303632	606349	EMPLOYEE	1245631936	A PLUS PHARMACY	68001032700	TRIAMTERENE-HCTZ 37.5-25 MG TB	30	30	RETAIL	GENERIC	N	20240312	$11.78
448814	367933	SPOUSE	1245631936	A PLUS PHARMACY	42571013726	KETOROLAC 0.5% OPHTH SOLUTION	10	20	RETAIL	GENERIC	N	20240712	$212.00
795387	367933	SPOUSE	1245631936	A PLUS PHARMACY	61314063710	PREDNISOLONE AC 1% EYE DROP	10	20	RETAIL	GENERIC	N	20240712	$110.54
803194	606349	EMPLOYEE	1245631936	A PLUS PHARMACY	55111046705	METOPROLOL SUCC ER 50 MG TAB	30	30	RETAIL	GENERIC	N	20240312	$31.61
474339	472923	DEPENDENT	1073733408	ACARIAHEALTH PHARMACY #26 INC	70127010010	EPIDIOLEX 100 MG/ML SOLN PACK	271	28	RETAIL	BRAND	Y	20240729	$5,317.02
22305	191953	EMPLOYEE	1649285289	ACCARDI CLINICAL PHARMACY	69452023420	PROGESTERONE 200 MG CAPSULE	90	90	RETAIL	GENERIC	N	20240729	$349.88
90080	489922	SPOUSE	1649285289	ACCARDI CLINICAL PHARMACY	16714072102	FLUOXETINE HCL 20 MG CAPSULE	30	30	RETAIL	GENERIC	N	20240108	$80.03
113891	489922	SPOUSE	1649285289	ACCARDI CLINICAL PHARMACY	16714072102	FLUOXETINE HCL 20 MG CAPSULE	30	30	RETAIL	GENERIC	N	20240326	$80.03
162051	191953	EMPLOYEE	1649285289	ACCARDI CLINICAL PHARMACY	16714015801	PROGESTERONE 200 MG CAPSULE	90	90	RETAIL	GENERIC	N	20240214	$481.22
174340	489922	SPOUSE	1649285289	ACCARDI CLINICAL PHARMACY	16714080801	DEXTROAMP-AMPHETAMIN 30 MG TAB	56	28	RETAIL	GENERIC	N	20240326	$97.55
212249	489922	SPOUSE	1649285289	ACCARDI CLINICAL PHARMACY	16714080801	DEXTROAMP-AMPHETAMIN 30 MG TAB	60	30	RETAIL	GENERIC	N	20240229	$104.52
287301	489922	SPOUSE	1649285289	ACCARDI CLINICAL PHARMACY	68180059306	DESVENLAFAXINE SUCCNT ER 100MG	30	30	RETAIL	GENERIC	N	20240326	$344.19
300881	489922	SPOUSE	1649285289	ACCARDI CLINICAL PHARMACY	69315014001	GLYCOPYRROLATE 2 MG TABLET	60	30	RETAIL	GENERIC	N	20240223	$131.98
332823	722861	EMPLOYEE	1649285289	ACCARDI CLINICAL PHARMACY	24208091055	ERYTHROMYCIN 0.5% EYE OINTMENT	3.5	15	RETAIL	GENERIC	N	20241014	$19.00
344442	489922	SPOUSE	1649285289	ACCARDI CLINICAL PHARMACY	23155060701	GLYCOPYRROLATE 2 MG TABLET	60	30	RETAIL	GENERIC	N	20240131	$131.98
385753	489922	SPOUSE	1649285289	ACCARDI CLINICAL PHARMACY	16714072102	FLUOXETINE HCL 20 MG CAPSULE	30	30	RETAIL	GENERIC	N	20240131	$80.03
453617	489922	SPOUSE	1649285289	ACCARDI CLINICAL PHARMACY	69076047601	GLYCOPYRROLATE 2 MG TABLET	60	30	RETAIL	GENERIC	N	20240326	$131.98
593698	191953	EMPLOYEE	1649285289	ACCARDI CLINICAL PHARMACY	69452023420	PROGESTERONE 200 MG CAPSULE	90	90	RETAIL	GENERIC	N	20241029	$349.88
664601	489922	SPOUSE	1649285289	ACCARDI CLINICAL PHARMACY	68180059306	DESVENLAFAXINE SUCCNT ER 100MG	30	30	RETAIL	GENERIC	N	20240223	$344.19
674265	489922	SPOUSE	1649285289	ACCARDI CLINICAL PHARMACY	68180059306	DESVENLAFAXINE SUCCNT ER 100MG	30	30	RETAIL	GENERIC	N	20240102	$344.19
691451	191953	EMPLOYEE	1649285289	ACCARDI CLINICAL PHARMACY	16714015801	PROGESTERONE 200 MG CAPSULE	70	70	RETAIL	GENERIC	N	20240508	$374.28
707299	489922	SPOUSE	1649285289	ACCARDI CLINICAL PHARMACY	68180059306	DESVENLAFAXINE SUCCNT ER 100MG	30	30	RETAIL	GENERIC	N	20240131	$344.19
802127	191953	EMPLOYEE	1649285289	ACCARDI CLINICAL PHARMACY	16714015801	PROGESTERONE 200 MG CAPSULE	30	30	RETAIL	GENERIC	N	20240118	$160.41
809525	489922	SPOUSE	1649285289	ACCARDI CLINICAL PHARMACY	16714072102	FLUOXETINE HCL 20 MG CAPSULE	30	30	RETAIL	GENERIC	N	20240223	$80.03
812387	489922	SPOUSE	1649285289	ACCARDI CLINICAL PHARMACY	23155060701	GLYCOPYRROLATE 2 MG TABLET	60	30	RETAIL	GENERIC	N	20240108	$131.98
857756	489922	SPOUSE	1649285289	ACCARDI CLINICAL PHARMACY	16714080801	DEXTROAMP-AMPHETAMIN 30 MG TAB	60	30	RETAIL	GENERIC	N	20240131	$104.52
961138	443227	EMPLOYEE	1649285289	ACCARDI CLINICAL PHARMACY	00338004803	SODIUM CHLORIDE 0.9% IRRIG.	500	25	RETAIL	GENERIC	N	20241016	$5.28
104395	363099	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	00074709430	QULIPTA 60 MG TABLET	30	30	RETAIL	BRAND	N	20241202	$1,311.10
351509	363099	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	00074709430	QULIPTA 60 MG TABLET	30	30	RETAIL	BRAND	N	20241227	$1,311.10
744852	363099	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	00074709430	QULIPTA 60 MG TABLET	30	30	RETAIL	BRAND	N	20241014	$1,311.10
948870	363099	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	00074709430	QULIPTA 60 MG TABLET	30	30	RETAIL	BRAND	N	20241107	$1,311.10
3054	571632	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	00781325089	GLATOPA 40 MG/ML SYRINGE	12	28	RETAIL	GENERIC	Y	20240724	$6,291.60
35504	571632	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	42571027560	DALFAMPRIDINE ER 10 MG TABLET	60	30	RETAIL	GENERIC	Y	20241006	$2,903.99
47403	571632	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	16729029212	DALFAMPRIDINE ER 10 MG TABLET	60	30	RETAIL	GENERIC	Y	20240624	$2,906.90
71902	571632	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	00781325089	GLATOPA 40 MG/ML SYRINGE	12	28	RETAIL	GENERIC	Y	20240820	$6,291.60
91040	571632	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	00781325089	GLATOPA 40 MG/ML SYRINGE	12	28	RETAIL	GENERIC	Y	20241121	$6,291.60
106751	571632	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	42571027560	DALFAMPRIDINE ER 10 MG TABLET	60	30	RETAIL	GENERIC	Y	20240718	$2,903.99
140129	571632	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	00781325089	GLATOPA 40 MG/ML SYRINGE	12	28	RETAIL	GENERIC	Y	20241030	$6,291.60
202682	571632	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	42571027560	DALFAMPRIDINE ER 10 MG TABLET	60	30	RETAIL	GENERIC	Y	20240906	$2,903.99
244678	571632	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	42571027560	DALFAMPRIDINE ER 10 MG TABLET	60	30	RETAIL	GENERIC	Y	20241229	$2,903.99
264939	571632	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	42571027560	DALFAMPRIDINE ER 10 MG TABLET	60	30	RETAIL	GENERIC	Y	20241105	$2,903.99
596948	571632	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	42571027560	DALFAMPRIDINE ER 10 MG TABLET	60	30	RETAIL	GENERIC	Y	20240812	$2,903.99
706363	571632	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	00781325089	GLATOPA 40 MG/ML SYRINGE	12	28	RETAIL	GENERIC	Y	20241216	$6,291.60
775305	571632	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	00781325089	GLATOPA 40 MG/ML SYRINGE	12	28	RETAIL	GENERIC	Y	20241008	$6,291.60
812922	363099	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	50228048101	DILTIAZEM 30 MG TABLET	90	30	RETAIL	GENERIC	N	20241112	$89.93
885321	571632	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	42571027560	DALFAMPRIDINE ER 10 MG TABLET	60	30	RETAIL	GENERIC	Y	20241205	$2,903.99
967841	363099	SPOUSE	1336716356	ACCORD SPECIALTY PHARMACY	16714025801	AMITRIPTYLINE HCL 25 MG TAB	60	30	RETAIL	GENERIC	N	20241014	$35.41
2220	168133	EMPLOYEE	1275740474	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240513	$16,647.36
3111	716419	SPOUSE	1346208949	ACCREDO HEALTH GROUP	00074230630	RINVOQ ER 15 MG TABLET	30	30	RETAIL	BRAND	Y	20240106	$7,717.45
7500	223447	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20241205	$9,148.70
8536	129537	DEPENDENT	1770916736	ACCREDO HEALTH GROUP	00024591902	DUPIXENT 200 MG/1.14 ML PEN	4.56	56	MAIL	BRAND	Y	20240926	$9,127.68
9102	766512	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	82154045104	PEGASYS 180 MCG/0.5 ML SYRINGE	2	28	MAIL	BRAND	Y	20241113	$5,344.44
9416	397933	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00003218811	ORENCIA 125 MG/ML SYRINGE	4	28	MAIL	BRAND	Y	20240102	$6,834.32
15230	321000	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20240317	$9,127.68
19655	187495	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20240629	$9,127.68
22969	747603	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242021501	XOLAIR 150 MG/ML SYRINGE	4	28	MAIL	BRAND	Y	20240403	$6,647.80
26012	440569	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00003218851	ORENCIA CLICKJECT 125 MG/ML	4	28	MAIL	BRAND	Y	20240403	$6,834.32
26886	601820	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240904	$9,148.70
27096	546013	EMPLOYEE	1730612953	ACCREDO HEALTH GROUP	00074230630	RINVOQ ER 15 MG TABLET	30	30	MAIL	BRAND	Y	20240927	$7,717.45
27726	402337	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240703	$8,882.20
30440	434495	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406004404	ENBREL 50 MG/ML MINI CARTRIDGE	4	28	MAIL	BRAND	Y	20240419	$8,882.20
34013	180718	DEPENDENT	1770916736	ACCREDO HEALTH GROUP	00078107068	COSENTYX UNOREADY 300 MG PEN	2	28	MAIL	BRAND	Y	20241216	$8,890.75
39319	223447	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20241014	$9,148.70
44728	177987	EMPLOYEE	1043309735	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	RETAIL	BRAND	Y	20240418	$8,298.86
44883	424651	SPOUSE	1770916736	ACCREDO HEALTH GROUP	64406001101	PLEGRIDY 125 MCG/0.5 ML PEN	1	28	MAIL	BRAND	Y	20240815	$9,919.01
45702	513840	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894006103	STELARA 90 MG/ML SYRINGE	1	28	MAIL	BRAND	Y	20240111	$31,820.40
52770	716419	SPOUSE	1043309735	ACCREDO HEALTH GROUP	00074230630	RINVOQ ER 15 MG TABLET	30	30	RETAIL	BRAND	Y	20241101	$7,717.45
53812	223447	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240418	$8,882.20
60787	377033	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	30	MAIL	BRAND	Y	20240315	$10,482.70
67912	458715	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	49401008835	BENLYSTA 200 MG/ML AUTOINJECT	4	28	MAIL	BRAND	Y	20240315	$5,811.00
70336	716419	SPOUSE	1043309735	ACCREDO HEALTH GROUP	00074230630	RINVOQ ER 15 MG TABLET	30	30	RETAIL	BRAND	Y	20240607	$7,717.45
72323	424651	SPOUSE	1770916736	ACCREDO HEALTH GROUP	64406001101	PLEGRIDY 125 MCG/0.5 ML PEN	1	28	MAIL	BRAND	Y	20240124	$9,919.01
72768	601820	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20241121	$9,148.70
73894	440569	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00003218851	ORENCIA CLICKJECT 125 MG/ML	4	28	MAIL	BRAND	Y	20241112	$6,834.32
75664	377033	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	30	MAIL	BRAND	Y	20240206	$10,482.70
76471	321000	SPOUSE	1275740474	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20240513	$9,127.68
78111	573164	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240105	$8,882.20
79707	473669	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242014001	ERIVEDGE 150 MG CAPSULE	30	30	MAIL	BRAND	Y	20241018	$17,188.08
81139	513840	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894006103	STELARA 90 MG/ML SYRINGE	1	56	MAIL	BRAND	Y	20240209	$33,411.42
81571	407115	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00069050130	XELJANZ XR 11 MG TABLET	30	30	MAIL	BRAND	Y	20241118	$6,940.73
82116	513840	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894006103	STELARA 90 MG/ML SYRINGE	1	56	MAIL	BRAND	Y	20240327	$33,411.42
84018	159572	EMPLOYEE	1730612953	ACCREDO HEALTH GROUP	55513013760	OTEZLA 30 MG TABLET	60	30	MAIL	BRAND	Y	20240802	$5,970.50
84909	512616	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240322	$8,882.20
84940	618116	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	55513012301	TEZSPIRE 210 MG/1.91 ML PEN	1.91	28	MAIL	BRAND	Y	20240221	$5,187.42
85014	418191	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20240102	$23,681.53
85857	618116	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	55513012301	TEZSPIRE 210 MG/1.91 ML PEN	1.91	28	MAIL	BRAND	Y	20240701	$5,343.05
86497	144533	EMPLOYEE	1730612953	ACCREDO HEALTH GROUP	55513013760	OTEZLA 30 MG TABLET	60	30	MAIL	BRAND	Y	20240911	$5,970.50
88645	716030	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242014301	ACTEMRA ACTPEN 162 MG/0.9 ML	3.6	28	MAIL	BRAND	Y	20241230	$5,639.08
88804	716030	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242014301	ACTEMRA ACTPEN 162 MG/0.9 ML	3.6	28	MAIL	BRAND	Y	20240216	$5,639.08
89434	736131	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	50242013801	ACTEMRA 162 MG/0.9 ML SYRINGE	1.8	28	MAIL	BRAND	Y	20240226	$2,819.54
90631	601282	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240919	$16,647.36
92965	466823	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	61958220101	EPCLUSA 400 MG-100 MG TABLET	28	28	MAIL	BRAND	Y	20241220	$29,904.00
98999	180718	DEPENDENT	1770916736	ACCREDO HEALTH GROUP	00078063997	COSENTYX 150 MG/ML SYRINGE	1	28	MAIL	BRAND	Y	20240112	$8,890.75
99746	452688	EMPLOYEE	1275740474	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240724	$16,647.36
99972	303189	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	78206014501	NEXPLANON 68 MG IMPLANT	1	30	MAIL	BRAND	Y	20240402	$1,387.54
100301	558628	EMPLOYEE	1275740474	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20241021	$9,127.68
102439	397933	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00003218811	ORENCIA 125 MG/ML SYRINGE	4	28	MAIL	BRAND	Y	20240605	$6,834.32
102918	397933	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00003218811	ORENCIA 125 MG/ML SYRINGE	4	28	MAIL	BRAND	Y	20241203	$6,834.32
104225	177987	EMPLOYEE	1043309735	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	RETAIL	BRAND	Y	20240227	$8,298.86
106168	716419	SPOUSE	1043309735	ACCREDO HEALTH GROUP	00074230630	RINVOQ ER 15 MG TABLET	30	30	RETAIL	BRAND	Y	20240424	$7,717.45
109237	144035	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20240123	$8,298.86
111563	639477	SPOUSE	1275740474	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240701	$16,647.36
113751	520459	DEPENDENT	1770916736	ACCREDO HEALTH GROUP	78206014501	NEXPLANON 68 MG IMPLANT	1	30	MAIL	BRAND	Y	20241030	$1,387.54
115009	230155	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894006103	STELARA 90 MG/ML SYRINGE	1	56	MAIL	BRAND	Y	20241111	$33,411.42
115468	382717	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20240321	$25,220.83
116865	364981	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	28	MAIL	BRAND	Y	20240405	$25,220.83
119079	727330	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	44087400009	MAVENCLAD 10 MG X 9 TABLET PK	9	30	MAIL	BRAND	Y	20240716	$112,383.50
119097	747705	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	28	MAIL	BRAND	Y	20240304	$10,482.70
121683	434495	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406004404	ENBREL 50 MG/ML MINI CARTRIDGE	4	28	MAIL	BRAND	Y	20240326	$8,882.20
122922	300623	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	69516000530	OCALIVA 5 MG TABLET	30	30	MAIL	BRAND	Y	20240830	$11,464.86
123657	144533	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	55513013760	OTEZLA 30 MG TABLET	60	30	MAIL	BRAND	Y	20240227	$5,796.60
124331	440569	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00003218851	ORENCIA CLICKJECT 125 MG/ML	4	28	MAIL	BRAND	Y	20240620	$6,834.32
125687	377033	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	30	MAIL	BRAND	Y	20241205	$10,482.70
127605	472923	DEPENDENT	1346208949	ACCREDO HEALTH GROUP	70127010010	EPIDIOLEX 100 MG/ML SOLN PACK	462	30	RETAIL	BRAND	Y	20241108	$9,064.44
127747	440569	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00003218851	ORENCIA CLICKJECT 125 MG/ML	4	28	MAIL	BRAND	Y	20240816	$6,834.32
129070	766512	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	82154045104	PEGASYS 180 MCG/0.5 ML SYRINGE	2	28	MAIL	BRAND	Y	20240925	$5,344.44
129184	300623	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	69516000530	OCALIVA 5 MG TABLET	30	30	MAIL	BRAND	Y	20240524	$11,464.86
136640	397933	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00003218811	ORENCIA 125 MG/ML SYRINGE	4	28	MAIL	BRAND	Y	20240301	$6,834.32
144561	636046	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20241216	$16,647.36
147908	434495	SPOUSE	1275740474	ACCREDO HEALTH GROUP	58406004404	ENBREL 50 MG/ML MINI CARTRIDGE	4	28	MAIL	BRAND	Y	20241002	$9,148.70
148762	513467	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20240916	$8,298.86
150970	573164	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240910	$9,148.70
151934	679129	EMPLOYEE	1275740474	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240801	$16,647.36
154153	747603	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242021501	XOLAIR 150 MG/ML SYRINGE	4	28	MAIL	BRAND	Y	20240509	$6,647.80
156401	224235	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00074024302	HUMIRA(CF) 40 MG/0.4 ML SYRING	2	28	MAIL	BRAND	Y	20240227	$8,307.14
157333	177987	EMPLOYEE	1043309735	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	RETAIL	BRAND	Y	20240516	$8,298.86
158622	639477	SPOUSE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240513	$16,647.36
158848	513467	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20241127	$8,298.86
158879	573164	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240406	$8,882.20
166878	716181	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	78206014501	NEXPLANON 68 MG IMPLANT	1	30	MAIL	BRAND	Y	20241125	$1,387.54
169311	736131	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	50242013801	ACTEMRA 162 MG/0.9 ML SYRINGE	1.8	28	MAIL	BRAND	Y	20240521	$2,819.54
169417	144035	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20240807	$8,298.86
174370	418191	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20240401	$25,220.83
174619	410704	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20240108	$25,220.83
176572	603288	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20240621	$9,127.68
178458	377033	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	30	MAIL	BRAND	Y	20240906	$10,482.70
182931	639477	SPOUSE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20241209	$16,647.36
185416	736131	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	50242013801	ACTEMRA 162 MG/0.9 ML SYRINGE	1.8	28	MAIL	BRAND	Y	20241118	$2,819.54
186117	408172	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00003085222	SPRYCEL 100 MG TABLET	30	30	MAIL	BRAND	Y	20241001	$21,895.60
188660	230155	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894006103	STELARA 90 MG/ML SYRINGE	1	56	MAIL	BRAND	Y	20240705	$33,411.42
191352	177987	EMPLOYEE	1043309735	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	RETAIL	BRAND	Y	20240325	$8,298.86
191408	512616	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240516	$8,882.20
197254	402337	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240509	$8,882.20
198391	343764	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20240226	$9,127.68
202919	168133	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20241020	$16,647.36
204862	232128	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00310183030	FASENRA PEN 30 MG/ML	1	56	MAIL	BRAND	Y	20240524	$6,812.10
205092	397933	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00003218811	ORENCIA 125 MG/ML SYRINGE	4	28	MAIL	BRAND	Y	20240801	$6,834.32
205276	573164	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20241203	$9,148.70
205664	144533	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	55513013760	OTEZLA 30 MG TABLET	60	30	MAIL	BRAND	Y	20240614	$5,796.60
206268	716419	SPOUSE	1043309735	ACCREDO HEALTH GROUP	00074230630	RINVOQ ER 15 MG TABLET	30	30	RETAIL	BRAND	Y	20241220	$7,717.45
212031	180718	DEPENDENT	1770916736	ACCREDO HEALTH GROUP	00078107068	COSENTYX UNOREADY 300 MG PEN	2	28	MAIL	BRAND	Y	20241021	$8,890.75
230869	397933	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00003218811	ORENCIA 125 MG/ML SYRINGE	4	28	MAIL	BRAND	Y	20241227	$6,834.32
230886	213290	SPOUSE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240902	$16,647.36
231391	473669	SPOUSE	1730612953	ACCREDO HEALTH GROUP	50242014001	ERIVEDGE 150 MG CAPSULE	30	30	MAIL	BRAND	Y	20240802	$17,188.08
231900	573164	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20241105	$9,148.70
238268	321000	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20240702	$9,127.68
239857	168133	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	28	MAIL	BRAND	Y	20240103	$15,854.63
240407	512616	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20241231	$9,148.70
244977	377033	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	30	MAIL	BRAND	Y	20240521	$10,482.70
247317	424651	SPOUSE	1770916736	ACCREDO HEALTH GROUP	64406001101	PLEGRIDY 125 MCG/0.5 ML PEN	1	28	MAIL	BRAND	Y	20240221	$9,919.01
247788	588261	DEPENDENT	1275740474	ACCREDO HEALTH GROUP	00024591401	DUPIXENT 300 MG/2 ML SYRINGE	4	28	MAIL	BRAND	Y	20241231	$4,563.84
249242	410704	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20241226	$25,220.83
250467	698357	EMPLOYEE	1346208949	ACCREDO HEALTH GROUP	00597014560	OFEV 150 MG CAPSULE	60	30	RETAIL	BRAND	Y	20240430	$15,595.85
255903	601282	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240601	$16,647.36
262325	513467	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20241014	$8,298.86
263323	213290	SPOUSE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20241022	$16,647.36
264946	472923	DEPENDENT	1346208949	ACCREDO HEALTH GROUP	70127010010	EPIDIOLEX 100 MG/ML SOLN PACK	462	30	RETAIL	BRAND	Y	20240820	$9,064.44
265315	440569	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00003218851	ORENCIA CLICKJECT 125 MG/ML	4	28	MAIL	BRAND	Y	20241206	$6,834.32
269979	377033	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	30	MAIL	BRAND	Y	20240411	$10,482.70
270278	747705	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	28	MAIL	BRAND	Y	20240409	$10,482.70
272231	187495	SPOUSE	1275740474	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	4	28	MAIL	BRAND	Y	20240326	$4,563.84
276053	618116	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	55513012301	TEZSPIRE 210 MG/1.91 ML PEN	1.91	28	MAIL	BRAND	Y	20240509	$5,187.42
276144	180718	DEPENDENT	1770916736	ACCREDO HEALTH GROUP	00078063997	COSENTYX 150 MG/ML SYRINGE	1	28	MAIL	BRAND	Y	20240409	$8,890.75
277124	716030	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242014301	ACTEMRA ACTPEN 162 MG/0.9 ML	3.6	28	MAIL	BRAND	Y	20241111	$5,639.08
280552	513467	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20241223	$8,298.86
282180	397933	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00003218811	ORENCIA 125 MG/ML SYRINGE	4	28	MAIL	BRAND	Y	20240328	$6,834.32
284343	618116	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	55513012301	TEZSPIRE 210 MG/1.91 ML PEN	1.91	28	MAIL	BRAND	Y	20240410	$5,187.42
287988	679129	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240607	$16,647.36
288161	546013	EMPLOYEE	1275740474	ACCREDO HEALTH GROUP	00024591401	DUPIXENT 300 MG/2 ML SYRINGE	4	28	MAIL	BRAND	Y	20240319	$4,563.84
288385	603288	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20240320	$9,127.68
289415	716419	SPOUSE	1043309735	ACCREDO HEALTH GROUP	00074230630	RINVOQ ER 15 MG TABLET	30	30	RETAIL	BRAND	Y	20240806	$7,717.45
291684	424651	SPOUSE	1770916736	ACCREDO HEALTH GROUP	64406001101	PLEGRIDY 125 MCG/0.5 ML PEN	1	28	MAIL	BRAND	Y	20240419	$9,919.01
295144	343764	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20240408	$9,127.68
296331	144533	EMPLOYEE	1730612953	ACCREDO HEALTH GROUP	55513013760	OTEZLA 30 MG TABLET	60	30	MAIL	BRAND	Y	20240712	$5,970.50
302290	144533	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	55513013760	OTEZLA 30 MG TABLET	60	30	MAIL	BRAND	Y	20240516	$5,796.60
302449	300623	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	69516000530	OCALIVA 5 MG TABLET	30	30	MAIL	BRAND	Y	20240308	$10,826.12
303673	747705	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	28	MAIL	BRAND	Y	20241219	$10,482.70
306187	747705	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	28	MAIL	BRAND	Y	20240807	$10,482.70
306404	546013	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00024591401	DUPIXENT 300 MG/2 ML SYRINGE	8	56	MAIL	BRAND	Y	20240602	$9,127.68
308046	377033	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	30	MAIL	BRAND	Y	20240712	$10,482.70
308772	452688	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240604	$16,647.36
310123	343764	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20240103	$8,611.00
315258	224235	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00074024302	HUMIRA(CF) 40 MG/0.4 ML SYRING	2	28	MAIL	BRAND	Y	20240909	$8,307.14
316285	513467	EMPLOYEE	1043309735	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	RETAIL	BRAND	Y	20240229	$8,298.86
316943	224235	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00074024302	HUMIRA(CF) 40 MG/0.4 ML SYRING	2	28	MAIL	BRAND	Y	20240320	$8,307.14
319783	573963	SPOUSE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240320	$16,647.36
325318	177987	EMPLOYEE	1346208949	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	RETAIL	BRAND	Y	20240201	$8,298.86
326158	346067	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00310183030	FASENRA PEN 30 MG/ML	1	56	MAIL	BRAND	Y	20240805	$6,812.10
328712	382717	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20240610	$25,220.83
332661	466823	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	61958220101	EPCLUSA 400 MG-100 MG TABLET	28	28	MAIL	BRAND	Y	20241101	$29,904.00
334440	472923	DEPENDENT	1275740474	ACCREDO HEALTH GROUP	70127010010	EPIDIOLEX 100 MG/ML SOLN PACK	462	30	MAIL	BRAND	Y	20241204	$9,064.44
336761	377033	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	30	MAIL	BRAND	Y	20241002	$10,482.70
338823	766512	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	82154045104	PEGASYS 180 MCG/0.5 ML SYRINGE	2	28	MAIL	BRAND	Y	20240905	$5,344.44
341733	726149	DEPENDENT	1043309735	ACCREDO HEALTH GROUP	78206014501	NEXPLANON 68 MG IMPLANT	1	30	RETAIL	BRAND	Y	20240105	$1,387.54
343924	232128	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00310183030	FASENRA PEN 30 MG/ML	1	56	MAIL	BRAND	Y	20240716	$6,812.10
346544	187495	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	4	28	MAIL	BRAND	Y	20240208	$4,563.84
348365	452688	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240222	$16,647.36
350433	410704	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20240408	$25,220.83
351621	513840	EMPLOYEE	1275740474	ACCREDO HEALTH GROUP	57894006103	STELARA 90 MG/ML SYRINGE	1	28	MAIL	BRAND	Y	20240523	$33,411.42
351886	573164	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240306	$8,882.20
358131	144035	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20240307	$8,298.86
359259	434495	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406004404	ENBREL 50 MG/ML MINI CARTRIDGE	4	28	MAIL	BRAND	Y	20240527	$8,882.20
361159	747705	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	28	MAIL	BRAND	Y	20240528	$10,482.70
362200	656717	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00024591401	DUPIXENT 300 MG/2 ML SYRINGE	8	56	MAIL	BRAND	Y	20240319	$9,127.68
362375	601820	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240522	$8,882.20
368611	434495	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406004404	ENBREL 50 MG/ML MINI CARTRIDGE	4	28	MAIL	BRAND	Y	20240723	$8,882.20
369309	736131	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	50242013801	ACTEMRA 162 MG/0.9 ML SYRINGE	1.8	28	MAIL	BRAND	Y	20241211	$2,819.54
370788	397933	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00003218811	ORENCIA 125 MG/ML SYRINGE	4	28	MAIL	BRAND	Y	20240703	$6,834.32
371951	402337	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240104	$8,459.21
373307	603288	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20241119	$9,127.68
373947	159572	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	55513013760	OTEZLA 30 MG TABLET	60	30	MAIL	BRAND	Y	20240619	$5,796.60
375561	127071	DEPENDENT	1770916736	ACCREDO HEALTH GROUP	78206014501	NEXPLANON 68 MG IMPLANT	1	30	MAIL	BRAND	Y	20240625	$1,387.54
380785	601820	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240213	$8,882.20
384969	618116	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	55513012301	TEZSPIRE 210 MG/1.91 ML PEN	1.91	28	MAIL	BRAND	Y	20241216	$5,343.05
385052	601820	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240403	$8,882.20
387949	177987	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20241101	$8,298.86
391286	458715	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	49401008835	BENLYSTA 200 MG/ML AUTOINJECT	4	28	MAIL	BRAND	Y	20240221	$5,811.00
391765	486513	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00074105001	SKYRIZI 150 MG/ML SYRINGE	1	84	MAIL	BRAND	Y	20240212	$25,220.83
392396	716030	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242014301	ACTEMRA ACTPEN 162 MG/0.9 ML	3.6	28	MAIL	BRAND	Y	20241004	$5,639.08
395487	418191	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20240618	$25,220.83
400361	706174	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20241014	$9,148.70
400648	513840	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894006103	STELARA 90 MG/ML SYRINGE	1	28	MAIL	BRAND	Y	20240926	$33,411.42
403256	177987	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20241010	$8,298.86
405448	232128	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00310183030	FASENRA PEN 30 MG/ML	1	56	MAIL	BRAND	Y	20241029	$6,812.10
407655	230155	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894006103	STELARA 90 MG/ML SYRINGE	1	56	MAIL	BRAND	Y	20240905	$33,411.42
408730	716030	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242014301	ACTEMRA ACTPEN 162 MG/0.9 ML	3.6	28	MAIL	BRAND	Y	20240419	$5,639.08
410202	434495	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406004404	ENBREL 50 MG/ML MINI CARTRIDGE	4	28	MAIL	BRAND	Y	20241029	$9,148.70
412122	747705	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	28	MAIL	BRAND	Y	20240716	$10,482.70
412656	601282	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240416	$16,647.36
413891	432526	EMPLOYEE	1730612953	ACCREDO HEALTH GROUP	00069050130	XELJANZ XR 11 MG TABLET	30	30	MAIL	BRAND	Y	20240520	$6,940.73
414494	144035	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20240514	$8,298.86
416648	213290	SPOUSE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240521	$16,647.36
416811	546013	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00024591401	DUPIXENT 300 MG/2 ML SYRINGE	4	28	MAIL	BRAND	Y	20240226	$4,563.84
416879	377033	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	30	MAIL	BRAND	Y	20241029	$10,482.70
417408	747603	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242021501	XOLAIR 150 MG/ML SYRINGE	4	28	MAIL	BRAND	Y	20240227	$6,647.80
424534	513467	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20240701	$8,298.86
425174	512616	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240619	$8,882.20
427023	224235	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00074024302	HUMIRA(CF) 40 MG/0.4 ML SYRING	2	28	MAIL	BRAND	Y	20240530	$8,307.14
431046	144035	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20240213	$8,298.86
440348	716030	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242014301	ACTEMRA ACTPEN 162 MG/0.9 ML	3.6	28	MAIL	BRAND	Y	20240513	$5,639.08
440619	199804	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	4	14	MAIL	BRAND	Y	20241125	$4,563.84
440973	168133	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240702	$16,647.36
441738	213290	SPOUSE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240401	$16,647.36
444912	321000	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20240205	$9,127.68
445208	346067	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00310183030	FASENRA PEN 30 MG/ML	1	56	MAIL	BRAND	Y	20240202	$6,812.10
452001	230155	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894006103	STELARA 90 MG/ML SYRINGE	1	56	MAIL	BRAND	Y	20241231	$33,411.42
452151	144035	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20240604	$8,298.86
456256	716030	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242014301	ACTEMRA ACTPEN 162 MG/0.9 ML	3.6	28	MAIL	BRAND	Y	20240814	$5,639.08
456531	679129	EMPLOYEE	1275740474	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240924	$16,647.36
456877	382717	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	28	MAIL	BRAND	Y	20240205	$25,220.83
460472	343764	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20240619	$9,127.68
462071	410704	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20240626	$25,220.83
464294	512616	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20241208	$9,148.70
464376	129537	DEPENDENT	1770916736	ACCREDO HEALTH GROUP	00024591902	DUPIXENT 200 MG/1.14 ML PEN	4.56	56	MAIL	BRAND	Y	20240613	$9,127.68
464397	639477	SPOUSE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240321	$16,647.36
467147	540812	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00024591401	DUPIXENT 300 MG/2 ML SYRINGE	8	56	MAIL	BRAND	Y	20240220	$9,127.68
468516	187495	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	4	28	MAIL	BRAND	Y	20240304	$4,563.84
468653	639477	SPOUSE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240111	$15,854.63
469156	513467	EMPLOYEE	1043309735	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	RETAIL	BRAND	Y	20240205	$8,298.86
470733	716030	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242014301	ACTEMRA ACTPEN 162 MG/0.9 ML	3.6	28	MAIL	BRAND	Y	20240528	$5,639.08
475611	736131	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	50242013801	ACTEMRA 162 MG/0.9 ML SYRINGE	1.8	28	MAIL	BRAND	Y	20240829	$2,819.54
480261	300623	EMPLOYEE	1730612953	ACCREDO HEALTH GROUP	69516000530	OCALIVA 5 MG TABLET	30	30	MAIL	BRAND	Y	20240808	$11,464.86
480824	424651	SPOUSE	1770916736	ACCREDO HEALTH GROUP	64406001101	PLEGRIDY 125 MCG/0.5 ML PEN	1	28	MAIL	BRAND	Y	20241112	$9,919.01
481265	407115	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00069050130	XELJANZ XR 11 MG TABLET	30	30	MAIL	BRAND	Y	20240723	$6,940.73
482513	346067	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00310183030	FASENRA PEN 30 MG/ML	1	56	MAIL	BRAND	Y	20240926	$6,812.10
483925	766512	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	82154045104	PEGASYS 180 MCG/0.5 ML SYRINGE	2	28	MAIL	BRAND	Y	20240729	$5,344.44
485106	512616	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240111	$8,882.20
491030	180718	DEPENDENT	1770916736	ACCREDO HEALTH GROUP	00078107068	COSENTYX UNOREADY 300 MG PEN	2	28	MAIL	BRAND	Y	20240522	$8,890.75
495409	144035	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20240919	$8,298.86
497114	223447	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240815	$8,882.20
501082	716419	SPOUSE	1043309735	ACCREDO HEALTH GROUP	00074230630	RINVOQ ER 15 MG TABLET	30	30	RETAIL	BRAND	Y	20240708	$7,717.45
502565	418191	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20241213	$25,220.83
504779	573164	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240502	$8,882.20
506307	747603	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242021501	XOLAIR 150 MG/ML SYRINGE	4	28	MAIL	BRAND	Y	20240531	$6,647.80
509833	573164	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240720	$8,882.20
512407	440569	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00003218851	ORENCIA CLICKJECT 125 MG/ML	4	28	MAIL	BRAND	Y	20241015	$6,834.32
513336	747603	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242021501	XOLAIR 150 MG/ML SYRINGE	4	28	MAIL	BRAND	Y	20240205	$6,647.80
519232	407115	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00069050130	XELJANZ XR 11 MG TABLET	30	30	MAIL	BRAND	Y	20240403	$6,940.73
520166	513467	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20240821	$8,298.86
522215	514101	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20240104	$25,220.83
522339	716419	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00074230630	RINVOQ ER 15 MG TABLET	30	30	MAIL	BRAND	Y	20240206	$7,717.45
524010	573963	SPOUSE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240125	$15,854.63
524602	747705	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	28	MAIL	BRAND	Y	20240902	$10,482.70
527260	434495	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406004404	ENBREL 50 MG/ML MINI CARTRIDGE	4	28	MAIL	BRAND	Y	20240909	$9,148.70
527813	300623	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	69516000530	OCALIVA 5 MG TABLET	30	30	MAIL	BRAND	Y	20240207	$10,826.12
529732	224235	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00074024302	HUMIRA(CF) 40 MG/0.4 ML SYRING	2	28	MAIL	BRAND	Y	20240624	$8,307.14
530853	223447	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240223	$8,882.20
531594	601820	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20241001	$9,148.70
532465	698357	EMPLOYEE	1346208949	ACCREDO HEALTH GROUP	00597014560	OFEV 150 MG CAPSULE	60	30	RETAIL	BRAND	Y	20240312	$15,595.85
534618	660891	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20240119	$9,127.68
536887	432526	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00069050130	XELJANZ XR 11 MG TABLET	30	30	MAIL	BRAND	Y	20240422	$6,940.73
542919	747705	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	28	MAIL	BRAND	Y	20241118	$10,482.70
544116	144533	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	55513013760	OTEZLA 30 MG TABLET	60	30	MAIL	BRAND	Y	20240424	$5,796.60
547281	230155	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894006103	STELARA 90 MG/ML SYRINGE	1	56	MAIL	BRAND	Y	20240328	$33,411.42
550955	434495	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406004404	ENBREL 50 MG/ML MINI CARTRIDGE	4	28	MAIL	BRAND	Y	20240102	$8,459.21
553506	513467	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20240730	$8,298.86
553532	618116	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	55513012301	TEZSPIRE 210 MG/1.91 ML PEN	1.91	28	MAIL	BRAND	Y	20240820	$5,343.05
555663	452688	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240411	$16,647.36
556128	573164	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240128	$8,882.20
560571	747705	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	28	MAIL	BRAND	Y	20240205	$10,482.70
560792	223447	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240125	$8,882.20
561482	224235	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00074024302	HUMIRA(CF) 40 MG/0.4 ML SYRING	2	28	MAIL	BRAND	Y	20240205	$8,307.14
565080	540812	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00024591401	DUPIXENT 300 MG/2 ML SYRINGE	8	56	MAIL	BRAND	Y	20240725	$9,127.68
566272	407115	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00069050130	XELJANZ XR 11 MG TABLET	30	30	MAIL	BRAND	Y	20240912	$6,940.73
569119	618116	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	55513012301	TEZSPIRE 210 MG/1.91 ML PEN	1.91	28	MAIL	BRAND	Y	20240126	$5,187.42
569909	489866	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00074055402	HUMIRA(CF) PEN 40 MG/0.4 ML	2	28	MAIL	BRAND	Y	20240315	$8,307.14
572281	402337	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20241031	$9,148.70
574004	588261	DEPENDENT	1770916736	ACCREDO HEALTH GROUP	00024591401	DUPIXENT 300 MG/2 ML SYRINGE	4	28	MAIL	BRAND	Y	20241022	$4,563.84
575932	407115	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00069050130	XELJANZ XR 11 MG TABLET	30	30	MAIL	BRAND	Y	20240131	$6,940.73
578686	639477	SPOUSE	1730612953	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240822	$16,647.36
581951	513467	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20240604	$8,298.86
587226	766512	EMPLOYEE	1538281837	ACCREDO HEALTH GROUP	82154045104	PEGASYS 180 MCG/0.5 ML SYRINGE	2	28	RETAIL	BRAND	Y	20240129	$5,344.44
591328	168133	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	28	MAIL	BRAND	Y	20241122	$25,220.83
596933	300623	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	69516000530	OCALIVA 5 MG TABLET	30	30	MAIL	BRAND	Y	20240430	$11,464.86
610403	177987	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20240808	$8,298.86
613274	588261	DEPENDENT	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	4	28	MAIL	BRAND	Y	20240829	$4,563.84
613678	424651	SPOUSE	1770916736	ACCREDO HEALTH GROUP	64406001101	PLEGRIDY 125 MCG/0.5 ML PEN	1	28	MAIL	BRAND	Y	20240101	$9,537.52
619028	513467	EMPLOYEE	1043309735	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	RETAIL	BRAND	Y	20240326	$8,298.86
619493	603288	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20240109	$9,127.68
620252	232128	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00310183030	FASENRA PEN 30 MG/ML	1	56	MAIL	BRAND	Y	20240207	$6,812.10
621494	466823	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	61958220101	EPCLUSA 400 MG-100 MG TABLET	28	28	MAIL	BRAND	Y	20241125	$29,904.00
621573	639477	SPOUSE	1275740474	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20241015	$16,647.36
622331	223447	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20241107	$9,148.70
622439	397933	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00003218811	ORENCIA 125 MG/ML SYRINGE	4	28	MAIL	BRAND	Y	20241021	$6,834.32
627211	698357	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00597014360	OFEV 100 MG CAPSULE	60	30	MAIL	BRAND	Y	20240711	$15,595.85
628726	144533	EMPLOYEE	1730612953	ACCREDO HEALTH GROUP	55513013760	OTEZLA 30 MG TABLET	60	30	MAIL	BRAND	Y	20241008	$5,970.50
631698	360418	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20240108	$25,220.83
638053	716030	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242014301	ACTEMRA ACTPEN 162 MG/0.9 ML	3.6	28	MAIL	BRAND	Y	20241204	$5,639.08
638715	223447	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240719	$8,882.20
641517	513467	EMPLOYEE	1043309735	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	RETAIL	BRAND	Y	20240423	$8,298.86
642137	402337	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20240304	$8,882.20
643174	144035	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20241021	$8,298.86
643343	540812	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00024591401	DUPIXENT 300 MG/2 ML SYRINGE	4	28	MAIL	BRAND	Y	20240125	$4,563.84
644441	343764	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20241126	$9,127.68
644942	603288	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20240504	$9,127.68
648171	736131	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	50242013801	ACTEMRA 162 MG/0.9 ML SYRINGE	1.8	28	MAIL	BRAND	Y	20241023	$2,819.54
649841	601282	EMPLOYEE	1275740474	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240729	$16,647.36
650191	144035	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00002144511	TALTZ 80 MG/ML AUTOINJECTOR	1	28	MAIL	BRAND	Y	20241112	$8,298.86
652735	424651	SPOUSE	1770916736	ACCREDO HEALTH GROUP	64406001101	PLEGRIDY 125 MCG/0.5 ML PEN	1	28	MAIL	BRAND	Y	20240521	$9,919.01
653958	199804	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20241217	$9,127.68
654684	513840	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894006103	STELARA 90 MG/ML SYRINGE	1	56	MAIL	BRAND	Y	20241212	$33,411.42
656418	436191	EMPLOYEE	1730612953	ACCREDO HEALTH GROUP	55513013760	OTEZLA 30 MG TABLET	60	30	MAIL	BRAND	Y	20240516	$5,796.60
656629	364981	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20241126	$25,220.83
658620	232128	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00310183030	FASENRA PEN 30 MG/ML	1	56	MAIL	BRAND	Y	20240402	$6,812.10
663969	402337	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	58406003204	ENBREL 50 MG/ML SURECLICK	4	28	MAIL	BRAND	Y	20241127	$9,148.70
665832	424651	SPOUSE	1770916736	ACCREDO HEALTH GROUP	64406001101	PLEGRIDY 125 MCG/0.5 ML PEN	1	28	MAIL	BRAND	Y	20240618	$9,919.01
667844	679129	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20241226	$16,647.36
667886	434495	SPOUSE	1770916736	ACCREDO HEALTH GROUP	58406004404	ENBREL 50 MG/ML MINI CARTRIDGE	4	28	MAIL	BRAND	Y	20241223	$9,148.70
670699	410704	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20240923	$25,220.83
677683	766512	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	82154045104	PEGASYS 180 MCG/0.5 ML SYRINGE	2	28	MAIL	BRAND	Y	20240506	$5,344.44
678057	144533	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	55513013760	OTEZLA 30 MG TABLET	60	30	MAIL	BRAND	Y	20241208	$5,970.50
679115	360418	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20241030	$25,220.83
681719	377033	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00078100768	KESIMPTA 20 MG/0.4 ML PEN	0.4	30	MAIL	BRAND	Y	20240619	$10,482.70
684242	636046	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240702	$16,647.36
686238	364981	SPOUSE	1770916736	ACCREDO HEALTH GROUP	00074210001	SKYRIZI 150 MG/ML PEN	1	84	MAIL	BRAND	Y	20240812	$25,220.83
692317	180718	DEPENDENT	1275740474	ACCREDO HEALTH GROUP	00078107068	COSENTYX UNOREADY 300 MG PEN	2	28	MAIL	BRAND	Y	20240924	$8,890.75
693037	656717	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00024591401	DUPIXENT 300 MG/2 ML SYRINGE	8	56	MAIL	BRAND	Y	20240129	$9,127.68
694193	679129	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	57894064011	TREMFYA 100 MG/ML INJECTOR	1	56	MAIL	BRAND	Y	20240415	$16,647.36
698143	588261	DEPENDENT	1770916736	ACCREDO HEALTH GROUP	00024591401	DUPIXENT 300 MG/2 ML SYRINGE	4	28	MAIL	BRAND	Y	20241001	$4,563.84
699857	716030	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242014301	ACTEMRA ACTPEN 162 MG/0.9 ML	3.6	28	MAIL	BRAND	Y	20240125	$5,639.08
699878	473669	SPOUSE	1770916736	ACCREDO HEALTH GROUP	50242014001	ERIVEDGE 150 MG CAPSULE	30	30	MAIL	BRAND	Y	20241119	$17,188.08
700947	458715	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	49401008835	BENLYSTA 200 MG/ML AUTOINJECT	4	28	MAIL	BRAND	Y	20240130	$5,811.00
707052	546013	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00024591401	DUPIXENT 300 MG/2 ML SYRINGE	4	28	MAIL	BRAND	Y	20240107	$4,563.84
710687	660891	EMPLOYEE	1770916736	ACCREDO HEALTH GROUP	00024591502	DUPIXENT 300 MG/2 ML PEN	8	56	MAIL	BRAND	Y	20241129	$9,127.68

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File details come from the government source that posted it. Updated Dec 15, 2025.