THIS PLAN IS NOT INSURANCE, and is not intended as a substitute for insurance. This plan is not a Medicare prescription drug plan, and is not a Qualified Health Plan under the Affordable Care Act. This plan does not meet the minimum creditable coverage requirements under federal or state law. By using this plan, you agree to pay the entire prescription cost less any applicable discount. You are obligated to pay for all prescriptions but may receive a discount from those pharmacies that have contracted with the plan. Discounts are only available at participating pharmacies. Savings will vary by drug and by pharmacy. The discount prescription drug plan organization may obtain and retain fees or rebates from manufacturers and/or pharmacy benefit managers based on your prescription drug purchases. You may access a list of participating pharmacies at: www.hoyrx.com. Upon request the plan will make available a written list of participating pharmacies. The discount prescription drug plan organization is Hoy Health, LLC, 54 Tedwall Court Greer, SC 29650. Toll-free number: (855) 899-1673. Email address: [email protected]

This plan is not available where prohibited by law. Participating pharmacies are Discount Prescription Drug Plan Template Multi-State Consumer Disclosure Last updated 5/25/18 63819785.1 subject to change without notice and are not available in all areas. Pharmacy prices fluctuate frequently and the plan’s pricing tool is for informational purposes only. The plan is governed by the terms and conditions provided at registration. Prescription claims through this plan will not be eligible for reimbursement through Medicaid, Medicare, or any other government program. The plan does not guarantee the quality of the services or products offered by individual pharmacists. The pharmacy logos are the property of their respective owners.