AdvantageDISCOUNT CARD

Discount Plans Group No.

AWP - 8.33% + $4.15 rSDc1 MAC + $4.15 Non MAC Generics (NMG) AWP - 16.67% + $4.15

AWP - 9.38% + $4.00 rSDc2 MAC + $4.00 NMG AWP - 16.67% + $4.00

AWP - 10.42% + $3.00 rSDc3 MAC + $3.00 NMG AWP - 16.67% + $3.00

AWP - 10.42% + $4.00 rSDc4 MAC + $4.00 NMG AWP - 16.67% + $4.00

AWP - 11.46% + $5.00 rSDc5 MAC + $5.00 NMG AWP - 16.67% + $5.00

AWP - 11.46% + $3.00 rSDc6 MAC + $3.00 NMG AWP - 16.67% + $3.00

AWP - 12.50% + $4.00 rSDc7 MAC + $4.00 NMG AWP - 21.88% + $4.00

100 Quantity Plan* Group No.

• Specific Drug List and quantities apply.

• 2 Plans– $12.95/100 100QP1– $14.95/100 100QP2

• All other quantities are at store’s U&C

or

They may choose another plan discount by utilizing the corresponding group number.

Quantity increments are based on standard quantity for a 30 day supply

Discount Plans Group No.

matchup Plan #1* wmmaTcH1• List of Drugs and Quantities comparable

to the Walmart Plan (subject to change).

• Co-pays are incremental to quantities1 X Quantity = $4.00

>1 to 2 = $8.00

>2 to 3 = $12.00

matchup Plan #2* wmmaTcH2• 5/10/15 incremental costs

matchup $10.00 Plan* wmmaTcH3

matchup $12.00 Plan* wmmaTcH4

Plus Plan* wmPLUS• Drug list/incremental quantities apply

• 5/10/15 incremental costs

• All other drugs at cash discount ofAWP - 8.33% + $4.15

MAC + $4.15

NMG AWP - 16.67% + $4.15

Plus Plan 2* wmPLUS2• 4/8/12 incremental costs

• All other drugs at cash discount ofAWP - 8.33% + $4.15

MAC + $4.15

NMG AWP - 16.67% + $4.15

Hybrid $4 Plan* wmHYBrD1• Co-pays are incremental to quantities

1 X Quantity = $4.00

>1 to 2 = $8.00

>2 to 3 = $12.00

*List of qualified medications available at www.maxcarerx.com

All AWP discounts are post settlement rates

P.O. Box 16430 • Oklahoma City, OK • 73113 • (800) 259-7765 • WWW.MAXCARERX.COM