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As filed with the Securities and Exchange Commission on August 18, 2014

Registration No. 333-197224


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

Amendment No. 1
to
FORM S-1
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933

DIPLOMAT PHARMACY, INC.
(Exact Name of Registrant as Specified in Its Charter)

Michigan
(State or Other Jurisdiction of
Incorporation or Organization)
  5122
(Primary Standard Industrial
Classification Code Number)
  38-2063100
(I.R.S. Employer
Identification Number)

4100 S. Saginaw St.
Flint, MI 48507
(888) 720-4450
(Address, Including Zip Code, and Telephone Number, Including Area Code, of Registrant's Principal Executive Offices)

Sean Whelan
Chief Financial Officer
Diplomat Pharmacy, Inc.
4100 S. Saginaw St.
Flint, MI 48507
(888) 720-4450
(Name, Address, Including Zip Code, and Telephone Number, Including Area Code, of Agent For Service)

Copies to:

Michael S. Ben, Esq.
Honigman Miller Schwartz and Cohn LLP
2290 First National Building
660 Woodward Avenue
Detroit, MI 48226-3506
Telephone: (313) 465-7000
Fax: (313) 465-8000

 

William J. Whelan, III, Esq.
Cravath, Swaine & Moore LLP
Worldwide Plaza
825 Eighth Avenue
New York, NY 10019-7475
Telephone: (212) 474-1000
Fax: (212) 474-3700

Approximate date of commencement of proposed sale to the public: As soon as practicable after the effective date of this Registration Statement.

         If any of the securities being registered on this form are to be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act of 1933, check the following box.     o

         If this form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering.     o

         If this form is a post-effective amendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering.     o

         If this form is a post-effective amendment filed pursuant to Rule 462(d) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering.     o

         Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of "large accelerated filer," "accelerated filer" and "smaller reporting company" in Rule 12b-2 of the Exchange Act.

Large accelerated filer  o   Accelerated filer  o   Non-accelerated filer  ý
(Do not check if a
smaller reporting company)
  Smaller reporting company  o

          The Registrant hereby amends this Registration Statement on such date or dates as may be necessary to delay its effective date until the Registrant shall file a further amendment which specifically states that this Registration Statement shall thereafter become effective in accordance with Section 8(a) of the Securities Act of 1933, as amended, or until the Registration Statement shall become effective on such date as the Securities and Exchange Commission, acting pursuant to said Section 8(a), may determine.

   


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The information in this preliminary prospectus is not complete and may be changed. We and the selling shareholders may not sell these securities until the registration statement filed with the Securities and Exchange Commission is effective. This preliminary prospectus is not an offer to sell these securities and it is not soliciting an offer to buy these securities in any state where the offer or sale is not permitted.

SUBJECT TO COMPLETION, DATED AUGUST 18, 2014

             Shares

LOGO

Diplomat Pharmacy, Inc.

Common Stock

        This is the initial public offering of shares of common stock of Diplomat Pharmacy, Inc.

        We are selling             shares of common stock, and the selling shareholders identified in this prospectus are selling             shares of common stock. We will not receive any proceeds from the sale of shares by the selling shareholders.

        Prior to this offering, there has been no public market for our common stock. The initial public offering price of the common stock is expected to be between $             and $             per share. We intend to apply to list our common stock on the New York Stock Exchange under the symbol "DPLO".

        The underwriters have an option to purchase a maximum of             additional shares from the selling shareholders to cover overallotments of shares, if any.

         Investing in our common stock involves risks. See "Risk Factors" beginning on page 18.

 
  Price to
Public
  Underwriting
Discounts and
Commissions(1)
  Proceeds to
Diplomat
Pharmacy, Inc.
  Proceeds to
the Selling
Shareholders
 
Per Share   $     $     $     $    
Total   $     $     $     $    

(1)
We have agreed to reimburse the underwriters for certain expenses in connection with this offering. See "Underwriting (Conflicts of Interest)".

        Delivery of the shares of common stock will be made on or about             , 2014.

        Neither the Securities and Exchange Commission nor any state securities commission has approved or disapproved of these securities or passed upon the adequacy or accuracy of this prospectus. Any representation to the contrary is a criminal offense.

Credit Suisse   Morgan Stanley

J.P. Morgan

 

Wells Fargo Securities

William Blair

 

Leerink Partners

   

The date of this prospectus is                           , 2014.


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TRADEMARKS AND TRADE NAMES

    i  

INDUSTRY AND MARKET DATA

    ii  

PROSPECTUS SUMMARY

    1  

RISK FACTORS

    18  

SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS

    37  

USE OF PROCEEDS

    39  

DIVIDEND POLICY

    40  

CAPITALIZATION

    41  

DILUTION

    44  

SELECTED CONSOLIDATED FINANCIAL DATA

    46  

MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

    51  

BUSINESS

    70  

MANAGEMENT

    95  

EXECUTIVE COMPENSATION

    100  

CERTAIN RELATIONSHIPS AND RELATED-PARTY TRANSACTIONS

    114  

PRINCIPAL AND SELLING SHAREHOLDERS

    118  

DESCRIPTION OF CAPITAL STOCK

    121  

DESCRIPTION OF INDEBTEDNESS

    126  

SHARES ELIGIBLE FOR FUTURE SALE

    128  

MATERIAL U.S. FEDERAL INCOME AND ESTATE TAX CONSIDERATIONS FOR NON-U.S. HOLDERS OF COMMON STOCK

    130  

UNDERWRITING (CONFLICTS OF INTEREST)

    134  

LEGAL MATTERS

    139  

EXPERTS

    139  

WHERE YOU CAN FIND MORE INFORMATION

    140  

INDEX TO THE CONSOLIDATED FINANCIAL STATEMENTS

    F-1  

         You should rely only on the information contained in this prospectus or to which we have referred you. None of us, the selling shareholders or the underwriters have authorized anyone to provide you with information that is different from that contained in this prospectus or any free-writing prospectus prepared by us or on our behalf. We do not, and the selling shareholders and the underwriters do not, take any responsibility for, and can provide no assurances as to, the reliability of any information that others provide to you. We and the selling shareholders are offering to sell, and seeking offers to buy, shares of common stock only in jurisdictions where offers and sales are permitted. The information contained in this prospectus is accurate only as of the date of this prospectus, regardless of the time of delivery of this prospectus or of any sale of the common stock.

         Until                        , 2014 (25 days after the commencement of this offering), all dealers that buy, sell or trade shares of our common stock, whether or not participating in this offering, may be required to deliver a prospectus. This delivery requirement is in addition to the obligation of dealers to deliver a prospectus when acting as underwriters and with respect to their unsold allotments or subscriptions.

        For investors outside the United States: none of we, the selling shareholders or any of the underwriters have done anything that would permit this offering or possession or distribution of this prospectus in any jurisdiction where action for that purpose is required, other than in the United States. You are required to inform yourselves about and to observe any restrictions related to this offering and the distribution of this prospectus outside of the United States.


TRADEMARKS AND TRADE NAMES

        This prospectus includes our trademarks and trade names, such as DIPLOMAT® and DIPLOMAT SPECIALTY PHARMACY®, which are protected under applicable intellectual property laws and are our property. This prospectus also contains trademarks, trade names and service marks of other companies, which are the property of their respective owners. Solely for convenience, trademarks and trade names referred to in this prospectus may appear without the ®, TM or SM symbols, but such references are not intended to indicate, in any way, that we will not assert, to the fullest extent under applicable law, our rights or the right of the applicable licensor to these trademarks, trade names and service marks. We do not intend our use or display of other parties' trademarks, trade names or service marks to imply, and such use or display should not be construed to imply, endorsement or sponsorship of us by these other parties.

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INDUSTRY AND MARKET DATA

        Certain information contained in this prospectus concerning our industry and the markets in which we operate is based on information from publicly available independent industry and research organizations and other third-party sources, and management estimates. Management estimates are derived from publicly available information released by independent industry and research analysts and third-party sources, as well as data from our internal research, and are based on assumptions made by us upon reviewing such data and our knowledge of such industry and markets, which we believe to be reasonable. We have also included information derived from Diplomat patient and physician satisfaction surveys that were conducted by a third-party research organization commissioned by us. We believe the data from these third-party sources is reliable. In addition, projections, assumptions and estimates of the future performance of the industry in which we operate and our future performance are necessarily subject to uncertainty and risk due to a variety of factors, including those described under "Risk Factors" and "Special Note Regarding Forward-Looking Statements." These and other factors could cause results to differ materially from those expressed in the estimates made by these third-party sources.

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PROSPECTUS SUMMARY

         This summary highlights information appearing elsewhere in this prospectus and does not contain all of the information that you should consider in making your investment decision. Before investing in our common stock, you should read the entire prospectus carefully, including the sections titled "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" and our consolidated financial statements and related notes included elsewhere in this prospectus. Unless the context suggests otherwise, references in this prospectus to "Diplomat," "the Company," "we," "us" and "our" refer to Diplomat and its consolidated subsidiaries.

Business Overview

        We are the nation's largest independent specialty pharmacy and are focused on improving the lives of patients with complex chronic diseases. We believe we have a unique patient-centric approach that positions us at the center of the healthcare continuum for the treatment of these diseases and enables us to drive superior care coordination through partnerships with patients, payors, pharmaceutical manufacturers and physicians. We offer a broad range of innovative solutions to address the dispensing, delivery, dosing and reimbursement of clinically intensive, high-cost specialty drugs. We believe that we are a chosen partner for leading biotechnology and pharmaceutical companies based on our ability to deliver customized support services and dispense new drugs to complex chronic disease patient populations. As a result, we believe we are well positioned to continue expanding our market share in the high-growth $63 billion specialty pharmacy industry.

        Diplomat has a long track record of growth and innovation. We were founded in 1975 by our Chief Executive Officer, Philip Hagerman, and his father, Dale, both trained pharmacists who transformed our business from a traditional pharmacy into a leading specialty pharmacy. In 2005, we began to expand the scope of our specialty pharmacy business from a small, regional operation to a large national enterprise, allowing us to capitalize on the growth of the specialty pharmacy market from approximately $20 billion in sales in 2005 to $63 billion in sales in 2013, representing a compounded annual growth rate of approximately 15%. As a result, we have grown our revenues organically to over $1.5 billion in 2013, achieving a compounded annual growth rate of over 65% since 2005, and we are now the fourth largest overall specialty pharmacy in the United States, with a 2% overall market share (based on 2013 revenues from pharmacy-dispensed specialty drugs). To achieve this growth, we have consistently strengthened our clinical expertise in key therapeutic categories, such as oncology and immunology, broadened the scope of our services to retailers, hospitals and health systems and strengthened our relationships with patients, payors, pharmaceutical manufacturers and physicians.

        We focus on specialty drugs that are typically administered on a recurring basis to treat patients with complex chronic diseases that require specialized handling and administration as part of their distribution process. We have expertise across a broad range of high-growth specialty therapeutic categories, including oncology, immunology, hepatitis, multiple sclerosis, HIV and specialty infusion therapy (which involves infusing specialty pharmaceuticals for rare and chronic genetic disorders, primarily for hemophilia and immune globulin treatment). Our comprehensive, patient-focused services ensure that patients receive a superior standard of care, including assistance with complicated medication therapies, refill processing, third-party funding support programs, side effect management and adherence monitoring. We customize solutions for each patient based on the patient's overall health, disease and family history, lifestyle and financial means. Although generally we do not track or quantify specific cost savings for patients and payors, we believe we reduce long-term costs for patients and payors by improving patient care, enhancing clinical outcomes, managing high-risk members, monitoring patient adherence, and optimizing the utilization of specialty drugs, many of which can cost well over $100,000 per patient, per year. This value proposition to payors and patients has helped us expand our managed lives under contract from approximately 5 million in 2009 to approximately 13 million in August 2014. We define managed lives under contract as patients enrolled in a managed

 

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care organization network including pharmacy benefit managers, health plans, state governments, employer groups and unions with whom we contract, through exclusive and preferred relationships with such organizations, whereby we are the only authorized or one of a few preferred specialty pharmacy providers to the patients in their system.

        Collectively, our unique ability to enhance patient adherence to complex drug regimens, to collect and report data, and to ensure effective dispensing of complex specialty medications supports the clinical and commercial needs of pharmaceutical manufacturers. Furthermore, our patient and provider support services ensure appropriate drug initiation, facilitate patient compliance and persistence, and capture important information regarding safety and effectiveness of the specialty medications that we dispense. Our services, together with our proactive engagement with pharmaceutical manufacturers early in the drug development process, have contributed to our current and growing access to limited distribution drugs, which we define as drugs that are only available for distribution by a select network of specialty pharmacies. Our inclusion in limited distribution networks provides critical sources of revenue growth and provides a catalyst for our future growth.

        Our core revenues are derived from the customized care management programs we deliver to our patients, including the dispensing of their specialty medications. Because our core therapeutic categories generally require multi-year or life-long therapy, our singular focus on these complex chronic diseases helps drive recurring revenues and sustainable growth. Our revenues grow, in part, as we help more patients access the drugs they need in order to live longer and healthier lives. As a part of our mission to improve patient care, currently we provide specialty pharmacy support services to a national network of 8 retailers and independent pharmacy groups, representing approximately 4,500 stores and 49 hospitals and health systems. For many of our retail, hospital and health system partners, we earn revenue by providing clinical and administrative support services on a fee-for-service basis to help them dispense specialty medications. Thus, our patient-focused solutions benefit multiple partners across the healthcare continuum, which we believe drives the sustainability of our business model.

Market Opportunity

        Specialty pharmaceuticals represent a significant and growing total addressable market.     The specialty pharmaceutical market has experienced significant growth in recent years as complex chronic conditions, care coordination, technology-enabled patient care, biotechnology research and outcomes-based healthcare have increased in focus. The total specialty pharmaceutical market represented approximately $92 billion in drug spend in 2012. Total specialty pharmaceutical drug spend covered under the pharmacy benefit was approximately $51 billion in 2012 and is estimated to grow to $118 billion by 2018. Specialty drugs are managed not only under the pharmacy benefit, but also under the medical benefit. Payors typically determine whether a particular specialty drug is covered under the pharmacy benefit versus the medical benefit based on such factors as the patient's ability to self-administer, the degree of clinical support required, the need for patient monitoring and the site of care (e.g., hospital or home). Increasingly, drugs that have historically been reimbursed under the medical benefit are being moved to the pharmacy benefit by health plans and pharmacy benefit managers to better manage care and contain costs. We believe that our track record and leadership in limited distribution drug programs will create opportunities for us to gain market share in this growing segment of the specialty pharmacy market.

        In addition, while our historic focus has been pharmacy benefit, we believe that the medical benefit represents a significant additional revenue opportunity for us and expect it to have a bigger impact in our business going forward. Specialty drugs reimbursed under the medical benefit have also expanded rapidly in recent years and were approximately $39 billion, or approximately 45%, of the total specialty drug spend in 2012. Specifically, we view specialty infusion (which, for our purposes, includes infusion therapies for hemophilia, hereditary angioedema and immune globulins), with approximately 60% of the costs of such therapies covered under the medical benefit, as an attractive

 

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market due to significant projected growth and higher margins, and we intend to continue to invest in this important and growing area of our existing business. In addition, specialty medication provided under the medical benefit (typically office administered, hospital outpatient clinic administered, administered in the home setting, or in an infusion clinic) is more difficult to manage and control the cost of in comparison to specialty medication managed under the pharmacy benefit. The increased difficulty is, in part, because under the pharmacy benefit, claims are adjudicated electronically at the point of sale, which allows for dosage controls and cost verifications to take place before specialty medications are dispensed. In contrast, medical claims are processed after specialty medications are dispensed, which limits the payor's ability to verify costs, dosage amounts, and number of units dispensed. We believe the significant value of the management strategies and services implemented by specialty pharmacies under the pharmacy benefit has led to payors engaging with specialty pharmacies to provide similar assistance to help control spend and cost trends attributed to specialty medications under the medical benefit. We are well positioned to provide these services to payors due to our expertise in specialty pharmacy as well as the resources to manage medications under the medical benefit.

        Growth in specialty drug spend is significantly outpacing the broader pharmaceutical market.     Specialty drugs are the fastest growing segment of the pharmaceutical market, and spend in this segment is estimated to grow at approximately 20% annually from 2013 to 2018, whereas traditional drug spend is expected to grow in the low to mid single digit percentage range. Specialty pharmaceutical products are targeted towards high-cost complex medical conditions, have fewer direct substitutes than traditional pharmaceuticals and face limited near-term generic market entry. These factors limit competition and drive higher prices. Additionally, specialty drug approvals comprised over 50% of all Federal Drug Administration ("FDA") drug approvals in 2013 as pharmaceutical and biotechnology companies have continued to invest in specialty drug development. This trend is expected to continue, driven by a robust pipeline of specialty drugs, which represent approximately 40% of the total number of drugs that we believe may receive FDA approval within the next twelve months.

        Oncology and immunology, therapeutic categories in which we believe we are a leader, are large and growing therapeutic categories within the specialty pharmaceuticals industry.     The oncology market represented 29% of specialty pharmaceutical sales in the U.S. in 2013. The immunology market, including the disease states rheumatoid arthritis, psoriasis and Crohn's disease, also represents a large and growing specialty market. We believe these two therapeutic categories will continue to grow, given that there are over 400 oncology and immunology drugs currently in clinical development which represent over 40% of the biologics pipeline. Further, there are over 3,000 oncology and immunology drugs in global drug development. Given the chronic nature of these disease states, we provide recurring services to these patients over long periods of time. In 2013, we generated over 70% of our revenues in oncology and immunology, and our historical growth has largely been driven by our position as a leader in these categories.

Competitive Strengths

        We are the nation's largest independent and fourth largest overall specialty pharmacy, with a 2% overall market share (based on 2013 revenues from pharmacy-dispensed specialty drugs). We believe we are well positioned to continue to increase our market share based on the following competitive strengths.

        Adding value to all constituents.     The value we deliver to all constituents is centered upon our core focus on patients. We help patients adhere to complicated medication therapies, process refills and manage any side effects and insurance concerns to ensure they get the best standard of care. The clinical efficacy of drug therapies, especially for acute and chronic conditions, is typically enhanced when patients precisely follow the prescribed treatment regimens (including dosing and frequency). On

 

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the other hand, medication non-adherence (i.e., patients not following the instructions for their medication or failing to finish taking their medication) contributes to a substantial worsening of disease and, in some cases, accelerated mortality which increases hospital and other health care costs. We have achieved patient adherence rates of over 90% for the last six fiscal quarters. We believe our high adherence rates are, in part, due to, among other things, our patient training and education, compliance packaging, prophylactic starter kits and nurse adherence calls. We also help identify third-party funding support programs to help cover expensive out-of-pocket costs. In 2013, we helped our patients successfully obtain $24 million of funding assistance to help cover out-of-pocket co-pay costs. Our focus on patients and our related patient-support programs have allowed us to achieve an overall patient satisfaction rate of approximately 99%.

GRAPHIC

      Supporting our core focus on patients, we also serve the following key constituents:

      (1) Payors:     We manage prescription regimens for chronically ill populations and help payors, which include insurance plans and pharmacy benefit managers, reduce costs through customized specialty pharmacy programs. Our electronic patient care platform, centered on our disease-specific technology solution, is customized for each payor's needs and is designed to improve efficiency and lower costs. For example, through our partial fill program of dispensing prescriptions with less than the typical 30-day supply, we promote more frequent direct intervention and tracking of patients and their therapies by our highly trained clinical experts.

      (2) Biotechnology and Pharmaceutical Manufacturers:     We offer specialized and highly customized prescription programs for pharmaceutical companies to help them optimize and track patient adherence which helps drive the clinical and commercial success of specialty drugs. In addition, we partner with pharmaceutical manufacturers early by helping them develop specialty pharmaceutical channel strategies as part of their commercial launch preparation.

      (3) Physicians and Health Systems:     Our team works with physician offices to manage prior-authorization and other managed care organization requirements, such as denial and appeal process, to ensure that complicated administrative tasks do not impair the delivery of quality

 

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      patient care. Additionally, we provide risk evaluation services, implement risk mitigation strategies and collect patient adherence data to provide physicians and health systems with enhanced visibility on patient outcomes. Our transparency and support has led to a physician satisfaction rate of approximately 97%.

      (4) Retailers and Hospitals:     We provide clinical and administrative support services for our retail and hospital partners on a fee-for-service basis. Based on our broad industry experience, infrastructure and treatment-tracking software, our retail specialty network solution provides customized clinical and administrative support services that help retailers and their specialty patients improve financial and clinical outcomes. We provide hospitals with unique solutions to maximize cost containment, improve efficiency and clinical outcomes from specialty pharmaceuticals. Our programs also support hospitals that are 340B covered entities, which are organizations that provide access to reduced price prescription drugs to health care facilities in accordance with the federal 340B Drug Pricing Program and which that have been certified by the U.S. Department of Health and Human Services, through a contracted pharmacy strategy.

        Significant and longstanding payor relationships—approximately 13 million managed lives under contract.     Currently, we partner with 46 regional and mid-sized payors and independent pharmacy benefit managers to improve patient outcomes and lower costs by managing high-risk members and implementing patient-focused specialty programs. We believe we improve the clinical outcomes for high-risk members through adherence monitoring, patient education and clinical intervention because the benefit of effective pharmaceuticals, especially for acute and chronic conditions, will only be achieved if patients follow the prescribed treatment regimens (including amount and timing of doses) reasonably closely. We offer payors access to limited distribution drugs and unique cost containment programs, including partial refill programs, clinical management and motivational interviewing techniques for improving adherence. We believe that medication non-adherence is the largest avoidable cost in specialty pharmacy because it contributes to a substantial worsening of disease and death and significantly increases hospital and other health care costs, and our strong adherence rates benefit patients and payors. We believe that our focus on high-touch patient care, reflecting our therapy management and support services through multiple interactions by our clinical, operational and administrative personnel, and our experience with high-risk populations makes us well-positioned for the anticipated growth in managed lives under the Affordable Care Act, particularly with respect to managed Medicaid coverage.

        Partner of choice for biotechnology and pharmaceutical manufacturers.     We believe that our role as the partner of choice for many biotechnology and pharmaceutical manufacturers is based on the following attributes:

    Expertise in managing limited distribution drugs.   We have historically earned access to many limited distribution drugs, both at the time of their launch and post-launch. We actively monitor the drug pipeline and we maintain dialogue with many of the major biotechnology and pharmaceutical manufacturers to identify opportunities in all pre-commercial stages of drug development. We believe that limited distribution is becoming the delivery system of choice for many drug manufacturers because it facilitates high patient engagement, clinical expertise and elevated focus on service. Furthermore, we believe that our innovative solutions and service-oriented culture set us apart from our competitors, have enabled us to win a large number of limited distribution contracts and is more appealing than our competitors' platforms to emerging biotechnology firms and the boutique consulting firms that advise them. We believe that the trend toward limited distribution of specialty drugs will continue to expand in the future, making strong representation in this area essential. Accordingly, we believe our current portfolio of over 70 limited distribution drugs, all of which are post-launch, positions us for disproportionate growth as more limited distribution drugs come to market.

 

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    Proven track record of adding value.   We believe we outperform our competitors in providing services that benefit specialty drug manufacturers. Our superior services are driven by our clinical expertise in oncology, immunology, hepatitis, multiple sclerosis, HIV and specialty infusion. We offer targeted pilot programs, full reporting capabilities and a variety of additional services that support patients' medication adherence when clinically appropriate. We believe these superior services and capabilities were a primary driver of our gaining access to, and becoming the largest of five specialty pharmacies authorized to, dispense Imbruvica, Pharmacyclics' Mantle Cell Lymphoma drug launched in November 2013.

    Breadth of channel partners.   In addition to maintaining our strong relationships with payors, physicians, manufacturers and patients, we also partner with retailers, hospitals and health systems by providing critical patient-facing clinical and administrative services that help support the specialty pharmacy capabilities of these constituents. These partnerships broaden our exposure and influence across the healthcare continuum.

    Relationships with clinical experts and key opinion leaders.   Our singular focus on specialty pharmacy and complex chronic diseases has enabled us to develop strong relationships with clinical experts and thought leaders in key therapeutic categories, such as oncology and immunology. We leverage these relationships to gain greater visibility into future drug launches and to stay current on the latest advances in patient care.

        National footprint with highly scalable infrastructure.     During the past several years, we have made significant investments to expand our capabilities and capacity, which we believe will help us to enhance sales volume, improve efficiency and create significant barriers to entry. In December 2010, we moved our corporate headquarters to a 550,000 square foot facility in Flint, Michigan. Our operations within this facility, are highly scalable, as we currently utilize approximately 40% of the facility giving us significant capacity to execute our long term growth plan without significant additional capital expenditures. Our physical footprint has enabled us to develop a centralized infrastructure that we have successfully scaled to dispense to all 50 states. We now have an advanced distribution center that enables us to ship medications nationwide as well as a centralized clinical call center that helps us deliver localized services on a national scale. In addition to our headquarters, we also operate smaller regional facilities in Flint, Michigan; Grand Rapids, Michigan; Chicago, Illinois; Ft. Lauderdale, Florida; Ontario, California; Enfield, Connecticut; Raleigh, North Carolina; and Springfield, Massachusetts. We are fully accredited and licensed to conduct business in each of the states that require such licensure.

        Strong financial profile combines sustainable growth and low capital intensity.     Our financial profile is comprised of a recurring revenue model that is driven by the chronically ill populations we serve. As a result, we have demonstrated strong growth in revenue and profitability. We have achieved consistent revenue and Adjusted EBITDA growth with revenues increasing from $377 million in 2009 to $1,515 million in 2013 and Adjusted EBITDA increasing from $6 million in 2009 to $19 million in 2013, representing compound annual growth rates of 42% and 33%, respectively. In addition, we grew our net income from $3 million to $8 million over the same time period. See "—Selected Consolidated Financial Data" for our definition of Adjusted EBITDA, why we present Adjusted EBITDA and a reconciliation of our Adjusted EBITDA to net income. We expect our growth to continue to be driven by a highly visible and recurring base of revenues, favorable demographic trends, advanced clinical developments, expanding drug pipelines, earlier detection of chronic diseases and improved access to medical care. In addition, we believe that our expanding breadth of services, our growing penetration with new customers, and our access to limited distribution drugs, will help us achieve significant and sustainable growth and profitability in future.

        Highly experienced and passionate management team.     Our senior management team, which consists of six executives, has an average of over 26 years of experience in the pharmacy and specialty pharmacy

 

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industry and represents a group of highly recognized and respected industry veterans. Led by our Chief Executive Officer and co-founder Philip Hagerman, our management team is responsible for our proven track record of growth, consistent performance and industry leading service. Mr. Hagerman, a licensed pharmacist and recognized specialty pharmacy industry thought-leader, is a frequent speaker at state and national pharmacy conferences and has received several awards as a leading business executive in the country, including recognition by the White House Business Council for his leadership in job creation and community development. Our senior management team has an average tenure with Diplomat of over 12 years and brings a healthy balance of significant experience with Diplomat and with other companies in the industry, including public companies. In addition, our broader sales, clinical and operations team, has deep clinical expertise and currently includes over 70 licensed pharmacists.

Growth Strategy

        We plan to grow our business by continuing to execute on the following key growth strategies:

        Capitalize on track record to expand leadership positions in high-growth oncology and limited distribution markets.     We believe our track record of providing a customized, high level of service to our manufacturer partners in the oncology and immunology markets has led to repeat contract awards and initial limited distribution contracts related to new drugs our partners bring to market. For example, we believe our success as a distributing pharmacy for Zytiga, a metastatic castration resistant prostate cancer drug approved by the FDA in April 2011, helped earn us limited distribution access to Xtandi, another metastatic castration resistant prostate cancer drug approved by the FDA in August 2012. Xtandi has grown to become one of our top 10 drugs with over $40 million in annual sales in 2013. Our clinical and sales teams consistently engage our emerging biotechnology partners on commercialization strategy 12 to 18 months in advance of potential FDA approval. These pre-existing relationships position us to capture market share in these high-growth markets. One example was the launch of Cometriq, a drug currently indicated for a form of thyroid cancer, on which we collaborated with the manufacturer and became the exclusive distributor.

        Expand clinical expertise to a broad range of therapeutic categories.     We serve a broad range of therapeutic categories, and we believe we can expand our clinical expertise to increasingly penetrate additional markets such as hepatitis, multiple sclerosis, HIV and specialty infusion. We believe these categories will become increasingly important to our patient population in the coming years due to advancement of therapies and increased incidences of chronic illness and that our platform will allow us to grow with market expansion. Specifically, we view specialty infusion as an attractive market due to significant projected growth and higher margins, and we intend to continue to invest in this important and growing area of our existing business. Additionally, orphan and ultra-orphan drugs, which are associated with relatively small patient populations, are an increasingly important focus for us as the specific characteristics of these categories make utilization and compliance particularly challenging.

        Deepen and expand partner relationships.     We currently contract with and support regional and mid-sized payors and independent pharmacy benefit managers, employer groups, and union groups representing approximately 13 million managed lives across the United States. We plan to continue to work with our current clients to grow their membership and are focused on expanding our client base nationally. In addition to providing specialty pharmacy services for self-administered medications covered under the pharmacy benefit, we also offer office-administered medications covered under the medical benefit to ensure that we provide a full spectrum of care to our specialty patients regardless of type of their benefit coverage and where they receive care. Further, our partnerships with retail pharmacies and hospitals allow us to serve specialty patients beyond the traditional specialty pharmacy approach. These partnerships allow patients to more easily access specialty medications in the retail setting and also positions Diplomat to be a key partner for Accountable Care Organizations, which are

 

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networks formed by groups of doctors, hospitals, and other health care providers that share financial and medical coordination of services to patients to limit unnecessary spending and to create an efficient patient care system.

        Grow high-margin businesses and capitalize on investments to enhance key operating metrics.     In May 2014, we contracted to significantly expand our retail customer base and expand our opportunities through a service contract with Novation, LLC (which includes Provista, LLC and VHA Inc.), one of the largest hospital networks and group purchasing organizations. In addition, our continued expansion into the infusion market will provide us with opportunities to capitalize on a market which historically has provided higher margins. We have made significant investments in our technology, infrastructure and service lines to build a scalable foundation for growth, which we believe provides meaningful opportunities to grow revenues and enhance key operating metrics. We believe our investments in technology, both completed and in-process, will improve our operating cost profile and provide valuable revenue opportunities, as we enhance our data collection and delivery capabilities, services that are highly valued by our partners. Finally, we currently utilize approximately 40% of our 550,000 square foot facility in Flint, Michigan (purchased in 2010), providing meaningful capacity as we continue to scale our business.

        Selectively pursue growth through strategic acquisitions.     We believe the specialty pharmacy industry is highly fragmented and provides numerous opportunities to expand through acquisitions. While we will continue to focus on growing our business organically, we believe we can opportunistically enhance our competitive position through complementary acquisitions in both existing and new markets. For example, in December 2013, we completed the acquisition of American Homecare Federation, Inc. ("AHF"), a specialty infusion therapy provider focused primarily on hemophilia. In June 2014, we acquired MedPro Rx, Inc. ("MedPro"), a specialty pharmacy focused on specialty infusion therapies including hemophilia and immune globulin. Specialty infusion is differentiated from traditional home infusion in that it requires highly customized services and level of care with therapies that can exceed $300,000 in costs per patient per year. We anticipate our future revenues derived from specialty infusion pharmacy services will increase significantly as a percentage of total revenues as a result of these acquisitions. Additionally, we plan to selectively evaluate potential acquisition opportunities in other therapeutic categories, services and technologies, with the goal of preserving our culture, continuing to deliver superior patient outcomes, enhancing value to other constituents and building long-term value for our shareholders.

Risk Factors

        Investing in our common stock involves a high degree of risk. You should carefully consider the risks described under "Risk Factors" before making a decision to invest in our common stock. If any of these risks actually occurs, our business, results of operations, financial condition or prospects could be materially and adversely affected. Below is a summary of some of the principal risks we believe we face:

    anticipating and adapting to significant changes, trends, consolidation and increasing participation in the specialty pharmacy industry could adversely impact our ability to compete;

    pricing pressures from payors and pharmaceutical manufacturers may adversely affect our profitability;

    failure to maintain our existing relationships, and build new relationships, with key pharmaceutical manufacturers, physicians, payors, retailers, hospital and health systems would have a material and adverse effect on our business;

    complying with, and changes to, significant state and federal regulations could restrict our ability to conduct our business or cause us to incur significant costs;

 

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    we may not have the resources, purchasing power or operating efficiencies to compete successfully with leading specialty pharmacies;

    any significant adverse matters regarding the top specialty drugs we dispense, or disruptions in the supply chain of these specialty drugs, would have a material and adverse impact on our business and financial performance;

    we may not be able to successfully implement our organic growth or acquisition strategy; and

    our Chief Executive Officer and Chairman of the Board of Directors will control the outcome of matters submitted for shareholder approval, and he may have interests that differ from those of our other shareholders.

Recent Developments

    Business Acquisitions

        On December 16, 2013, we acquired all of the outstanding stock of AHF for a total acquisition price of approximately $13.4 million, excluding related acquisition costs of approximately $0.5 million. Included in the total acquisition price is $12.1 million in cash and contingent consideration fair valued at $1.3 million with a maximum payout of $2.0 million, that is based on the achievement of certain revenue and gross profit targets in each of the years ending December 31, 2014 and 2015. AHF is a specialty pharmacy which focuses on patients with bleeding disorders, such as hemophilia, and is headquartered in Enfield, Connecticut. AHF generated $21.8 million in revenue and $4.9 million in gross profit, or 22.5% of revenue, in the nine months ended September 30, 2013. We acquired AHF to provide us access to certain direct purchase agreements with key hemophilia manufacturers and to expand our specialty infusion expertise. The results of operations for AHF are included in our consolidated financial statements from the acquisition date.

        On June 27, 2014, we acquired all of the outstanding stock of MedPro for a total acquisition price of approximately $68.2 million, excluding related acquisition costs of $0.6 million. Included in the total acquisition price is $52.0 million in cash, 84.31703 shares of our Class B Nonvoting Common Stock, valued at approximately $12.0 million, and contingent consideration fair valued at $4.2 million, with a maximum payout of $11.5 million, that is based on the achievement of certain revenue and gross profit targets for each of the twelve months ending June 30, 2015 and 2016. In connection with our acquisition of MedPro, we increased our line of credit to provide for comparable borrowing availability under the line of credit following the acquisition. See "—Amendment to Line of Credit." MedPro is a specialty pharmacy focused on specialty infusion therapies, including hemophilia and immune globulin, based in Raleigh, North Carolina. MedPro generated $82.7 million of revenue and $16.8 million of gross profit, or 20.3% of revenue, in the year ended December 31, 2013. We acquired MedPro to expand our existing specialty infusion business and to increase our presence in the mid-Atlantic and Southern regions of the country. The results of operations for MedPro are included in our consolidated financial statements from the acquisition date.

    Issuances of Preferred Stock

        Prior to the issuance of preferred stock on January 23, 2014, as described below, we had 4,275 common shares outstanding and 4,856.198 diluted common shares outstanding assuming a price of $142,320 per share.

        On January 23, 2014, we sold to certain funds of T. Rowe Price, 351.32097 shares of Series A Preferred Stock at a purchase price of $142,320 per share. We used $20.0 million of the $50.0 million investment proceeds for general corporate purposes, including fees associated with the transaction, and the remaining $30.0 million was used to redeem shares of common stock and common stock options.

 

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        On April 1, 2014, we sold to certain funds of Janus Capital Group, 379.4267 shares of Series A Preferred Stock at a purchase price of $142,320 per share. We used $25.2 million of the $54.0 million investment proceeds for general corporate purposes, including fees associated with the transaction, and the remaining $28.8 million was used to redeem shares of common stock and common stock options.

        As of July 31, 2014, certain funds of T. Rowe Price and Janus Capital Group beneficially owned 15.5% in aggregate of our common stock (on an as-converted basis from Series A Preferred Stock to Series C Voting Common Stock). Such ownership percentage reflects redemptions made with the proceeds from the above transactions.

    Amendment to Line of Credit

        On June 26, 2014, we entered into an amended and restated credit agreement with GE Capital Bank, as agent, Comerica Bank, JP Morgan Chase Bank, N.A. and Wells Fargo Bank, N.A., as additional lenders. The amended and restated credit agreement provides an increase in our revolving line of credit (the "revolving line of credit" or "line of credit") to $120.0 million. The amount available for borrowing under the revolving line of credit is the lesser of $120.0 million and the sum of 85% of eligible accounts receivable and a portion of eligible inventory, less any outstanding letters of credit and swing loans. Additionally, our revolving line of credit permits incremental increases in the line of credit or issuance of term loans up to an aggregate amount of $25.0 million, subject to specified conditions. For a further description of our line of credit, see "Description of Indebtedness."

    Change in Tax Status

        Prior to January 23, 2014, we had elected to be taxed under the provisions of Subchapter S of the Internal Revenue Code. Therefore, we did not pay federal corporate income taxes on our taxable income. Instead, our shareholders were liable for individual federal income taxes on their respective shares of our taxable income. Distributions were made periodically to our shareholders to the extent needed to cover their income tax liability based on our taxable income. On January 23, 2014, in connection with the shares of Series A preferred stock sold to certain funds of T. Rowe Price on such date, we changed from an S Corporation to a C Corporation. Therefore, we will pay federal corporate income taxes on our taxable income for periods after such date. The historical audited financial results included elsewhere in this prospectus reflect our results as an S Corporation before January 23, 2014.

Our Corporate Information

        Diplomat Pharmacy, Inc. is a Michigan corporation, and our principal executive offices are located at 4100 S. Saginaw St., Flint, Michigan 48507. Our telephone number is (888) 720-4450. Our website address is www.diplomat.is . The reference to our website is intended to be an inactive textual reference only. The information contained on, or accessible through, our website is not part of this prospectus or the registration statement of which this prospectus forms a part, and you should not rely on this information in making a decision to invest in our common stock in this offering.

 

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The Offering

Common stock offered by us

              shares

Common stock offered by the selling shareholders

 

            shares

Common stock to be outstanding immediately after this offering

 

            shares

Overallotment Option

 

The underwriters have an option to purchase a maximum of additional shares of our common stock from the selling shareholders to cover overallotments, if any. The underwriters may exercise this option at any time within 30 days from the date of this prospectus.

Use of proceeds

 

We estimate that the net proceeds to us from this offering, after deducting the underwriting discount and estimated offering expenses, will be approximately $            million, assuming an initial public offering price of $            per share, the midpoint of the price range set forth on the cover of this prospectus.

 

We will not receive any proceeds from the sale of shares by the selling shareholders, including sales by the selling shareholders pursuant to the underwriters' overallotment option.

 

We intend to use the net proceeds from this offering to repay indebtedness and for working capital and other general corporate purposes. See "Use of Proceeds."

 

Certain affiliates of the underwriters are lenders under our line of credit that will be repaid with net proceeds of this offering. As a result of this repayment, a "conflict of interest" may be deemed to exist under FINRA Rule 5121(f)(5)(C)(i), and this offering will be made in compliance with the applicable provisions of FINRA Rule 5121. See "Underwriting—Conflicts of Interests".

Controlled company

 

Upon the completion of this offering and pursuant to a voting agreement with members of his immediate family and various trusts, Philip Hagerman, our Chief Executive Officer and Chairman of our Board of Directors, will control approximately            % of the total voting power of our outstanding common stock, (or        % of the total voting power of our common stock if the underwriters exercise their overallotment option in full). As a result, we will be considered a "controlled company" under the corporate governance listing standards of the New York Stock Exchange. As a controlled company, we will be exempt from the obligation to comply with certain New York Stock Exchange corporate governance requirements. See "Management."

 

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Dividend policy

 

We expect to retain all future earnings, if any, for use in the operation and expansion of our business and do not anticipate paying any cash dividends in the foreseeable future. See "Dividend Policy."

Risk factors

 

Investing in our common stock involves a high degree of risk. See "Risk Factors" beginning on page 18 of this prospectus for a discussion of the risks and uncertainties you should carefully consider before deciding to invest in our common stock.

New York Stock Exchange symbol

 

"DPLO"

        The number of shares of our common stock to be outstanding after the completion of this offering is based on            shares of our common stock outstanding as of                    , 2014, and excludes:

    shares of our common stock issuable upon the exercise of options outstanding as of                        , 2014 under the Diplomat Pharmacy, Inc. 2007 Option Plan (the "2007 Option Plan"), with a weighted average exercise price of $            per share; and

    shares of our common stock reserved for future issuance under our 2014 Omnibus Incentive Plan (the "2014 Omnibus Plan" or the "omnibus plan") as of the date hereof, which will be effective prior to the completion of this offering.

        Unless otherwise indicated, the information in this prospectus assumes:

    immediately prior to the completion of this offering, in the following order:

    the conversion of all shares of our Series A Preferred Stock into shares of our Class C Voting Common Stock on a one-for-one basis;

    the filing of our amended and restated articles of incorporation and the adoption of our amended and restated bylaws;

    the conversion of all shares of our Class A Voting Common Stock, Class B Nonvoting Common Stock and Class C Voting Common Stock into shares of our common stock on a one-for-one basis;

    the conversion of all options to acquire Class A Voting Common Stock and Class B Nonvoting Common Stock into options to acquire shares of our common stock on a one-for one basis; and

    a stock split effected as a stock dividend of                        shares for each share of our common stock to our common shareholders of record immediately prior to the completion of this offering, with an adjustment to the number of options to acquire shares of our common stock and exercise price therefor to be proportionately adjusted;

    no exercise of outstanding stock options since                        , 2014; and

    no exercise by the underwriters of their option to purchase additional shares of our common stock from the selling shareholders to cover overallotments, if any.

        Accordingly, all share and per share amounts presented in this prospectus have been adjusted, where applicable, to reflect such conversions and stock dividend.

 

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Summary Consolidated Financial Data

        The following table summarizes our consolidated financial data and other data for the periods and at the dates indicated. We derived the consolidated statement of operations data for the years ended December 31, 2013, 2012 and 2011 and the consolidated balance sheet data as of December 31, 2013 and 2012 from our audited consolidated financial statements included elsewhere in this prospectus. We derived the consolidated balance sheet data as of December 31, 2011 from our audited consolidated financial statements that do not appear in this prospectus. We derived the unaudited consolidated statement of operations data for the six months ended June 30, 2014 and 2013 and the unaudited consolidated balance sheet data as of June 30, 2014 from our unaudited consolidated financial statements included elsewhere in this prospectus. We have prepared the unaudited consolidated financial statements on the same basis as the audited consolidated financial statements and have included, in our opinion, all adjustments, consisting only of normal recurring adjustments that we consider necessary for a fair presentation of the financial information set forth in those statements.

        We derived the unaudited pro forma financial information for the year ended December 31, 2013 and the six months ended June 30, 2014 and as of June 30, 2014 from the unaudited pro forma financial information included elsewhere in this prospectus.

        Our historical results are not necessarily indicative of the results to be expected for any future period, and the results in the six months ended June 30, 2014 are not necessarily indicative of the results for the full year or any other period. The following information should be read together with the information under the headings "Capitalization" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" and our consolidated financial statements and related notes included elsewhere in this prospectus. The unaudited pro forma consolidated financial information does not necessarily represent what our financial position, results of operations and other data would have been if the transactions had actually been completed on the dates indicated, and are not intended to project such information for any future period. See "Use of Proceeds" and "Index to the Consolidated Financial Statements—Unaudited Pro Forma Consolidated Financial Information".

 

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  For the six months ended June 30,   For the year ended December 31,  
 
  2014
Pro Forma(1)
  2014(2)   2013   2013
Pro Forma(3)
  2013(4)   2012   2011  
 
  (Dollars in thousands, except prescription, per share and per prescription data)
 
 
  (Unaudited)
   
   
   
   
 

Consolidated Statement of Operations Data

                                           

Net sales

        $ 1,007,352   $ 704,525         $ 1,515,139   $ 1,126,943   $ 771,962  

Cost of goods sold

          (948,275 )   (663,883 )         (1,426,112 )   (1,057,608 )   (715,448 )
                               

Gross profit

          59,077     40,642           89,027     69,335     56,514  

Selling, general, and administrative expenses

         
(51,024

)
 
(35,988

)
       
(77,944

)
 
(64,392

)
 
(47,434

)
                               

Income from operations

          8,053     4,654           11,083     4,943     9,080  

Interest expense

         
(895

)
 
(941

)
       
(1,996

)
 
(1,086

)
 
(598

)

Equity loss of non-consolidated entity

          (710 )   (311 )         (1,055 )   (267 )   (95 )

Other income

          517     112           196     337     764  
                               

Income before income taxes

          6,965     3,514           8,228     3,927     9,151  

Income tax expense(5)

          (4,557 )                      
                               

Net income

          2,408     3,514           8,228     3,927     9,151  

Net income allocable to preferred shareholders

          266                        
                               

Net income allocable to common shareholders

        $ 2,142   $ 3,514         $ 8,228   $ 3,927   $ 9,151  
                               
                               

Weighted average common shares outstanding(5):

                                           

Basic

          4,016     4,275           4,275     4,471     5,200  

Diluted

          4,358     4,293           4,364     4,602     5,311  

Net income per common share(6):

   
 
   
 
   
 
   
 
   
 
   
 
   
 
 

Basic

        $ 533.40   $ 822.05         $ 1,924.70   $ 878.35   $ 1,759.77  
                               
                               

Diluted

        $ 491.55   $ 818.56         $ 1,885.45   $ 853.50   $ 1,723.13  
                               
                               

Other Data

                                           

Adjusted EBITDA(7)

        $ 14,083   $ 7,704         $ 18,970   $ 10,852   $ 15,121  

Prescriptions dispensed(8)

         
381,000
   
352,000
         
707,000
   
669,000
   
596,000
 

Prescriptions serviced (not dispensed)(9)

          102,000     97,000           223,000     129,000     13,000  
                               

Total prescriptions

          483,000     449,000           930,000     798,000     609,000  
                               

Net sales per prescription dispensed(10)

        $ 2,639   $ 1,993         $ 2,135   $ 1,680   $ 1,295  

Gross profit per prescription dispensed(11)

        $ 148   $ 109         $ 117   $ 99   $ 94  

Net sales per prescription serviced (not dispensed)(12)

       
$

27
 
$

25
       
$

28
 
$

26
 
$

27
 

Gross profit per prescription serviced (not dispensed)(12)

        $ 27   $ 25         $ 28   $ 26   $ 27  

Adjusted EBITDA per prescription(13)

       
$

29
 
$

17
       
$

20
 
$

14
 
$

25
 

 

 
  As of June 30, 2014    
   
   
   
 
 
   
  As of December 31,  
 
  Pro Forma
as adjusted(14)
   
   
   
 
 
  Pro Forma(15)   Actual           
  2013   2012   2011  
 
  (Dollars in thousands)
 
 
  (Unaudited)
   
   
   
   
 

Consolidated Balance Sheet Data

                                           

Property and equipment, net

          12,900   $ 12,900         $ 12,378   $ 12,634   $ 16,930  

Total assets

          338,909     338,909           211,777     139,595     100,380  

Total debt

          100,718     100,718           88,164     63,102     12,942  

Total liabilities

          308,763     308,763           236,189     172,135     88,622  

Redeemable preferred stock(16)

              101,815                    

Shareholders' (deficit) equity(16)(17)

          30,146     (71,669 )         (24,412 )   (32,540 )   11,758  

(1)
The unaudited pro forma consolidated financial information for the six months ended June 30, 2014 gives effect to: (A) the January and April 2014 issuance of preferred stock and the use of a portion of the proceeds from these issuances to redeem outstanding shares of common stock and common stock options, (B) our acquisition of MedPro in June 2014 and related borrowings under our line of credit, (C) our conversion from an S corporation to a C corporation on January 23, 2014, (D) the conversion of all outstanding shares of our capital stock into shares of our common stock, and immediately thereafter a stock split effected as a stock dividend of            shares for each share of our common stock and (E) this offering and the use of proceeds therefrom, assuming in each case that such event occurred on January 1, 2013. See "Index to the Consolidated Financial Statements: Unaudited Pro Forma Combined Consolidated Financial Information".

 

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(2)
We acquired MedPro on June 27, 2014 and its financial results have been included in our historical financial statements since such date.

(3)
The unaudited pro forma consolidated financial information for the year ended December 31, 2013 gives effect to the transactions described in Note 1 above as well as to the December 2013 acquisition of AHF and related borrowings under our line of credit, assuming in each case that such event occurred on January 1, 2013. See "Index to the Consolidated Financial Statements: Unaudited Pro Forma Combined Consolidated Financial Information".

(4)
We acquired AHF on December 16, 2013 and its financial results have been included in our historical financial statements since that date.

(5)
Prior to January 23, 2014, we had elected to be taxed under the provisions of Subchapter S of the Internal Revenue Code. Therefore, we did not pay corporate income taxes on our taxable income. Instead, our shareholders were liable for individual income taxes on their respective shares of our taxable income. On January 23, 2014, we changed from an S Corporation to a C Corporation, and therefore we will pay corporate income taxes on our taxable income for periods after January 23, 2014.

(6)
All share and per share amounts presented have been adjusted to reflect the applicable conversions of capital stock and stock dividend occurring immediately prior to the completion of this offering.

(7)
See "Adjusted EBITDA" below for our definition of Adjusted EBITDA, why we present Adjusted EBITDA and a reconciliation of net income (loss) to Adjusted EBITDA.

(8)
Prescriptions dispensed (rounded to nearest thousand), represents actual prescriptions filled and dispensed by Diplomat.

(9)
Prescriptions serviced (not dispensed) (rounded to nearest thousand), represents prescriptions filled and dispensed by a non-Diplomat pharmacy, including retailers and health systems, for which we provide support services required to assist patients and pharmacies with the complexity of filling specialty medications, and for which we earn a fee.

(10)
Net sales per prescription dispensed represents total prescription revenue from prescriptions dispensed by Diplomat, divided by the number of prescriptions dispensed by Diplomat. Total prescription revenue from prescriptions dispensed includes all revenue collected from patients, third party payors and various patient assistance programs, as well as revenue collected from pharmaceutical manufacturers for data and other services directly tied to the actual dispensing of their drug(s).

(11)
Gross profit per prescription dispensed represents gross profit from prescriptions dispensed by Diplomat, divided by the number of prescriptions dispensed by Diplomat. Gross profit represents total prescription revenue from prescriptions dispensed less the cost of the drugs purchased.

(12)
Net sales per prescription serviced (not dispensed) represents total prescription revenue from prescriptions serviced divided by the number of prescriptions serviced for the non-Diplomat pharmacies. Gross profit per prescription serviced (not dispensed) is equal to net sales per prescription serviced because there is no Diplomat drug cost of goods sold associated with such transactions. Total prescription revenue from prescriptions serviced includes revenue collected from partner pharmacies, including retailers and health systems, for support services rendered to their patients.

(13)
Adjusted EBITDA per prescription is Adjusted EBITDA divided by the total number of prescriptions dispensed or serviced.

(14)
The unaudited pro forma consolidated financial information, as of June 30, 2014, as adjusted, gives effect to the items specified in Note 15 below and further effect to this offering and the use of proceeds therefrom, assuming in each case that such event occurred on June 30, 2014. See "Unaudited Pro Forma Combined Consolidated Financial Information".

(15)
The unaudited pro forma consolidated balance sheet information as of June 30, 2014 gives effect to the conversion of all outstanding shares of our capital stock into shares of our common stock, and immediately thereafter a stock split effected as a stock dividend of            shares for each share of our common stock assuming that such event occurred on June 30, 2014. See "Unaudited Pro Forma Combined Consolidated Financial Information".

(16)
In January 2014, we sold to certain funds of T. Rowe Price, 351.32097 shares of Series A Preferred stock at a purchase price of $142 per share. We used $20,000 of the $50,000 investment proceeds for general corporate purposes, including fees associated with the transaction, and the remaining $30,000 was used to redeem shares of common stock and common stock options. Further, in April 2014, we sold to certain funds of Janus Capital Group 379.4267 shares of Series A preferred stock at a purchase price of $142 per share. We used $25,200 of the $54,000 investment for general corporate purposes, including fees associated with the transaction, and the remaining $28,800 was used to redeem shares of common stock and common stock options. These redemptions increased our shareholders' deficit by $58,800 in the six months ended June 30, 2014.

(17)
In 2012, we entered into settlement agreements with current or former shareholders whereby we purchased shares of common stock formerly owned by the shareholders for consideration of $29,393 of which $2,851 was paid in cash, forgiveness of note of $196 and the remaining $26,346 was payable in full, as per the terms of an executed promissory notes, maturing 2017. This entire amount of $29,393 is reflected as a decrease to our shareholders' (deficit) equity in 2012. Also, in 2012 we had unusually high shareholder distributions of $17,281.

Adjusted EBITDA

        We define Adjusted EBITDA as net income before interest expense, income taxes, depreciation and amortization, share-based compensation, restructuring and impairment charges, equity loss of non-consolidated entity, and certain other items that we do not consider indicative of our ongoing

 

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operating performance (which items are itemized below). Adjusted EBITDA is a non-GAAP financial measure.

        We consider Adjusted EBITDA to be a supplemental measure of our operating performance. We present Adjusted EBITDA because it is used by our Board of Directors (the "Board of Directors" or "Board") and management to evaluate our operating performance. It is also used as a factor in determining incentive compensation, for budgetary planning and forecasting overall financial and operational expectations, for identifying underlying trends and for evaluating the effectiveness of our business strategies. Further, we believe it assists us, as well as investors, in comparing performance from period to period on a consistent basis. Adjusted EBITDA is not in accordance with, or an alternative to, measures prepared in accordance with accounting principles generally accepted in the United States ("GAAP"). In addition, this non-GAAP measure is not based on any comprehensive set of accounting rules or principles.

        As a non-GAAP measure, Adjusted EBITDA has limitations in that it does not reflect all of the amounts associated with our results of operations as determined in accordance with GAAP and therefore you should not consider Adjusted EBITDA in isolation from, or as a substitute for, financial information prepared in accordance with GAAP. You should be aware that in the future we may incur expenses that are the same as or similar to some of the adjustments in the presentation, and we do not infer that our future results will be unaffected by unusual or non-recurring items. Adjusted EBITDA does not:

    include depreciation expense from property and equipment or amortization expense from acquired intangible assets (and although they are non-cash charges, the assets being depreciated will often have to be replaced in the future);

    reflect interest expense on our debt and capital leases or interest income we earn on cash and cash equivalents;

    reflect the amounts we paid in taxes or other components of our tax provision (which reduces cash available to us);

    include the impact of share-based compensation (which is a recurring expense that will remain a key element of our long-term incentive compensation package, although we exclude it when evaluating our operating performance for a particular period); or

    include the restructuring and impairment charges, equity income or loss of our non-consolidated entity, or other matters we do not consider to be indicative of our ongoing operations.

Further, other companies in our industry may calculate Adjusted EBITDA differently than we do and these calculations may not be comparable to our Adjusted EBITDA metric. Because of these limitations, you should consider Adjusted EBITDA alongside other financial performance measures, including net income and our financial results presented in accordance with GAAP.

 

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        The table below presents a reconciliation of net income to Adjusted EBITDA for the periods indicated:

 
  For the six months ended June 30,   For the year ended December 31,  
 
  2014
Pro Forma
  2014   2013   2013
Pro Forma
  2013   2012   2011  
 
  (Dollars in thousands)
 

Net income

        $ 2,408   $ 3,514         $ 8,228   $ 3,927   $ 9,151  

Depreciation and amortization

          2,545     1,821           3,934     3,842     3,079  

Interest expense

          895     941           1,996     1,086     598  

Income tax expense

          4,557                        
                               

EBITDA

          10,405     6,276           14,158     8,855     12,828  
                               

Share-based compensation expense(1)

          1,135     455           886     915     1,410  

Restructuring and impairment charges(2)

              50           1,033     424     429  

Equity loss of non-consolidated entity(3)

          710     311           1,055     267     95  

Severance and related fees(4)

          254     119           205     412     740  

Merger & acquisition related fees and expenses(5)

          1,171     162           677          

Philanthropy(6)

          180     57           222          

Tax credits and other(7)

          (419 )                 (148 )   (626 )

Other items(8)

          647     274           734     127     245  
                               

Adjusted EBITDA

        $ 14,083   $ 7,704         $ 18,970   $ 10,852   $ 15,121  
                               
                               

(1)
Share-based compensation expense relates to eligible employee stock options.

(2)
Restructuring and impairment charges reflect decreases in the fair market value of non-core property and assets, or actual losses on disposal of such assets. 2013 charges primarily relate to the $932 write-down of our former Swartz Creek, Michigan headquarters facility to its fair value, after we vacated it in favor of our present Flint, Michigan facility. 2012 charges primarily relate to our write-down of an externally purchased software package we no longer utilize, as well as sales of Company-owned vehicles. 2011 charges include expense associated with the closure of our former Cleveland, Ohio facility, the move of our Chicago, Illinois area facility, and sales of Company-owned vehicles.

(3)
Represents our share of losses recognized by our non-consolidated entity, Ageology, using the equity method of accounting. We first invested in Ageology, an anti-aging physician network dedicated to nutrition, fitness and hormones, in October 2011, in connection with its formation.

(4)
Employee severance and related fees primarily relates to severance for former management.

(5)
Fees and expenses directly related to merger and acquisition activities, including our purchases of AHF and MedPro. Includes $321 for increased fair value of AHF estimated contingent payout.

(6)
Expenses from private company philanthropic activities were performed at the direction of our majority shareholder.

(7)
Represents various tax credits received from the state of Michigan for facility improvement and employee hiring initiatives, and the one-time costs associated with converting from an S-Corporation to a C-Corporation.

(8)
Includes other expenses, including information technology ("IT") operating leases. These operating leases were initiated, in lieu of purchases or capital leases for a subset of our IT spend, for a short period of time in 2013 and 2014 for liquidity purposes. We have since discontinued the practice of leasing IT equipment. The cost of purchased IT equipment is reflected in depreciation and amortization.

 

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RISK FACTORS

         Investing in our common stock involves a high degree of risk. You should carefully consider the following risk factors, together with the other information in this prospectus, including "Management's Discussion and Analysis of Financial Condition and Results of Operations" and our consolidated financial statements and related notes, before deciding whether to invest in shares of our common stock. If any of the following risks actually occurs, our business, results of operations, financial condition or prospects could be materially and adversely affected. In that event, the trading price of our common stock could decline and you could lose part or all of your investment.

Risks Related to Our Business and Industry

Our failure to anticipate or appropriately adapt to changes or trends within the specialty pharmacy industry could have a significant negative impact on our ability to compete successfully.

        The specialty pharmacy industry is growing and evolving rapidly. Any significant shifts in the structure of the specialty pharmacy industry or the healthcare products and services industry in general could alter the industry dynamics and adversely affect our ability to attract or retain customers. These changes or trends could result from, among other things, a large intra- or inter-industry merger, a new entrant in the specialty pharmacy business, changes in the distribution model for specialty drugs, a slowdown in the biotechnology pharmaceutical pipeline in our areas of expertise, consolidation of shipping carriers or the necessary changes or unintended consequences of the federal Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (the "Health Reform Laws") or future regulatory changes. Our failure to anticipate or appropriately adapt to any of these changes or trends, none of which are within our control, could have a significant negative impact our competitive position and materially adversely affect our business.

Significant and increasing pressure from third-party payors to limit reimbursements and the impact of high cost specialty drugs could materially adversely impact our profitability, results of operations and financial condition.

        The continued efforts of health maintenance organizations, managed care organizations, pharmacy benefit managers, government programs (such as Medicare, Medicaid and other federal and state funded programs) and other third-party payors to limit pharmacy reimbursements may adversely impact our profitability. While manufacturers have increased the price of drugs, payors have generally decreased reimbursement rates as a percentage of drug cost. We expect pricing pressures from third-party payors to continue given the high and increasing costs of specialty drugs. Given the significant competition in the industry, we have limited bargaining power to counter payor demands for reduced reimbursement rates. If a significant number of patients cannot afford to cover the portions of specialty drug costs not covered by payors as a result of limited reimbursements, and we are unable to find other sources of funding for such patients, those patients may not fill their prescriptions and our revenues and business could be adversely affected.

        In response to rising specialty drug prices, payors may also demand that we provide additional services, enhanced service levels and other cost savings to help mitigate the increase in drug costs. Additional services with minimal or no service fees would adversely impact our profitability and data-management technology and software make it challenging for us to prove specific cost savings to payors. Our inability or failure to demonstrate cost efficiencies could adversely impact a payor's willingness to engage us, exclusively or at all, as a specialty pharmacy in the face of rising drug costs.

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Changes in reimbursement rates from Medicare and Medicaid for the services we provide may cause our revenue and profitability to decline.

        For 2013, 2012 and 2011, reimbursement by federal and state programs, such as Medicare and Medicaid, represented 51%, 47% and 39% of our revenues, respectively. Reimbursement from government programs are subject to statutory and regulatory requirements, administrative rulings, interpretations of policy, implementation of reimbursement procedures, retroactive payment adjustments, governmental funding restrictions, changes to existing legislation, and the enactment of new legislation, all of which may materially affect the amount and timing of reimbursement payments to us. Changes to the way Medicare and Medicaid pay for our services may reduce our revenue and profitability on services provided to Medicare and Medicaid patients and increase our working capital requirements.

        Since its inception in 2006, Medicare Part D has resulted in increased utilization and decreased pharmacy gross margin rates as higher margin business, such as cash and state Medicaid customers, migrated to Medicare Part D coverage. Further, as a result of the Affordable Care Act and changes to Medicare Part D, such as the elimination in 2013 of the tax deductibility of the retiree drug subsidy payment received by sponsors of retiree drug plans, our pharmacy benefit manager clients could decide to discontinue providing prescription drug benefits to their Medicare-eligible members. To the extent this occurs, the adverse effects of increasing customer migration into Medicare Part D may outweigh the benefits we realize from growth of our Medicare Part D business.

If our relationship with any of our key pharmaceutical manufacturers deteriorates, or if we are unable to create new significant relationships with other pharmaceutical manufacturers, we could lose all or a significant portion of our access to existing and future specialty drugs.

        In recent years, an increasing number of pharmaceutical manufacturers have attempted to significantly limit the number of pharmacies that may dispense their drugs. Out of a total of approximately 60,000 traditional and specialty pharmacies, these manufacturers increasingly limit access to their drugs to anywhere from one to 20 specialty pharmacies, to ensure they can manage a drug's rollout, obtain real time data and confirm the unique patient population's receipt of the necessary services and support to remain adherent. There are a number of limited distribution drugs to which we do not have access. In addition to directly providing significant revenues, access to limited distribution drugs provides us with significant competitive advantages in developing relationships with payors and physicians, and our failure to continue obtaining access to new limited distribution pharmaceuticals or losing our current access could have a material and adverse impact on our business.

        We obtain access to limited distribution drugs primarily from small to mid-size biotechnology companies, many of whom are bringing their first or second drug to market. We incur significant expense and time, and opportunity cost, to educate and assist emerging small and mid-size biotechnology manufacturers in bringing these products to the marketplace without any guarantee of a successful drug launch or future sales. The failure to monetize these relationships could adversely impact our profitability and our prospects.

        We also provide a significant amount of direct and indirect services for the benefit of our pharmaceutical manufacturer customers and our patients in order to get access to specialty drugs, and our failure to provide services at optimal quality could result in losing access to existing and future drugs. In addition, we incur significant costs in providing these services and receive minimal service fees in return. If pharmaceutical manufacturers require significant additional services and products to obtain access to their drugs without a corresponding increase in service fees paid to us, our profitability could be adversely impacted.

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We have limited contractual protections with pharmaceutical manufacturers and wholesalers that supply us with most of the pharmaceuticals that we distribute.

        We dispense specialty pharmaceuticals that are supplied to us by a variety of manufacturers and wholesalers, many of which are our only source of that specific pharmaceutical. Our contracts with pharmaceutical manufacturers and wholesalers often provide us with, among other things:

    discounts on drugs we purchase to be dispensed from our specialty pharmacies;

    rebates and service fees; and

    access to limited distribution specialty pharmaceuticals.

Our contracts with pharmaceutical manufacturers and wholesalers are generally for three years and are terminable on reasonably short notice by either party before or after the contract term. In addition, our contracts with wholesalers provide for purchase money security interests in products sold. If several of these contractual relationships are terminated or materially altered by the pharmaceutical manufacturers or wholesalers or we are otherwise unable to renew these contracts or enter into similar contracts on favorable terms we could lose a major source of the pharmaceuticals we dispense.

Our revenues, profitability and cash flows may be negatively impacted if safety risks of a specialty drug are publicized or if a specialty drug is withdrawn from the market due to manufacturing or other issues.

        Physicians may significantly reduce the numbers of prescriptions for a specialty drug with safety concerns or manufacturing issues. Additionally, negative press regarding a drug with a higher safety risk profile may result in reduced global consumer demand for such drug. Decreased utilization and demand of a specialty drug we distribute could materially and adversely impact our volumes, net revenues, profitability and cash flows.

Many healthcare companies have a presence in the specialty pharmacy market, and we expect a significant increase in competition due to high growth anticipated in specialty drug spending, which could have a material and adverse impact on our business.

        There are a significant number of competitors that provide one or more comprehensive services, including distribution, with respect to specialty pharmacy drugs, some of whom have greater resources than we do, including: pharmacy benefit managers; retail pharmacy chains and independent retail pharmacies; health plans; national, regional and niche specialty pharmacies; home and specialty infusion therapy companies; physician practices and hospital systems and group purchasing organizations.

        We are currently the largest independent specialty pharmacy and the fourth largest specialty pharmacy in the U.S., with a 2% overall market share (based on 2013 revenues from pharmacy-dispensed specialty drugs). The three leading specialty pharmacies, which operate as divisions within each of Express Scripts, CVS Caremark and Walgreens, have significantly greater market share, resources and purchasing power than we do, and Express Scripts and CVS Caremark also benefit from their services as pharmacy benefit managers to a number of healthcare organizations. As we increase in scale and market share, we expect more direct competition for certain drugs, payor and patient access, and services from these three companies.

        Further, a number of other traditional pharmacies with significant resources are attempting to build, acquire or partner with specialty pharmacies due to the double-digit growth anticipated in spending on specialty prescription drugs compared to low to negative growth in spending on traditional prescription drugs. There are also many smaller specialty pharmacies and other entities in the healthcare industry that provide limited specialty pharmacy services; while such entities presently

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compete with us to a lesser extent, they may be able to invest significant resources, through acquisition or otherwise, to compete with us on a larger scale.

        Moreover, many of the retail pharmacies to which we provide patient management services may in the future acquire a competing specialty pharmacy business or start their own specialty pharmacy business and thereby become our competitors. In addition, many of our pharmacy benefit management customers have their own specialty pharmacy businesses, and to the extent certain of our products can be obtained internally, these customers could cease to do business with us. Our failure to maintain and expand relationships with payors and pharmacy benefit management companies, who can effectively determine the pharmacy source for their members, could materially and adversely affect our competitive position and prospects.

        Any increase in competition noted above could significantly increase the competition for limited distribution drugs, reduce gross profit, and otherwise materially adversely affect our business, results of operations, financial condition and prospects.

Our ability to grow our specialty pharmacy business could be limited if we do not expand the number of drugs and treatments we offer or if we lose even a small percentage of our existing patients.

        Our specialty pharmacy business focuses on complex and high cost medications that serve a relatively small patient population. Due to the limited patient populations utilizing the medications that our specialty pharmacy business handles, our future growth relies, in part, on expanding our base of drugs or penetration in certain treatment categories. Further, given our relatively high net sales and gross profit per prescription dispensed, a small percentage decrease in our patient base or reduction in demand for any reason for the medications we currently dispense could have a material adverse effect on our business.

We generate a significant amount of revenue from certain specialty drugs we dispense.

        Our three largest revenue producing specialty drugs we dispense represented 35%, 40% and 47% of our revenues in 2013, 2012 and 2011, respectively, and our ten largest revenue producing specialty drugs we dispense represented 57%, 63% and 68% of our revenues in 2013, 2012 and 2011, respectively. In addition, although the mix of our highest volume specialty drugs fluctuates historically, our two largest revenue producing specialty drugs have not changed in the past two years. In the event that the use of these specialty drugs were to decline due to clinical ineffectiveness or as a result of the introduction of more effective alternatives, and we are unable to obtain access to high growth alternative specialty drugs, our revenues would be adversely affected. Loss of revenues from our three largest revenue producing specialty drugs without access to alternative high growth specialty drugs could have a material adverse effect on our revenues in the short term.

We receive a significant amount of prescription drugs from one wholesaler and one manufacturer. The loss of either of these relationships could disrupt our business and adversely impact our revenues for one or more fiscal quarters.

        Specialty drug purchases from Amerisource Bergen Drug Corporation ("AmerisourceBergen"), a drug wholesaler, and Celgene Corporation ("Celgene"), a pharmaceutical manufacturer, represented 58% and 19%, respectively, of cost of goods sold in 2013, and 64% and 21%, respectively, of cost of goods sold in 2012. Our contract with Amerisource Bergen has an initial term of five years expiring December 31, 2016, and can be terminated by, among other things, either party's material breach that continues for 30 days. The contract also commits us to a minimum of approximately $3.5 billion in purchase obligations over a five year period. Failure to meet this minimum would result in significant additional expense without corresponding revenues. The agreement also provides for negotiated discounts that differ by drug classification, and any permitted reclassification of products by

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Amerisource Bergen to a lower discount category could have an adverse impact on our gross profit. In addition, Amerisource Bergen recently entered into a long term relationship with one of the largest specialty pharmacy companies in the country, which could adversely impact our relationship with Amerisource Bergen.

        Our agreement with Celgene began July 1, 2011 and was renewed on July 21, 2013 until June 30, 2016, and can be terminated by either party without cause upon 90 days' prior written notice, or earlier in the event of a material breach. Unlike the specialty drugs we purchase from Amerisource Bergen, the specialty drugs we purchase from Celgene are not available from any other source.

        The loss of either of these relationships could significantly disrupt our business and adversely impact our revenues for one or more fiscal quarters. These agreements also limit our ability to distribute competing drugs, while allowing the supplier to distribute through other channels.

Consolidation in the healthcare industry could materially adversely affect our business, financial condition and results of operations.

        Many healthcare industry participants are consolidating to create integrated healthcare delivery systems with significant market power and we expect such trend to continue. As provider networks and managed care organizations consolidate, thereby decreasing the number of market participants, competition to provide products and services like ours will become more intense, and the importance of establishing relationships with key industry participants will become greater. In addition, industry participants may try to use their increased market power to negotiate price reductions for our products and services. If we are forced to reduce prices as a result of either an imbalance of market power or decreased demand for our products, revenue would be reduced and we could become significantly less profitable.

Our future success depends upon our ability to maintain and manage our rapid growth. If we are unable to manage our growth effectively, we may incur unexpected expenses and be unable to meet the demands of our customers and other constituents.

        Over the past several years our business has grown significantly, and we aim to continue to expand the scope of our operations, both organically and through strategic acquisitions. Growth in our operations will place significant demands on our management, financial and other resources. We cannot be certain that our current systems, procedures, controls, and space will adequately support expansion of our operations, and we may be unable to expand or upgrade our systems or infrastructure to accommodate future growth. Our future operating results will depend on the ability of our management and key employees to successfully maintain our independence and corporate culture, preserve the effectiveness of our high-touch patient care model, manage changing business conditions and to implement and improve our technical, administrative, financial control and reporting systems. Our inability to finance future growth, manage future expansion or hire and retain the personnel needed to manage our business successfully could have a material adverse effect on our business and prospects.

We have limited experience acquiring companies and may not be able to effectively execute our acquisition strategy or successfully integrate acquired businesses.

        We have grown organically since we were founded, but we recently completed an important acquisition in our history. In December 2013, we acquired AHF, which provides specialty drugs and infusion services for bleeding disorders, principally hemophilia. In June 2014, we acquired MedPro, a specialty pharmacy focused on specialty infusion including hemophilia and immune globulin.

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        Any of the following risks associated with our recent acquisitions or future acquisitions, individually or in aggregate may have a material adverse effect on our business:

    difficulties in realizing anticipated financial or strategic benefits of such acquisition;

    diversion of capital from other uses;

    potential dilution of shareholder ownership if stock is used as consideration for the acquisition or if an equity offering is completed in connection with the financing of the acquisition;

    the risks related to increased indebtedness;

    significant capital expenditures may be required to integrate acquisition into our operations;

    disruption of our ongoing business or the ongoing acquired business, including impairment of existing relationships with our employees, distributors, suppliers, customers or other constituents or those of the acquired companies;

    diversion of management's attention and other resources from current operations, including potential strain on financial and managerial controls and reporting systems and procedures;

    difficulty in integrating acquired operations, including restructuring and realigning activities, personnel, technologies and products, including the loss of key employees, distributors, suppliers, customers or other constituents of the acquired businesses;

    inability to realize cost savings, sales increases or other benefits that we anticipate from such acquisitions, either as to amount or in the expected time frame;

    assumption of known and unknown liabilities, some of which may be difficult or impossible to quantify; and

    non-cash impairment charges or other accounting charges relating to the acquired assets.

Our lack of historical experience with acquisitions make the foregoing risks especially applicable to us.

        We will continue to review strategic acquisition opportunities that will enhance our market position, expand our expertise and drug access, add value to our constituents and provide sufficient synergies. Strategic transactions, including the pursuit of such transactions, often require significant up-front costs and require significant resources and management attention. These costs are typically non-recurring expenses related to the assessment, due diligence, negotiation and execution of the transaction. We may also incur additional costs to retain key employees as well as transaction fees and costs related to executing our integration plans.

Our operating results may fluctuate significantly, which makes our future operating results difficult to predict and could cause our operating results to fall below expectations or our guidance.

        Our quarterly and annual operating results, and in particular our revenues, have fluctuated in the past and may fluctuate significantly in the future. These fluctuations make it difficult for us to predict our future operating results. Our operating results may fluctuate due to a variety of factors, many of which are outside of our control and are difficult to predict, including the following:

    the launch timing for specialty drugs;

    the effect of the expiration of drug patents and the introduction of generic drugs;

    the demand for the specialty drugs to which we have access;

    whether our expected distribution share of drugs that come to market is properly estimated;

    whether revenues and margins on sales of drugs that come to market are properly estimated;

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    expenditures that we will or may incur to acquire or develop additional capabilities;

    the timing of increases in drug costs by the manufacturers; and

    changes in the reimbursement policies of payors.

These factors, individually or in the aggregate, could result in large fluctuations and unpredictability in our quarterly and annual operating results. As a result, comparing our operating results on a period-to-period basis may not be meaningful. Investors should not rely on our past results as an indication of our future performance. This variability and unpredictability could also result in our failing to meet the expectations of industry or financial analysts or investors for any period.

The failure or disruption of our information technology systems, our information security systems and our infrastructure to support our business and to protect the privacy and security of sensitive customer and business information could materially adversely affect our business.

        Many aspects of our operations are dependent on our information systems and the information collected, processed, stored, and handled by these systems. Throughout our operations, we receive, retain and transmit certain highly confidential information, including personal health information and other data that our customers and other constituents provide to purchase products or services, enroll in programs or services, register on our websites, interact with our personnel or otherwise communicate with us. In addition, for these operations, we depend in part on the secure transmission of confidential information over public networks. Although we have not historically experienced a major systems failure or security breach, our information systems are subject to damage or interruption from power outages, computer and telecommunications failures, computer viruses, security breaches including credit card information breaches, vandalism, catastrophic events and human error.

        A compromise of our information security controls or those of the businesses with whom we interact, which results in confidential information being accessed, obtained, damaged, or used by unauthorized or improper persons, could harm our reputation and expose us to regulatory actions and claims from patients, physicians and other persons, any of which could adversely affect our business, financial position, and results of operations. Moreover, a data security breach could require that we expend significant resources related to our information systems and infrastructure, and could distract management and other key personnel from performing their primary operational duties. If our information systems are damaged, fail to work properly or otherwise become unavailable, we may incur substantial costs to repair or replace them, and we may experience a loss of critical information, customer disruption and interruptions or delays in our ability to perform essential functions and implement new and innovative services. In addition, compliance with changes in privacy and information security laws and standards may result in considerable expense due to increased investment in technology and the development of new operational processes. See also "—Risks Related to Federal and State Laws and Regulations—Our business operations involve the substantial receipt and use of confidential health information concerning individuals. A failure to adequately protect such information may harm our reputation and subject us to significant liabilities, each of which could have a material adverse effect on our business."

Our failure to maintain significant relationships or build new relationships with clinical experts and key thought leaders at U.S. physician groups and universities could result in a loss of existing patients, future referrals on existing and future drugs and pharmaceutical industry data and could materially adversely impact our business and prospects.

        We have developed significant relationships with clinical experts and key opinion leaders at physician groups and universities throughout the U.S. who are focused on oncology and immunology, involved in significant research projects related to specialty drugs, and who are high-volume prescribers of specialty drugs. Our failure to provide quality and timely services to such persons and their patients

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could impair our relationship, which could result in a loss of existing patients, future referrals on existing and future drugs and pharmaceutical industry data (including the anticipated drug pipeline) and therefore materially adversely impact our business and prospects.

We rely heavily on a single shipping provider, and our business could be harmed if our shipping rates increase, our provider is unavailable or our provider performs poorly and we are unable to successfully replace our shipping provider.

        A substantial majority of the specialty drugs we dispense are shipped through UPS. We depend heavily on these shipping services for efficient and cost effective delivery of our products.

        The risks associated with our dependence on UPS include:

    any significant increase in shipping rates, including rate increases resulting from higher fuel prices;

    strikes or other service interruptions by UPS or by another carrier that could affect UPS;

    spoilage of high cost drugs during shipment, since our drugs often require special handling, such as refrigeration; and

    increased delivery errors by UPS, resulting in lost or stolen product.

        In the event any of the foregoing occurs and we are unable to transition efficiently and effectively to a new provider, we could incur increased costs or experience a material disruption in our operations.

A disruption in our operations could hurt our relations with our constituents and significantly impact our results of operations.

        We depend upon our contractors and vendors and on our specialty pharmacies and other facilities for the continued operation of our business. In addition, our success depends, in part, upon our telephone sales and direct marketing efforts and our ability to provide prompt, accurate and complete services to all of our constituents. Natural disasters or other catastrophic events, including hurricanes and other severe weather, terrorist attacks, power interruptions and fires could disrupt our operations and our ability to deliver our products, as well as the operations of our contractors and vendors. In the event we experience a temporary or permanent interruption in our ability to deliver our services or products, including at our corporate headquarters building, which is our primary distribution and service facility, our revenues could be reduced and our business could be materially adversely affected. In addition, any continuing disruption in either our computer system or our telephone system could adversely affect our ability to receive and process customer orders and ship products on a timely basis, and could adversely affect our relations with our customers, potentially resulting in reduction in orders or loss of customers.

We are highly dependent on our senior management and key employees. Competition for our employees is intense, and we may not be able to attract and retain the highly skilled employees that we need to support our business and our anticipated future growth.

        Our success largely depends on the skills, experience, and continued efforts of our management. In particular, our co-founder, Chief Executive Officer and Chairman of the Board of Directors, Philip Hagerman, has led our company throughout its 39-year history. Further, we intend to grow the business significantly, which will depend on our ability to continue to attract, motivate and retain highly qualified individuals in key management, pharmacist, nursing and similar roles. Competition for senior management and other key personnel is intense, and the pool of suitable candidates is limited. If we lose the services of one or more of our key employees, we may not be able to find a suitable replacement and our business could be materially adversely affected.

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If a customized drug provided through our compounding services leads to significant patient injury or death, we may be exposed to significant liabilities and reputational harm.

        We provide limited compounding services. Our compounding services include the preparation of personalized medications for patients. Our compounding pharmacists work with prescribers to customize a medication to meet a patient's specific health needs. While our compounding services accounted for less than 0.5% of our revenues in the six months ended June 30, 2014 and the year ended December 31, 2013, the risks associated with compounding could affect our overall operations. Because compounding involves the preparation of a patient-customized drug, cream, or injectable, including with respect to specific ingredients designed to increase or decrease dosage, we are exposed to a potentially large liability claim in the event that a compounded medication we prepared leads to significant patient harm or death. Such instances may also generate significant negative publicity that could harm our reputation and thereby materially affect our results of operations.

Our industry is highly litigious and future litigation or other proceedings could subject us to significant monetary damages or penalties or require us to change our business practices, which could impair our reputation and result in a material adverse effect on our business.

        We are subject to risks relating to litigation, enforcement action, regulatory proceedings, government inquiries and investigations and other similar actions in connection with our business operations, including the dispensing of pharmaceutical products by our specialty and home delivery pharmacies, claims and complaints related to the various regulations to which we are subject and services rendered in connection with our disease management activity. While we are currently not subject to any material litigation, such litigation is not unusual in our industry. Further, while certain costs are covered by insurance, we may incur uninsured costs related to the defense of such proceedings that are material to our financial performance.

        Furthermore, unexpected volatility in insurance premiums or retention requirements or claims in excess of our insurance coverage could have a material adverse effect on our business and results of operations.

Our pro forma financial information may not be representative of our future performance.

        In preparing the pro forma financial information included in this prospectus, we have made adjustments to our historical financial information based upon currently available information and upon assumptions that our management believes are reasonable in order to reflect, on a pro forma basis, the impact of some or all of the following: (i) the January and April 2014 issuance of preferred stock and the use of certain related proceeds to redeem outstanding shares of common stock and common stock options; (ii) the December 2013 acquisition of AHF and related borrowings under our line of credit; (iii) the June 2014 acquisition of MedPro and related borrowings under our line of credit; (iv) the January 23, 2014 conversion from an S corporation to a C corporation; (v) the conversion of all outstanding shares of our capital stock into shares of our common stock, and immediately thereafter a stock split effected as a stock dividend of            shares for each share of our common stock; and (vi) this offering and the use of proceeds therefrom. The estimates and assumptions used in the calculation of the pro forma financial information in this prospectus may be materially different from our actual experience. Accordingly, the pro forma financial information included in this prospectus does not purport to indicate the results that would have actually been achieved had the above transactions been completed on the assumed date or for the periods presented, or which may be realized in the future, nor does the pro forma financial information give effect to any events other than those discussed in our unaudited pro forma financial statements and related notes.

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Any debt service obligations will reduce the funds available for other business purposes, and the terms and covenants relating to our current and future indebtedness could adversely impact our financial performance and liquidity.

        As of August 14, 2014, we had $78.0 million debt outstanding under our revolving line of credit and approximately $20.4 million of former stakeholder notes outstanding. As of such date, we could incur up to an additional $31.4 million in indebtedness under our revolving line of credit. To the extent we incur significant debt in the future for acquisitions, capital expenditures, working capital or otherwise, we will be subject to risks typically associated with debt financing, such as insufficient cash flow to meet required debt service payment obligations and the inability to refinance existing indebtedness.

        In addition, our line of credit contains covenants requiring us to, among other things, provide financial and other information reporting, provide notice upon certain events and maintain cash management arrangements. These covenants also place restrictions on our ability to incur additional indebtedness, pay dividends or make other distributions, redeem or repurchase capital stock, make investments and loans and enter into certain transactions, including selling assets, engaging in mergers or acquisitions, or engaging in transactions with affiliates. The covenants under our line of credit also include a minimum fixed charge coverage ratio of not less than 1.10 to 1.0, as measured on a trailing 12-month basis, if the amount available to be drawn under our revolving line of credit is less than $20.0 million. If we fail to satisfy one or more of the covenants under our line of credit, we would be in default under the credit agreement, and may be required to repay such debt with capital from other sources or otherwise not be able to draw down against our line of credit. Under such circumstances, other sources of capital may not be available to us on reasonable terms or at all.

Our business could be harmed if the supply of any of the specialty drugs we distribute becomes scarce or is disrupted.

        Many specialty drugs are manufactured with ingredients that are susceptible to supply shortages. In particular, specialty drugs used to treat disease states such as hemophilia and autoimmune conditions can depend on supplies of donated blood, which may fluctuate. A supply shortage, or in rare cases, a complete cessation of manufacturing, of a specialty drug we distribute could materially and adversely impact our volumes, net revenues, profitability and cash flows.

If some of the drugs that we provide lose their orphan drug status, we could face increased competition.

        In order to encourage the development of drugs that might not otherwise be profitable for pharmaceutical companies, the FDA will occasionally grant certain drugs orphan status. When the FDA grants orphan status to a drug, it will not approve a second drug for the same treatment for a period of seven years unless the new drug is chemically different or clinically superior. Additionally, it is easier to gain marketing approval for an orphan drug, and there may be other financial incentives associated with the manufacturing and distribution of orphan drugs, such as extended exclusivity periods. Our business could be adversely affected by any challenges to or the expiration of a drug's orphan status. The loss of such status, the approval of new drugs notwithstanding a drug's orphan status or the development of drugs that are superior to the orphan drugs we sell could result in additional competition and adversely impact our business and results of operations.

Our business would be harmed if the pharmaceutical industry reduces research, development and marketing of specialty drugs that are compatible with the services we provide.

        Our business is highly dependent on continued research, development and marketing expenditures of pharmaceutical companies, and the ability of those companies to develop, supply and generate demand for specialty drugs that are compatible with the services we provide. Our business could be

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materially adversely affected if manufacturers fail to market and support existing drugs, research potential new treatments or to develop new drugs. Our business could also be harmed by any governmental or private initiative that would alter how drug manufacturers promote or sell products and services.

We support hospitals that participate in the 340B Drug Pricing Program ("340B Program"). Recently, the 340B Program has faced increased scrutiny from Congress, federal agencies and pharmaceutical manufacturers. In the event of future changes to the 340B Program, the revenues we derive from hospital services could be adversely impacted.

        Our hospital program supports hospitals that are 340B covered entities pursuant to which such hospitals are able to purchase certain specialty drugs from pharmaceutical manufacturers at a discount for dispensing to eligible patients. In cases where the covered entity treats an insured patient with a discounted specialty drug, the federal government or the patient's private insurance routinely reimburses the entity for the full price of the medication, and the entity is able to retain the difference between the reduced price it pays for the drug and the full amount for which it is reimbursed. In recent years, this practice and other aspects of the 340B Program have come under increased scrutiny. Also, the Office of Pharmacy Affairs, the agency that administers the 340B Program, is currently working to finalize proposed regulations to formalize existing 340B Program guidance. It is anticipated that the proposed regulations will be issued in 2014 and will address, among other things, the definition of an eligible patient and hospital eligibility criteria. Although we are not direct participants in the 340B Program and related services accounted for less than 0.1% of our revenues in the six months ended June 30, 2014 and the year ended December 31, 2013, our involvement with hospitals that are covered entities could cause reputational harm as a result of increased controversy regarding the 340B Program. In addition, if hospitals decrease their utilization of the 340B Program, whether due to regulatory changes or increased scrutiny, such decrease would impact revenue from this business.

We may be unable to obtain or retain the right to use or successfully integrate third-party licenses in our technology-based products, which could limit the number and type of products we are able to offer our customers.

        We rely on third-party licenses for some of the technology used in our products, and intend to continue licensing technologies from third parties. Most of these licenses can be renewed only by mutual consent and may be terminated if we breach the terms of the license and fail to cure the breach within a specified period of time. We may not be able to continue to obtain these licenses on commercially reasonable terms, or at all. Our inability to obtain or renew these licenses or find suitable alternatives could delay development of new products or prevent us from selling our existing products until suitable substitute technology can be identified, licensed, integrated or developed by us. We cannot assure you as to when we would be able to do so, if at all.

        Most of our third-party licenses are non-exclusive. Our competitors may obtain the right to use any of the technology covered by these licenses and use the technology to attempt to compete more effectively with us. In addition, our use of third-party technologies exposes us to risks associated with the integration of components from various sources into our products, such as unknown software errors or defects or unanticipated incompatibility with our systems and technologies. Further, we are dependent on our vendors' continued support of the technology we use. If a vendor chooses to discontinue or is unable to support a licensed technology, we may not be able to modify or adapt our products to fit other available technologies in a timely manner, if at all.

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Risks Related to Federal and State Laws and Regulations

We operate in a highly regulated industry and must comply with a significant number of complex and evolving requirements. Changes in state and federal government regulation could restrict our ability to conduct our business and cause us to incur significant costs.

        The marketing, sale and purchase of pharmaceuticals and medical supplies and provision of healthcare services generally are extensively regulated by federal and state governments. In addition, other aspects of our business are also subject to government regulation. The applicable regulatory framework is complex, and the laws are very broad in scope. Many of these laws remain open to interpretation and have not been addressed by substantive court decisions. Accordingly, we cannot assure you that our interpretation would prevail or that one or more government agencies will not interpret the applicable laws and regulations differently. Changes in the law or new interpretations of existing law can have a dramatic effect on our operations, our cost of doing business and the amount of reimbursement we receive from governmental third-party payors such as Medicare and Medicaid.

        Some of the healthcare laws and regulations that apply to our activities include:

    The federal "Anti-Kickback Statute" prohibits individuals and entities from knowingly and willfully paying, offering, receiving or soliciting money or anything else of value in order to induce the referral of patients or to induce a person to purchase, lease, order, arrange for, or recommend services or goods covered in whole or in part by Medicare, Medicaid, or other government healthcare programs. The Anti-Kickback Statute is an intent-based statute and the failure of a business arrangement to satisfy all elements of a safe harbor will not necessarily render the arrangement illegal, but it may subject that arrangement to increased scrutiny by enforcement authorities. Any violation of the Anti-Kickback Statute can lead to significant penalties, including criminal penalties, civil fines and exclusion from participation in Medicare and Medicaid.

    The "Stark Law" prohibits physicians from making referrals to entities with which the physicians or their immediate family members have a "financial relationship" (i.e., an ownership, investment or compensation relationship) for the furnishing of certain Designated Health Services that are reimbursable under Medicare. The Stark Law is a broad prohibition on certain business relationships, with detailed exceptions. However, unlike the Anti-Kickback Statute under which an activity may fall outside a safe harbor and still be lawful, a referral for Designated Health Services that does not fall within an exception is strictly prohibited by the Stark Law. A violation of the Stark Law is punishable by civil sanctions, including significant fines and exclusion from participation in Medicare and Medicaid.

    The Health Insurance Portability and Accountability Act of 1996 ("HIPAA") and the Health Information Technology for Economic and Clinical Health Act ("HITECH") provide federal privacy protections for individually identifiable health information. See "—Our business operations involve the substantial receipt and use of confidential health information concerning individuals. A failure to adequately protect any of this information could result in severe harm to our reputation and subject us to significant liabilities, each of which could have a material adverse effect on our business." below.

    Pharmacies and pharmacists must obtain state licenses to operate and dispense pharmaceuticals. If we are unable to maintain our licenses or if states place burdensome restrictions or limitations on non-resident pharmacies, this could limit or affect our ability to operate in some states.

    Federal and state investigations and enforcement actions continue to focus on the health care industry, scrutinizing a wide range of items such as joint venture arrangements, referral and billing practices, product discount arrangements, home health care services, dissemination of confidential patient information, clinical drug research trials and gifts for patients.

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Legislative or regulatory policies designed to manage healthcare costs or alter healthcare financing practices or changes to government policies in general may adversely impact our business and results of operations.

        Occasionally, certain legislative and/or regulatory proposals are made which seek to manage the cost of healthcare, including prescription drug cost. Such proposals include "single-payor" government funded healthcare, changes in reimbursement rates, restrictions on rebates and discounts, restrictions on access or therapeutic substitution, limits on more efficient delivery channels, taxes on goods and services, price controls on prescription drugs and other significant healthcare reform proposals. Further, more exacting regulatory policies and requirements specific to the specialty pharmacy sector may cause a rise in costs, labor, and time to meet all such requirements. We are unable to predict whether any such policies or proposals will be enacted, or the specific terms thereof. Certain of these policies or proposals, if enacted, could have a material adverse impact on our business.

Our business operations involve the substantial receipt and use of confidential health information concerning individuals. A failure to adequately protect any of this information could result in severe harm to our reputation and subject us to significant liabilities, each of which could have a material adverse effect on our business.

        Most of our activities involve the receipt or use of protected health information concerning individuals. We also use aggregated and de-identified data for research and analysis purposes, and in some cases, provide access to such de-identified data to pharmaceutical manufacturers, payors and third-party data aggregators and analysts. There is substantial regulation at the federal and state levels addressing the use, disclosure and security of patient identifiable health information. At the federal level, HIPAA and the regulations issued thereunder impose extensive requirements governing the transmission, use and disclosure of health information by all participants in health care delivery, including physicians, hospitals, insurers and other payors. Many of these obligations were expanded under HITECH, passed as part of the American Recovery and Reinvestment Act of 2009. Failure to comply with standards issued pursuant to federal or state statutes or regulations may result in criminal penalties and civil sanctions. In addition to regulating privacy of individual health information, HIPAA includes several anti-fraud and abuse laws, extends criminal penalties to private health care benefit programs and, in addition to Medicare and Medicaid, to other federal health care programs, and expands the Office of Inspector General's authority to exclude persons and entities from participating in the Medicare and Medicaid programs. Further, future regulations and legislation that severely restrict or prohibit our use of patient identifiable or other information could limit our ability to use information critical to the operation of our business. If we violate a patient's privacy or are found to have violated any federal or state statute or regulation with regard to confidentiality or dissemination or use of protected health information, we could be liable for significant damages, fines or penalties and suffer severe reputational harm, each of which could have a material adverse effect on our business, results of operations and prospects.

There remains considerable uncertainty as to the full impact of the Health Reform Laws on our business.

        Many of the structural changes enacted by the Health Reform Laws are being implemented in 2014, and some of the applicable regulations and sub-regulatory guidance have not yet been issued and/or finalized. Therefore, there remains considerable uncertainty as to the full impact of the Health Reform Laws on our business. While these reforms may not affect our business directly, they affect the coverage and plan designs that are or will be provided by many of our health plan customers. As a result, they could indirectly impact many of our services and business practices. We cannot predict what effect, if any, the Health Reform Laws, related regulations and sub-regulatory guidance may have on our business.

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Risks Related to this Offering and Ownership of Our Common Stock

No market currently exists for our common stock, and we cannot assure you that an active trading market will develop for our stock.

        Prior to this offering, there has been no public market for our common stock. We cannot predict the extent to which investor interest in our Company will lead to the development of a trading market on the New York Stock Exchange or otherwise, or how liquid that market might become. If an active market does not develop, you may have difficulty selling any shares of our common stock that you purchase in this offering. Additionally, because we will have a limited number of shares of common stock in our public float, the market for such shares may be illiquid, sporadic and volatile. As a result, there may be extreme fluctuations in the price of shares of our common stock. The initial public offering price for the shares of our common stock will be determined by negotiations among us, the selling shareholders and the representatives of the underwriters and may not be indicative of prices that will prevail in the open market following this offering.

Our stock price may be volatile or may decline regardless of our operating performance, and you may lose part or all of your investment.

        After this offering, the market price for our common stock is likely to be volatile, in part because our shares have not been traded publicly, and that volatility may be exacerbated by our relatively small public float. In addition, the market price of our common stock may fluctuate significantly in response to a number of factors, most of which we cannot control, including:

    market conditions or trends in the pharmaceutical industry, the healthcare industry in general, or in the economy as a whole;

    actions by existing or future competitors;

    actual or anticipated growth rates relative to our competitors;

    the public's response to press releases or other public announcements by us or third parties, including our filings with the Securities and Exchange Commission;

    economic, legal and regulatory factors unrelated to our performance;

    any future guidance we may provide to the public, any changes in such guidance or any difference between our guidance and actual results;

    changes in financial estimates or recommendations by any securities analysts who follow our common stock;

    speculation by the press or investment community regarding our business;

    litigation;

    changes in key personnel; and

    future sales of our common stock by our officers, directors and significant shareholders.

        In addition, the stock markets, including the New York Stock Exchange, have experienced extreme price and volume fluctuations that have affected and continue to affect the market prices of equity securities of many companies. In the past, shareholders have instituted securities class action litigation following periods of market volatility. If we were involved in securities litigation, we could incur substantial costs and our resources and the attention of management could be diverted from our business.

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If you purchase shares of our common stock in this offering, you will incur immediate and substantial dilution.

        The offering price of our common stock is substantially higher than the net tangible book value per share of our common stock, which on a pro forma basis was $            per share of our common stock as of                , 2014. As a result, you will incur immediate and substantial dilution in net tangible book value when you buy our common stock in this offering. This means that you will pay a higher price per share than the amount of our total tangible assets, less our total liabilities, divided by the number of shares of common stock outstanding. In addition, you may also experience additional dilution if options or other rights to purchase our common stock that are outstanding or that we may issue in the future are exercised or converted or we issue additional shares of our common stock at prices lower than our net tangible book value at such time. See "Dilution."

We do not expect to pay any cash dividends for the foreseeable future and, consequently, for those who purchase our common stock, the only opportunity to achieve a return on your investment is if the price of our common stock appreciates.

        Following this offering, we do not anticipate that we will pay any cash dividend on shares of our common stock for the foreseeable future. Any determination to pay dividends in the future will be at the discretion of our Board of Directors and will depend upon results of operations, financial performance and condition, capital requirements, contractual restrictions under our line of credit and other debt agreements (including specific restrictive covenants), restrictions imposed by applicable law and other factors that our Board of Directors deems relevant. Accordingly, if you purchase shares in this offering, realization of a gain on your investment will depend on the appreciation of the price of our common stock, which may never occur. Investors seeking cash dividends in the foreseeable future should not purchase our common stock.

Future sales of our common stock, or the perception in the public markets that these sales may occur, may depress our stock price.

        The market price of our common stock could decline significantly as a result of sales of a large number of shares of our common stock in the market after this offering. These sales, or the perception that these sales might occur, could depress the market price of our common stock. These sales, or the possibility that these sales may occur, also might make it more difficult for us to sell equity securities in the future at a time and at a price that we deem appropriate.

        In connection with this offering, we, our directors and executive officers, the selling shareholders and certain other holders of our outstanding common stock and options, representing substantially all of our common stock or options outstanding, have each agreed to certain lock-up restrictions. We and they and their permitted transferees will not be permitted to sell any shares of our common stock for 180 days, subject to extension, after the date of this prospectus, except as discussed in "Shares Eligible for Future Sale," without the prior consent of Credit Suisse Securities (USA) LLC and Morgan Stanley & Co. LLC. Credit Suisse Securities (USA) LLC and Morgan Stanley & Co. LLC may, together in their sole discretion, release all or any portion of the shares of our common stock from the restrictions in any of the lock-up agreements.

        Upon the completion of this offering, we will have            shares of common stock outstanding. Except as limited by the lock-up agreements noted above, the shares of common stock offered in this offering will be freely tradable without restriction under the Securities Act of 1933, as amended ("the Securities Act"), except for any shares of common stock that may be held or acquired by our directors, executive officers and other affiliates, the sale of which will be restricted under the Securities Act. In addition, shares subject to outstanding options under our 2007 Option Plan and shares reserved for

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future issuance under our 2014 Omnibus Plan will become eligible for sale in the public market in the future, subject to certain legal and contractual limitations.

        Moreover, pursuant to a registration rights agreement with certain funds of T. Rowe Price Associates, Inc. and Janus Capital Management, LLC, such shareholders have the right to require us to register under the Securities Act any shares of common stock they currently own. See "Certain Relationships and Related-Party Transactions—Related-Party Transactions—Registration Rights Agreement." If our existing shareholders sell substantial amounts of our common stock in the public market, or if the public perceives that such sales could occur, this could have an adverse impact on the market price of our common stock, even if there is no relationship between such sales and the performance of our business.

        In addition, in the future, we may issue shares of our common stock in connection with investments or acquisitions. The amount of shares of our common stock issued in connection with an investment or acquisition could constitute a material portion of our then-outstanding shares of our common stock, which would dilute the holdings of existing shareholders.

Certain provisions of our corporate governance documents, Michigan law and the voting agreement among the Hagerman family could discourage, delay or prevent a merger or acquisition at a premium price.

        Our amended and restated articles of incorporation and bylaws will contain provisions that may make the acquisition of our Company more difficult without the approval of our Board of Directors. These include provisions that, among other things:

    permit the Board to issue up to                    shares of preferred stock, with any rights, preferences and privileges as they may determine (including the right to approve an acquisition or other change in control);

    provide that the authorized number of directors may be fixed only by the Board in accordance with our amended and restated bylaws;

    do not provide for cumulative voting rights (therefore allowing the holders of a majority of the shares entitled to vote in any election of directors to elect all of the directors standing for election);

    divide our Board into three staggered classes;

    provide that all vacancies and newly created directorships may be filled by the affirmative vote of a majority of directors then in office, even if less than a quorum;

    prohibit removal of directors without cause;

    prohibit shareholders from calling special meetings of shareholders;

    requires unanimous consent for stockholders to take action by written consent without approval of the action by our Board;

    provide that shareholders seeking to present proposals before a meeting of shareholders or to nominate candidates for election as directors at a meeting of shareholders must provide advance notice in writing and also comply with specified requirements related to the form and content of a shareholder's notice;

    require at least 80% supermajority shareholder approval to alter, amend or repeal certain provisions of our amended and restated articles of incorporation; and

    require at least 80% supermajority shareholder approval in order for shareholders to adopt, amend or repeal our amended and restated bylaws.

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        These provisions may frustrate or prevent any attempts by our shareholders to replace or remove our current management by making it more difficult for shareholders to replace members of the Board of Directors, which is responsible for appointing members of our management. Any matters requiring the approval of our shareholders will require the approval of the Hagerman family, which may have interests that differ from those of our other shareholders. See "—The Hagerman family will have the ability to control the outcome of matters submitted for shareholder approval and may have interests that differ from those of our other shareholders."

        In addition, the award agreements for outstanding options under our 2007 Option Plan generally provide that all unvested options will immediately vest upon a change in control. The 2014 Omnibus Plan will permit the Board of Directors or a committee thereof to accelerate, vest or cause the restrictions to lapse with respect to outstanding equity awards, in the event of, or immediately prior to, a change in control. Such vesting or acceleration could discourage the acquisition of our Company.

        We could also become subject to certain anti-takeover provisions under Michigan law which may discourage, delay or prevent someone from acquiring us or merging with us, whether or not an acquisition or merger is desired by or beneficial to our shareholders. If a corporation's board of directors chooses to "opt-in" to certain provisions of Michigan Law, such corporation may not, in general, engage in a business combination with any beneficial owner, directly or indirectly, of 10% of the corporation's outstanding voting shares unless the holder has held the shares for five years or more or, among other things, the board of directors has approved the business combination. Our Board of Directors has not elected to be subject to this provision, but could do so in the future. Any provision of our amended and restated articles of incorporation or bylaws or Michigan law that has the effect of delaying or deterring a change in control could limit the opportunity for our shareholders to receive a premium for their shares, and could also affect the price that some investors are willing to pay for our common stock otherwise.

We expect to be a "controlled company" within the meaning of the rules of the New York Stock Exchange and, as a result, we will qualify for, and currently intend to rely on, exemptions from certain corporate governance requirements. You will not have the same protections afforded to shareholders of companies that are subject to such requirements.

        After completion of this offering, members of the Hagerman family (as defined below) will collectively hold more than 50% of our common stock, and will vote as a group (based on the voting determination of a majority of the shares held by the Hagerman family, which Philip Hagerman will hold as of the completion of this offering) pursuant to a voting agreement, and therefore we expect to qualify as a "controlled company" within the meaning of the corporate governance rules of the New York Stock Exchange. Under these rules, a company of which more than 50% of the voting power is held by an individual, group or another company is a "controlled company" and may elect not to comply with certain corporate governance requirements, including:

    the requirement that a majority of the board of directors consist of independent directors;

    the requirement that we have a nominating and corporate governance committee, and if we have such committee, that it be composed entirely of independent directors; and

    the requirement that we have a compensation committee, and if we have such committee, that it be composed entirely of independent directors.

We intend to rely on all of these corporate governance exemptions as of the completion of this offering and may rely on some or all of such exceptions so long as we continue to qualify as a controlled company.

        Additionally, under the rules of the Exchange Act, we are only required to have one independent audit committee member upon the listing of our common stock on the New York Stock Exchange, a

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majority of independent audit committee members within 90 days from the date of listing and three independent audit committee members within one year from the date of listing.

        Consequently, you will not have the same protections afforded to shareholders of companies that are subject to all of the corporate governance rules and requirements of the New York Stock Exchange. Our status as a controlled company could make our common stock less attractive to some investors or otherwise harm our stock price.

The Hagerman family will have the ability to control the outcome of matters submitted for shareholder approval and may have interests that differ from those of our other shareholders.

        After the completion of this offering, assuming the underwriters do not exercise their option to purchase additional shares, Philip Hagerman and certain members of his immediate family and various trusts affiliated with or for the benefit of such persons (together with Philip Hagerman, the "Hagerman family") will beneficially own approximately        % of our common stock, and members of the Hagerman family will vote as a group (based on the voting determination of a majority of the shares held by the Hagerman family, which Philip Hagerman will hold as of the completion of this offering) pursuant to a voting agreement. Therefore, Philip Hagerman will continue to have effective control over the outcome of votes on all matters requiring approval by shareholders after the offering, including the election of directors, the adoption of amendments to our articles of incorporation and bylaws and approval of a sale of the Company and other significant corporate transactions, regardless of how other shareholders vote on these matters. Furthermore, the interests of the Hagerman family may be different than the interests of other shareholders. This concentration of voting power could also have the effect of delaying, deterring or preventing a change in control or other business combination that might otherwise be beneficial to our shareholders.

Our management will have broad discretion over the use of the proceeds we receive in this offering and might not apply the proceeds in ways that increase the value of your investment.

        We estimate that net proceeds of the sale of the common stock that we are offering will be approximately $       million, $      of which will be used to satisfy certain indebtedness to current and former stakeholders and employees. Our management will have broad discretion to use the balance of our net proceeds from this offering, and you will be relying on the judgment of our management regarding the application of these proceeds. Our management might not apply the net proceeds of this offering in ways that increase the value of your investment. Our management might not be able to yield any return on the investment and use of these net proceeds. You will not have the opportunity to influence our decisions on how to use the proceeds.

Some of our operating expenses will increase significantly as a result of operating as a public company, and our management will be required to devote substantial time to complying with public company regulations.

        Since our inception, we have operated as a private company. As a public company, we will incur additional legal, accounting, compliance and other expenses that we have not incurred as a private company. After this offering, we will become obligated to file annual and quarterly information and other reports with the SEC as required by the Securities Exchange Act of 1934, as amended ("the Exchange Act"), and applicable SEC rules. In addition, we will also become subject to other reporting and corporate governance requirements, including certain requirements of the New York Stock Exchange, which will impose significant compliance obligations upon us. Among other things, we will need to institute a comprehensive compliance function related to various regulations, establish additional internal policies and controls, prepare financial statements that are compliant with SEC reporting requirements on a timely basis, draft a proxy statement and hold annual meetings of shareholders, appoint independent directors, comply with additional corporate governance matters, and utilize outside counsel and accountants in the above activities.

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        The Sarbanes-Oxley Act of 2002 and the recently enacted Dodd-Frank Wall Street Reform and Consumer Protection Act, as well as rules subsequently implemented by the SEC and the New York Stock Exchange, have imposed increased regulation and disclosure obligations and have required enhanced corporate governance practices of public companies. Our efforts to comply with evolving laws, regulations and standards are likely to result in increased administrative expenses and a diversion of management's time and attention from sales-generating activities. These changes will require a significant commitment of additional resources. We may not be successful in implementing these requirements, and implementing them could materially adversely affect our business, results of operations and financial condition. If we do not implement or comply with such requirements in a timely manner, we might be subject to sanctions or investigation by regulatory authorities, such as the SEC or the New York Stock Exchange. Any such action could harm our reputation and the confidence of investors and constituents in our Company and could materially adversely affect our business and cause our stock price to decline.

If securities or industry analysts do not publish research or publish unfavorable research about our business, our stock price and trading volume could decline.

        The trading market for our common stock will be influenced by the research and reports that industry or securities analysts publish about us or our business. If one or more of these analysts ceases coverage of our Company or fails to publish reports on us regularly, we could lose visibility in the financial markets, which in turn could cause our stock price or trading volume to decline. Moreover, if our operating results do not meet the expectations of the investor community, one or more of the analysts who cover our Company may change their recommendations regarding our Company, and our stock price could decline.

If we cannot satisfy or continue to satisfy the continued listing requirements of the New York Stock Exchange, our common stock may be delisted, which would negatively impact the price of our common stock and your ability to sell our common stock.

        Our common stock has been approved for listing on the            , subject to official notice of issuance. If we are unable to comply with the continued listing requirements of the New York Stock Exchange, we could be delisted from and face significant consequences, including:

    limited availability for market quotations for our common stock;

    reduced liquidity with respect to our common stock;

    limited amount of news and analyst coverage; and

    a decreased ability to issue additional securities or obtain additional financing in the future.

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SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS

        This prospectus includes forward-looking statements in addition to historical information. These forward-looking statements are included throughout this prospectus, including under the headings entitled "Prospectus Summary," "Risk Factors," "Management's Discussion and Analysis of Financial Condition and Results of Operations" and "Business" and relate to matters such as our industry, business strategy, goals and expectations concerning our market position, future operations, margins, profitability, capital expenditures, liquidity and capital resources and other financial and operating information. We have used the words "anticipate," "assume," "believe," "continue," "could," "estimate," "expect," "future," "intend," "may," "plan," "potential," "predict," "project," "seek," "should," "will," and similar terms and phrases, or the negative thereof, to identify forward-looking statements in this prospectus.

        The forward-looking statements contained in this prospectus are based on management's good-faith belief and reasonable judgment based on current information, and these statements are qualified by important factors, many of which are beyond our control, that could cause our actual results to differ materially from those in the forward-looking statements, including changes in global, regional or local economic, business, competitive, market, regulatory and other factors, many of which are beyond our control, including those described in "Risk Factors." Any forward-looking statement made by us in this prospectus speaks only as of the date of this prospectus. We undertake no obligation to publicly update any forward-looking statement, whether as a result of new information, future developments or otherwise, except as may be required by any applicable laws or regulations.

        The following risks related to our business, among others, could cause actual results to differ materially from those described in the forward-looking statements:

    our ability to adapt to changes or trends within the specialty pharmacy industry;

    significant and increasing pricing pressure from third-party payors;

    our relationships with key pharmaceutical manufacturers;

    bad publicity about, or market withdrawal of, specialty drugs we dispense;

    a significant increase in competition from a variety of companies in the health care industry;

    our ability to expand the number of specialty drugs we dispense and related services;

    maintaining existing patients;

    revenue concentration of the top specialty drugs we dispense;

    our ability to maintain relationships with a specified wholesaler and pharmaceutical manufacturer;

    increasing consolidation in the healthcare industry;

    managing our growth effectively;

    limited experience with acquisitions;

    fluctuations in operating results;

    failure or disruption of our information technology and security systems;

    relationships with clinical experts and key thought leaders at U.S. physician groups and universities;

    reliance on a single shipping provider;

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    dependence on our senior management and key employees;

    liability risks associated with our compounding services;

    debt service obligations;

    supply disruption of any of the specialty drugs we dispense;

    loss of orphan drug status for such specialty drugs we dispense;

    reductions of research, development and marketing of specialty drugs; and

    other factors set forth under "Risk Factors."

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USE OF PROCEEDS

        Assuming an initial public offering price of $            per share (the midpoint of the estimated price range set forth on the cover page of this prospectus), we estimate that we will receive net proceeds from this offering of approximately $             million, after deducting the underwriting discount and estimated offering expenses payable by us.

        We intend to use the net proceeds from this offering to repay indebtedness to certain current or former stakeholders and employees, which as of June 30, 2014 are as follows: (i) $12.7 million to Mark Chaffee, a former shareholder, to satisfy a promissory note bearing interest at 1.3% per annum and maturing in January 2017; (ii) $7.1 million to Jeffrey M. Rowe, an existing shareholder, executive officer and director, to satisfy a promissory note bearing interest at 1.3% per annum and maturing on July 20, 2017; (iii) $0.2 million to Deborah Ward, an existing shareholder and the sister of Philip Hagerman, our Chairman and Chief Executive Officer, to satisfy a promissory note bearing no interest and maturing on April 20, 2015; and (iv) $0.9 million to Stephen M. Lund, a former employee and option holder, to satisfy a promissory note bearing interest at the prime rate plus 1.0% and maturing on July 20, 2017. The balance of the net proceeds from this offering will be used to fully repay borrowings under our revolving line of credit to the extent of any borrowings outstanding as of the completion of this offering and for working capital and other general corporate purposes, which we expect will include opportunistic acquisitions or strategic investments. The revolving line of credit expires on July 20, 2017. At August 14, 2014, we had $78.0 million of borrowings outstanding and had $31.4 million of availability under the line of credit. We may select from two interest rate options for revolving and letter of credit borrowings under the line of credit: (i) LIBOR (as defined in the line of credit) plus 1.75% or (ii) Base Rate (as defined in the line of credit) plus 0.75%. The effective interest rate for Base Rate borrowings at both June 30, 2014 and December 31, 2013 was 4.00%. The effective rate on LIBOR rate borrowings at June 30, 2014 and December 31, 2013 was 1.90% and 1.92%, respectively. As a result of the repayment of our line of credit, JPMorgan Chase Bank, N.A. and Wells Fargo Bank, N.A., lenders thereunder and affiliates of certain of the underwriters of this offering, will receive a portion of such repayment. See "Underwriting (Conflicts of Interest)."

        Each $1.00 increase (decrease) in the assumed initial public offering price of $            per share would increase (decrease) the net proceeds to us from this offering by approximately $             million, after deducting the underwriting discount and estimated offering expenses payable by us.

        We will not receive any proceeds from the sale of shares of our common stock by the selling shareholders, including any shares that may be sold by the selling shareholders in connection with the exercise of the underwriters' option to purchase additional shares.

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DIVIDEND POLICY

        We do not currently anticipate paying any dividends to our shareholders in the foreseeable future. Although historically as a private company, we paid cash distributions to our shareholders we currently expect to retain all future earnings, if any, for use in the operation and expansion of our business. Any determination to pay dividends in the future will be at the discretion of our Board of Directors and will depend upon results of operations, financial performance and condition, capital requirements, restrictions imposed by applicable law, other factors our Board of Directors deems relevant and contractual restrictions under our line of credit and other debt agreements including those discussed under "Description of Indebtedness" and "Management's Discussion and Analysis of Financial Condition and Results of Operations—Liquidity and Capital Resources" in this prospectus. As a result, capital appreciation, if any, of our common stock will be your sole source of gain from your purchase of our common stock for the foreseeable future.

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CAPITALIZATION

        The following table sets forth our cash and capitalization as of June 30, 2014 on:

    an actual basis;

    a pro forma basis to give effect to the conversion of all outstanding shares of our capital stock into shares of our common stock, and immediately thereafter a stock split effected as a stock dividend of            shares for each share of our common stock as described under the heading "Description of Capital Stock—Conversion of Issued and Outstanding Common Stock and Preferred Stock" as if such transactions occurred on June 30, 2014; and

    a pro forma as adjusted basis to give further effect to the sale of shares of common stock by us in this offering at an assumed initial public offering price of $            per share (the midpoint of the estimated price range set forth on the cover of this prospectus), after deducting the underwriting discount and estimated offering expenses payable by us, and the application of the net proceeds of this offering by us as described under "Use of Proceeds" as if such transactions occurred on June 30, 2014.

        The information below is illustrative only and our cash and capitalization following the completion of this offering will be based on the actual initial public offering price and other terms of this offering determined at pricing. You should read this table together with "Selected Consolidated Financial Data," "Management's Discussion and Analysis of Financial Condition and Results of Operations" and our consolidated financial statements and related notes included elsewhere in this prospectus.

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  As of June 30, 2014
(unaudited)
 
 
  Actual   Pro Forma   Pro Forma
as Adjusted(3)
 
 
  (Dollars in thousands, except par values)
 

Cash and cash equivalents

  $ 25,550   $ 25,550   $         
               
               

Line of credit(1)

  $ 79,876   $ 79,876   $  

Notes payable to individuals

    20,842     20,842      
               

Series A Preferred Stock, par value $.001 per share, 732 shares authorized, 730.74767 shares issued and outstanding, actual; no shares authorized, issued or outstanding, pro forma and pro forma as adjusted

   
101,815
   
   
 
               

Class A Voting Common Stock, par value $1.00 per share, 5,000 shares authorized, 195 shares issued and outstanding, actual; no shares authorized, issued or outstanding, pro forma and pro forma as adjusted

   
   
   
 

Class B Nonvoting Common Stock, par value $1.00 per share, 95,000 shares. authorized, 3,789.10628 shares issued and outstanding, actual; no shares authorized, issued or outstanding, pro forma and pro forma as adjusted

   
4
   
   
 

Common stock, no par value per share, no shares authorized, no shares issued and outstanding, actual;            shares authorized,            shares issued and outstanding, pro forma;            shares authorized,            shares issued and outstanding, pro forma as adjusted

   
   
   
 

Additional paid-in capital(2)

   
(74,659

)
 
27,160
       

Retained earnings

    2,986     2,986        
               

Total stockholders' equity (deficit)

    (71,669 )   30,146        
               

Total capitalization

  $ 130,864   $ 130,864   $       
               
               

(1)
As of June 30, 2014, our line of credit provided for up to $120.0 million in revolving loans, subject to a borrowing base determined primarily by the value of our eligible receivables and inventory. As of June 30, 2014, we had $18.2 million in undrawn availability under our line of credit. See "Description of Indebtedness." All outstanding borrowings under the line of credit are expected to be paid off with proceeds from this offering. At August 14, 2014, we had $78.0 million of borrowings outstanding and had $31.4 million of availability under the line of credit.

(2)
The pro forma additional paid-in capital balance reflects the conversion of all outstanding shares of our capital stock into shares of our common stock, and immediately thereafter a stock split effected as a stock dividend of            shares for each share of our common stock. The pro forma, as adjusted additional paid-in capital balance further reflects the sale of                        common shares in this offering.

(3)
A $1.00 increase (decrease) in the assumed initial public offering price of $            (the midpoint of the price range set forth on the front cover of this prospectus) would increase (decrease) each of pro forma as adjusted cash and cash equivalents, additional paid-in capital, total shareholders' equity and total capitalization by $            assuming the number of shares offered by us set forth on the front cover of this prospectus remains the same, and after deducting the underwriting

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    discount and estimated offering expenses payable by us. An increase or decrease of             million shares in the number of shares offered by us would increase (decrease) each of pro forma as adjusted cash and cash equivalents, additional paid-in capital, total shareholders' equity and total capitalization by approximately $             million assuming the assumed initial public offering price of $            per share (the midpoint of the price range set forth on the front cover of this prospectus) remains the same, and after deducting the underwriting discount and estimated offering expenses payable by us. The pro forma as adjusted information described above is illustrative only and will adjust based on the actual initial public offering price and terms of this offering determined at pricing. See "Prospectus Summary—The Offering" for a description of exclusions and assumptions made in calculating the total outstanding shares as of such date.

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DILUTION

            If you purchase shares of our common stock in this offering, you will incur immediate and substantial dilution to the extent of the difference between the public offering price per share of our common stock and the consolidated net tangible book value per share of our common stock after giving effect to this offering.

            Consolidated net tangible book value (deficit) per share is determined by dividing (i) our total assets less our goodwill, intangible assets, deferred initial public offering costs, and total liabilities by (ii) the number of shares of our common stock outstanding. As of June 30, 2014, we had a consolidated net tangible book value (deficit) of approximately $(36,863) million, or $(9.45) per common share. Our pro forma consolidated net tangible book value (deficit) as of June 30, 2014 would have been $             million, or $            per share, based on the total number of shares of our common stock outstanding as of June 30, 2014, after giving effect to the conversion of all outstanding shares of our capital stock into shares of our common stock, and immediately thereafter a stock split effected as a stock dividend of                        shares for each share of our common stock as described under the heading "Description of Capital Stock—Conversion of Issued and Outstanding Common Stock and Preferred Stock." Following the sale by us of the            shares of common stock in this offering at an assumed initial public offering price of $            per share (the midpoint of the estimated price range set forth on the cover page of this prospectus) after deducting the underwriting discount and estimated offering expenses payable by us and applying the net proceeds as set forth in "Use of Proceeds," our pro forma as adjusted consolidated net tangible book value at June 30, 2014 would have been $             million, or $            per share. This represents an immediate increase in pro forma as adjusted consolidated net tangible book value to existing shareholders of $            per share and an immediate dilution to new investors of $            per share. Dilution per share represents the difference between the price per share to be paid by new investors for the shares of common stock sold in this offering and the pro forma as adjusted consolidated net tangible book value per share immediately after this offering. The following table illustrates this dilution on a per share basis:

Assumed initial public offering price per share

        $           

Pro forma net tangible book value (deficit) per share as of June 30, 2014

  $                 

Increase in pro forma net tangible book value per share attributable to new investors

  $                 
             

Pro forma consolidated net tangible book value per share, as adjusted for this offering

        $           
             

Dilution in pro forma net tangible book value per share to new investors in this offering

        $           
             
             

            Each $1.00 increase (decrease) in the assumed initial public offering price of $            per share (the midpoint of the estimated price range set forth on the cover page of this prospectus), would increase (decrease) our pro forma consolidated net tangible book value, as adjusted, after this offering by $             million and the dilution per share to new investors by $            , in each case assuming the number of shares offered by us, as set forth on the cover page of this prospectus, remains the same and after deducting the underwriting discount and estimated offering expenses payable by us.

            A             million increase (decrease) in the number of shares offered by us would increase (decrease) our as pro forma consolidated net tangible book value by approximately $             million, or $            per share, assuming an initial public offering price of $            per share (the midpoint of the price range set forth on the cover page of this prospectus), and the dilution per share to new investors by approximately $            , and after deducting estimated underwriting discounts and commissions and estimated offering expenses payable by us.

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            If the underwriters exercise their option to purchase                        additional shares of common stock in this offering in full, our pro forma consolidated net tangible book value, as adjusted, as of June 30, 2014 would increase to approximately $             million, or $            per share, and dilution per share to new investors would increase to approximately $            , in each case assuming an initial public offering price of $            per share, which is the midpoint of the range listed on the cover page of this prospectus, and after deducting estimated underwriting discounts and commissions and estimated offering expenses payable by us.

            The following table sets forth, as of June 30, 2014, the number of shares of common stock purchased, the total consideration paid, or to be paid to us, and the average price per share paid, or to be paid, by existing shareholders and by the new investors, at an assumed initial public offering price of $            per share (the midpoint of the estimated price range set forth on the cover page of this prospectus), before deducting the underwriting discount and estimated offering expenses payable by us (dollars in thousands, except per share data):

 
   
   
  Total
Consideration
   
 
 
  Shares Purchased    
 
 
  Average Price
Per Share
 
 
  Number   Percent   Amount   Percent  

Existing shareholders(1)

                   % $                       % $           

New investors in this offering(1)

                          $    

Total

                   % $                       %      

(1)
The number of shares purchased by existing shareholders includes shares being sold by the selling shareholders in this offering. The number of shares purchased by new investors does not include shares being sold by the selling shareholders in this offering and does not include shares issued pursuant to the underwriters' option to purchase additional shares.

        Sales by the selling shareholders in this offering will reduce the number of shares held by existing shareholders to            shares, or approximately        % (             shares, or approximately        %, if the underwriters exercise their overallotment option in full), and will increase the number of shares to be purchased by new investors to             shares, or approximately        % (            shares, or approximately        %, if the underwriters exercise their overallotment option in full), of the total common stock outstanding after this offering.

        The foregoing tables exclude (i)             shares of our common stock issuable upon the exercise of options outstanding as of                , 2014 under our 2007 Option Plan, with a weighted average exercise price of $            per share, and (ii)             shares of our common stock reserved for future issuance under our 2014 Omnibus Plan as of the date hereof, which will be effective upon the completion of this offering. To the extent these options are exercised, there will be further dilution to new investors.

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SELECTED CONSOLIDATED FINANCIAL DATA

        The following table summarizes our consolidated financial data and other data for the periods and at the dates indicated. We derived the consolidated statement of operations data for the years ended December 31, 2013, 2012 and 2011 and the consolidated balance sheet data as of December 31, 2013 and 2012 from our audited consolidated financial statements included elsewhere in this prospectus. We derived the statement of operations data for the years ended December 31, 2010 and 2009 and the balance sheet data as of December 31, 2011, 2010, and 2009 from our audited consolidated financial statements that do not appear in this prospectus. We derived the unaudited consolidated statement of operations data for the six months ended June 30, 2014 and 2013 and the unaudited consolidated balance sheet data as of June 30, 2014 from our unaudited consolidated financial statements included elsewhere in this prospectus. We have prepared the unaudited consolidated financial statements on the same basis as the audited consolidated financial statements and have included, in our opinion, all adjustments, consisting only of normal recurring adjustments that we consider necessary for a fair presentation of the financial information set forth in those statements.

        We derived the unaudited pro forma financial information for the year ended December 31, 2013 and the six months ended June 30, 2014 and as of June 30, 2014 from the unaudited pro forma financial information included elsewhere in this prospectus.

        Our historical results are not necessarily indicative of the results to be expected for any future period, and the results in the six months ended June 30, 2014 are not necessarily indicative of the results for the full year or any other period. The following information should be read together with the information under the headings "Capitalization" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" and our consolidated financial statements and related notes included elsewhere in this prospectus. The unaudited pro forma consolidated financial information does not necessarily represent what our financial position, results of operations and other data would have been if the transactions had actually been completed on the dates indicated, and are not intended to project such information for any future period. See "Use of Proceeds" and "Index to the Consolidated Financial Statements—Unaudited Pro Forma Consolidated Financial Information."

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  For the six months ended June 30,   For the year ended December 31,  
 
  2014
Pro Forma(1)
  2014(2)   2013   2013
Pro Forma(3)
  2013(4)   2012   2011   2010   2009  
 
  (Dollars in thousands, except prescription, per share and per prescription data)
 
 
  (Unaudited)
   
   
   
   
   
   
 

Consolidated Statement of Operations Data

                                                       

Net sales

        $ 1,007,352   $ 704,525         $ 1,515,139   $ 1,126,943   $ 771,962   $ 577,547   $ 377,479  

Cost of goods sold

          (948,275 )   (663,883 )         (1,426,112 )   (1,057,608 )   (715,448 )   (536,451 )   (346,873 )
                                       

Gross profit

          59,077     40,642           89,027     69,335     56,514     41,096     30,606  

Selling, general, and administrative expenses

         
(51,024

)
 
(35,988

)
       
(77,944

)
 
(64,392

)
 
(47,434

)
 
(37,902

)
 
(27,114

)
                                       

Income from operations

          8,053     4,654           11,083     4,943     9,080     3,194     3,492  

Interest expense

         
(895

)
 
(941

)
       
(1,996

)
 
(1,086

)
 
(598

)
 
(454

)
 
(831

)

Equity loss of non-consolidated entity

          (710 )   (311 )         (1,055 )   (267 )   (95 )            

Other income

          517     112           196     337     764     85     157  
                                       

Income before income taxes

          6,965     3,514           8,228     3,927     9,151     2,825     2,818  

Income tax expense(5)

          (4,557 )                              
                                       

Net income

          2,408     3,514           8,228     3,927     9,151     2,825     2,818  

Net income allocable to preferred shareholders

          266                                
                                       

Net income allocable to common shareholders

        $ 2,142   $ 3,514         $ 8,228   $ 3,927   $ 9,151   $ 2,825   $ 2,818  
                                       
                                       

Weighted average common shares outstanding(5):

                                                       

Basic

          4,016     4,275           4,275     4,471     5,200     5,204     5,226  

Diluted

          4,358     4,293           4,364     4,602     5,311     5,331     5,321  

Net income per common share(6):

   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
 

Basic

        $ 533.40   $ 822.05         $ 1,924.70   $ 878.35   $ 1,759.77   $ 542.78   $ 539.14  
                                       
                                       

Diluted

        $ 491.55   $ 818.56         $ 1,885.45   $ 853.50   $ 1,723.13   $ 529.89   $ 529.52  
                                       
                                       

Other Data

                                                       

Adjusted EBITDA(7)

        $ 14,083   $ 7,704         $ 18,970   $ 10,852   $ 15,121   $ 7,716   $ 6,059  

Prescriptions dispensed(8)

         
381,000
   
352,000
         
707,000
   
669,000
   
596,000
   
580,000
   
484,000
 

Prescriptions serviced (not dispensed)(9)

          102,000     97,000           223,000     129,000     13,000          
                                       

Total prescriptions

          483,000     449,000           930,000     798,000     609,000     580,000     484,000  
                                       

Net sales per prescription dispensed(10)

        $ 2,639   $ 1,993         $ 2,135   $ 1,680   $ 1,295   $ 996   $ 780  

Gross profit per prescription dispensed(11)

        $ 148   $ 109         $ 117   $ 99   $ 94   $ 71   $ 63  

Net sales per prescription serviced (not dispensed)(12)

       
$

27
 
$

25
       
$

28
 
$

26
 
$

27
   
   
 

Gross profit per prescription serviced (not dispensed)(12)

        $ 27   $ 25         $ 28   $ 26   $ 27          

Adjusted EBITDA per prescription(13)

       
$

29
 
$

17
       
$

20
 
$

14
 
$

25
 
$

13
 
$

13
 

 

 
  As of June 30, 2014    
  As of December 31,  
 
  Pro Forma
as adjusted(14)
  Pro Forma(15)   Actual    
  2013   2012   2011   2010   2009  
 
  (Dollars in thousands)
 
 
  (Unaudited)
   
   
   
   
   
   
 

Consolidated Balance Sheet Data

                                                       

Property and equipment, net

          12,900   $ 12,900         $ 12,378   $ 12,634   $ 16,930   $ 14,116   $ 8,196  

Total assets

          338,909     338,909           211,777     139,595     100,380     82,722     55,615  

Total debt

          100,718     100,718           88,164     63,102     12,942     19,694     9,963  

Total liabilities

          308,763     308,763           236,189     172,135     88,622     80,416     52,965  

Redeemable preferred stock(16)

              101,815                            

Shareholders' (deficit) equity(16)(17)

          30,146     (71,669 )         (24,412 )   (32,540 )   11,758     2,306     2,649  

(1)
The unaudited pro forma consolidated financial information for the six months ended June 30, 2014 gives effect to: (A) the January and April 2014 issuance of preferred stock and the use of a portion of the proceeds from these issuances to redeem outstanding shares of common stock and common stock options, (B) our acquisition of MedPro in June 2014 and related borrowings under our line of credit, (C) our conversion from an S corporation to a C corporation on January 23, 2014, (D) the conversion of all outstanding shares of our capital stock into shares of our common stock, and immediately thereafter a stock split effected as a stock dividend of                         shares for each share of our common stock and (E) this offering and the use of proceeds therefrom, assuming in each case that such event occurred on January 1, 2013. See "Index to the Consolidated Financial Statements: Unaudited Pro Forma Combined Consolidated Financial Information".

(2)
We acquired MedPro on June 27, 2014 and its financial results have been included in our historical financial statements since such date.

(3)
The unaudited pro forma consolidated financial information for the year ended December 31, 2013 gives effect to the transactions described in Note 1 above as well as to the December 2013 acquisition of AHF and related borrowings under our line of credit, assuming in each case that such event occurred on January 1, 2013. Index to the Consolidated Financial Statements: Unaudited Pro Forma Combined Consolidated Financial Information".

(4)
We acquired AHF on December 16, 2013 and its financial results have been included in our historical financial statements since that date.

(5)
Prior to January 23, 2014, we had elected to be taxed under the provisions of Subchapter S of the Internal Revenue Code. Therefore, we did not pay corporate income taxes on our taxable income. Instead, our shareholders were liable for individual income taxes on their respective shares of our taxable income. On January 23, 2014, we changed from an S Corporation to a C Corporation, and therefore we will pay corporate income taxes on our taxable income for periods after January 23, 2014.

(6)
All share and per share amounts presented have been adjusted to reflect the applicable conversions of capital stock and stock dividend occurring immediately prior to the completion of this offering.

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(7)
See "Adjusted EBITDA" below for our definition of Adjusted EBITDA, why we present Adjusted EBITDA and a reconciliation of net income (loss) to Adjusted EBITDA.

(8)
Prescriptions dispensed (rounded to nearest thousand), represents actual prescriptions filled and dispensed by Diplomat.

(9)
Prescriptions serviced (not dispensed) (rounded to nearest thousand), represents prescriptions filled and dispensed by a non-Diplomat pharmacy, including retailers and health systems, for which we provide support services required to assist patients and pharmacies with the complexity of filling specialty medications, and for which we earn a fee.

(10)
Net sales per prescription dispensed represents total prescription revenue from prescriptions dispensed by Diplomat, divided by the number of prescriptions dispensed by Diplomat. Total prescription revenue from prescriptions dispensed includes all revenue collected from patients, third party payors and various patient assistance programs, as well as revenue collected from pharmaceutical manufacturers for data and other services directly tied to the actual dispensing of their drug(s).

(11)
Gross profit per prescription dispensed represents gross profit from prescriptions dispensed by Diplomat, divided by the number of prescriptions dispensed by Diplomat. Gross profit represents total prescription revenue from prescriptions dispensed less the cost of the drugs purchased.

(12)
Net sales per prescription serviced (not dispensed) represents total prescription revenue from prescriptions serviced divided by the number of prescriptions serviced for the non-Diplomat pharmacies. Gross profit per prescription serviced (not dispensed) is equal to net sales per prescription serviced because there is no Diplomat drug cost of goods sold associated with such transactions. Total prescription revenue from prescriptions serviced includes revenue collected from partner pharmacies, including retailers and health systems, for support services rendered to their patients.

(13)
Adjusted EBITDA per prescription is Adjusted EBITDA divided by the total number of prescriptions dispensed or serviced.

(14)
The unaudited pro forma consolidated financial information, as of June 30, 2014, as adjusted, gives effect to the items specified in Note 15 below and further effect to this offering and the use of proceeds therefrom, assuming in each case that such event occurred on June 30, 2014. See "Unaudited Pro Forma Combined Consolidated Financial Information".

(15)
The unaudited pro forma consolidated balance sheet information as of June 30, 2014 gives effect to the conversion of all outstanding shares of our capital stock into shares of our common stock, and immediately thereafter a stock split effected as a stock dividend of            shares for each share of our common stock, assuming that such event occurred on June 30, 2014. See "Unaudited Pro Forma Combined Consolidated Financial Information".

(16)
In January 2014, we sold to certain funds of T. Rowe Price, 351.32097 shares of Series A Preferred stock at a purchase price of $142 per share. We used $20,000 of the $50,000 investment proceeds for general corporate purposes, including fees associated with the transaction, and the remaining $30,000 was used to redeem shares of common stock and common stock options. Further, in April 2014, we sold to certain funds of Janus Capital Group 379.4267 shares of Series A preferred stock at a purchase price of $142 per share. We used $25,200 of the $54,000 investment for general corporate purposes, including fees associated with the transaction, and the remaining $28,800 was used to redeem shares of common stock and common stock options. These redemptions increased our shareholders' deficit by $58,800 in the six months ended June 30, 2014.

(17)
In 2012, we entered into settlement agreements with current or former shareholders whereby we purchased shares of common stock formerly owned by the stakeholders for consideration of $29,393 of which $2,851 was paid in cash, forgiveness of note of $196 and the remaining $26,346 was payable in full, as per the terms of an executed promissory notes, maturing 2017. This entire amount of $29,393 is reflected as a decrease to our shareholders' (deficit) equity in 2012. Also, in 2012 we had unusually high shareholder distributions of $17,281.

Adjusted EBITDA

        We define Adjusted EBITDA as net income before interest expense, income taxes, depreciation and amortization, share-based compensation expense, restructuring and impairment charges, equity loss of non-consolidated entity, and certain other items that we do not consider indicative of our ongoing operating performance (which items are itemized below). Adjusted EBITDA is a non-GAAP financial measure.

        We consider Adjusted EBITDA to be a supplemental measure of our operating performance. We present Adjusted EBITDA because it is used by our Board of Directors and management to evaluate our operating performance. It is also used as a factor in determining incentive compensation, for budgetary planning and forecasting overall financial and operational expectations, for identifying underlying trends and for evaluating the effectiveness of our business strategies. Further, we believe it assists us, as well as investors, in comparing performance from period to period on a consistent basis. Adjusted EBITDA is not in accordance with, or an alternative to, measures prepared in accordance with accounting principles generally accepted in the United States ("GAAP"). In addition, this non-GAAP measure is not based on any comprehensive set of accounting rules or principles.

        As a non-GAAP measure, Adjusted EBITDA has limitations in that it does not reflect all of the amounts associated with our results of operations as determined in accordance with GAAP and therefore you should not consider Adjusted EBITDA in isolation from, or as a substitute for, financial information prepared in accordance with GAAP. You should be aware that in the future we may incur expenses that are the same as or similar to some of the adjustments in the presentation, and we do not infer that our future results will be unaffected by unusual or non-recurring items. Adjusted EBITDA does not:

    include depreciation expense from property and equipment or amortization expense from acquired intangible assets (and although they are non-cash charges, the assets being depreciated will often have to be replaced in the future);

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    reflect interest expense on our debt and capital leases or interest income we earn on cash and cash equivalents;

    reflect the amounts we paid in taxes or other components of our tax provision (which reduces cash available to us);

    include the impact of share-based compensation (which is a recurring expense that will remain a key element of our long-term incentive compensation package, although we exclude it when evaluating our operating performance for a particular period); or

    include restructuring and impairment charges, the equity income or loss of our non-consolidated entity, or other matters we do not consider to be indicative of our ongoing operations.

Further, other companies in our industry may calculate Adjusted EBITDA differently than we do and these calculations may not be comparable to our Adjusted EBITDA metric. Because of these limitations, you should consider Adjusted EBITDA alongside other financial performance measures, including net income and our financial results presented in accordance with GAAP.

        The table below presents a reconciliation of net income to Adjusted EBITDA for the periods indicated:

 
  For the six month ended June 30,   For the year ended December 31,  
 
  2014
Pro Forma
  2014   2013   2013
Pro Forma
  2013   2012   2011  
 
  (Dollars in thousands)
 

Net income

        $ 2,408   $ 3,514         $ 8,228   $ 3,927   $ 9,151  

Depreciation and amortization

          2,545     1,821           3,934     3,842     3,079  

Interest expense

          895     941           1,996     1,086     598  

Income tax expense

          4,557                        
                               

EBITDA

          10,405     6,276           14,158     8,855     12,828  
                               

Share-based compensation expense(1)

          1,135     455           886     915     1,410  

Restructuring and impairment charges(2)

              50           1,033     424     429  

Equity loss of non-consolidated entity(3)

          710     311           1,055     267     95  

Severance and related fees(4)

          254     119           205     412     740  

Merger & acquisition related fees and expenses(5)

          1,171     162           677          

Philanthropy(6)

          180     57           222          

Tax credits and other(7)

          (419 )                 (148 )   (626 )

Other items(8)

          647     274           734     127     245  
                               

Adjusted EBITDA

        $ 14,083   $ 7,704         $ 18,970   $ 10,852   $ 15,121  
                               
                               

(1)
Share-based compensation expense relates to eligible employee stock options.

(2)
Restructuring and impairment charges reflect decreases in the fair market value of non-core property and assets, or actual losses on disposal of such assets. 2013 charges primarily relate to the $932 write-down of our former Swartz Creek, Michigan headquarters facility to its fair value, after we vacated it in favor of our present Flint, Michigan facility. 2012 charges primarily relate to our write-down of an externally purchased software package we no longer utilize, as well as sales of Company-owned vehicles. 2011 charges include expense associated with the closure of our former Cleveland, Ohio facility, the move of our Chicago, Illinois area facility, and sales of Company-owned vehicles.

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(3)
Represents our share of losses recognized by our non-consolidated entity, Ageology, using the equity method of accounting. We first invested in Ageology, an anti-aging physician network dedicated to nutrition, fitness and hormones, in October 2011, in connection with its formation.

(4)
Employee severance and related fees primarily relates to severance for former management.

(5)
Fees and expenses directly related to merger and acquisition activities, including our purchases of AHF and MedPro. Includes $321 for increased fair value of AHF estimated contingent payout.

(6)
Expenses from private company philanthropic activities were performed at the direction of our majority shareholder, and the one-time costs associated with converting from an S-Corporation to a C-Corporation.

(7)
Represents various tax credits received from the state of Michigan for facility improvement and employee hiring initiatives.

(8)
Includes other expenses, including information technology ("IT") operating leases. These operating leases were initiated, in lieu of purchases or capital leases for a subset of our IT spend, for a short period of time in 2013 and 2014 for liquidity purposes. We have since discontinued the practice of leasing IT equipment. The cost of purchased IT equipment is reflected in depreciation and amortization.

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MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS
(Dollars in thousands, except prescription, per share, per patient and per prescription data)

         You should read the following discussion and analysis of our financial condition and results of operations together with our consolidated financial statements and the related notes and other financial information included elsewhere in this prospectus. Some of the information contained in this discussion and analysis or set forth elsewhere in this prospectus, including information with respect to our plans and strategy for our business, includes forward-looking statements that involve risks and uncertainties. You should review information under the heading "Risk Factors" for a discussion of important factors that could cause actual results to differ materially from the results described in or implied by the forward-looking statements contained in the following discussion and analysis.

Overview

        We are the nation's largest independent specialty pharmacy and the fourth largest overall specialty pharmacy in the United States, and are focused on improving lives of patients with complex chronic diseases. Our patient-centric approach positions us at the center of the healthcare continuum for treatment of complex chronic diseases through partnerships with patients, payors, pharmaceutical manufacturers, and physicians. We offer a broad range of innovative solutions to address the dispensing, delivery, dosing and reimbursement of clinically intensive, high-cost specialty drugs (many of which can cost over $100,000 per patient, per year). We have expertise across a broad range of high-growth specialty therapeutic categories, including oncology, immunology, hepatitis, multiple sclerosis, HIV, and specialty infusion therapy. We dispense to all 50 states through our advanced distribution center that enables us to ship medications nationwide as well as a centralized clinical call center that helps us deliver localized services on a national scale. We were founded in 1975 by our Chief Executive Officer, Philip Hagerman, and his father, Dale, both trained pharmacists who transformed our business from a traditional pharmacy into a leading specialty pharmacy beginning in 2005.

        Our core revenues are derived from the customized care management programs we deliver to our patients, including the dispensing of their specialty medications. Because our core therapeutic disease states generally require multi-year or life-long therapy, our singular focus on complex chronic diseases helps drive recurring revenues and sustainable growth. Our revenue growth is primarily driven by new drugs coming to market, new indications for existing drugs, volume growth with current clients, and addition of new clients. For the six months ended June 30, 2014 and the year ended December 31, 2013, we derived over 99% of our revenue from the dispensing of drugs and the reporting of data associated with those dispenses to pharmaceutical manufacturers and other outside companies.

        Most of our revenue is collected through contracts with third party payors, such as managed care organizations, insurance companies, self-insured employers, pharmacy benefit managers, and Medicare and Medicaid programs. For the six months ended June 30, 2014 and the year ended December 31, 2013, our payor-derived revenue was (1) approximately 34% and 34%, respectively, from exclusive or preferred relationships with third party payors (including some government-sponsored managed Medicaid programs), (2) approximately 21% and 22%, respectively, from open network commercial payors, and (3) approximately 41% and 41%, respectively, from open network government programs, with the remainder collected from patients, directly or on their behalf, as a result of their co-pay obligations or patient assistance programs. Our exclusive or preferred relationships are with regional and mid-sized payors and independent pharmacy benefit managers, employer groups, and union groups. As of June 30, 2014 and December 31, 2013, such relationships included approximately 13 million managed lives under contract in the United States.

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        Our historical growth has largely been driven by our position as a leader in oncology and immunology therapeutic categories. For the six months ended June 30, 2014 and the year ended December 31, 2013, we generated approximately 68% and 74%, respectively, of our revenues in these two categories.

        We believe that limited distribution is becoming the delivery system of choice for many specialty drug manufacturers because it facilitates high patient engagement, clinical expertise, and an elevated focus on service. Accordingly, we believe our current portfolio of over 70 limited distribution drugs, all of which are post-launch and more than double our portfolio of limited distribution drugs in 2010, is important to our growth.

        We also provide specialty pharmacy support services to a national network of retailers as well as hospitals and health systems. As of June 30, 2014, we provided services to 8 retailers and independent pharmacy groups, representing approximately 4,500 stores, and 48 hospitals and health systems. For many of our retail, hospital and health system partners, we earn revenue by providing clinical and administrative support services on a fee-for-service basis to help them dispense specialty medications. Our other revenue in 2013, 2012 and 2011 was derived from these services provided to retail and hospital pharmacy partners.

        As a result of our clinical expertise and our ability to expand scope of services, demand for our services has grown, which has driven growth in revenue. Our revenue for the six months ended June 30, 2014 was $1,007,352 and for the years ended December 31, 2013, 2012, and 2011 was $1,515,139, $1,126,943, and $771,962, respectively. Our net income for the six months ended June 30, 2014 was $2,408 and for the years ended December 31, 2013, 2012, and 2011 was $8,228, $3,927, and $9,151, respectively. Our Adjusted EBITDA for the six months ended June 30, 2014 was $14,083 and for the years ended December 31, 2013, 2012, and 2011 was $18,970, $10,852, and $15,121, respectively. See "Selected Consolidated Financial Data—Adjusted EBITDA" for our definition of Adjusted EBITDA, why we present Adjusted EBITDA and a reconciliation of net income to Adjusted EBITDA.

Recent Developments and Other Important Factors Affecting Operating Results

    Business Acquisitions

        On December 16, 2013, we acquired all of the authorized, issued and outstanding shares of capital stock for AHF for a total acquisition price of approximately $13,449, excluding related acquisition costs of approximately $499 that were expensed. Included in the total acquisition price is $12,100 in cash and contingent consideration fair valued at $1,300 with a maximum payout of $2,000, that is based on achieving certain revenue and gross profit targets in each of the years ending December 31, 2014 and 2015. AHF is a specialty pharmacy focused on bleeding disorders, such as hemophilia, and headquartered in Enfield, Connecticut. AHF provides clotting medications, ancillaries and supplies to individuals with bleeding disorders, such as hemophilia. The acquisition of AHF will allow us to participate in AHF's direct purchase agreements with key hemophilia manufacturers, while also providing AHF access to our proprietary care management modules to better manage clinical care of the AHF patients. The results of operations for AHF are included in our consolidated financial statements from the acquisition date. See Note 2 to our consolidated financial statements for the three years ended December 31, 2013 and the six months ended June 30, 2014 included elsewhere in this prospectus for additional information.

        On June 27, 2014, we acquired all of the outstanding stock of MedPro for a total acquisition price of approximately $68,240, excluding related acquisition costs of $635. Included in the total acquisition price is $51,970 in cash, 84.31703 shares of our Class B Nonvoting Common Stock, valued at approximately $12,000, and contingent consideration fair valued at $4,270, with a maximum payout of $11,500, that is based on the achievement of certain revenue and gross profit targets for each of the twelve months ended June 30, 2015 and 2016. MedPro is a specialty pharmacy focused on specialty

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infusion therapies, including hemophilia and immune globulin, based in Raleigh, North Carolina. We acquired MedPro to expand our existing specialty infusion business and to increase our presence in the mid-Atlantic and Southern regions of the country. See Note 2 to our consolidated financial statements for the six months ending June 30, 2014 included elsewhere in this prospectus for additional information.

        We anticipate our future revenues derived from specialty infusion pharmacy services will increase significantly as a percentage of total revenues as a result of such acquisitions.

    Issuances of Preferred Stock

        On January 23, 2014, we sold to certain funds of T. Rowe Price 351.32097 shares of Series A Preferred stock at a purchase price of $142 per share. We used $20,000 of the $50,000 investment proceeds for general corporate purposes, including fees associated with the transaction, and the remaining $30,000 was used to redeem shares of common stock and common stock options.

        On April 1, 2014, we sold to certain funds of Janus Capital Group 379.4267 shares of Series A Preferred stock at a purchase price of $142 per share. We used $25,200 of the $54,000 investment proceeds for general corporate purposes, including fees associated with the transaction, and the remaining $28,800 was used to redeem shares of common stock and common stock options.

    Stock Option Redemption

        In May 2014, we redeemed all of the rights to the outstanding common stock options from a former employee. The purchase price for the options was $4,000 and was paid in full at time of closing.

    Certain Operating Expenses

        We have focused on growing our business and we plan to continue to invest in building for growth. As a result, we have experienced increased operating expenses driven by the additional IT staff required to develop improved operating systems. We have also experienced increased expense related to the additional operational staff required to service our customers in a less efficient fashion while the new systems are being developed. We expect to experience operational improvements following the implementation of key system improvements over the next one to two years. Further, we expect that the size of our operational staff, as well as the size of our sales and marketing staff, will continue to grow with the business.

    Debt Reductions

        In May 2014, we paid $2,609 in full settlement of the outstanding principal and interest amount on the mortgage loan associated with our corporate headquarters and main dispensing pharmacy facility.

    Initial Public Offering

        We intend to use the net proceeds from this offering to repay indebtedness to certain former stakeholders and employees. The balance of the net proceeds from this offering will be used to fully repay borrowings under our revolving line of credit to the extent of any borrowings outstanding as of the completion of this offering and for working capital and other general corporate purposes, which we expect will include opportunistic acquisitions or strategic investments.

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Key Performance Metrics

        We regularly review a number of metrics, including the following key metrics, to evaluate our business, measure our performance, identify trends affecting our business, formulate financial projections, and make strategic decisions.

 
  For the six months ended June 30,   For the year ended December 31,  
 
  2014   2013   2013   2012   2011  

Adjusted EBITDA

  $ 14,083   $ 7,704   $ 18,970   $ 10,852   $ 15,121  

Prescriptions dispensed

   
381,000
   
352,000
   
707,000
   
669,000
   
596,000
 

Prescriptions serviced (not dispensed)

    102,000     97,000     223,000     129,000     13,000  
                       

Total prescriptions

    483,000     449,000     930,000     798,000     609,000  
                       
                       

Net sales per prescription dispensed

  $ 2,639   $ 1,993   $ 2,135   $ 1,680   $ 1,295  

Gross profit per prescription dispensed

  $ 148   $ 109   $ 117   $ 99   $ 94  

Net sales per prescription serviced (not dispensed)

 
$

27
 
$

25
 
$

28
 
$

26
 
$

27
 

Gross profit per prescription serviced (not dispensed)

  $ 27   $ 25   $ 28   $ 26   $ 27  

Adjusted EBITDA per prescription

 
$

29
 
$

17
 
$

20
 
$

14
 
$

25
 

    Adjusted EBITDA

        See "Prospectus Summary—Summary Consolidated Financial Data—Adjusted EBITDA" for our definition of Adjusted EBITDA, why we present Adjusted EBITDA and a reconciliation of net income to Adjusted EBITDA.

    Prescription Data

        Prescriptions dispensed (rounded to nearest thousand) represents actual prescriptions filled and dispensed by Diplomat to patients, or in rare cases, to physicians. Prescriptions serviced (not dispensed) (rounded to nearest thousand), represents prescriptions filled and dispensed from a non-Diplomat pharmacy, including unaffiliated retailers and health systems, for which we provide support services required to assist these patients and pharmacies through the complexity of filling specialty medications, and for which we earn a fee.

        Our volume for the six months ended June 30, 2014 was approximately 483,000 prescriptions dispensed or serviced, an 8% increase compared to approximately 449,000 prescriptions dispensed or serviced for the six months ended June 30, 2013. The volume increase was due to a mix of new drugs to market, new indication approvals for existing drugs, growth in patients from current payors and physician practices, and the addition of patients from new payors and physician practices.

        Our volume for the year ended December 31, 2013 was approximately 930,000 prescriptions dispensed or serviced, a 17% increase compared to approximately 798,000 prescriptions for the year ended December 31, 2012. The volume increase was due to a mix of patient growth from current payors and physician practices, the addition of patients from new payors and physician practices, new drugs to market, and the approval of new indications for existing drugs.

        Our volume for the year ended December 31, 2012 was approximately 798,000 prescriptions dispensed or serviced, a 31% increase compared to approximately 609,000 prescriptions for the year ended December 31, 2011. The volume increase was due to a mix of patients from new payors and physician practices, patient growth from current payors and physician practices, new drugs to market, and the approval of new indications for existing drugs.

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    Other Metrics

        Other key metrics used in analyzing our business are net sales per prescription dispensed, gross profit per prescription dispensed, net sales per prescription serviced (not dispensed), gross profit per prescription serviced (not dispensed), and adjusted EBITDA per prescription.

        Net sales per prescription dispensed represents total prescription revenue from prescriptions dispensed by Diplomat divided by the number of prescriptions dispensed by Diplomat. Gross profit per prescription dispensed represents gross profit from prescriptions dispensed by Diplomat divided by the number of prescriptions dispensed by Diplomat. Total prescription revenue from prescriptions dispensed includes all revenue collected from patients, third party payors, and various patient assistance programs, as well as revenue collected from pharmaceutical manufacturers for data and other services directly tied to the actual dispensing of their drug(s). Gross profit represents total prescription revenue from prescriptions dispensed less the cost of the drugs purchased.

        Net sales per prescription serviced (not dispensed) represents total prescription revenue from prescriptions serviced divided by the number of prescriptions serviced for the non-Diplomat pharmacies. Gross profit per prescription serviced (not dispensed) is equal to net sales per prescription serviced because there is no cost of drug associated with such transactions. Total prescription revenue from prescriptions serviced includes revenue collected from partner pharmacies, including retailers and health systems, for support services rendered to their patients.

        Adjusted EBITDA per prescription is Adjusted EBITDA divided by the total number of prescriptions dispensed or serviced.

Components of Results of Operations

    Net Sales

        Net sales are recognized at the time of service completion. Revenue for a dispensed prescription is recognized at the time of shipment or pick-up of the prescription. We can earn revenue from multiple sources for any one claim, including the primary insurance plan, the secondary insurance plan, the tertiary insurance plan, patient co-pay, and patient assistance programs. Prescription revenue also includes revenue from pharmaceutical manufacturers and other outside companies for data reporting or additional services rendered for dispensed prescriptions. Service revenue is primarily derived from fees earned by us from retail and hospital pharmacies for patient support that is required for those non-Diplomat pharmacies to dispense specialty drugs to patients. The retail and hospital pharmacies dispense the drug, and pay us for clinically and administratively servicing their patients.

    Cost of Goods Sold

        Cost of goods sold represents the purchase price of the drugs that we ultimately dispense. These drugs are purchased directly from the manufacturer or from an authorized wholesaler and the purchase price is negotiated with the selling entity. In general, period over period percentage changes in cost of goods sold will move directionally with period over period percentage changes in net sales for prescription dispensing transactions. This is due to the mathematical relationship between average wholesale price ("AWP") and wholesale acquisition cost ("WAC"), and our contractual relationships to purchase at a discount off of WAC and receive reimbursement at a discount off of AWP. The discounts off of AWP and WAC that we receive vary significantly by drug and by contract. Rebates we receive from manufacturers are reflected in cost of goods sold when they are earned.

    Selling, General, and Administrative Expenses

        Our operating expenses primarily consist of employee and associated costs, as well as outbound prescription drug transportation and logistics costs. Our employee and associated costs relate to both

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our patient-facing personnel and our non-patient facing support and administrative personnel. Other operating expenses consist of occupancy and other indirect costs, insurance costs, professional fees, and other general overhead expenses. We expect that general and administrative expenses will increase as we incur additional expenses related to being a public company, including professional fees and share-based compensation expenses related to the equity incentive plan established in connection with this offering.

    Other Income (Expense)

        Other income (expense) primarily consists of interest expense associated with our debt, equity income or losses associated with our 25% owned non-consolidated entity, tax credits and income from property rentals.

    Income Tax Expenses

        On January 23, 2014, we changed from an S Corporation to a C Corporation. The historical audited financial results included elsewhere in this prospectus reflect our results as an S Corporation before this date. The pro forma financial information included elsewhere in this prospectus have been adjusted to show results as if we had been a C Corporation for specified periods.

Results of Operations

        The following table provides consolidated statements of operations data for each of the periods presented.

 
  For the six months ended June 30,   For the year ended December 31,  
 
  2014   2013   2013   2012   2011  
 
  (Unaudited)
   
   
   
 

Consolidated Statement of Operations Data

                               

Net sales

  $ 1,007,352   $ 704,525   $ 1,515,139   $ 1,126,943   $ 771,962  

Cost of goods sold

    (948,275 )   (663,883 )   (1,426,112 )   (1,057,608 )   (715,448 )
                       

Gross profit

    59,077     40,642     89,027     69,335     56,514  

Selling, general, and administrative expenses

   
(51,024

)
 
(35,988

)
 
(77,944

)
 
(64,392

)
 
(47,434

)
                       

Income from operations

    8,053     4,654     11,083     4,943     9,080  

Interest expense

   
(895

)
 
(941

)
 
(1,996

)
 
(1,086

)
 
(598

)

Equity loss of non-consolidated entity

    (710 )   (311 )   (1,055 )   (267 )   (95 )

Other income

    517     112     196     337     764  
                       

Income before income taxes

    6,965     3,514     8,228     3,927     9,151  

Income tax expense

    (4,557 )                
                       

Net income

  $ 2,408   $ 3,514   $ 8,228   $ 3,927   $ 9,151  
                       
                       

Comparison of the Six Months Ended June 30, 2014 and June 30, 2013

    Net Sales

        Our net sales for the six months ended June 30, 2014 was $1,007,352, a $302,827 increase, or 43%, compared to $704,525 for the six months ended June 30, 2013. The increase was the result of approximately $145,000 of additional revenue from drugs that were new to the market or newly dispensed by us. Prescription volume growth of existing drugs accounted for approximately $57,000 of the increased revenue and was the result of new indications, increased penetration through physician's

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offices, growth with existing payors, and the addition of patients from new payors and physician practices. The acquisition of AHF contributed approximately $15,000 and the remaining increase is attributable to manufacturer price increases and payor mix.

    Cost of Goods Sold

        Our cost of goods sold for the six months ended June 30, 2014 was $948,275, a $284,392 increase, or 43%, compared to $663,883 for the six months ended June 30, 2013. The increase was primarily the result of the same factors that drove the increase in our net sales over the same time period.

    Selling, General, and Administrative Expense

        Our selling, general, and administrative expense for the six months ended June 30, 2014 was $51,024, a $15,036 increase, or 42%, compared to $35,988 for the six months ended June 30, 2013. Selling, general, and administrative costs in the 2014 period were higher than in the prior period primarily due to variable costs related to increased net sales and prescription volume during the 2014 period. Total employee cost increased by $8,329, or 38%, and was primarily attributable to two factors. First, the 8% prescription volume increase drove the need to hire additional employees. Second, our ongoing efforts to improve IT systems to support current and future growth required additional indirect labor to develop our key systems. Similarly, our logistics expense increased by $1,064, or 22%, as a result of the additional prescription volume dispensed, as well as increased supplier costs and mix of drugs being shipped to patients. The remaining increase was in all other selling, general, and administrative expenses to support our growth including consulting fees, utilities, travel, supplies, and other miscellaneous expenses. These increases also include $2,104 of AHF expenses related to its pharmacies and support staff.

    Other Income (Expense)

        Our other income (expense) for the six months ended June 30, 2014 net was $(1,088), compared to $(1,140) for the six months ended June 30, 2013. The decrease in net expense was primarily attributed to a $469 state tax credit in the 2014 period compared to none in the 2013 period, partially offset by a $399 greater equity loss on our non-consolidated entity in the six months ended June 30, 2014.

    Income Tax Expense

        On January 23, 2014, we changed our income tax status from an S corporation to a C corporation and, as such, will now bear income taxes which had previously been borne by our shareholders. Our income tax expense for the six months ended June 30, 2014 was $4,557, versus $0 for the six months ended June 30, 2013. For additional information on our conversion from an S corporation to a C corporation, reference Note 1 and Note 10 in the interim financial statements included elsewhere in this prospectus.

Comparison of Years Ended December 31, 2013 and December 31, 2012

    Net Sales

        Our net sales for the year ended December 31, 2013 was $1,515,139, a $388,196 increase, or 34%, compared to $1,126,943 for the year ended December 31, 2012. Prescription volume growth on existing drugs accounted for approximately $178,000 of the increased revenue and was driven by new indications, increased penetration through physician's offices, growth with existing payors, and the addition of patients from new payors and physician practices. The increase was also the result of approximately $62,000 of additional revenue from drugs that were new to the market or newly dispensed by us. The remaining increase is attributable to manufacturer price increases and payor mix.

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    Cost of Goods Sold

        Our cost of goods sold for the year ended December 31, 2013 was $1,426,112, a $368,504 increase, or 35%, compared to $1,057,608 for the year ended December 31, 2012. The increase was primarily the result of the same factors that drove the increase in our net sales over the same time period.

    Selling, General, and Administrative Expense

        Our selling, general, and administrative expense for the year ended December 31, 2013 was $77,944, a $13,552 increase, or 21%, compared to $64,392 for the year ended December 31, 2012. Selling, general, and administrative costs in 2013 were higher than in the prior year primarily due to variable costs related to increased net sales and prescription volume during 2012. This increased volume drove the need for additional employees and the overhead required to support the growth.

        The increased employee expense of $6,938, or 18%, was predominantly the result of the additional headcount required to manage the 17% prescription volume increase. Our ongoing efforts to improve IT systems to support current and future growth required additional indirect labor to develop our key systems. The increase in freight expense of $1,920, or 23%, was the result of the increased volume of prescriptions being shipped to patients, as well as price and mix changes related to the type of drugs being shipped to patients. Impairment and loss on our non-consolidated equity investment accounted for $1,397 of additional increased expense in 2013. The remaining increase in selling, general, and administrative expenses included consulting fees, utilities, and other miscellaneous operating expenses.

    Other Income (Expense)

        Our interest expense for the year ended December 31, 2013 was $1,996, compared to $1,086 for the year ended December 31, 2012. The additional interest expense was the result of growth and the overall need to draw on the line of credit periodically to manage working capital. Our equity loss of our non-consolidated entity for the year ended December 31, 2013 was $1,055, compared to $267 for the year ended December 31, 2012, an increase attributed to the start-up company's escalation in ramping up their operations. Our other income for the year ended December 31, 2013 was $196, compared to $337 for the year ended December 31, 2012. Other income is derived from state tax credits and the rental of property which we currently own.

Comparison of Years Ended December 31, 2012 and December 31, 2011

    Net Sales

        Our net sales for the year ended December 31, 2012 was $1,126,943, a $354,981 increase, or 46%, compared to $771,962 for the year ended December 31, 2011. Prescription volume growth on existing drugs accounted for approximately $236,000 of the increased revenue and was the result of new indications, increased penetration through physician's offices, growth with existing payors, and the addition of patients from new payors and physician practices. The increase was also the result of approximately $30,000 of additional revenue from drugs that were new to the market or newly dispensed by us. The remaining increase is attributable to manufacturer price increases. These revenue increases were partially offset by payor mix changes. These were also the reasons for the decline in our net income over the same periods.

    Cost of Goods Sold

        Our cost of goods sold for the year ended December 31, 2012 was $1,057,608, a $342,160 increase, or 48%, compared to $715,448 for the year ended December 31, 2011. The increase was primarily the result of the same factors that drove the increase in our net sales over the same period.

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    Selling, General, and Administrative Expense

        Our selling, general, and administrative expense for the year ended December 31, 2012 was $64,392, a $16,958 increase, or 36%, compared to $47,434 for the year ended December 31, 2011. Selling, general, and administrative costs in 2012 were higher than in the prior year primarily due to variable costs related to increased net sales and prescription volume during 2011. This increased volume drove the need for additional employees and the overhead required to support the growth.

        The increased employee expense of $12,073, or 44%, was predominantly the result of the additional headcount required to manage the 31% prescription volume increase. Also, in 2012 as we worked to build and modify our core IT systems used to run the business, it had a two-fold impact on increasing headcount. First, much of the growth required us to manually manage processes while our systems were being substantially modified. Second, there were many additional heads associated with the IT staff needed to develop these same systems. Freight expense increased $2,655, or 48%, was the result of by the increased volume of prescriptions being shipped to patients, including price and mix changes based on the drugs being shipped to these patients. The remaining increase in selling, general, and administrative expenses included consulting fees, utilities, and other miscellaneous operating expenses.

    Other Income (Expense)

        Our interest expense for the year ended December 31, 2012 was $1,086, compared to $598 for the year ended December 31, 2011. The additional interest expense was driven by our growth and need to draw more on our line of credit to manage working capital. Our equity loss of our non-consolidated entity for the year ended December 31, 2012 was $267, compared to $95 for the year ended December 31, 2011. Our other income for the year ended December 31, 2012 was $337, compared to $764 for the year ended December 31, 2011. Other income is derived from state tax credits and the rental of property which we currently own.

Liquidity and Capital Resources

        Our primary uses of cash include funding our working capital, acquiring and maintaining property and equipment and internal use software, business acquisitions, stock and stock option redemptions, and debt service. We have funded our recent cash requirements primarily from our operating activities as driven mainly by our revenue growth, borrowings under our revolving line of credit, and capital stock issuances. As of June 30, 2014 and December 31, 2013, we had $25,550 and $9,109, respectively, of cash and cash equivalents. Our cash balances fluctuate based on working capital needs and the timing of sweeping available cash each day to pay down any outstanding balance on our line of credit. On June 26, 2014, we increased our maximum borrowing availability under our revolving line of credit to $120,000 from $85,000, to fund the $51,970 upfront cash portion of the MedPro acquisition price as well as ongoing working capital needs. We believe our cash and cash equivalents, revolving line of credit, cash flow from operations, and net proceeds from this offering will be sufficient to meet our working capital and capital expenditure requirements for at least 12 months. Generally, our need to access the capital markets has been limited to refinancing our line of credit at or prior to maturity. From time to time as a public company, we also may access the equity or debt markets to raise additional funds on a strategic basis, including for acquisitions.

 
  Six months ended
June 30,
  Year ended December 31,  
 
  2014   2013   2013   2012   2011  

Net cash provided by operating activities

  $ 20,827   $ 517   $ 6,227   $ 5,006   $ 12,539  

Net cash used in investing activities

    (55,954 )   (3,719 )   (20,292 )   (4,849 )   (6,747 )

Net cash provided by (used in) financing activities

    51,568     3,202     23,174     (157 )   (7,861 )
                       

Net increase (decrease) in cash and equivalents

  $ 16,441   $   $ 9,109   $   $ (2,069 )
                       
                       

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Net Cash Provided by Operating Activities .

        Cash provided by operating activities consists of significant components of the statement of operations adjusted for changes in various working capital items including accounts receivable, inventories, prepaid expenses, accounts payable and other accrued expenses.

        The increase of $20,310 in cash provided by operating activities during the six months ended June 30, 2014 compared to the six months ended June 30, 2013, was primarily due to a $15,614 increase in working capital items, primarily accounts payable, as a result of the timing of key vendor payments. We also experienced an increase in other non-cash expenses; the most significant being $2,105 in deferred income tax expense and $724 in depreciation and amortization. These increases were partially offset by a $1,106 decrease in net income in the 2014 period which is described above.

        The $1,221 increase in cash provided by operating activities during the year ended December 31, 2013, compared to the year ended December 31, 2012 is primarily attributable to a $4,301 increase in net income and a $1,673 increase in non-cash expenses offset by a $4,753 change in our working capital. The increase in non-cash expenses was mostly attributable to a $932 impairment charge on write-down of our former Swartz Creek, MI headquarters facility. The most significant change in working capital relates to our accounts receivable increasing $5,941 more in 2013 than in 2012, which was primarily the result of an increase in billing and revenue in the month of December 2013 as compared to December 31, 2012.

        The $7,533 decrease in cash provided by operating activities during the year ended December 31, 2012 compared to the year ended December 31, 2011 is primarily attributable to a $5,224 decrease in net income and a $2,557 change in our working capital. Certain working capital items, including accounts receivable, inventories, and accounts payable, changed significantly in 2012 due to increased requirements to support the growth of our business. These three items accounted for a net decrease in cash of $5,974 in 2012 compared to a decrease of $2,335 in 2011.

Net Cash Used in Investing Activities .

        Our primary investing activities have consisted of the acquisitions of infusion specialty pharmacies (AHF and MedPro), investment in a non-consolidated entity, capital expenditures to purchase computer equipment, software, furniture and fixtures, labor expenditures associated with capitalized software for internal use, as well as building improvements to support the expansion of our infrastructure and workforce. As our business grows, we expect our capital expenditures and our investment activity to continue to increase.

        The $52,235 increase in cash used in investing activities during the six months ended June 30, 2014 compared to the six months ended June 30, 2013 was primarily related to $51,302 used for the acquisition of MedPro. We also experienced a $2,391 increase in expenditures for software for internal use and property and equipment as we continue to expand our information systems. These increases were partially offset by $1,250 lower investment in our non-consolidated entity during the six months ended June 30, 2014.

        The $15,443 increase in cash used in investing activities for the year ended December 31, 2013 compared to the year ended December 31, 2012 was primarily related to $10,232 of cash paid for the acquisition of AHF, net of cash acquired. We also increased spend by $1,313 for expenditures related to software for internal use and property and equipment as part of our ongoing effort to improve our information systems. The remaining increase was the result of a $1,000 higher investment in non-consolidated entity and $2,898 increase related to issuance of a related party notes receivable to our non-consolidated entity.

        The $1,898 decrease in cash used in investing activities for the year ended December 31, 2012 compared to the year ended December 31, 2011 was primarily the result of less expenditures for software for internal use and property and equipment.

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Net Cash Provided by (Used in) Financing Activities .

        The $48,366 increase in cash provided by financing activities during the six months ended June 30, 2014 compared to the six months ended June 30, 2013 was primarily due to $39,015 of net proceeds received in our January 2014 sale of Series A Preferred Stock to certain funds of T. Rowe Price and our April 2014 sale of Series A Preferred Stock to certain funds of Janus, net of the redemption of certain outstanding common stock and common stock options. We also increased the cash draw on our revolving line of credit by $8,205 due to timing of working capital needs and the acquisition of a specialty pharmacy (MedPro).

        The $23,331 increase in cash available from financing activities during the year ended December 31, 2013 compared to the year ended December 31, 2012 is primarily related to a $12,212 increase in borrowing under our line of credit, which in part facilitated the $9,910 payments on our outstanding notes payable and the $496 larger payment in 2013 on our long term mortgage debt. Also, during 2012, there were shareholder distributions of $10,868, much larger than those in 2013, and stock and stock option redemption payments of $3,894, which did not repeat in 2013.

        The $7,704 decrease in cash used in financing activities during the year ended December 31, 2012 compared to the year ended December 31, 2011 is primarily attributable to $29,890 increased net proceeds from our line of credit to support $9,759 more shareholder distributions in 2012, and $3,894 of stock and stock option redemptions in 2012. Additionally, we made $7,167 more long-term debt payments in 2012 than we did in 2011.

    Revolving Line of Credit

        On June 26, 2014, we entered into an amended and restated credit agreement with GE Capital Bank, as agent, Comerica Bank, JPMorgan Chase Bank, N.A. and Wells Fargo Bank, N.A., as additional lenders. The amount available for borrowing under the revolving line of credit is the lesser of $120,000 and a borrowing base which is equal to the sum of 85% of eligible accounts receivable and a portion of eligible inventory, less any outstanding letters of credit and swing loans. Additionally, the revolving line of credit permits incremental increases in the line of credit or issuance of term loans up to an aggregate amount of $25,000, subject to specified conditions. Interest on our line of credit is charged at a rate equal to either (a) the base rate, which equates to the rate last quoted by The Wall Street Journal as the "Prime Rate" or as further defined in the agreement in the absence of such, plus an applicable margin (the "Base Rate"); or (b) LIBOR, as defined by the agreement, plus an applicable margin. The applicable margin on the Base Rate borrowings, during all periods presented, is 0.75% and on LIBOR rate borrowings is 1.75%. The effective interest rate for Base Rate borrowing at June 30, 2014 and December 31, 2013 was 4.00%. The effective rate on LIBOR rate borrowing at June 30, 2014 and December 31, 2013 was 1.90% and 1.92%, respectively. At June 30, 2014, we had base rate borrowings outstanding in the amount of $39,876 and LIBOR rate borrowings outstanding in the amount of $40,000.

        The line of credit requires us to comply with certain covenant requirements and to certify compliance on a monthly basis. We have been in compliance every period since the inception of the agreement, including on June 30, 2014. The table below sets forth the amount borrowed, and remaining amount available to be borrowed, based on eligible accounts receivable and inventory, as of the specified dates.

 
  Six months ended
June 30,
  Year ended
December 31,
 
 
  2014   2013   2013   2012  

Maximum borrowing during period

  $ 85,152   $ 50,855   $ 68,970   $ 44,305  

Period end balance

  $ 79,876   $ 36,069   $ 62,622   $ 27,020  

Period end availability

  $ 18,176 (1) $ 23,931   $ 12,666 (1) $ 30,419 (1)

(1)
Calculated as the borrowing base in effect on the period end date, less the period end balance outstanding.

        We intend to use the net proceeds from this offering to repay indebtedness to certain former stakeholders and employees. The balance of the net proceeds from this offering will be used to fully repay borrowings under our revolving line of credit to the extent of any borrowings outstanding as of the completion of this offering and working capital and other general corporate purposes, which we expect will include opportunistic acquisitions or strategic investments.

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Contractual Obligations

        Our principal debt commitments consist of our revolving line of credit, a mortgage for our corporate headquarters, and various notes payable to prior and current stakeholders. The following table summarizes our scheduled debt and other contractual obligations at December 31, 2013.

 
  Year Ending December 31,  
 
  2014   2015 - 2016   2017 - 2018   Thereafter   Total  

Revolving line of credit

  $ 62,622   $   $   $   $ 62,622  

Mortgage loan

    2,728                 2,728  

Stakeholders notes

    3,965     7,314     11,535         22,814  

Interest payments

    999     1,279     283         2,561  

Operating leases

    1,241     1,272     21         2,534  
                       

Total Contractual Obligations

  $ 71,555   $ 9,865   $ 11,839   $   $ 93,259  
                       
                       

    Revolving Line of Credit

        On July 20, 2012, we entered into a five year line of credit with GE. As of August 12, 2014, the amount available for borrowing under the revolving line of credit is the lesser of $120,000 and the sum of 85% of eligible accounts and a portion of eligible inventory, less any outstanding letters of credit and swing loans. Additionally, the revolving line of credit permits incremental increases in the line of credit or issuance of term loans up to an aggregate amount of $25,000, subject to specified conditions.

        As of August 14, 2014, we had outstanding borrowings of $78,015, an increase of borrowings of $15,393 since December 31, 2013.

        The effective interest rate for base rate borrowing at June 30, 2014 and December 31, 2013 was 4.00%. The effective rate on LIBOR rate borrowing at June 30, 2014 and December 31, 2013 was 1.90% and 1.92%, respectively. At June 30, 2014, we had base rate borrowings outstanding in the amount of $39,876 and LIBOR rate borrowings outstanding in the amount of $40,000.

    Mortgage Loan

        We entered into a $7,440 mortgage loan with JP Morgan Chase in December 2010 for the purchase of our headquarters building. The remaining outstanding loan amount was scheduled to mature in June 2014. We paid the JP Morgan Chase mortgage off in May 2014.

    Stakeholder Notes

        We entered into several notes payable to current or former stakeholders primarily upon the redemption of certain shares of common stock and common stock options formerly owned by the stakeholders. The obligations mature in 2017, as per the terms of the executed promissory notes. We intend to use certain proceeds from this offering to retire all of the stakeholder notes.

    Interest Payments

        This represents future interest payments due with respect to the line of credit, mortgage note and prior stakeholder notes as of December 31, 2013 based on their scheduled maturities.

    Additional Items Not Reflected in Table Above

        We purchase a large portion of our prescription drug inventory from AmerisourceBergen. In January 2012, we entered into an agreement with AmerisourceBergen that required a minimum of approximately $3,500,000 in purchase obligations over a five year period. We fully expect to meet this requirement.

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Off-Balance Sheet Arrangements

        During the periods presented, we did not have any relationships with unconsolidated entities or financial partnerships, such as entities often referred to as structured finance or special purpose entities, which would have been established for the purpose of facilitating off-balance sheet arrangements or other contractually narrow or limited purposes.

Critical Accounting Policies and Estimates

        The accompanying consolidated financial statements, included elsewhere in this prospectus, have been prepared in conformity with accounting principles generally accepted in the United States of America and, accordingly, our significant accounting policies have been disclosed in Note 1 to the Consolidated Financial Statements. We consider accounting estimates to be critical accounting policies when:

    the estimates involve matters that are highly uncertain at the time the accounting estimate is made; and

    different estimates or changes to estimates could have a material impact on the reported financial position, changes in financial position, or results of operations.

        When more than one accounting principle, or the method of its application, is generally accepted, management selects the principle or method that it considers to be the most appropriate given the specific circumstances. Application of these accounting principles requires our management to make estimates about future resolution of existing uncertainties. Estimates are typically based upon historical experience, current trends, contractual documentation, and other information, as appropriate. Due to the inherent uncertainty involving estimates, actual results reported in the future may differ from those estimates. In preparing these financial statements, management has made its best estimate and judgments of the amounts and disclosures included in the financial statements, giving due regard to materiality. The following summarizes our critical accounting policies.

    Revenue Recognition

        We recognize revenue from prescription drug sales for home delivery at the time the drugs are shipped. At the time of shipment, we have performed substantially all of our obligations under our payor contracts and do not experience a significant level of returns or reshipments. If we administer a drug treatment regimen in a patient's home, we recognize revenue at time of administration. Revenues from dispensing specialty prescriptions that are filled at an open door or retail pharmacy location are recorded at prescription adjudication, which approximates fill date. Sales taxes are presented on a net basis (excluded from revenues and costs).

    Accounting for Stock-based Compensation

        We have authorized the granting of stock options to key employees with an exercise price no less than the estimated value of the underlying common shares on the date the option is granted. Options generally become exercisable in installments of 25% per year, beginning on the first anniversary of the grant date and each of the three anniversaries thereafter, and have a maximum term of ten years. We use the Black-Scholes-Merton option pricing model to determine the valuation of options.

        We expense the grant date fair values of our employee stock options over their respective vesting periods on a straight-line basis. Estimating grant date fair values for employee stock options requires management to make assumptions regarding expected volatility of the underlying shares, the risk-free rate over the life of the stock options, and the date on which share-based payments will be settled. Expected volatility is based on an implied volatility for a group of industry-relevant healthcare companies as of the measurement date. Risk-free rate is determined based upon U.S. Treasury rates over the estimated expected option lives. Expected dividend yield is zero as we do not anticipate that any dividend will be declared during the expected term of the options. Expected option life is less than

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the option term. If actual results differ significantly from these estimates and assumptions, particularly in relation to management's estimation of volatility which requires the most judgment due to our being a private entity, share-based compensation expense, primarily with respect to future share-based awards, could be materially impacted.

        The following table summarizes all option grants from December 31, 2012 through the date of this prospectus:

 
   
  Weighted-Average Per Share  
Grant Date
  Class A and Class B
common stock underlying
options granted
  Exercise price   Common stock
fair value
at grant date
  Fair value
at grant date
 

Outstanding as of December 31, 2012

    653.58751     27,921.51     23,148.79     6,571.02  

January 1, 2013

    21.37475     50,614.72     27,414.55     1,087.60  

January 15, 2013

    64.12501     49,966.02     27,063.20     1,086.20  

December 18, 2013

    44.15000     137,360.45     140,562.79     30,274.46  

February 1, 2014

    92.61074     142,320.00     136,932.49     26,458.29  

June 1, 2014

    11.57635     142,320.00     136,932.49     26,479.98  

    Common Stock Valuation

        The fair value of the common stock underlying our share-based awards was determined by our Board of Directors, with input from management. Given the absence of a public trading market of our common stock, and in accordance with the American Institute of Certified Public Accountants Accounting and Valuation Guide : Valuation of Privately-Held-Company Equity Securities Issued as Compensation , the Board of Directors exercised reasonable judgment and considered numerous objective and subjective factors to determine the best estimate of the fair value of our common stock including:

    recent significant investments by sophisticated, institutional investors for purchases of our convertible preferred stock, and the rights, privileges and preferences of such preferred stock to our common stock;

    valuations of our common stock performed by an unrelated third-party valuation specialist;

    our historical and projected operating and financial results;

    the market performance and financial results of comparable publicly-traded companies;

    industry or company-specific considerations;

    likelihood of achieving a liquidity event, such as an initial public offering or a sale of the Company;

    lack of marketability of our common stock; and

    the U.S. and global capital market conditions.

        The nature of the material assumptions and estimates considered to determine the fair market value of our common stock are highly complex and subjective.

        In valuing our common stock in December 2012 and January 2013, our Board of Directors determined the business enterprise value ("BEV") of our business generally using the income approach and the market approach using the market comparable method.

        The income approach estimates fair value based on the expectation of future cash flows that a company will generate such as cash earnings, cost savings, tax deductions, and the proceeds from disposition of assets. These future cash flows are discounted to their present values using a discount rate which reflects the risks inherent in our cash flows. This approach requires significant judgment in estimating projected growth rates and cost trends and in determining a discount rate adjusted for the risks associated with our business.

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        The market comparable method estimates fair value based on a comparison of the subject company to comparable public companies in similar lines of business. From the comparable companies, a representative market value multiple is determined which is applied to the subject company's operating results to estimate the value of the subject company. In our valuations, the multiple of the comparable companies was determined using a ratio of the market value of invested capital to projected revenue and/or earnings before interest, taxes and depreciation and amortization for the current and following year. Our peer group of companies included a number of market leaders in the healthcare services industry and related businesses similar to, or adjacent to our own business. The market comparable method requires judgment in selecting the public companies that are most similar to our business and in the application of the relevant market multiples to our financial performance metrics. We have from time to time updated the set of comparable companies utilized as new or more relevant information became available, including changes in the market and our business models and input from third party market and valuation experts.

        Once we determine our BEV under each approach, we apply a weighting to the income approach and the market approach primarily based on the relevance of the peer companies chosen for the market approach analysis as well as other relevant factors. We then reduced the BEV by our total net debt to arrive at the estimated fair value of our common stock. Based on this information, our Board of Directors made the final determination of the estimated fair value of our equity and common stock.

        In valuing our common stock in December 2013, February 2014 and June 2014, our Board of Directors estimated BEV using the subject company transaction method, which is one of the three primary methodologies of the market-based approach. This methodology utilizes the most recent negotiated arm's-length transactions involving the sale or transfer of our stock or equity interests. Our indicated BEV at each valuation date was allocated to the shares of preferred stock, common stock and options using the Black-Scholes-Merton option-pricing model. In January 2014 and April 2014, we negotiated significant investments with sophisticated, institutional investors for purchases of our convertible preferred stock.

        Upon completion of this offering, our common stock will be publicly traded and the fair value of our common stock underlying our share-based awards will be determined by such market price. Increases and decreases in the market price of our common stock may also increase and decrease the fair value of our share-based awards granted in future periods.

    Goodwill and Intangible Assets

        We allocate the purchase price of any acquisitions to tangible assets and liabilities and identifiable intangible assets acquired. Any residual purchase price is recorded as goodwill. The allocation of the purchase price requires management to make significant estimates in determining the fair values of assets acquired and liabilities assumed, especially with respect to intangible assets. These estimates are based on information obtained from management of the acquired companies and historical experience and are generally made with the assistance of an independent valuation firm. These estimates can include, but are not limited to, the cash flows that an asset is expected to generate in the future, and the cost savings expected to be derived from acquiring an asset. These estimates are inherently uncertain and unpredictable, and if different estimates were used the purchase price for the acquisition could be allocated to the acquired assets and liabilities differently from the allocation that we have made. In addition, unanticipated events and circumstances may occur which affect the accuracy or validity of such estimates, and if such events occur we may be required to record a charge against the value ascribed to an acquired asset or an increase in the amounts recorded for assumed liabilities. Our goodwill and intangible assets as of June 30, 2014 and December 31, 2013 result from our acquisitions of AHF on December 16, 2013 and of MedPro on June 27, 2014.

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    Goodwill Impairment Testing

        Goodwill will be reviewed for impairment annually or more frequently if impairment indicators exist. Accounting guidance provides the option of performing a qualitative assessment that may allow companies to forego the annual two-step quantitative impairment test for goodwill if it is determined that the fair value of the applicable reporting unit is more likely than not greater than its carrying value. This qualitative assessment evaluates various events and circumstances, such as macro-economic conditions, industry and market conditions, cost factors, relevant events and financial trends that may impact a reporting unit's fair value. If the two-step impairment test for goodwill is deemed necessary, this quantitative impairment analysis would compare the fair values of our reporting unit to its carrying value. If a reporting unit's carrying value exceeds its fair value, we must then calculate the reporting unit's implied fair value of goodwill and impairment charges are recorded for an excess of the goodwill varying value over the implied fair value of goodwill. The reporting unit's fair value is based upon consideration of various valuation methodologies, including projected future cash flows discounted at rates commensurate with the risks involved, guideline transaction multiples, and multiples of current and future earnings. Any adverse change in these factors could have a significant impact on the recoverability of these assets and could have a material impact on our consolidated financial statements.

        Following this offering, our goodwill impairment analysis will also include a comparison of the estimated fair value of our reporting unit to our total market capitalization. We will consider a significant and sustained decline in our stock price and market capitalization as an additional factor in our goodwill assessments.

    Long-lived Asset Impairment Testing

        Long-lived assets, which include property, equipment, capitalized software, investment in non-consolidated entity and definite-lived intangible assets are periodically reviewed for impairment indicators. In assessing long-lived assets for impairment, assets are grouped with other assets and liabilities at the lowest level for which identifiable cash flows are largely independent of the cash flows of other assets and liabilities. If impairment indicators exist, we perform an undiscounted cash flow test to determine recoverability. If this recoverability test identifies a possible impairment, management will perform a fair value analysis. Fair values of long-lived assets are determined through various techniques, such as applying probability weighted, expected present value calculations to the estimated future cash flows using assumptions a market participant would utilize or through the use of valuation specialist. We compare the fair value of the long-lived asset to its net carrying value and an impairment charge is recorder for the amount by which the net carrying value of the long-lived asset exceeds its fair value.

        Management believes that the estimates of future cash flows and fair value assumptions are reasonable; however, changes in assumptions underlying these estimates could affect the valuations. Long-lived assets held for sale are recorded at the lower of their carrying amount or fair value less cost to sell. Significant judgments and estimates used by management when evaluating long-lived assets for impairment include (i) an assessment as to whether an adverse event or circumstance has triggered the need for an impairment review, (ii) undiscounted future cash flows generated by the asset, and (iii) fair valuation of the asset.

    Income Taxes

        Prior to January 23, 2014, we had elected to be taxed under the provisions of Subchapter S of the Internal Revenue Code. Under these provisions, we did not pay federal corporate income taxes on our taxable income. Instead, the shareholders were liable for individual federal income taxes on their respective shares of our taxable income. Distributions were made periodically to our shareholders to the extent needed to cover their income tax liability based on our taxable income.

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        On January 23, 2014, we changed our income tax status from S corporation to a C corporation. Accordingly, on that date, we recorded a net deferred income tax liability of $2,492 and reclassified all of our accumulated deficit, inclusive of the net deferred tax liability adjustment, into additional paid-in capital. The pro forma data presented on the consolidated statements of operations give effect to our election to be a C corporation as if that election was made effective January 1, 2013.

        As a C corporation, we account for income taxes under the asset and liability approach. Deferred tax assets or liabilities are determined based on the difference between the financial statement and tax bases of assets and liabilities and on tax credit carry forwards as measured by the enacted tax rates which will be in effect when these items impact the tax returns. We provide a valuation allowance against net deferred tax assets unless, based upon the available evidence, it is more likely than not that the deferred tax assets will be realized.

        We prepare and file tax returns based on interpretations of tax laws and regulations. In the normal course of business, our tax returns are subject to examination by various taxing authorities. Such examinations may result in future tax and interest assessments by these taxing authorities. In determining our tax provision for financial reporting purposes, we establish a reserve for examination, based on their technical merits. That is, for reporting purposes, we only recognize tax benefits taken on the tax return if we believe it is "more likely than not" that such tax position would be sustained. There is considerable judgment involved in determining whether it is "more likely than not" that such tax positions would be sustained. As of June 30, 2014, we have no recorded uncertain tax positions.

        We adjust our tax reserve estimates periodically because of ongoing examinations by, and settlements with, varying taxing authorities, as well as changes in tax laws, regulations and interpretations. The consolidated tax provision of any given year includes adjustments to prior year income tax accruals and related estimated interest charges that are considered appropriate. Our policy is to recognize, when applicable, interest and penalties on uncertain income tax positions as part of income tax expense.

    Bad Debt Allowance

        We maintain an allowance for doubtful accounts that reduces receivables to amounts that we expect to be collected. In estimating this allowance, we consider overall economic conditions, historical and anticipated customer performance, historical experience with write-offs, and the level of past due accounts.

    Inventory Adjustments

        Inventories are stated at the lower of cost or market and cost is determined using the first-in, first-out (FIFO) methodology. The cost of inventory is adjusted quarterly based on a physical inventory count. We also recognize a loss whenever inventory is impaired by damage, deterioration, obsolescence, change in price levels, or other cause. We consider factors such as excess or slow-moving inventories, product expiration dating, current and future customer demand, and market conditions to determine if any adjustment to inventory cost is necessary.

Recent Accounting Policies

        New Accounting Pronouncements:     In February 2013, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") No. 2013-4, Liabilities (Topic 405): Obligations Resulting from Joint and Several Liability Arrangements for Which the Total Amount of the Obligation is Fixed at the Reporting Date . This ASU is effective for interim and annual periods beginning after December 15, 2013 and requires the measurement of obligations resulting from joint and several liability arrangements for which the total amount of the obligation is fixed at the reporting date as the sum of: a) the amount the reporting entity agreed to pay on the basis of its arrangement among its co-obligors; and b) any additional amount the reporting entity expects to pay on behalf of its co-obligors. Required disclosures include a description of the joint-and-several arrangement and the total outstanding amount

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of the obligation for all joint parties. We anticipate the adoption of this guidance will have minimal impact on our financial position, results of operations, cash flows or disclosures.

        In July 2013, the FASB issued ASU No. 2013-11 , Income Taxes (Topic 740): Presentation of an Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a Tax Credit Carryforward Exists. This ASU is effective for fiscal years and interim periods beginning after December 15, 2013 and changes the presentation of unrecognized tax benefits. We are currently evaluating the impact that the adoption of this guidance will have on our financial position, results of operations, cash flows and/or disclosures.

        In April 2014, the FASB issued ASU No. 2014-8 , Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity. This ASU is effective within annual periods beginning on or after December 15, 2014, and interim periods within annual periods beginning on or after December 15, 2015 with early adoption permitted in certain circumstances. This ASU changes the requirements for reporting discontinued operations. We are currently evaluating the impact that the adoption of this guidance will have on our financial position, results of operations, cash flows and/or disclosures.

        In May 2014, the FASB issued ASU No. 2014-9, Revenue from Contracts with Customers (Topic 606). This ASU is effective for annual periods beginning after December 15, 2016, including interim periods within that reporting period. This ASU changes the requirements for revenue recognition. We are currently evaluating which of the several adoption methods we will select and what impact that the adoption of this guidance will have on our financial position, results of operations, cash flows and/or disclosures.

        In June 2014, the FASB issued ASU No. 2014-12 , Compensation—Stock Compensation (Topic 718): Accounting for Share-Based Payments When the Terms of an Award Provide That a Performance Targets Could Be Achieved after the Requisite Service Period. This ASU is effective within annual periods beginning on or after December 15, 2015, including interim periods within that reporting period. This ASU requires that a performance target that affects vesting and that could be achieved after the requisite service period be treated as a performance condition. We are currently evaluating the impact that the adoption of this guidance will have on our financial position, results of operations, cash flows and/or disclosures.

Quantitative and Qualitative Disclosures about Market Risk

        We are exposed to interest rate fluctuations with regard to future issuances of fixed-rate debt, and existing and future issuances of floating-rate debt. Primary exposures include the U.S. Prime Rate and LIBOR related to debt outstanding under our line of credit. In the past, we have used interest rate swaps to reduce the volatility of our financing costs and to achieve a desired proportion of fixed versus floating-rate debt. We did not use our interest rate swap for trading or other speculative purposes. We currently are not using any interest rate swaps, but may in the future.

        At December 31, 2013, the principal outstanding on our revolving line of credit was $62,622. Interest on our line of credit is charged at a rate equal to either (a) the base rate, which equates to the rate last quoted by The Wall Street Journal as the "Prime Rate" or as further defined in the agreement in the absence of such, plus an applicable margin (the "Base Rate"); or (b) LIBOR, as defined by the agreement, plus an applicable margin. The applicable margin on the Base Rate borrowings is 0.75% and on LIBOR rate borrowings is 1.75%. The effective interest rate for Base Rate borrowings at December 31, 2013 was 4.00%. The effective rate on LIBOR rate borrowings at December 31, 2013 was 1.92%. At December 31, 2013, we had Base Rate borrowings outstanding in the amount of $37,622 and LIBOR rate borrowings outstanding in the amount of $25,000. Additionally, we are charged a monthly unused commitment fee ranging from 0.25% to 0.50% on the average unused daily balance.

        Based on the revolving line of credit balance outstanding on December 31, 2013, a 100 basis point decrease in the applicable interest rate would increase our 2013 cash flow and pre-tax earnings by

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approximately $626. An increase in the applicable interest rate would decrease our 2013 cash flow and pre-tax earnings by the same amount. Based on our ability to pay down any outstanding balance on our line of credit without prepayment penalty, as well as our plan to use proceeds from this offering to pay our balance down significantly or completely, we do not believe that interest rate fluctuations create a significant risk.

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BUSINESS

Our Company

         This summary highlights information appearing elsewhere in this prospectus and does not contain all of the information that you should consider in making your investment decision. Before investing in our common stock, you should read the entire prospectus carefully, including the sections titled "Risk Factors," and "Management's Discussion and Analysis of Financial Condition and Results of Operations" and our consolidated financial statements and related notes included elsewhere in this prospectus. Unless the context suggests otherwise, references in this prospectus to "Diplomat," "the Company," "we," "us" and "our" refer to Diplomat and its consolidated subsidiaries.

Business Overview

        We are the nation's largest independent specialty pharmacy and are focused on improving lives of patients with complex chronic diseases. We believe our independence, which we define as our singular focus on specialty pharmacy services independent of other operations such as pharmacy benefit management or managed care, allows us to focus on the patients first and to address the specific needs of all of our constituents. We believe we have a unique patient-centric approach that positions us at the center of the healthcare continuum for the treatment of complex chronic diseases and enables us to drive superior care coordination through partnerships with patients, payors, pharmaceutical manufacturers and physicians. We offer a broad range of innovative solutions to address the dispensing, delivery, dosing and reimbursement of clinically intensive, high-cost specialty drugs. We believe that we are a chosen partner for leading biotechnology and pharmaceutical companies based on our ability to deliver customized support services and dispense new drugs to complex chronic disease patient populations.

        Diplomat opened its doors in 1975 as a neighborhood pharmacy with one essential tenet: "Take good care of patients, and the rest falls into place." Today, that tradition continues and we have focused on creating a culture that is highly focused on increasing adherence and improving outcomes. We believe that our primary focus on the patient differentiates us from our significant competitors that also provide pharmacy benefit management services or other health care services that do not focus singularly on managing the patient experience. We understand that the primary concerns of a patient facing a chronic and serious condition are quality of care and ease of working with the pharmacy. We believe that our detailed, well managed, high-touch patient care program that is designed to address these concerns is essential to our success. Our specialty drug dispensing and services business model described below creates partnerships with patients, payors, pharmaceutical manufacturers and physicians—with a focus on improving adherence and the patient experience.

        We were founded in 1975 by our Chief Executive Officer, Philip Hagerman, and his father, Dale, both trained pharmacists who transformed our business from a traditional pharmacy into a leading specialty pharmacy. In 2005, we began to expand the scope of our specialty pharmacy business from a small regional operation to a large national enterprise, allowing us to capitalize on the growth of the specialty pharmacy market from $20 billion in sales in 2005 to $63 billion in sales in 2013. As a result, we have grown our revenues organically to over $1.5 billion in 2013, achieving a compounded annual growth rate of over 65% since 2005, and we are now the fourth largest overall specialty pharmacy in the United States, with a 2% overall market share (based on 2013 revenues from pharmacy-dispensed specialty drugs). To achieve this growth, we have consistently strengthened our clinical expertise in key therapeutic categories, such as oncology and immunology, broadened the scope of our services to retailers, hospitals and health systems and strengthened our relationships with patients, payors, pharmaceutical manufacturers and physicians.

        We focus on specialty drugs that are typically administered on a recurring basis to treat patients with complex chronic diseases that require specialized handling and administration as part of their distribution process. We have expertise across a broad range of high-growth specialty therapeutic categories, including oncology, immunology, hepatitis, multiple sclerosis, HIV and specialty infusion

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therapy (which involves infusing specialty pharmaceuticals for rare and chronic genetic disorders, primarily for hemophilia and immune globulin treatment). Our comprehensive, patient-focused services ensure that patients receive a superior standard of care, including assistance with complicated medication therapies, refill processing, third-party funding support programs, side effect management and adherence monitoring. We customize solutions for each patient based on the patient's overall health, disease and family history, lifestyle and financial means. Although generally we do not track or quantify specific cost savings for patients and payors, we believe we reduce long-term costs for patients and payors by improving patient care, enhancing clinical outcomes, managing high-risk members, monitoring patient adherence, and optimizing the utilization of specialty drugs, many of which can cost well over $100,000 per patient, per year. This value proposition to payors and patients has helped us expand our managed lives under contract from approximately 5 million in 2009 to approximately 13 million in August 2014. We define managed lives under contract as patients enrolled in a managed care organization network, including pharmacy benefit managers, health plans, state governments, employer groups and unions with whom we contract, through exclusive and preferred relationships with such organizations, whereby we are the only authorized or one of a few preferred specialty pharmacy providers to the patients in their system.

        Collectively, our unique ability to enhance patient adherence to complex drug regimens, to collect and report data, and to ensure effective dispensing of complex specialty medications supports the clinical and commercial needs of pharmaceutical manufacturers. Furthermore, our patient and provider support services ensure appropriate drug initiation, facilitate patient compliance and persistence, and capture important information regarding safety and effectiveness of the specialty medications that we dispense. Our services, together with our proactive engagement with pharmaceutical manufacturers early in the drug development process, have contributed to our current and growing access to limited distribution drugs, which we define as drugs that are only available for distribution by a select network of specialty pharmacies. Our inclusion in limited distribution networks provides critical sources of revenue growth and provides a catalyst for our future growth.

        Our core revenues are derived from the customized care management programs we deliver to our patients, including the dispensing of their specialty medications. Because our core therapeutic categories generally require multi-year or life-long therapy, our singular focus on complex chronic diseases helps drive recurring revenues and sustainable growth. Our revenues grow in part as we help more patients access the drugs they need in order to live longer and healthier lives. As a part of our mission to improve patient care, currently we provide specialty pharmacy support services to a national network of 8 retailers and independent pharmacy groups, representing approximately 4,500 stores and 49 hospitals and health systems. For many of our retail, hospital and health system partners, we earn revenue by providing clinical and administrative support services on a fee-for-service basis to help them dispense specialty medications. Thus, our patient-focused solutions benefit multiple partners across the healthcare continuum, which we believe drives the sustainability of our business model.

Market Opportunity

        Specialty pharmaceuticals represent a significant and growing total addressable market.     The specialty pharmaceutical market has experienced significant growth in recent years as complex chronic conditions, care coordination, technology-enabled patient care, biotechnology research and outcomes-based healthcare have increased in focus. The total specialty pharmaceutical market represented approximately $92 billion in drug spend in 2012. Total specialty pharmaceutical drug spend covered under the pharmacy benefit was approximately $51 billion in 2012 and is estimated to grow to $118 billion by 2018. Specialty drugs are managed not only under the pharmacy benefit, but also under the medical benefit. Payors typically determine whether a particular specialty drug is covered under the pharmacy benefit versus the medical benefit based on such factors as the patient's ability to self-administer, the degree of clinical support required, the need for patient monitoring and the site of care (e.g., hospital or home). Increasingly, drugs that have historically been reimbursed under the medical benefit are being moved to the pharmacy benefit by health plans and pharmacy benefit

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managers to better manage care and contain costs. We believe that our track record and leadership in limited distribution drug programs will create opportunities for us to gain market share in this growing segment of the specialty pharmacy market.

        In addition, while our historic focus has been pharmacy benefit, we believe that the medical benefit represents a significant additional revenue opportunity for us and expect it to have a bigger impact in our business going forward. Specialty drugs reimbursed under the medical benefit have also expanded rapidly in recent years and were approximately $39 billion, or approximately 45%, of the total specialty drug spend in 2012. Specifically, we view specialty infusion (which, for our purposes, includes infusion therapies for hemophilia, hereditary angioedema and immune globulins), with approximately 60% of the costs of such therapies covered under the medical benefit, as an attractive market due to significant projected growth and higher margins, and we intend to continue to invest in this important and growing area of our existing business. In addition, specialty medication provided under the medical benefit (typically office administered, hospital outpatient clinic administered, administered in the home setting, or in an infusion clinic) is more difficult to manage and control the cost of in comparison to specialty medication managed under the pharmacy benefit. The increased difficulty is, in part, because under the pharmacy benefit, claims are adjudicated electronically at the point of sale, which allows for dosage controls and cost verifications to take place before specialty medications are dispensed. In contrast, medical claims are processed after specialty medications are dispensed, which limits the payor's ability to verify costs, dosage amounts, and number of units dispensed. We believe the significant value of the management strategies and services implemented by specialty pharmacies under the pharmacy benefit has led to payors engaging with specialty pharmacies to provide similar assistance to help control spend and cost trends attributed to specialty medications under the medical benefit. We are well positioned to provide these services to payors due to our expertise in specialty pharmacy as well as the resources to manage medications under the medical benefit.

        Growth in specialty drug spend is significantly outpacing the broader pharmaceutical market.     Specialty drugs are the fastest growing segment of the pharmaceutical market, and spend in this segment is estimated to grow at approximately 20% annually from 2013 to 2020, whereas traditional drug spend is expected to grow in the low to mid single digit percentage range. Specialty pharmaceutical products are targeted towards high-cost complex medical conditions, have fewer direct substitutes than traditional pharmaceuticals and face limited near-term generic market entry. These factors limit competition and drive higher prices. Additionally, specialty drug approvals comprised over 50% of all FDA drug approvals in 2013 as pharmaceutical and biotechnology companies have continued to invest in specialty drug development. This trend is expected to continue, driven by a robust pipeline of specialty drugs, which represent approximately 40% of the total number of drugs that we believe may receive FDA approval within the next twelve months. On the other hand, traditional drug trends are projected to be lower for a variety of reasons. We believe these reasons include the loss of patent protection of a number of market leading brand name drugs which allows generic equivalents to come to market to compete with the brand innovator. Further, as brand names lose patent protection, pharmaceutical manufacturers often stop providing marketing support for the brand. In addition, because specialty medications face less competition from generics compared to traditional drugs, we believe the lower growth trends for traditional drugs may be due in part to pharmaceutical manufacturers shifting research and development efforts and funding to specialty medications that do not have generic competition, therefore resulting in less new traditional brand name drugs coming to market.

        Oncology and immunology, therapeutic categories in which we believe we are a leader, are large and growing therapeutic categories within the specialty pharmaceuticals industry.     The oncology market represented 29% of specialty pharmaceutical sales in the U.S. in 2013. The immunology market, including the disease states rheumatoid arthritis, psoriasis and Crohn's disease, also represents a large and growing specialty market. We believe these two therapeutic categories will continue to grow, given that there are over 400 oncology and immunology drugs currently in clinical development which

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represent over 40% of the biologics pipeline. Further, there are over 3,000 oncology and immunology drugs in global drug development. Given the chronic nature of these disease states, we provide recurring services to these patients over long periods of time. In 2013, we generated over 70% of our revenues in oncology and immunology, and our historical growth has largely been driven by our position as a leader in these categories.

Competitive Strengths

        We are the nation's largest independent and fourth largest overall specialty pharmacy, with a 2% overall market share (based on 2013 revenues from pharmacy-dispensed specialty drugs). We believe we are well positioned to continue to increase our market share based on the following competitive strengths.

        Adding value to all constituents.     The value we deliver to all constituents is centered upon our core focus on patients. We help patients adhere to complicated medication therapies, process refills and manage any side effects and insurance concerns to ensure they get the best standard of care. The clinical efficacy of drug therapies, especially for acute and chronic conditions, is typically enhanced when patients precisely follow the prescribed treatment regimens (including dosing and frequency). On the other hand, medication non-adherence (i.e., patients not following the instructions for their medication or failing to finish taking their medication) contributes to a substantial worsening of disease and, in some cases, accelerated mortality which increases hospital and other health care costs. We have achieved patient adherence rates of over 90% for the last six fiscal quarters. We believe our high adherence rates are, in part, due to, among other things, our patient training and education, compliance packaging, prophylactic starter kits and nurse adherence calls. We also help identify third-party funding support programs to help cover expensive out-of-pocket costs. In 2013, we helped our patients successfully obtain $24 million of funding assistance to help cover out-of-pocket co-pay costs. Our focus on patients and our related patient-support programs have allowed us to achieve an overall patient satisfaction rate of approximately 99%.

GRAPHIC

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      Supporting our core focus on patients, we also serve the constituents below.

      (1) Payors:     We manage prescription regimens for chronically ill populations and help payors, which include insurance plans and pharmacy benefit managers, reduce costs through customized specialty pharmacy programs. Our electronic patient care platform, centered on our disease-specific technology solution, is customized for each payor's needs and is designed to improve efficiency and lower costs. For example, through our partial fill program of dispensing prescriptions with less than the typical 30-day supply, we promote more frequent direct intervention and tracking of patients and their therapies by our highly trained clinical experts. Our partial fill program focuses on medications that have a high discontinuation rate based on poor response, adverse effects and non-compliance to address potential waste as well as improve adherence to prescribed therapy. We dispense a two-week supply when prescribed and it is our policy to contact patients on the second and tenth days of therapy to verify patient tolerance. Once confirmed, we will dispense the remainder of that month's supply. If not tolerated, we contact the prescriber to seek an alternate therapy.

      (2) Biotechnology and Pharmaceutical Manufacturers:     We offer specialized and highly customized prescription programs for pharmaceutical companies to help them optimize and track patient adherence which helps drive the clinical and commercial success of specialty drugs. In addition, we partner with pharmaceutical manufacturers early by helping them develop specialty pharmaceutical channel strategies as part of their commercial launch preparation.

      (3) Physicians and Health Systems:     Our team works with physician offices to manage prior-authorization and other managed care organization requirements, such as denial and appeal process, to ensure that complicated administrative tasks do not impair the delivery of quality patient care. Additionally, we provide risk evaluation services, implement risk mitigation strategies and collect patient adherence data to provide physicians and health systems with enhanced visibility on patient outcomes. Our transparency and support has led to a physician satisfaction rate of approximately 97%.

      (4) Retailers and Hospitals:     We provide clinical and administrative support services for our retail and hospital partners on a fee-for-service basis. Based on our broad industry experience, infrastructure and treatment-tracking software, our retail specialty network solution provides customized clinical and administrative support services that help retailers and their specialty patients improve financial and clinical outcomes. We provide hospitals with unique solutions to maximize cost containment, improve efficiency and clinical outcomes from specialty pharmaceuticals. Our programs also support hospitals that are 340B covered entities, which are organizations that provide access to reduced price prescription drugs to health care facilities in accordance with the federal 340B Drug Pricing Program and that have been certified by the U.S. Department of Health and Human Services, through a contracted pharmacy strategy.

        Significant and longstanding payor relationships—approximately 13 million managed lives under contract.     Currently we partner with 46 regional and mid-sized payors and independent pharmacy benefit managers to improve patient outcomes and lower costs by managing high-risk members and implementing patient-focused specialty programs. We believe we improve the clinical outcomes for high-risk members through adherence monitoring, patient education and clinical intervention because the benefit of effective pharmaceuticals, especially for acute and chronic conditions, will only be achieved if patients follow the prescribed treatment regimens (including amount and timing of doses) reasonably closely. We offer payors access to limited distribution drugs and unique cost containment programs, including partial refill programs, clinical management and motivational interviewing techniques for improving adherence. We believe that medication non-adherence is the largest avoidable cost in specialty pharmacy because it contributes to a substantial worsening of disease and death and significantly increases hospital and other health care costs, and our strong adherence rates benefit patients and payors. We believe that our focus on high-touch patient care, reflecting our therapy management and support services through multiple interactions by our clinical, operational and

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administrative personnel, and our experience with high-risk populations makes us well-positioned for the anticipated growth in managed lives under the Affordable Care Act, particularly with respect to managed Medicaid coverage.

        Partner of choice for biotechnology and pharmaceutical manufacturers.     We believe that our role as the partner of choice for many biotechnology and pharmaceutical manufacturers is based on the following attributes:

    Expertise in managing limited distribution drugs.   We have historically earned access to many limited distribution drugs, both at the time of their launch and post-launch. We actively monitor the drug pipeline and maintain dialogue with many of the major biotechnology and pharmaceutical manufacturers to identify opportunities in all pre-commercial stages of drug development. We believe that limited distribution is becoming the delivery system of choice for many drug manufacturers because it facilitates high patient engagement, clinical expertise and elevated focus on service. This belief is based in part on our past success in dispensing prescriptions for new drugs in as little as two days after launch, which we believe is materially faster than most of our competitors. Furthermore, we believe that our innovative solutions and service-oriented culture set us apart from our competitors, have enabled us to win a large number of limited distribution contracts and is more appealing than our competitors' platforms to emerging biotechnology firms and the boutique consulting firms that advise them. We believe that the trend toward limited distribution of specialty drugs will continue to expand in the future, making strong representation in this area essential. Accordingly, we believe our current portfolio of over 70 limited distribution drugs, all of which are post-launch, positions us for disproportionate growth as more limited distribution drugs come to market.

    Proven track record of adding value.   We believe we outperform our competitors in providing services that benefit specialty drug manufacturers. Our superior services are driven by our clinical expertise in oncology, immunology, hepatitis, multiple sclerosis, HIV and specialty infusion. We offer targeted pilot programs, full reporting capabilities and a variety of additional services that support patients' medication adherence when clinically appropriate. We believe these superior services and capabilities were a primary driver of our gaining access to, and becoming the largest of five specialty pharmacies that can, dispense Imbruvica, Pharmacyclics' Mantle Cell Lymphoma drug launched in November 2013.

    Breadth of channel partners.   In addition to our strong relationships with payors, physicians, manufacturers and patients, we also partner with retailers, hospitals and health systems by providing critical patient-facing clinical and administrative services that help support the specialty pharmacy capabilities of these constituents. We believe that our ability to provide the patient-centric services under the brand names of our retail, hospital and health system partners makes us a valued partner for these entities that lack the infrastructure and expertise to service their specialty drug patients on their own. These partnerships broaden our exposure and influence across the healthcare continuum.

    Relationships with clinical experts and key opinion leaders.   Our singular focus on specialty pharmacy and complex chronic diseases has enabled us to develop strong relationships with clinical experts and thought leaders in key therapeutic categories, such as oncology and immunology. We leverage these relationships to gain greater visibility into future drug launches and to stay current on the latest advances in patient care.

        National footprint with highly scalable infrastructure.     During the past several years, we have made significant investments to expand our capabilities and capacity, which we believe will help us to enhance sales volume, improve efficiency and create significant barriers to entry. In December 2010, we moved our corporate headquarters to a 550,000 square foot facility in Flint, Michigan. Our operations within this facility are highly scalable, as we currently utilize approximately 40% of the facility giving us significant capacity to execute our long term growth plan without significant additional capital

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expenditures. Our physical footprint has enabled us to develop a centralized infrastructure that we have successfully scaled to dispense to all 50 states. We now have an advanced distribution center that enables us to ship medications nationwide as well as a centralized clinical call center that helps us deliver localized services on a national scale. In addition to our headquarters, we also operate smaller regional facilities in Flint, Michigan; Grand Rapids, Michigan; Chicago, Illinois; Ft. Lauderdale, Florida; Ontario, California; Enfield, Connecticut; Raleigh, North Carolina; and Springfield, Massachusetts. We are fully accredited and licensed to conduct business in each of the states that require such licensure.

        Strong financial profile combines sustainable growth and low capital intensity.     Our financial profile is comprised of a recurring revenue model that is driven by the chronically ill populations we serve. As a result, we have demonstrated strong growth in revenue and profitability. We have achieved consistent revenue and Adjusted EBITDA growth with revenues increasing from $377 million in 2009 to $1,515 million in 2013 and Adjusted EBITDA increasing from $6 million in 2009 to $19 million in 2013, representing compound annual growth rates of 42% and 33%, respectively. In addition, we grew our net income from $3 million to $8 million over the same time period. See "—Selected Consolidated Financial Data" for our definition of Adjusted EBITDA, why we present Adjusted EBITDA and a reconciliation of our Adjusted EBITDA to net income. We expect our growth to continue to be driven by a highly visible and recurring base of revenues, favorable demographic trends, advanced clinical developments, expanding drug pipelines, earlier detection of chronic diseases and improved access to medical care. In addition, we believe that our expanding breadth of services, our growing penetration with new customers, and our access to limited distribution drugs, will help us achieve significant and sustainable growth and profitability in future.

        Highly experienced and passionate management team.     Our senior management team, which consists of six executives, has an average of over 26 years of experience in the pharmacy and specialty pharmacy industry and represents a group of highly recognized and respected industry veterans. Led by our Chief Executive Officer and co-founder, Philip Hagerman, our management team is responsible for our proven track record of growth, consistent performance and industry leading service. Mr. Hagerman, a licensed pharmacist and recognized specialty pharmacy industry thought-leader, is a frequent speaker at state and national pharmacy conferences and has received several awards as a leading business executive in the country, including recognition by the White House Business Council for his leadership in job creation and community development. Our senior management team has an average tenure with Diplomat of over 12 years and brings a healthy balance of significant experience with Diplomat and with other companies in the industry, including public companies. In addition, our broader sales, clinical and operations team, has deep clinical expertise and currently includes over 70 licensed pharmacists.

Growth Strategy

        We plan to grow our business by continuing to execute on the following key growth strategies:

        Capitalize on track record to expand leadership positions in high-growth oncology and limited distribution markets.     We believe our track record of providing a customized, high level of service to our manufacturer partners in the oncology and immunology markets has led to repeat contract awards and initial limited distribution contracts related to new drugs our partners bring to market. For example, we believe our success as a distributing pharmacy for Zytiga, a metastatic castration resistant prostate cancer drug approved by the FDA in April 2011, helped earn us limited distribution access to Xtandi, another metastatic castration resistant prostate cancer drug approved by the FDA in August 2012. Xtandi has grown to become one of our top 10 drugs with over $40 million in annual sales in 2013. Our clinical and sales teams consistently engage our emerging biotechnology partners on commercialization strategy 12 to 18 months in advance of potential FDA approval. These pre-existing relationships position us to capture market share in these high-growth markets. One example was the

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launch of Cometriq, a drug currently indicated for a form of thyroid cancer, on which we collaborated with the manufacturer and became the exclusive distributor.

        Expand clinical expertise to a broad range of therapeutic categories.     We serve a broad range of therapeutic categories, and we believe we can expand our clinical expertise to increasingly penetrate additional markets such as hepatitis, multiple sclerosis, HIV and specialty infusion. We believe these categories will become increasingly important to our patient population in the coming years due to advancement of therapies and increased incidences of chronic illness and that our platform will allow us to grow with market expansion. Specifically, we view specialty infusion as an attractive market due to significant projected growth and higher margins, and we intend to continue to invest in this important and growing area of our existing business. Our recent acquisitions of AHF and MedPro have significantly expanded our ability to access this market. Additionally, orphan and ultra-orphan drugs, which are associated with relatively small patient populations, are an increasingly important focus for us as the specific characteristics of these categories make utilization and compliance particularly challenging.

        Deepen and expand partner relationships.     We currently contract with and support regional and mid-sized payors and independent pharmacy benefit managers, employer groups, and union groups representing approximately 13 million managed lives across the United States. We plan to continue to work with our current clients to grow their membership and are focused on expanding our client base nationally. In addition to providing specialty pharmacy services for self-administered medications covered under the pharmacy benefit, we also offer office-administered medications covered under the medical benefit to ensure that we provide a full spectrum of care to our specialty patients regardless of type of their benefit coverage and where they receive care. Further, our partnerships with retail pharmacies and hospitals allow us to serve specialty patients beyond the traditional specialty pharmacy approach. These partnerships allow patients to more easily access specialty medications in the retail setting and also positions Diplomat to be a key partner for Accountable Care Organizations, which are networks formed by groups of doctors, hospitals, and other health care providers that share financial and medical coordination of services to patients to limit unnecessary spending and to create an efficient patient care system. We can work with Accountable Care Organizations to manage patient therapy, dispense specialty drugs, and advise prescribers regarding the relative effectiveness and value of their drug treatment options for patients.

        Grow high-margin businesses and capitalize on investments to enhance key operating metrics.     In May 2014, we contracted to significantly expand our retail customer base and expand our opportunities through a service contract with Novation, LLC (which includes Provista, LLC and VHA Inc.), one of the largest hospital networks and group purchasing organizations. In addition, our continued expansion into the infusion market will provide us with opportunities to capitalize on a market which historically has provided higher margins. We have made significant investments in our technology, infrastructure and service lines to build a scalable foundation for growth, which we believe provides meaningful opportunities to grow revenues and enhance key operating metrics. We believe our investments in technology, both completed and in-process, will improve our operating cost profile and provide valuable revenue opportunities, as we enhance our data collection and delivery capabilities, services that are highly valued by our partners. Finally, we currently utilize approximately 40% of our 550,000 square foot facility in Flint, Michigan (purchased in 2010), providing meaningful capacity as we continue to scale our business.

        Selectively pursue growth through strategic acquisitions.     We believe the specialty pharmacy industry is highly fragmented and provides numerous opportunities to expand through acquisitions. While we will continue to focus on growing our business organically, we believe we can opportunistically enhance our competitive position through complementary acquisitions in both existing and new markets. For example, in December 2013, we completed the acquisition of AHF, a specialty infusion therapy provider focused primarily on hemophilia. In June 2014, we acquired MedPro, a specialty pharmacy focused on specialty infusion therapies including hemophilia and immune globulin. Specialty infusion is

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differentiated from traditional home infusion in that it requires highly customized services and level of care with therapies that can exceed $300,000 in costs per patient per year. We anticipate our future revenues derived from specialty infusion pharmacy services will increase significantly as a percentage of total revenues as a result of these acquisitions. Additionally, we plan to selectively evaluate potential acquisition opportunities in other therapeutic categories, services and technologies, with the goal of preserving our culture, continuing to deliver superior patient outcomes, enhancing value to other constituents and building long-term value for our shareholders.

Specialty Pharmacy Industry

        Specialty pharmacy services are a distinct form of pharmacy services that coordinate full service patient care and complex disease management. Specialty pharmacy services are designed to take advantage of economies of scale by using standardized and efficient processes to deliver medications with customized handling, storage and distribution requirements. Specialty pharmacies are also designed to improve clinical, adherence, and economic outcomes for patients with complex, often chronic, or rare conditions through a wide range of oral, injectable and infusible specialty pharmaceuticals.

        The U.S. market for specialty pharmaceuticals is estimated to be around $51 billion in 2012 and the market is expected to grow rapidly. See "—Market Opportunity" above for additional information regarding anticipated industry growth. We expect several factors to contribute to the continuing growth of the specialty pharmacy services industry, including the following:

    accelerating development and approval of new specialty pharmaceuticals and therapies, including from emerging biotechnology manufacturers;

    clinical advancements in personalized medicine;

    earlier detection of chronic disease;

    growing emphasis on care management and compliance monitoring to improve outcomes and reducing the overall cost of care related to high-cost, chronic diseases;

    healthcare cost containment pressures and growing recognition of early detection and proactive treatment as a means to reduce long-term treatment costs;

    growth of insured patient population;

    increased availability and acceptance of specialty pharmacy services;

    migration of therapy from medical benefits to pharmacy benefits as well as management of specialty pharmaceuticals under the medical and pharmacy benefit;

    expansion of FDA-approved indications for currently marketed specialty pharmaceuticals;

    the anticipated approval of biosimilars and generics which will increase the availability of drugs in the market; and

    direct to consumer advertising.

        Less acute, chronic conditions are generally treated with self-administered, oral, injectable or inhalable specialty pharmaceuticals but may also be administered by a physician or nurse. These pharmaceuticals can be distributed directly to the patient for at-home administration or to the patient's physician for in-office administration. Several chronic, genetic conditions and orphan diseases are treated with infused pharmaceuticals via a more complex intravenous form of administration. These pharmaceuticals are dispensed under the supervision of a registered pharmacist and the therapies are typically delivered to the patient for self-administration in the home or administration by a credentialed home-health care nurse or trained caregiver at home or in another care site. Many of the pharmaceuticals handled by specialty pharmacies require refrigeration during shipping as well as special handling to prevent potency degradation. Patients receiving treatment usually require personalized counseling and education regarding their condition and treatment programs.

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        The specialty pharmacy segment primarily treats conditions such as cancer, immune deficiency disorders, hepatitis, multiple sclerosis, hemophilia, neurological conditions and other chronic conditions. Retail pharmacies and other traditional distributors generally are designed to carry inventories of low cost, high volume products and therefore are not equipped to handle the high cost, low volume specialty pharmaceuticals that have specialized handling and administration requirements. In addition, those entities generally lack both the deep clinical expertise and the administrative and call center support functions necessary to effectively deliver specialty pharmacy services. As a result, specialty pharmaceuticals generally are provided by pharmacies that focus primarily on filling, labeling and delivering oral, injectable, infusible or inhalable pharmaceuticals and related medication and support services.

Our Services

        We provide specialty pharmacy services dedicated to servicing the needs of patients, while also providing clinical expertise, technology-driven innovation tools, and administrative efficiencies that support physicians, payors, pharmaceutical manufacturers, and retail pharmacies. We purchase specialty pharmaceuticals from manufacturers and wholesale distributors, fill prescriptions, and label, package and deliver the pharmaceuticals to patients' homes or physicians' offices through contract couriers. We utilize our Company-owned, high-volume distribution facility, seven smaller regional facilities and centralized clinical call centers to provide such services to all 50 states. The services provided to our patients and other constituents described below are integral to securing the relationships that drive our revenue and prescription volumes, and are a central focus of our specialty pharmacy business. In order to successfully compete, we must provide value to each constituent in the specialty pharmacy industry.

        Our value to constituents is based on our ability to provide large specialty and limited distribution product access, utilization management, high patient adherence rates, patient funding assistance, data management, outstanding patient and prescriber satisfaction rates and direct and indirect cost savings. Our adherence programs, including monthly monitoring calls, unique packaging to drive compliance, side effect management, patient education, and prescriber outreach, have resulted in patient adherence rates of more than 90% and therefore improved patient outcomes. The benefit of effective pharmaceuticals, especially for acute and chronic conditions, will only be achieved if patients follow the prescribed treatment regimens (including amount and timing of doses) reasonably closely. On the other hand, medication non-adherence (i.e., patients not following the instructions for their medication or failing to finish taking their medication) contributes to a substantial worsening of disease and death and significantly increases hospital and other health care costs. Further, we manage the high cost of specialty drugs by pursuing cost savings through channel management, utilization management, formulary management (i.e., the list of specialty drugs that will be reimbursed by a health plan or managed care organization), and waste minimization (including our partial fill program). Channel management is a strategy that targets specialty medications covered under the medical benefit by payors and moving the coverage of these medications to the pharmacy benefit in order to take advantage of deeper discounts, rebates or more detailed reporting when available. Utilization management is the evaluation of the appropriateness, medical need and efficiency of health care services, procedures, drugs and facilities according to established criteria or guidelines and under the provisions of an applicable health benefit plan. Formulary management is an integrated patient care process which enables physicians, pharmacists and other health care professionals to work together to promote clinically sound, cost-effective medication therapy and positive therapeutic outcomes. A drug formulary, or preferred drug list, is a continually updated list of medications and related products supported by current evidence-based medicine, judgment of physicians, pharmacists and other experts in the diagnosis and treatment of disease and preservation of health.

        Our programs consist of the following business services:

    Specialty Drug Dispensing.   For the six months ended June 30, 2014 and the year ended December 31, 2013, we derived over 99% of our revenue from the dispensing of drugs and the

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      reporting of data associated with those dispenses to pharmaceutical manufacturers and other outside companies. The other services listed are required or preferred services included as part of our normal core business offerings and are included as part of the overall payor reimbursement for dispensed drugs, but are not typically separately reimbursable events. We are licensed to dispense prescriptions in all 50 states and all U.S. territories. Our business processes and dispensing solutions are well established and can provide specialty prescriptions to patients as required by the communicated "need by" date. All specialty prescriptions are verified by registered pharmacists for accuracy and appropriateness at two separate points in the dispensing process prior to shipping to patient. Our specialty dispensing and distribution capabilities include package tracking through contracted couriers, temperature controls and signature confirmation upon delivery.

      Specialty drug dispensing includes our specialty infusion pharmacy services. Our December 2013 and June 2014 acquisitions of AHF and MedPro, respectively, expanded our specialty infusion pharmacy services, and we anticipate our future revenues derived from specialty infusion pharmacy services will increase significantly as a percentage of total revenues as a result of such acquisitions. We provide individualized patient-centric specialty infusion services to patients with bleeding disorders, and other chronic conditions, while managing overall drug spend through factor utilization using dose management, assay management (which means ensuring that the prescribed amount is the dispensed amount), clinical and therapy education, intervention, and nursing support to advance better patient outcomes. Specialty infusion drugs are high cost, with routes of administration intravenously or subcutaneously and can be managed at home or in a hospital or free-standing ambulatory infusion clinic, physician office or through our extensive outsourced network of credentialed specialty nurses whom administer medications in the patent's home or at other sites of care. We estimate our drug reimbursement for specialty infusion patients is approximately 25% medical benefit and 75% pharmacy benefit.

      Our specialty drug dispensing services include:

      o
      Patient Care Coordination.     Our patient care system is used to coordinate and track patient compliance outcomes and safety. It is built around specific drug therapies and disease states for greater consistency of care using clinical algorithms. Each step within the patient's treatment regimen is extensively researched based on various disease guideline publications. Our system automatically tracks all clinical interventions and activities and provides real-time access to patient information. Using this system, our care coordinators, including pharmacists, work with both patients and prescribers to identify potential adherence failures and implement proactive plans to optimize treatment outcomes.

      o
      Clinical Services.     Our pharmacists and nurses, with the assistance of our pharmacy technicians, provide clinically based drug therapy management programs for clients and patients. Pharmacists provide counseling on compliance and side-effect management. Our Clinical Help Desk includes several pharmacists, as well as nurses and pharmacy technicians. A pharmacist is available to patients and prescribers 24 hours a day, seven days a week and nurses are available during normal business hours. Clinical pharmacists are responsible for high level clinical interaction with patients and healthcare practitioners including medication counseling and clinical advice. Our clinicians work with the patients' primary prescriber to identify adherence failures and to implement a proactive plan to achieve intended outcomes.

      o
      Compliance and Persistency Programs.     Our compliance and persistency programs are drug specific and support the needs of patients based on their therapy regimen. In some cases, a dedicated nurse proactively contacts patients at specific intervals of therapy to discuss precautions, side effect management, administration of medication, and refill procedures. Prior to every refill, we call patients to verify the patient's dose and dosing regimen and shipping address, discuss side effects and confirm that the patient is appropriately taking the medication. Aside from standard protocol, we initiate calls at critical points during the therapy to improve adherence. This adherence program also addresses non-compliance by offering enhanced patient education and communication through customized programs specific to the medications we provide.

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      o
      Patient Financial Assistance.   Our funding specialists help patients navigate their benefits and find third-party financial assistance to address coverage deficiencies. We provide services to help patients understand and receive reimbursement benefits and we work with available co-pay assistance programs, including co-pay card enrollment and program management. We currently work with substantially all major commercial co-pay card programs. Our team also coordinates with many external charitable foundations and research grant organizations that help subsidize the cost of medications for patients. We also help patients access manufacturer patient assistance (free drug) programs when necessary and available. These programs result in healthier outcomes for the patients and increased revenues for us.

      o
      Specialty Pharmacy Training/Consulting (Diplomat University).   Diplomat University is our education and training department that educates both Diplomat employees and external professionals (including pharmacists, payors, pharmaceutical partners and physicians) on topics unique to the specialty pharmacy industry. Our in-depth, ongoing training program promotes clinical competence and builds new skills, enabling employees to provide high-level care for our patients and improve overall business performance. Diplomat University also houses our quality assurance department, which focuses on programs that promote quality and patient safety. Diplomat University-produced materials have been used in trade conference materials and magazine articles, as well as business meetings, to explain the specialty pharmacy industry generally and the broad range of solutions we can provide.

      o
      Benefits Investigation.   Our standard procedures require that we conduct a benefits investigation for each patient we work with. In addition to processing test claims, our benefit specialists contact the appropriate medical or pharmacy benefit plan to verify coverage, deductible, coinsurance, and out-of-pocket maximum. Our specialists provide all necessary coding for the prescribed therapy or service. Any prior authorization or predetermination requirements are defined at the time of the benefits investigation. Our standard procedures require an initial test adjudication upon receipt of the referral and require subsequent investigations under certain circumstances.

      o
      Prior Authorization.   Our prior authorization specialists contact the patient's insurance plan and collect all necessary patient specific information, together with supporting documentation, to provide to the third-party payor to support reimbursement for the prescribed medication, and coordinates with the prescribing physician. In the event that the required therapy is not listed on the third-party payor's formulary, we also compile the necessary information to file a formulary exception on behalf of the patient.

      o
      Risk Evaluation and Medication Strategy ("REMS").   Our employees are skilled at administering REMS (Risk Evaluation and Mitigation Strategy) protocols on all levels of risk mitigation, which is required by many pharmaceutical manufacturers due to regulatory requirements. The FDA requires REMS from certain manufacturers to ensure that the benefits of a drug or biological product outweigh its risks. Manufacturers are required to comply with specific FDA requirements that may include medication use guides, Black box warnings / patient package insert language, and a communication plan to health care providers. As part of REMS protocols, manufacturers may also be required to comply with Elements to Ensure Safe Use to mitigate a specific serious risk listed in the labeling of the drug, including special training and certifications, required dispensing locations, patient monitoring and associated reporting. We have standard operating procedures in place to support all aspects of a REMS program, including REMS administration, REMS drug fulfillment, disease management, medication guide dispensing and the Elements to Assure Safe Use specific to pharmaceutical manufacturer's program. We also partner with manufacturers to report and track Adverse Drug Events where required. Our patient care system has been designed to capture much of the information the pharmaceutical manufacturer must report to the FDA.

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    Retail Specialty Services.   Retail specialty services connects a retail pharmacy business to the specialty arena. Based on our broad industry experience, infrastructure and unique treatment-tracking software, retail specialty services offers companies a strategic partner for clinical and administrative support services that help the business and their specialty patients achieve their best outcomes. Large retailers with pharmacies, such as Safeway and Target, have access to many of the same specialty drugs we distribute, but lack the expertise and the infrastructure necessary to manage patients, payors, and physicians regarding these specialty drugs. Development of this infrastructure is very costly, time consuming, and requires trained clinical experts. Our retail specialty services fills this gap with our breadth of service expertise, which includes nearly every aspect of our business other than purchasing the drugs and filling the prescriptions. We conduct patient-facing services under the specific retailer's brand name. For example, when our retail specialty services employees interact with patients and prescribers, these customers are unaware they are not engaging with our retail specialty services clients directly. These strategic relationships with retail pharmacies are important to pharmaceutical manufacturers and can further our access to additional limited distribution drugs, resulting in increased volumes of the specialty drug dispensing services described above.

    Hospital and Health System Services.   We provide clinical and administrative support services to hospitals and health systems that dispense specialty medications through their outpatient pharmacies. We partner with hospitals and health systems to assist with strategies and service delivery that maximizes cost containment and improves efficiency and clinical outcomes related to specialty pharmaceuticals. Our program also supports hospitals that are 340B covered entities through a contracted pharmacy strategy.

    Hub Services.   We also recently launched the provision of hub services to capitalize on our expertise in providing the services described above and to compete with other hub service providers. Hub services generally are centralized management services for collaboration and efficiency among the key participants in the specialty pharmacy system (including patients, physicians, payors, pharmaceutical manufacturers, retail pharmacies and other prescribers). In order to maintain client satisfaction and compliance we will keep certain information and software systems, infrastructure and employees "firewalled" from our specialty pharmacy business to avoid commingling or favoring any specialty pharmacy (including ours) within the networks of the hub customers.

Constituent Relationships

        Our services provide value to our constituents in the following ways.

    Patients

        We help manage patients' complex disease states through counseling and education regarding their treatment and by providing ongoing monitoring and, in some cases, proactive follow-up contact to encourage patient compliance with the prescribed therapy. The goal of Diplomat's patient care programs is to provide clinical services in a caring and supportive environment, optimize medication adherence, prevent disease progression and improve outcomes. To accomplish this, Diplomat focuses on each individual patient and provides solutions related to medication access, tolerance, and adherence.

        Diplomat provides patients with personalized medication programs and services for a variety of complex disease states, including the following:

    Oncology.   Cancer therapy often involves the use of highly-toxic chemotherapy or oral oncolytic agents with a high incidence of adverse events. Goals for these patients include the provision of the most effective therapy at the appropriate dose, adverse event management to ensure treatment can continue for as long as it is effective, and improvement in quality of life. Our clinicians strive to ensure optimal treatment outcomes for these patients by providing high-touch proactive and reactive care, focusing on appropriate dosage and administration, adverse event management, and adherence monitoring.

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    Immunology.   Care of patients with autoimmune and/or inflammatory conditions generally involves the use of therapies aimed at slowing disease progression, reducing the rate of disease relapse, and managing disease symptoms. Goals for these patients include reducing the signs and symptoms of disease, minimizing short- and long-term side effects and complications of the disease and therapy, and improving or normalizing the patient's quality of life. Our clinicians assist these patients by providing clinical management providing adverse event management support, proactively monitoring for adherence issues, and following up with prescribers in response to identified therapy issues.

    Hepatitis.   Management of hepatitis C virus infection involves the selection of appropriate therapy based on HCV genotype, the presence or absence of cirrhosis, transplant status, prior response to therapy, and whether or not the patient is co-infected with HIV or hepatitis B virus. Goals for these patients include achievement of sustained virologic response, decreasing the disease and therapy burden, and optimal adherence to therapy. Our clinicians ensure that hepatitis C virus therapy regimens are complete and appropriate, provide adverse event management support, and follow-up with prescribers to ensure optimal therapy outcomes.

    Multiple Sclerosis.   Care for patients diagnosed with multiple sclerosis involves life-long support. Goals for these patients include providing efficacious therapy to reduce the frequency of relapse and improving quality of life. Our clinicians ensure that patients are receiving the appropriate dose of therapy, provide adverse event counseling and management support, provide education on relapse mitigation strategies, and are available to respond to patient questions regarding therapy effectiveness and adverse events.

    Specialty Infusion Therapy.   Several chronic, genetic conditions and orphan diseases are treated with infused pharmaceuticals with a more complex intravenous form of administration. These pharmaceuticals are prescribed for individuals including but not limited to the following conditions: hemophilia, immune globulin and auto-immune deficiencies, hereditary angioedema and lysosomal storage disorders. Patients are generally referred to specialty infusion pharmacy services providers by physicians or case managers. The medications are dispensed under the supervision of a registered pharmacist and the therapy is typically delivered to the patient or caregiver for self-administration in the home or administration by a credentialed home-health care nurse or trained caregiver at home or in another care site.

    Other Disease States.   We also treat patients who have received organ transplants or who have HIV. Life-long therapy is essential for the prevention of organ rejection in transplant patients, and we seek to optimize adherence to therapy in order to decrease the likelihood of organ rejection. The management of HIV is complex and involves the use of highly active anti-retroviral therapy. Goals for our patients diagnosed with HIV include achieving long-term, maximal suppression of viral load, preserving and improving immune system function (prevention of progression to acquired immunodeficiency syndrome), and prevention of the spread of HIV to others.

        A number of our patient-focused services are driven by adherence. The benefit of effective pharmaceuticals, especially for acute and chronic conditions, will only be achieved if patients follow the prescribed treatment regimens (including amount and timing of doses) reasonably closely. Our standard procedures require that we maintain a team of pharmacists, nurses and certified pharmacy technicians available to answer patient questions by phone, 24 hours a day, seven days a week. We send patients all the medication and supplies they need for their prescribed therapy, including, when applicable, our "CarePak" adherence packaging and starter kits, which helps patients manage the side effects of their primary prescriptions. Management of side effects is a key component of patient adherence. We also proactively contact patients with reminders when refills are required and contact their physician if a new prescription is necessary.

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    Payors

        We provide payors with a comprehensive approach to meeting their pharmacy service needs. Our specialty pharmacy services offer payors a cost effective solution for the distribution of specialty pharmaceuticals, generally direct to patients for self-administration. We manage high-risk members in the payors' network and assist with adherence to such members' health plans to minimize waste in the purchase of specialty drugs and to optimize patient outcomes. We also provide access to a significant number of limited distribution drugs. Other services include coordination of care with the members' physicians and payors and the provision of utilization and outcomes data to evaluate therapy effectiveness.

        The value we provide to payors is reflected in the number of managed care organizations to whom we provide exclusive services. We have approximately 13 million managed lives under contract. For the six months ended June 30, 2014 and the year ended December 31, 2013, our payor-derived revenue was (1) approximately 34% and 34%, respectively, from exclusive or preferred relationships with third party payors (including some government-sponsored managed Medicaid programs), (2) approximately 21% and 22%, respectively, from open network commercial payors, and (3) approximately 41% and 41%, respectively, from open network government programs, with the remainder collected from patients, directly or on their behalf, as a result of their co-pay obligations or patient assistance programs. Our exclusive or preferred relationships are with regional and mid-sized payors and independent pharmacy benefit managers, employer groups, and union groups. As of June 30, 2014 and December 31, 2013, such relationships included approximately 13 million managed lives under contract in the United States.

    Pharmaceutical Manufacturers

        We provide pharmaceutical manufacturers with a strong distribution channel for their existing pharmaceuticals and their new product launches. We implement patient monitoring programs that encourage compliance with the prescribed therapy. We also provide drug trial assistance including product encapsulation and packaging.

        The adherence rates that result from our patient-centered services described above directly benefit pharmaceutical manufacturers through clinically appropriate continued sales of their products to patients, who might otherwise have failed to continue their prescribed therapies, and improved patient outcomes that lead to greater market acceptance. In addition, the financial assistance and reimbursement management we provide to patients further drives pharmaceutical sales.

        In addition, pharmaceutical manufacturers frequently seek patient data on the efficacy and utilization of their products, which we currently provide in a de-identified and HIPAA-compliant format. This data provides valuable clinical information in the form of outcomes and compliance data to manufacturers to aid in their evaluation of the efficacy of their products. We continue to invest in new technologies that will enable us to better provide such analytical services.

        We have also assisted emerging biotechnology pharmaceutical companies in their commercialization of new drugs. In cases where pharmaceutical companies have successful clinical trials, but little commercialization experience, we are engaged to formulate strategies to market to, educate and fulfill the needs of patients, prescribers and payors. We refer to this tailored, multifaceted approach as "channel strategies." We believe that in some cases, these engagements have led to exclusive rights to administer the products of these pharmaceutical companies or our inclusion in a small panel of authorized specialty pharmacies for limited distribution of drugs. We believe our significant expertise in providing channel strategies to emerging biotechnology manufacturers is unique, and has enabled us to dispense prescriptions for new drugs successfully in as little as two days after launch.

    Physicians and Other Prescribers

        We assist physicians and other prescribers with personalized and intensive patient support by providing care management related to their patients' pharmacy needs and improving patient compliance with therapy protocols. We eliminate the need for physicians to carry inventories of high cost

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prescriptions by distributing medications directly to patients' homes or, in other cases, to the physicians' offices. We also assist physicians and their clinical and non-clinical staff members by performing many of the administratively intensive tasks associated with benefits investigations, prior authorizations and other reimbursement related matters. We generally bill payors directly, on the patient's behalf, in nearly all cases. Further, we assist physicians by helping their patients manage the side effects of their therapies and monitoring adherence. We also provide physicians with clinical updates and assist with managing the pipeline of potential new therapies.

    Retail Pharmacies, Hospitals and Health Systems

        We provide specialty pharmacy management services for a fixed fee to various national, regional and independent retail pharmacies. We also provide such services to hospitals and health systems. These services are similar to those provided to payors with respect to their specialty pharmacy customers, except that we do not buy or dispense the specialty product. The services generally include the same patient engagement and adherence programs, reimbursement processing and patient funding programs, and general disease state management services described above. These services constituted less than 1% of our revenues in 2013.

Our Suppliers

        We obtain the pharmaceuticals and medical supplies and equipment that we provide to our patients through pharmaceutical manufacturers, distributors and group purchasing organizations. Most of the pharmaceuticals that we purchase are available from multiple sources and are available in sufficient quantities to meet our needs and the needs of our patients. However, some biotechnology drugs are only available through the manufacturer and may be subject to limits on distribution. In such cases, it is important for us to establish and maintain good working relations with the manufacturer in order to ensure sufficient supply to meet our patients' needs. We primarily utilize UPS in the delivery of our specialty pharmaceutical products.

        Most of the manufacturers of the pharmaceuticals we sell have the right to cancel their supply contracts with us without cause and after giving notice (generally 90 days or less). Specialty drug purchases from AmerisourceBergen and Celgene (from whom we purchase several drugs) represented 58% and 19%, respectively, of cost of goods sold in 2013, and 64% and 21%, respectively, of cost of goods sold in 2012. The reason we purchase large quantities from a single wholesaler is primarily for ease of administration and pricing. In the event of a termination of our relationship with AmerisourceBergen, we believe that there is typically at least one alternative drug wholesaler from whom we could source each non-limited distribution drug we dispense. We further believe that we could replace the inventories without a material disruption to our operations.

        Through the coverage and clinical expertise of our Company-owned, high-volume, main distribution facility and seven regional locations, some with retail capabilities and some with limited to moderate distribution capabilities, we provide pharmaceutical manufacturers with a strong distribution channel for their existing pharmaceutical products. In many cases, our national presence is critical to becoming a selected partner in the launch of new products. When providing new products to patients, we implement a monitoring program to encourage compliance with the prescribed therapy and we provide valuable clinical information to the manufacturer in the form of outcomes and compliance data to aid in their evaluation of the efficacy of the product. We receive fees, which we record as revenue or a reduction to cost of goods sold, from certain pharmaceutical manufacturers in return for providing them with clinical outcomes data.

Billing and Significant Payors

        We derive most of our revenue from contracts with third-party payors, such as managed care organizations, insurance companies, self-insured employers, pharmacy benefit managers and Medicare and Medicaid programs. We contract directly with some payors and pharmacy benefit managers or, in

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other cases, contract with third parties which in turn contract with payors and pharmacy benefit managers on our behalf.

        We bill payors and track all of our accounts receivable through computerized billing systems. These systems allow our billing staff the flexibility to review and edit claims in the system before they are submitted to payors. For the great majority of our dispensing business, claims are submitted to payors electronically. We have extensive experience managing the coordination of benefits between commercial and government-sponsored plans. We participate with Medicare as a Durable Medical Equipment, Prosthetics, Orthotics and Supplies ("DMEPOS") pharmacy supplier, and participate in Medicare Part D. A benefit coverage specialist reviews all Medicare coverage determinations to ensure that the appropriate benefit is being billed. Upon completion of all benefit verifications, we follow each plan's guidelines to identify which plan is primary and secondary and submit the billing accordingly.

        Our financial performance is highly dependent upon effective billing and collection practices. The process begins with an accurate and complete patient admission process, in which all critical information about the patient, the patient's insurance and the patient's care needs is gathered. A critical part of this process is verification of insurance coverage and authorization from insurance to provide the required care, which typically takes place before we initiate services. An exception occurs when a patient referral is received outside of normal business hours, but we have an existing contractual relationship with the patient's insurance carrier. In such cases, we provide the patient with sufficient drugs and services to last until the next business day, when the patient's insurance coverage can be verified.

Sales and Marketing

        Our sales and marketing efforts focus on three primary objectives: (1) building new relationships and expanding existing contracts with managed care organizations and other payors or pharmacy benefit managers; (2) establishing, maintaining and strengthening relationships with key opinion leaders, physicians and other prescribers; and (3) maintaining existing and developing new relationships with pharmaceutical manufacturers to gain distribution access as they release new products or improved products. Our national and regional sales directors focus primarily on establishing and expanding our contracts with managed care organizations, while our local account managers focus on maximizing value from these contracts by developing and maintaining relationships with local and regional referral sources, such as physicians, hospital discharge planners, other hospital personnel, health maintenance organizations, preferred provider organizations or other managed care organizations, and insurance companies. In addition, we have a dedicated sales force, through a combination of internal (phone sales) and external (field sales) team members for scalability and efficiency, focused on maintaining and expanding our relationships with biotechnology drug manufacturers to establish our position as an exclusive, semi-exclusive or participating provider. As of June 30, 2014, we had 78 sales employees, including 48 internal and 30 external team members.

Information Technology

        Our information technology centers around a custom-developed scalable patient care system that provides real-time prescription and patient care status to us, prescribers and contracted partners. Our technology allows us to track and report industry standard metrics on call centers, dispensing, adherence, length of therapy, and persistency. We can also provide HIPAA compliant reports that contain inventory data, prescription status, persistency, compliance, discontinuation, and payor data. In addition to reporting on patient and prescriber demographics, turnaround times, spend, and error reporting, we can also report on patient assessment data, clinical status, and other monitoring parameters. We have invested significantly in information technology in recent years to position us to improve cost efficiencies among us and our constituents and to provide additional services regarding the de-identified data we accumulate to take greater advantage of our relationships with data-driven pharmaceutical manufacturers. We also use an off-the-shelf pharmacy software system for purposes of transmitting claims to payors.

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Competition

        There are a significant number of competitors that distribute specialty pharmacy drugs and provide related services, some of which have greater resources than we do. Our competitors include: pharmacy benefit managers; retail pharmacy chains and independent retail pharmacies; health plans; national, regional and niche specialty pharmacies; specialty infusion therapy companies; physician practices and hospital systems; and group purchasing organizations. We believe that our singular focus on specialty pharmacy services allows us to more nimbly adapt to the needs of our constituents, while our size relative to other singularly focused specialty pharmacies will enable us to continue to be a leader among such entities.

        We are currently the largest independent specialty pharmacy and the fourth largest specialty pharmacy in the U.S., with a 2% overall market share (based on 2013 revenues from pharmacy-dispensed specialty drugs). The three largest specialty pharmacies are Express Scripts, CVS Caremark and Walgreens. We understand that a number of other traditionally non-specialty pharmacies with significant resources are attempting to build, acquire or partner with specialty pharmacies due to the double-digit growth anticipated in spending on specialty prescription drugs compared to low to negative growth in spending on traditional prescription drugs. There are also many smaller specialty pharmacies and other entities in the healthcare industry that provide limited specialty pharmacy services that compete with us to a lesser extent. Some of these smaller entities, however, may be able to invest significant resources, through acquisition or otherwise, to compete with us on a larger scale.

        Many of the retail pharmacies to which we provide patient management services may in the future acquire a competing specialty pharmacy business or start their own specialty pharmacy business and thereby become our competitors. In addition, many of our pharmacy benefit management customers have their own specialty pharmacy businesses, and to the extent certain of our products can be obtained internally, these customers could cease doing business with us.

Governmental Regulation

        The healthcare industry is subject to extensive regulation by a number of governmental entities at the federal, state and local level. The industry is also subject to frequent regulatory change. Laws and regulations in the healthcare industry are extremely complex and, in many instances, the industry does not have the benefit of significant regulatory or judicial interpretation. Moreover, our business is impacted not only by those laws and regulations that are directly applicable to us but also by certain laws and regulations that are applicable to our managed care and other clients. If we fail to comply with the laws and regulations directly applicable to our business, we could suffer civil and/or criminal penalties, and we could be excluded from participating in Medicare, Medicaid and other federal and state healthcare programs, which would have an adverse impact on our business.

    Professional Licensure

        Pharmacists, nurses, and certain other healthcare professionals employed by us are required to be individually licensed or certified under applicable state law. We perform criminal, government exclusion and other background checks on employees and take steps to ensure that our employees possess all necessary licenses and certifications, and we believe that our employees comply in all material respects with applicable licensure laws.

    Pharmacy Licensing and Registration

        State laws require that each of our pharmacy locations be appropriately licensed and/or registered to dispense pharmaceuticals in that state. We are licensed in all states that require such licensure and believe that we substantially comply with all state licensing laws applicable to our business. Where required by law, we also have pharmacists licensed in all states in which we dispense.

        Laws enforced by the U.S. Drug Enforcement Administration, as well as some similar state agencies, require our pharmacy locations to individually register in order to handle controlled substances, including prescription pharmaceuticals. A separate registration is required at each principal

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place of business where we dispense controlled substances. Federal and state laws also require that we follow specific labeling, reporting and record-keeping requirements for controlled substances. We maintain U.S. Drug Enforcement Administration registrations for each of our facilities that require such registration and follow procedures intended to comply with all applicable federal and state requirements regarding controlled substances.

    Food, Drug and Cosmetic Act

        Certain provisions of the federal Food, Drug and Cosmetic Act govern the handling and distribution of pharmaceutical products. This law exempts many pharmaceuticals and medical devices from federal labeling and packaging requirements as long as they are not adulterated or misbranded and are dispensed in accordance with and pursuant to a valid prescription. We believe that we comply with all applicable requirements.

    Fraud and Abuse Laws—Anti-Kickback Statute

        The federal Anti-Kickback Statute prohibits individuals and entities from knowingly and willfully paying, offering, receiving, or soliciting money or anything else of value in order to induce the referral of patients or to induce a person to purchase, lease, order, arrange for, or recommend services or goods covered by Medicare, Medicaid, or other government healthcare programs. The federal courts have held that an arrangement violates the Anti-Kickback Statute if any one purpose of the remuneration is to induce the referral of patients covered by the Medicare or Medicaid programs, even if another purpose of the payment is to compensate an individual for rendered services. The Anti-Kickback Statute is broad and potentially covers many standard business arrangements. Violations can lead to significant penalties, including criminal fines of up to $25,000 per violation and/or five years imprisonment, civil monetary penalties of up to $50,000 per violation plus treble damages, and/or exclusion from participation in Medicare, Medicaid, and other federal government healthcare programs. In an effort to clarify the conduct prohibited by the Anti-Kickback Statute, the Office of the Inspector General of the United States Department of Health and Human Services has published regulations that identify a limited number of safe harbors. Business arrangements that satisfy all of the elements of a safe harbor are immune from criminal enforcement or civil administrative actions. The Anti-Kickback Statute is an intent based statute and the failure of a business relationship to satisfy all of the elements of a safe harbor does not in and of itself mean that the business relationship violates the Anti-Kickback Statute. The Office of the Inspector General, in its commentary to the safe harbor regulations, has recognized that many business arrangements that do not satisfy a safe harbor nonetheless operate without the type of abuses the Anti-Kickback Statute is designed to prevent. We attempt to structure our business relationships to satisfy an applicable safe harbor. However, in those situations where a business relationship does not fully satisfy the elements of a safe harbor, or where no safe harbor exists, we attempt to satisfy as many elements of an applicable safe harbor as possible. The Office of the Inspector General is authorized to issue advisory opinions regarding the interpretation and applicability of the Anti-Kickback Statute, including whether an activity constitutes grounds for the imposition of civil or criminal sanctions. We have sought advisory opinions regarding future business relationships prior to execution, and may do so in the future.

        A number of states have statutes and regulations that prohibit the same general types of conduct as those prohibited by the Anti-Kickback Statute described above. Some state anti-fraud and anti-kickback laws apply only to goods and services covered by Medicaid. Other state anti-fraud and anti-kickback laws apply to all healthcare goods and services, regardless of whether the source of payment is governmental or private. Where applicable, we attempt to structure our business relationships to comply with these statutes.

    Fraud and Abuse Laws—False Claims Act

        We are subject to state and federal laws that govern the submission of claims for reimbursement. These laws generally prohibit an individual or entity from knowingly and willfully presenting a claim or

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causing a claim to be presented for payment from a federal healthcare program that is false or fraudulent. The standard for "knowing and willful" may include conduct that amounts to a reckless disregard for the accuracy of information presented to payors. Penalties under these statutes include substantial civil and criminal fines, exclusion from the Medicare or Medicaid programs and imprisonment. One of the most prominent of these laws is the federal False Claims Act, which may be enforced by the federal government directly or by a private plaintiff by filing a qui tam lawsuit on the government's behalf. Under the False Claims Act, the government and private plaintiffs, if any, may recover monetary penalties in the amount of $5,500 to $11,000 per false claim, as well as an amount equal to three times the amount of damages sustained by the government as a result of the false claim. A number of states, including states in which we operate, have adopted their own false claims statutes as well as statutes that allow individuals to bring qui tam actions. In recent years, federal and state government authorities have launched several initiatives aimed at uncovering practices that violate false claims or fraudulent billing laws, and they have conducted numerous investigations of pharmaceutical manufacturers, PBMs, pharmacies and health care providers with respect to false claims, fraudulent billing and related matters. We believe that we have procedures in place to ensure the accuracy of our claims.

    Ethics in Patient Referrals Law—Stark Law

        The federal Stark Law generally prohibits a physician from making referrals for certain Designated Health Services, reimbursable by Medicare or Medicaid, to entities with which the physician or an immediate family member has a financial relationship, unless an exception applies. A financial relationship is generally defined as an ownership, investment or compensation relationship. Designated Health Services include, but are not limited to, outpatient pharmaceuticals, parenteral and enteral nutrition products, home health services, durable medical equipment, physical and occupational therapy services, and inpatient and outpatient hospital services. Among other sanctions, a civil monetary penalty of up to $15,000 may be imposed for each bill or claim for a service a person knows or should know is for a service for which payment may not be made due to the Stark Law. Such persons or entities are also subject to exclusion from the Medicare and Medicaid programs. Any person or entity participating in a circumvention scheme to avoid the referral prohibitions is liable for a civil monetary penalty of up to $100,000. A $10,000 fine may be imposed for failure to comply with reporting requirements regarding an entity's ownership, investment and compensation arrangements for each day for which reporting is required to have been made under the Stark Law.

        The Stark Law is a broad prohibition on certain business relationships, with detailed exceptions. However, unlike the Anti-Kickback Statute under which an activity may fall outside a safe harbor and still be lawful, a referral for Designated Health Services that does not fall within an exception is strictly prohibited by the Stark Law. We attempt to structure all of our relationships with physicians who make referrals to us in compliance with an applicable exception to the Stark Law.

        In addition to the Stark Law, many of the states in which we operate have comparable restrictions on the ability of physicians to refer patients for certain services to entities with which they have a financial relationship. Certain of these state statutes mirror the Stark Law while others may be more restrictive. We attempt to structure all of our business relationships with physicians to comply with any applicable state self-referral laws.

    HIPAA and Other Privacy and Confidentiality Legislation

        Our activities involve the receipt, use and disclosure of confidential health information, including disclosure of the confidential information to a customer's health benefit plan, as permitted in accordance with applicable federal and state privacy laws. In addition, we use and disclose de-identified data for analytical and other purposes. Many state laws restrict the use and disclosure of confidential medical information, and similar new legislative and regulatory initiatives are underway at the state and federal level.

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        HIPAA imposes extensive requirements on the way in which healthcare providers that engage in certain actions covered by HIPAA, and healthcare clearinghouses (known as "covered entities") and the persons or entities that create, receive, maintain, or transmit protected health information ("PHI") to provide services to covered entities or to perform functions on their behalf (known as "business associates"), use, disclose and safeguard PHI, including requirements to protect the integrity, availability and confidentiality of electronic PHI. Many of these obligations were expanded under HITECH, passed as part of the American Recovery and Reinvestment Act of 2009. In January 2013, the Office for Civil Rights of HHS issued a final rule under HITECH that makes significant changes to the privacy, security, breach notification and enforcement regulations promulgated under HIPAA (the "Final Omnibus Rule"), and which generally took effect in September 2013. The Final Omnibus Rule enhances individual privacy protections, provides individuals new rights to their health information and strengthens the government's ability to enforce HIPAA.

        The privacy regulations (the "Privacy Rule") issued by the Office of Civil Rights pursuant to HIPAA give individuals the right to know how their PHI is used and disclosed, as well as the right to access, amend and obtain information concerning certain disclosures of PHI. Covered entities, such as pharmacies and health plans, are required to provide a written Notice of Privacy Practices to individuals that describes how the entity uses and discloses PHI, and how individuals may exercise their rights with respect to their PHI. For most uses and disclosures of PHI other than for treatment, payment, healthcare operations, and certain public policy purposes, HIPAA generally requires that covered entities obtain a valid written individual authorization. In most cases, use or disclosure of PHI must be limited to the minimum necessary to achieve the purpose of the use or disclosure. The Final Omnibus Rule modifies the content of Notice of Privacy Practices in significant ways, requiring, among other things, statements informing individuals of their rights to receive notifications of any breaches of unsecured PHI and to restrict disclosures of PHI to a health plan where the individual pays out of pocket.

        We are a covered entity under HIPAA in connection with our operation of specialty service pharmacies. To the extent that we provide services other than as a covered entity and we perform a function or activity, or provide a service to, a covered entity that involves PHI, the covered entity may be required to enter into a business associate agreement with us. Business associate agreements mandated by the Privacy Rule create a contractual obligation for us, as a business associate, to perform our duties for the applicable covered entity in compliance with the Privacy Rule. In addition, HITECH subjects us to certain aspects of the Privacy Rule and the HIPAA security regulations when we act as a business associate, including imposing direct liability on business associates for impermissible uses and disclosures of PHI and the failure to disclose PHI to the covered entity, the individual or the individual's designee (as specified in the business associate agreement), as necessary to satisfy a covered entity's obligations with respect to an individual's request for an electronic copy of PHI. The Final Omnibus Rule also extends the business associate provisions of the HIPAA Rules to subcontractors where the function, activity, or service delegated by the business associate to the subcontractor involves the creation, receipt, maintenance, or transmission of PHI. As such, business associates are required to enter into business associate agreements with subcontractors for services involving access to PHI and may be subject to civil monetary penalties for the acts and omissions of their subcontractors.

        Importantly, the Final Omnibus Rule greatly expands the types of product- and service-related communications to patients or enrollees that will require individual authorizations by requiring individual authorization for all treatment and health care operations communications where the covered entity receives payment in exchange for the communication from or on behalf of a third-party whose product or service is being described. While the Office of Civil Rights has established limited exceptions to this rule where individual authorization is not required, the marketing provisions finalized in the Final Omnibus Rule could potentially have an adverse impact on our business and revenues.

        If we fail to comply with HIPAA or our policies and procedures are not sufficient to prevent the unauthorized disclosure of PHI, we could be subject to liability, fines and lawsuits under federal and

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state privacy laws, consumer protection statutes and other laws. Criminal penalties and civil sanctions may be imposed for failing to comply with HIPAA standards either as a covered entity or business associate, and these penalties and sanctions have significantly increased under HITECH. In addition to imposing potential monetary penalties, HITECH also requires the Office of Civil Rights to conduct periodic compliance audits and empowers state attorneys general to bring actions in federal court for violations of HIPAA on behalf of state residents harmed by such violations. Several such actions have already been brought against both covered entities and at least one business associate, and continued enforcement actions are likely to occur in the future.

        The transactions and code sets regulation promulgated under HIPAA requires that all covered entities that engage in certain electronic transactions, directly or through a third-party agent, use standardized formats and code sets. We, in our role as a business associate of a covered entity, must conduct such transactions in accordance with such transaction rule and related regulations that require the use of operating rules in connection with HIPAA transactions. We, in our role as a specialty pharmacy operator, must also conduct such transactions in accordance with such regulations or engage a clearinghouse to process their covered transactions. HHS promulgated a National Provider Identifiers ("NPI") Final Rule which requires covered entities to utilize NPIs in all standard transactions. NPIs replaced NABP numbers for pharmacies, Drug Enforcement Agency numbers for physicians and similar identifiers for other health care providers for purposes of identifying providers in connection with HIPAA standard transactions. Covered entities may be excluded from federal health care programs for violating the Transaction Rule.

        The security regulations issued pursuant to HIPAA mandate the use of administrative, physical and technical safeguards to protect the confidentiality of electronic PHI. Such security rules apply to covered entities and business associates.

        We must also comply with the "breach notification" regulations, which implement provisions of HITECH. In the case of a breach of "unsecured PHI," covered entities must promptly notify affected individuals and the HHS Secretary, as well as the media in cases where a breach affects more than 500 individuals. Breaches affecting fewer than 500 individuals must be reported to the HHS Secretary on an annual basis. The regulations also require business associates of covered entities to notify the covered entity of such breaches by the business associate.

        Final regulations governing the accounting of disclosures are forthcoming. The applicable proposed rule, if finalized, would require covered entities to develop systems to monitor and record (1) which of their employees and business associates access an individual's electronic PHI contained in a designated record set, (2) the time and date access occurs, and (3) the action taken during the access session (e.g., modification, deletion, viewing). The final regulations could impose significant burdens on covered entities and business associates.

        The Health Care Reform Laws require the Secretary of HHS to develop new health information technology standards that could require changes to our existing software products. For example, the statute requires the establishment of interoperable standards and protocols to facilitate electronic enrollment of individuals in federal and state health and human services programs and provides the government with authority to require incorporation of these standards and protocols in health information technology investments as a condition of receiving federal funds for such investments.

        Pursuant to HIPAA, state laws that are more protective of PHI are not pre-empted. Therefore, to the extent states continue to enact more protective legislation, we could be required to make significant changes to our business operations. In addition, independent of any regulatory restrictions, individual health plan clients could increase limitations on our use of medical information, which could prevent us from offering certain services.

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    Medicare Part D

        The Medicare Part D program, which makes prescription drug coverage available to eligible Medicare beneficiaries through private insurers, regulates all aspects of the provision of Medicare drug coverage, including enrollment, formularies, pharmacy networks, marketing, and claims processing. The Medicare Part D program has undergone significant legislative and regulatory changes since its inception, including changes made by ACA.

        In April 2012, CMS issued a rule that requires coverage other than basic prescription drug coverage offered through Medicare Part D employer group waiver plans to be included in the definition of "other health or prescription drug coverage," starting January 1, 2014. CMS has clarified that, because the supplemental benefits primarily reduce cost sharing on claims covered under the basic benefit, they will continue as a practical matter to be subject to the Medicare Part D rules.

        Medicare Part D continues to attract a high degree of legislative and regulatory scrutiny, and the applicable government rules and regulations continue to evolve. CMS sanctions for non-compliance may include suspension of enrollment and even termination from the program. CMS has imposed restrictions and consent requirements for automatic prescription delivery programs, further limited the circumstances under which Medicare Part D plans may recoup payments to pharmacies for claims that are subsequently determined not payable under Medicare Part D. CMS may issue regulations that limit the ability of Medicare Part D plans to establish preferred pharmacy networks. Accordingly, it is possible that legislative and regulatory developments and regulatory oversight could materially affect our Medicare Part D business or profitability.

    Health Reform Legislation

        Congress passed major health reform legislation, including the Patient Protection and Affordable Care Act in 2010, referred to in this document as ACA. This legislation affects virtually every aspect of health care in the country. In addition to establishing the framework for every individual to have health coverage beginning in 2014, ACA enacted a number of significant health care reforms. While not all of these reforms affect our business directly, many affect the coverage and plan designs that are or will be provided by many of our health plan clients. As a result, these reforms could indirectly impact many of our services and business practices, and, in many other cases, directly impact our services and business practices. Given that certain regulations implementing ACA are still being finalized and that ongoing sub-regulatory guidance is still being issued, there is considerable uncertainty as to its full impact on our Company.

    Managed Care Reform

        In addition to health reforms enacted by ACA, proposed legislation has been considered at the state level, and legislation has been enacted in several states, aimed primarily at providing additional rights and access to drugs to individuals enrolled in managed care plans. This legislation may impact the design and implementation of prescription drug benefit plans sponsored by our PBM health plan clients and/or the services we provide to them. Both the scope of the managed care reform proposals considered by state legislatures and reforms enacted by states to date vary greatly, and the scope of future legislation that may be enacted is uncertain.

Accreditations

        We have and maintain the following accreditations:

    Accreditation Commission for Health Care .  We hold both a pharmacy infusion and a DMEPOS accreditation, effective July 21, 2011 from the Accreditation Commission for Health Care. Under such accreditation, the Accreditation Commission for Health Care reviews and assesses our activities as a pharmacy and a DMEPOS supplier for external infusion pumps and supplies. Areas of focus include infusion pharmacy business, infusion pharmacy continuum of care,

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      intravenous drug mixture preparation, administration, therapy monitoring, and client/patient counseling and education, among other aspects of our business.

    American Society of Health-System Pharmacists .  We hold a post-graduate year one pharmacy residency accreditation effective as of June 20, 2012 from the American Society of Health-System Pharmacists. The American Society of Health-System Pharmacists reviews and evaluates our residency training program against established criteria to ensure the pharmacy residents are properly trained. The American Society of Health-System Pharmacists is a nationally recognized non-profit pharmacy association that has been accrediting pharmacy residency programs for over 50 years.

    URAC.   As of January 1, 2013, we received our URAC specialty pharmacy accreditation, a nationally recognized and rigorous accreditation that includes a thorough review of documentation, an on-site survey for verifying compliance standards, and final review by the URAC Accreditation and executive committees.

    National Association of Boards of Pharmacy .  Effective May 13, 2013 we are a verified-accredited wholesale distributor. This accreditation is designed for compliance with state and federal laws, and for purposes of preventing counterfeit drugs from entering into the United States, and to protect patients from below quality drug distribution by employing security and best practice standards for wholesale drug distribution. Effective July 23, 2012, we became a National Association of Boards of Pharmacy accredited DMEPOS provider, and we have submitted our application to become a verified internet pharmacy practice site with the National Association of Boards of Pharmacy.

Intellectual Property

        We rely on a combination of copyright, trademark and trade secret laws, in addition to contractual restrictions, to establish and protect our proprietary rights. We have registered and/or applied to register a variety of our trademarks and service marks used throughout our business. DIPLOMAT SPECIALTY PHARMACY® and DIPLOMAT®, among others, are service marks registered with the U.S. Patent Trademark Office. We believe that our trade names are becoming increasingly recognized by many referral sources as representing a reliable, cost-effective source of specialty pharmacy services. We are not aware of any facts that could materially impact our continuing use of any of our intellectual property.

Properties

        We own a 550,000 square foot distribution facility in Flint, Michigan, which also contains our corporate headquarters. We currently utilize approximately 40% of our main distribution facility and corporate headquarters, which provides us with significant capacity to execute our long term growth plan without significant additional capital expenditures.

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        The following table lists information regarding each of our properties:

Location
  Total Square
Footage
  Facility Description   Owned/Leased

Flint, Michigan

    550,000   Headquarters and main distribution facility   Owned

Flint, Michigan

    7,000   Specialty and retail pharmacy   Owned

Flint, Michigan

    10,366   Specialty and wholesale pharmacy   Owned

Grand Rapids, Michigan

    12,000   Retail pharmacy   Leased (expires December 31, 2014)

Enfield, Connecticut

    4,664   Specialty pharmacy   Leased (expires December 17, 2018)

Ft. Lauderdale, Florida

    2,665   Specialty and retail pharmacy   Leased (expires March 31, 2015)

West Springfield, Massachusetts

    1,273   Specialty and retail pharmacy and office space   Leased (expires February 28, 2016)

Ontario, California

    5,790   Specialty pharmacy   Leased (expires March 15, 2017)

Buffalo Grove, Illinois

    3,408   Specialty pharmacy   Leased (expires May 31, 2016)

Raleigh, North Carolina

    6,032   MedPro headquarters   Leased (expires June 30, 2019)

Raleigh, North Carolina

    4,061   Specialty pharmacy and office space   Leased (expires December 31, 2016)

        In addition to the facilities listed above, we also own office facilities located in Swartz Creek, Michigan, which was formerly the site of our headquarters. The buildings consist of approximately 49,500 square feet, which is currently leased at approximately 50% capacity to various tenants. MedPro also leases an additional 13 small facilities for use as specialty infusion suites.

Legal Proceedings

        Our business of providing specialized pharmacy services and other related services may subject us to litigation and liability for damages in the ordinary course of business. Although the results of litigation and claims cannot be predicted, as of the date of this prospectus, we do not believe we are party to any claim or litigation, the outcome of which, if determined adversely to us, would individually or in the aggregate be reasonably expected to have a material adverse effect on our business. Regardless of the outcome, litigation can have an adverse impact on us because of defense, insurance deductible and settlement costs, diversion of management resources and other factors.

        We currently maintain insurance for general and professional liability claims. These policies provide coverage on a claims-made or occurrence basis and have certain exclusions from coverage. These insurance policies generally must be renewed annually. We cannot assure you that our insurance coverage will be adequate to cover liability claims that may be asserted against us. In addition, we carry property insurance coverage for the value of the physical assets, including drugs inventory, at all of our owned and leased facilities. These policies, which generally must be renewed annually, also include coverage for business interruption. While we believe our coverage to be sufficient, we cannot assure you that our property insurance coverage will be adequate to cover any and all property losses that we may suffer.

Employees

        As of June 30, 2014, we employed 958 persons on a full-time basis and 60 persons on a part-time basis. In addition, of our employees, 325 were corporate personnel and the remaining 693 were clinically focused. The majority of our part-time employees are clinicians due to the nature and timing of the services we provide. None of our employees are covered by collective bargaining agreements.

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MANAGEMENT

Executive Officers and Directors

        The following table sets forth information regarding our executive officers and directors (ages as of August 18, 2014):

Name
  Age   Position

Philip R. Hagerman

    62   Chief Executive Officer, Chairman of the Board of Directors

Sean M. Whelan

    43   Chief Financial Officer, Secretary/Treasurer, Director

Gary W. Kadlec

    66   President, Director

Jeffrey M. Rowe

    58   Executive Vice President—Operations, Director

Atheer A. Kaddis

    46   Senior Vice President—Sales & Business Development, Director

        Set forth below are the biographies of the executive officers and directors, which describe their business experience during at least the past five years, as well as a discussion of the specific experience, qualifications, attributes and skills that led to the Board's conclusion that each director should continue to serve on the Board.

         Philip R. Hagerman , RPh, has served as our Chief Executive Officer, a director and the Chairman of the Board of Directors since 1991. Mr. Hagerman co-founded the Company with his father in 1975.

        Mr. Hagerman has led the Company as its principal executive officer, Chairman of the Board of Directors and a director for approximately 22 years. He has a unique perspective and understanding of our business, culture and history, having led the Company through many economic cycles and operational initiatives. His day-to-day leadership of the Company gives him critical insights into our operations, strategy and competition, and he facilitates the Board's ability to perform its oversight function. Throughout his career at the Company, he has demonstrated strong entrepreneurial skills, as well as regulatory, marketing, strategic, and operational expertise. Mr. Hagerman also possesses in-depth knowledge of, and key relationships in, the specialty pharmacy industry on a national basis.

         Sean M. Whelan , CPA, has served as our Chief Financial Officer since December 2010, our Secretary and Treasurer since January 2012, and a director since February 2012. Prior to joining Diplomat, from 2007 to 2010, he served as Chief Financial Officer of InfuSystem Holdings, Inc. (INFU), a publicly traded healthcare services company located in Madison Heights, Michigan. While there, Mr. Whelan played an instrumental role in ensuring InfuSystem's success in diverse areas such as profitable revenue growth, capital markets, debt raising, and acquisition and integration. He also oversaw the Information Technology and Human Resources organizations during periods of rapid growth. Prior to joining InfuSystem, from 1996 through 2007, Mr. Whelan held senior finance positions with Ford Motor Company, including service as accounting director for Automotive Components Holdings, LLC, a Ford subsidiary, where he had direct oversight, and financial and divestiture responsibility for the $5.0 billion entity.

        Mr. Whelan has demonstrated strong financial reporting, finance, accounting, strategic, and operational expertise. His day-to-day leadership of the Company gives him critical insights into our financial performance, operations and strategy, and he will facilitate the Audit Committee's ability to perform its oversight function. Further, his prior experience at both InfuSystem and Ford Motor Company provides him expertise with public company reporting responsibilities and complex corporate transactions, including mergers and acquisitions and capital market transactions.

         Gary W. Kadlec has served as our President since June 2012, and as a director of the Company since February 2013. From 2004 through 2007, Mr. Kadlec was the Chief Operating Officer, and from 2007 to 2011, the Chief Executive Officer and President, of excelleRx, an Omnicare company based in Philadelphia, Pennsylvania, specializing in medication therapy management. Mr. Kadlec fulfilled a one-year non-compete commitment to excelleRx/Omnicare before joining Diplomat. Prior to his time at

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excelleRx, Mr. Kadlec served as President of Specialized Pharmacy Services in Livonia, Michigan, from 1976 until it was acquired by Omnicare, Inc. in 1995. Mr. Kadlec then served as Regional and then Senior Regional Vice President of Omnicare until 2004.

        Mr. Kadlec's day-to-day leadership of the Company gives him critical insights into our operations, clinical services, managed care, new business development, and sales and marketing divisions. He has demonstrated strong regulatory, marketing, strategic, and operational expertise and he possesses in-depth knowledge of, and key relationships in, the specialty pharmacy industry on a national basis.

         Jeffrey M. Rowe , RPh, has served as our Executive Vice President, Operations, since 2012. Prior to that Mr. Rowe served as Vice President of Operations since 2006 and as a director of the Company since 2005. Mr. Rowe joined Diplomat in 1993 as a staff pharmacist concentrating on building the Company's compounding and complementary services. He served as our Pharmacy Manager from 1997 to 2006. Before joining Diplomat, Mr. Rowe owned two successful independent pharmacies.

        Mr. Rowe's day-to-day involvement in the Company's operations gives him critical insights into fundamental aspects of the Company's business, including accreditation, contracting and regulation. His broad range of knowledge includes diabetes, asthma, and other areas of disease state management, and he has expertise in the fields of compounding custom medications and complementary medicine, making him a key contributor to the Company's growth and success.

         Atheer A. Kaddis , PharmD, has served as our Senior Vice President, Sales and Business Development, since July 2012, and as a director of the Company since February 2013. Dr. Kaddis previously served as the Company's Vice President, Managed Markets, from October 2007 to July 2012. Before joining Diplomat, from April 2000 to October 2007, Dr. Kaddis served as Director of Pharmacy Services Clinical at Blue Cross Blue Shield of Michigan, where his responsibilities included formulary development, clinical program development, utilization management programs, specialty pharmacy programs, and pay for performance programs. His other prior experience includes service as a staff pharmacist at William Beaumont Hospital, a clinical oncology specialist at Grace Hospital, a Clinical Program Manager for the Ford Motor Company account at Blue Cross Blue Shield of Michigan and an Associate Director in Clinical Account Management at Merck-Medco (now part of Express Scripts).

        Dr. Kaddis has demonstrated strong sales and business development expertise. In his current role, Dr. Kaddis leads coordination of our strategies within these business units, giving him critical insights into operational efficiencies and areas of high growth potential. Further, he possesses in-depth knowledge of, and key relationships in, the specialty pharmacy industry on a national basis.

Board Composition

        Our Board of Directors currently consists of five directors, all of whom currently serve as executive officers of Diplomat.         has agreed to become a member of the Board of Directors prior to the completion of this offering and our Board of Directors will consist of six directors upon the completion of this offering.

        Upon the completion of this offering, members of the Hagerman family will control approximately        % of the total voting power of our outstanding common stock, assuming no exercise by the underwriters of their option to purchase additional shares of common stock in this offering. As a result, we will be considered a "controlled company" under the corporate governance listing standards of the New York Stock Exchange. As a controlled company, we will be exempt from the obligation to comply with certain New York Stock Exchange corporate governance requirements, including the following:

    that a majority of our Board of Directors consists of "independent directors", as defined under the rules of the New York Stock Exchange;

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    that we have a nominating and corporate governance committee that is composed entirely of independent directors with a written charter addressing the committee's purpose and responsibilities;

    that we have a compensation committee that is composed entirely of independent directors with a written charter addressing the committee's purpose and responsibilities; and

    that there be an annual performance evaluation of our nominating and corporate governance committee and compensation committee.

        These exemptions do not modify the independence requirements for our audit committee, and we intend to comply with the applicable requirements of the Sarbanes-Oxley Act and rules with respect to our audit committee within the applicable time frame.

    Director Independence

        All of our current directors are employees of Diplomat and therefore are not independent. Our Board of Directors has determined that             is an independent director within the meaning of the applicable rules of the SEC and the New York Stock Exchange, and that each of them is also an independent director under Rule 10A-3 of the Exchange Act for the purpose of audit committee membership. We will rely on the phase-in rules of the SEC and New York Stock Exchange that require all audit committee members to be independent within one year of the effectiveness of the registration statement of which this prospectus forms a part.

    Staggered Board

        Effective upon the completion of this offering, the Board will be divided into three staggered classes of directors of the same or nearly the same number and each director will be assigned to one of the three classes. Prior to the completion of this offering, Class I directors will be elected for a one-year term, Class II directors for a two-year term and Class III directors for a three-year term. At each succeeding annual meeting of shareholders, commencing in 2015, successors to the class of directors whose term expires at that annual meeting will be elected for a three-year term.

    Our Class I directors will be        and        ;

    Our Class II directors will be        and        ; and

    Our Class III directors will be        and        .

        Our amended and restated articles of incorporation and bylaws, which will be effective upon the completion of this offering, provide that the number of our directors shall be fixed from time to time by the Board. Any additional directorships resulting from an increase in the number of directors will be distributed among the three classes so that, as nearly as possible, each class shall consist of one-third of the Board.

        The division of our Board into three classes with staggered three-year terms may delay or prevent shareholder efforts to effect a change of our management or a change in control. See "Description of Capital Stock—Anti-Takeover Effects of Certain Provisions of Our Amended and Restated Articles of Incorporation and Bylaws and Michigan Law" and "Risk Factors—Risks Related to this Offering and Ownership of Our Common Stock—Certain provisions of our corporate governance documents and Michigan law could discourage, delay or prevent a merger or acquisition at a premium price."

Board Leadership Structure

        Our Board is, and will be upon completion of this offering, led by Philip Hagerman, our Chief Executive Officer, a director and the Chairman of the Board of Directors since he co-founded us with

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his father in 1975. The Board believes this structure permits a unified strategic vision for us that ensures appropriate alignment between the Board and management and provides clear leadership for us, especially since we will continue to be a "controlled company" upon completion of this offering. The Board does not utilize a lead independent director. Although the Board recognizes the increasing utilization of Non-Executive Chairmen and lead directors in many public companies, the Board believes its current leadership structure is most appropriate for us now and upon completion of this offering and best serves our shareholders. There is no "one size fits all" approach to ensuring independent leadership. The Board believes that its independent directors, when appointed, will provide significant independent leadership and direction. Within 90 days of this offering, independent directors will consist of a majority of the Audit Committee, which will oversee the integrity of our financial statements. Upon completion of this offering, we expect the independent directors will also meet regularly in executive session at Board and committee meetings, and they will have access to independent advisors as they deem appropriate.

Board's Role in Risk Oversight

        Upon completion of this offering, we intend that the Board will oversee our risk management primarily through the following:

    the Board's review and approval of management's annual business plan, and review of management's longer-term strategic and liquidity plans;

    the Board's review, on at least a quarterly basis, of business developments, strategic plans and implementation, liquidity and financial results;

    the Board's oversight of succession planning;

    the Board's oversight of capital spending and financings, as well as mergers, acquisitions and divestitures;

    the Audit Committee's oversight of our significant financial risk exposures (including credit, liquidity and legal, regulatory and other contingencies), accounting and financial reporting, disclosure control and internal control processes, the internal audit function (if any), and the legal, regulatory and ethical compliance functions;

    the Board or separate committee's oversight of Board structure, our governance policies and the self-evaluation assessments conducted by the Board and committees;

    the Board's review and approvals regarding executive officer compensation and its alignment with our business and strategic plans, and the review of compensation plans generally and the related incentives, risks and risk mitigants; and

    Board and committee executive sessions consisting of the independent directors.

Committees of the Board of Directors

        Our Board intends to establish an Audit Committee prior to completion of this offering. Due to our "controlled company" status, our Board will continue to carry out the duties and responsibilities normally carried out by (1) a compensation committee, including reviewing and approving compensation programs for executive officers and non-employee directors, oversight of compensation and benefit plans and policies generally and the related incentives, risks and risk mitigants, and approving equity awards and otherwise administering share-based plans and (2) a nominating and corporate governance committee, including identifying and nominating directors to serve on the Board, overseeing corporate governance policies and governance disclosures, and reviewing the composition, organization, function and performance of the Board and its committees. Copies of each committee's

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charter will be posted on our website, www.diplomat.is, upon completion of this offering. Our Board may from time to time establish other committees.

Audit Committee

        The Audit Committee's responsibilities will include:

    providing general oversight of our financial reporting and internal control functions;

    reviewing our reports filed with or furnished to the SEC that include financial statements or results;

    monitoring compliance with significant legal and regulatory requirements and other risks related to financial reporting and internal control; and

    the appointment, retention, compensation and oversight of the work of our independent registered public accounting firm, currently BDO USA, LLP, and any third-party consultant that assists us regarding internal audit functions.

        The Board has further determined that        qualifies as "audit committee financial expert" in accordance with SEC rules. The designation of an "audit committee financial expert" does not impose upon such persons any duties, obligations or liability that are greater than those which are generally imposed on each of them as a member of the committee and the Board, and such designation does not affect the duties, obligations or liability of any other member of the committee or the Board.

Director Compensation

        Directors who are also our employees receive no additional compensation for serving as a director. In 2013, our Board consisted solely of employee directors.

Code of Business Conduct and Ethics

        Our board of directors will adopt a written code of business conduct and ethics for our Company, effective upon completion of this offering, applicable to all of our employees, officers, directors and consultants, including our principal executive, financial and accounting officers and all persons performing similar functions. A copy of this code will be available on our website at www.diplomat.is upon the completion of this offering.

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EXECUTIVE COMPENSATION

Compensation Discussion and Analysis

        This section explains our compensation philosophy, objectives and design, our compensation-setting process and our executive compensation program components, as well as the decisions made in 2013 for each of our named executive officers. This section also provides certain other information as additional context for the named executive officer compensation tables that follow.

        Our named executive officers for 2013 were Philip R. Hagerman, our Chief Executive Officer; Sean M. Whelan, our Chief Financial Officer; Gary W. Kadlec, our President; Atheer A. Kaddis, our Senior Vice President, Sales and Business Development; and Jeffrey M. Rowe, our Executive Vice President, Operations (collectively, our "named executive officers").

    Named Executive Officer Compensation Philosophy, Objectives and Design

        Our named executive officer compensation program has been designed to reward, attract and retain the management deemed essential to ensure our success. The program seeks to align compensation with our short- and long-term objectives, business strategy, financial performance and Company values. In furtherance of such philosophy, our compensation objectives for the named executive officers are designed to:

    reward executives who consistently perform above expectations and are proficient in their roles with higher base pay and/or total compensation opportunity compared to Company salary range guidelines;

    link pay to performance to create incentives for our named executive officers to perform their duties at a high level; and

    grant equity awards to align long-term interests with those of our shareholders, to reward long-term performance and to assist retention.

    Compensation-Setting Process

        Unless otherwise stated, the discussion and analysis below is substantially based on decisions made by our Chief Executive Officer, in consultation with certain members of management, including our Chief Financial Officer, our President, our Executive V.P. and our General Counsel. Members of management often utilized market survey data to advise on reasonable base salary range guidelines; however, they did not engage in market or industry benchmarking in fiscal year 2013 with respect to the compensation of the NEOs.

        The Board has only recently begun to discuss our overall named executive officer compensation philosophy and related matters as a public company. Therefore, the philosophy of how we will compensate our named executive officers in the future may not be the same as how they have been compensated in prior periods, including 2013. In addition, the objectives, design and payouts of our named executive officer compensation program following this offering may, over time, vary significantly from our historical practices.

        Compensation determinations for the named executive officers for 2014 have generally been completed based on historical practice. Therefore, the Board solely will be responsible for reviewing the achievement of performance-based measures for the 2014 bonus plan and approving payouts to the named executive officers in accordance with such program, as well as reviewing and approving the discretionary bonus component of the 2014 bonus plan. Beginning with the 2015 compensation program for named executive officers, the Board will review, evaluate and modify the named executive officer compensation framework as a result of our becoming a publicly traded company after this offering. The

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Board has appointed Towers Watson as its compensation consultant for the 2015 compensation program for named executive officers.

    Named Executive Officer Compensation Program Components in 2013

        For 2013, our executive compensation program was comprised of the following components:

    Base Salary

        We pay our executive officers an annual base salary in cash. We believe that payment of a fixed, base level of compensation enables us to attract and retain employees in a competitive market and preserves an employee's commitment during economic and/or industry downturns. Generally, we aim to set executive base salaries near the middle of the range of salaries that we have observed for executives in similar positions and with similar responsibilities. Base salaries are reviewed annually and adjusted from time to time to reflect individual responsibilities, performance and experience, as well as market compensation levels. Changes in base salary are generally effective in March each year.

        The base salaries of our named executive officers from March to December 2013 were as follows: $350,000 for Mr. Hagerman; $251,760 for Mr. Whelan; $257,146 for Mr. Kadlec; $230,780 for Dr. Kaddis; and $236,025 for Mr. Rowe.

    Cash Bonuses

        We adopted the 2013 Employee Annual Bonus Plan (the "bonus plan") in order to reward the performance of our employees, including certain of our named executive officers, in achieving our financial and strategic objectives.

        Under the bonus plan, a participant's bonus target is set forth as a percentage of base salary. For 2013, Messrs. Whelan, Kaddis and Kadlec had a bonus target of 25%, 25% and 30% of base salary, respectively. Consistent with prior years, Messrs. Hagerman and Rowe did not participate in the 2013 bonus plan due to their significant equity ownership in Diplomat and the related shareholder distributions in 2013.

        For the participating named executive officers, 30%, 40% and 30% of the bonus target was based on achievement of a 2013 revenue performance measure, a 2013 EBITDA performance measure and a subjective individual performance, respectively.

        2013 Revenue Performance Component.     For 2013, we established that achievement of threshold, target and maximum performance would correspond to payouts of 50%, 100% and 110%, respectively, with linear increases between them. We established target and maximum performance achievement levels that were challenging and aggressive. In particular, the threshold, target and maximum amounts for 2013 revenue performance represented increases of approximately 20%, 41% and 55%, respectively, over actual 2012 revenue.

        Each of Messrs. Whelan, Kadlec and Kaddis earned an 84.18% payout of the 2013 revenue performance component.

        2013 EBITDA Performance Component.     For 2013, we established that achievement of threshold, target and maximum performance would correspond to payouts of 50%, 100% and 125%, respectively, with linear increases between them. We established target and maximum performance achievement levels that were challenging and aggressive. In particular, the threshold, target and maximum amounts for 2013 EBITDA performance represented increases of approximately 20%, 47% and 77%, respectively, over actual 2012 EBITDA.

        Each of Messrs. Whelan, Kadlec and Kaddis earned a 113.83% payout of the 2013 EBITDA performance component.

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        Individual Performance Component.     For 2013, we established that achievement of individual performance would correspond to payouts of 0%, 50%, 90% or 110%, respectively, dependent on achievement of performance scores. Each of Messrs. Whelan, Kadlec and Kaddis received a high individual performance grade, which resulted in a 110% payout of the individual performance component.

    Equity Incentive Program

        As a privately held company, we have granted options under the 2007 Option Plan to create appropriate long-term incentives for our key employees, to reward performance, and to assist retention. The option plan is further described below under the heading "—Stock Plans—2007 Option Plan." With limited exceptions, our option holders are parties to buy/sell agreements or employee securities agreements with us.

        In particular, options generally are time-vested over four years from grant date and are always subject to the optionee's continued employment through the applicable vesting dates. Option grants also help us motivate key personnel to exert maximum efforts on behalf of the Company since the exercise price for options granted under the plan is the fair market value of the underlying stock on the grant date, and therefore our equity value must increase (a benefit to all shareholders) before the options have any value.

        In 2013, we did not grant any stock options to our named executive officers. We determined that the then-current equity and option holdings of our named executive officers appropriately met our retention and incentive goals, and that no additional awards were necessary.

        Prior to completion of this offering, we plan to adopt the Diplomat Pharmacy, Inc. 2014 Omnibus Incentive Plan, which provides for the grant of stock options (incentive stock options and nonqualified stock options), restricted stock, restricted stock units, stock appreciation rights, performance awards (which may take the form of performance units or performance shares) and other stock and stock unit awards. The omnibus plan is further described below under the heading "—Stock Plans—2014 Omnibus Plan."

        We intend to adopt a formal policy regarding the timing of stock option grants and other equity awards in connection with this offering. Such policy will provide that the Board will not grant equity awards in anticipation of the release of material nonpublic information and will continue to set the exercise price for stock options at an amount equal to at least the fair value of the underlying stock on the grant date.

    Other Benefits and Perquisites

        We design our employee benefits programs to be affordable and competitive in relation to the market, as well as compliant with applicable laws and practices. We adjust these programs as needed based upon regular monitoring of applicable laws and practices and the competitive market.

        We maintain a tax-qualified, 401(k) retirement plan (the "401(k) plan"), pursuant to which any full-time employee who meets certain length-of-service and age requirements may contribute a portion of the employee's compensation to the plan on a pre-tax basis. The 401(k) plan is designed to meet "safe harbor" guidelines to comply with the Internal Revenue Code's anti-discrimination rules. We provide for 100% matching of the employees' first 3% of participation, plus 50% of the employees' next 2% of participation. Our named executive officers participate in the 401(k) plan on the same basis as our other full-time employees.

        Each named executive officer receives a car allowance, which is not available generally to all salaried employees. Otherwise, our named executive officers generally are entitled to participate in the same employee benefit plans on the same terms and conditions as all other full-time employees.

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    Compensation Agreements with Employees

        As a privately-held company, we believe we have been able to develop competitive compensation packages to attract qualified candidates to fill our most critical positions without entering into written employment agreements. We do not intend to enter into written employment agreements with our named executive officers following completion of this offering, but may do so in the future.

    Clawback Policy

        We do not currently have a formal policy for recovery of amounts paid on the basis of financial results which are subsequently restated. Following completion of this offering, under the Sarbanes-Oxley Act, our Chief Executive Officer and our Chief Financial Officer will be required to forfeit incentive compensation paid on the basis of previously issued financial statements for which they were responsible and which have to be restated as a result of misconduct. In the future, we intend to implement a formal policy for recovery of incentive-based compensation paid to current and former executive officers in compliance with requirements of the Dodd-Frank Act and related rulemaking.

    Tax and Accounting Treatment

    Deductibility of Executive Compensation

        Because our common stock is not currently publicly traded, executive compensation has not been subject to the provisions of Section 162(m) of the Internal Revenue Code of 1986, as amended (the "Code"), which limits the deductibility of compensation paid to certain individuals to $1 million per year, excluding qualifying performance-based compensation and certain other compensation. Following this offering, at such time as we are subject to the deduction limitation under Section 162(m) of the Code, we expect that the Board will consider the impact of Section 162(m) of the Code when structuring our executive compensation arrangements with our named executive officers. However, the Board will retain flexibility to approve the compensation arrangements that promote the objectives of our compensation program but that may not qualify for full or partial tax deductibility.

    Taxation of "Parachute" Payments and Deferred Compensation

        We did not provide any named executive officer with a "gross-up" or other reimbursement payment for any tax liability that he might owe as a result of the application of Sections 280G, 4999, or 409A of the Code during 2013, and we have not agreed and are not otherwise obligated to provide any named executive officer with such a "gross-up" or other reimbursement. Sections 280G and 4999 of the Code provide that certain service providers who are officers, shareholders or highly compensated individuals may be subject to an excise tax if they receive payments or benefits in connection with a change in control that exceed certain prescribed limits, and that a company, or a successor, may forfeit a deduction on the amounts subject to this additional tax. Section 409A of the Code also imposes additional significant taxes on the individual in the event that an executive officer, director or other service provider receives "deferred compensation" that does not meet the requirements of Section 409A of the Code.

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Summary Compensation Table for 2013

        The table below summarizes the total compensation paid or earned by the named executive officers in 2013.

Name and Principal Position
  Year   Salary
($)
  Bonus
($)(1)
  Non-Equity
Incentive
Plan
Compensation
($)(1)
  All Other
Compensation
($)(2)
  Total
($)
 

Philip R. Hagerman
Chief Executive Officer

    2013     350,000             21,447     371,447  

Sean M. Whelan
Chief Financial Officer

   
2013
   
248,594
   
20,770
   
44,553
   
19,564
   
333,481
 

Gary W. Kadlec
President

   
2013
   
255,222
   
25,457
   
54,607
   
9,620
   
344,906
 

Atheer A. Kaddis
Senior Vice President, Sales and Business Development

   
2013
   
227,878
   
19,039
   
40,840
   
18,380
   
306,137
 

Jeffrey M. Rowe
Executive Vice President, Operations

   
2013
   
233,056
   
   
   
18,212
   
251,268
 

(1)
Amounts reflected in the "Bonus" column represent the discretionary portion of such person's cash bonus earned under the 2013 bonus plan, i.e. the portion related to individual performance measures. Amounts reflected in the "Non-Equity Incentive Plan Compensation" column represent the Company performance-based portion of such person's cash bonus earned under the 2013 bonus plan. In accordance with the 2013 bonus plan, payments of such amounts were made on April 10, 2014 and conditioned upon such person's continued employment through such date.

(2)
Includes: 401(k) matching contributions by the Company ($11,827 for Mr. Hagerman, $9,944 for Mr. Whelan, $0 for Mr. Kadlec, $8,760 for Dr. Kaddis, and $8,592 for Mr. Rowe); and car allowances ($9,620 for each named executive officer).

Grants of Plan-Based Awards in 2013

        The following table provides information about non-equity awards granted to certain of our named executive officers in 2013. We did not grant any equity awards to our named executive officers in 2013.

 
  Estimated Possible Payouts
Under Non-Equity Incentive
Plan Awards(1)
 
Name
  Threshold
($)
  Target
($)
  Maximum
($)
 

Sean M. Whelan

    22,029     44,058     52,240  

Gary W. Kadlec

    27,000     54,001     64,029  

Atheer A. Kaddis

    20,193     40,387     47,887  

(1)
Relates to possible cash payouts attributable to the company performance-based components of the 2013 bonus plan.

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Outstanding Equity Awards at December 31, 2013

        The table below sets forth certain information with respect to outstanding stock options held by certain of our named executive officers on December 31, 2013. All of the options in the table were granted under and pursuant to our 2007 Option Plan, described below under the heading "—Stock Plans—2007 Option Plan." Certain of the options disclosed in the table were redeemed by us in 2014, which is not reflected in the table below. The amounts below do not reflect the           for          stock split to be effected prior to the completion of this offering.

Name
  Grant Date   Number of
Securities
Underlying
Unexercised
Options
(#)
Exercisable
  Number of
Securities
Underlying
Unexercised
Options
(#)
Unexercisable
  Equity
Incentive Plan
Awards:
Number of
Securities
Underlying
Unexercised
Unearned
Options (#)
  Option
Exercise
Price
($)
  Option
Expiration
Date

Sean M. Whelan

  12/16/10(1)     39.000 (2)   13.000 (3)       32,191.39   12/16/20

  3/1/12(1)     11.375 (4)   34.125 (5)       36,486.01   3/1/22

Gary W. Kadlec

 

9/1/12(1)

   
11.375

(6)
 
34.125

(7)
 
   
36,373.90
 

9/1/22

  9/1/12(8)     11.375 (9)       34.125 (10)   36,373.90   9/1/22

Atheer A. Kaddis

 

3/1/08(1)

   
52.200

(11)
 
   
   
19,135.09
 

3/1/18

  4/1/09(1)     52.200 (12)           26,109.69   4/1/19

(1)
Vests 25% on each of the first, second, third and fourth anniversaries of the grant date.

(2)
Consists of option to acquire 1.87500 shares of Class A Voting Common Stock and 37.12500 shares of Class B Nonvoting Common Stock.

(3)
Consists of option to acquire 0.62500 shares of Class A Voting Common Stock and 12.37500 shares of Class B Nonvoting Common Stock.

(4)
Consists of option to acquire 0.56875 shares of Class A Voting Common Stock and 10.80625 shares of Class B Nonvoting Common Stock.

(5)
Consists of option to acquire 1.70625 shares of Class A Voting Common Stock and 32.41875 shares of Class B Nonvoting Common Stock.

(6)
Consists of option to acquire 0.56875 shares of Class A Voting Common Stock and 10.80625 shares of Class B Nonvoting Common Stock.

(7)
Consists of option to acquire 1.70625 shares of Class A Voting Common Stock and 32.41875 shares of Class B Nonvoting Common Stock.

(8)
Mr. Kadlec's performance-based option vests as follows: 25% upon the Company generating EBITDA of $30 million or sales of $1.5 billion in a calendar year (achieved in 2013); an additional 25% upon the Company generating EBITDA of $40 million or sales of $2 billion in a calendar year; and the remaining 50% upon the Company generating EBITDA of $50 million or sales of $2.5 billion in a calendar year.

(9)
Consists of option to acquire 0.56875 shares of Class A Voting Common Stock and 10.80625 shares of Class B Nonvoting Common Stock.

(10)
Consists of option to acquire 1.70625 shares of Class A Voting Common Stock and 32.41875 shares of Class B Nonvoting Common Stock.

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(11)
Consists of option to acquire 2.60000 shares of Class A Voting Common Stock and 49.60000 shares of Class B Nonvoting Common Stock.

(12)
Consists of option to acquire 2.60000 shares of Class A Voting Common Stock and 49.60000 shares of Class B Nonvoting Common Stock.

Option Exercises and Stock Vested

        None of our named executive officers exercised any stock options or became vested in any stock awards during 2013.

Pension Benefits

        We do not offer any defined benefit pension plans to any of our executive officers.

Nonqualified Deferred Compensation

        We do not offer any nonqualified deferred compensation plans to any of our executive officer.

Potential Payments Upon Termination or Change in Control

    Termination of Employment

        We do not provide severance benefits to any of our named executive officers. Therefore, none of our named executive officers would have received any severance benefits in connection with a termination of employment as of December 31, 2013.

        Certain of our named executive officers hold stock options granted under the 2007 Option Plan. See "—Stock Plans—2007 Option Plan" for information regarding the potential effects of a termination of employment on outstanding options held by Messrs. Whelan, Kadlec and Kaddis.

    Change in Control

        The following table sets forth the value of acceleration of unvested stock options that would have accrued to certain of our named executive officers if a change in control had occurred on December 31, 2013, pursuant to the 2007 Option Plan and the related award agreements described below under "Stock Plans—2007 Option Plan."

Name
  Value of
Accelerated
Options ($)(1)
 

Sean M. Whelan(2)

    5,043,257  

Gary W. Kadlec(3)

    3,615,411  

Atheer A. Kaddis

     

(1)
Calculated as the difference between the fair value of a share of our common stock (Class A Voting or Class B Nonvoting, as the case may be) underlying the options subject to accelerated vesting on December 31, 2013 and the exercise price of those options, multiplied by the number of unvested shares, and then rounded to the nearest dollar. The fair value of a share of our common stock on December 31, 2013 was $142,320.

(2)
As of December 31, 2013, 47.12500 shares of common stock subject to Mr. Whelan's options were unvested and would accelerate upon a change in control effective December 31, 2013.

(3)
As of December 31, 2013, 34.12500 shares of common stock subject to Mr. Kadlec's time-based options were unvested and would accelerate upon a change in control effective December 31, 2013.

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    No amounts have been included in the table with respect to Mr. Kadlec's unvested performance-based options, since the applicable award agreement provides that in the event of a change in control of the Company, all such unvested options will immediately terminate unless otherwise determined by a vote of the Board of Directors.

    Stock Plans

            Following the completion of this offering, we will grant all equity awards under the 2014 Omnibus Plan, no further awards will be granted under our 2007 Option Plan, and all outstanding awards previously granted under the 2007 Option Plan will continue to be governed by their existing terms.

    2007 Option Plan

        Awards.     The 2007 Option Plan provides for the grant of options, which include nonqualified stock options and incentive stock options, to our employees, directors and consultants. Nonqualified stock options granted under the option plan are not intended to qualify as incentive stock options under Section 422 of the Code. No incentive stock option grants are outstanding and none may be granted in the future under the option plan.

        Plan Administration.     The Board of Directors administers the option plan, having authority to select participants, grant options, determine the amount and other terms and conditions of options, interpret the option plan and the options granted thereunder, and adopt such rules and procedures for administering the option plan as it deems necessary and proper. All determinations and decisions made by the Board of Directors under the option plan are final and binding.

        Authorized Shares.     Subject to adjustment as described in the option plan, the maximum number of shares of our common stock that may be issued pursuant to options under the option plan as nonqualified stock options is the number of shares equal to 20% of the fully-diluted capitalization of the Company from time to time, which may be either authorized and unissued shares or shares acquired by the Company and held as treasury shares. Shares that are withheld by us in connection with payment of the exercise price or to satisfy tax withholding obligations, and any shares subject to an option that expires, terminates, is forfeited or is surrendered for cancellation may be subject to new options under the option plan.

        Eligibility.     The Board of Directors may grant awards to employees, directors and consultants of the Company.

        Terms of Options.     Options granted under the option plan are evidenced by, and subject to the terms and conditions of, award agreements. The following is a description of the terms of nonqualified stock options under the option plan, as further set forth in the award agreements.

        Vesting.     Generally, the options are subject to time-vesting in accordance with the following schedule: 25% on each of the first, second, third and fourth anniversaries of the grant date. In the event of a change in control of the Company, all unvested options immediately vest on the effective date of such change in control.

        Exercise.     Vested options may be exercised, in whole or in part, at any time beginning on the vesting date and ending on the date the options expire or otherwise terminate (as described below). For each share of Class A Voting Common Stock purchased upon exercise of an option, a participant is required to exercise an option to purchase 19 shares of Class B Nonvoting Stock.

        Exercise Price.     Although the option plan does not so expressly provide with respect to nonqualified stock options, the exercise price for nonqualified stock options granted under the option plan has been at least the fair market value of the underlying stock on the grant date.

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        Consideration.     Upon exercise, payment of the exercise price must be made in cash or by certified check or wire transfer of immediately available funds, or if permitted by the Board of Directors in its sole discretion, (i) by requesting that the Company withhold shares issuable upon exercise of the option having an aggregate fair market value on the date of exercise equal to the aggregate exercise price, or (ii) through a combination of cash and such shares.

        Term; Termination of Service.     The options expire on the tenth anniversary of the grant date but are subject to earlier termination upon termination of a participant's employment or service. Upon a termination of employment or service for reason other than disability, death or cause, all unvested options will terminate on the termination date and all vested options will terminate three months after the termination date, except in the case of the participant's death during such three-month period, in which case, all vested options will terminate one year after the termination date. Upon a termination of employment or service due to disability or death, all unvested options will terminate on the termination date and all vested options will terminate one year after the termination date. In the event a deceased participant's vested options are properly exercised, the Board of Directors may elect to pay to the participant's legal representative the amount by which the fair market value per share on the date of exercise exceeds the exercise price, multiplied by the number of shares with respect to which the options are being exercised. Upon a termination of employment or service for cause, we may terminate any options (whether vested or unvested) in its sole discretion as of the termination date.

        Restrictions on Transfer.     The options may not be transferred except in the case of a participant's death, by will or the laws of descent and distribution. Shares issued upon exercise of the options are subject to provisions of a buy/sell agreement (or, in some cases, an employee securities agreement) with the Company which, among other things, places significant restrictions on the transfer of shares and gives the Company and other shareholders the right to purchase shares upon the happening of specified events.

        Adjustments.     In the event of any change in the outstanding shares of our common stock by reason of any recapitalization, stock split, stock dividend, combination of shares, or change in the corporate structure or capital structure of the Company, or by reason of any merger, consolidation, share exchange or similar statutory transaction other than a change in control, in order to preclude dilution or enlargement of participants' rights under the option plan, the Board of Directors will, in its sole discretion, adjust the maximum aggregate number and class of shares as to which options may be granted under the option plan, as well as the number and class of shares and the exercise price of options previously granted, under the option plan.

        Change in Control.     The option plan provides that, except as provided in the award agreements, in the event of a change in control, the Board of Directors may provide for the treatment of options in any manner it deems appropriate, including substituting for any or all outstanding options such alternative consideration as it in good faith may determine to be equitable in the circumstances, and may require in connection therewith the surrender of all options so replaced or the acceleration of the vesting of any option or the provision of the same consideration, calculated on a per share basis, as the holders of shares were entitled to receive as if the options were exercised. Generally, the award agreements provide that in the event of a change in control, all unvested options will immediately vest on the effective date of such change in control.

        Amendment and Termination.     The option plan will continue in effect until January 1, 2017, provided that the Board of Directors may terminate or amend the option plan at any time. In such event, shareholder approval will be required to the extent necessary to comply with Section 422 of the Code (or any other applicable law or regulation). No termination or amendment of the option plan will affect in any manner any option granted prior to the date of termination or amendment, without the consent of the participant.

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    2014 Omnibus Plan

        The Board intends to adopt the 2014 Omnibus Plan to be effective immediately prior to the completion of this offering. The following summary describes what we anticipate to be the material terms of the omnibus plan. This summary is not a complete description of all provisions of the omnibus plan and is qualified in its entirety by reference to the omnibus plan, which will be filed as an exhibit to an amended version of the registration statement of which this prospectus is a part.

        Overview.     The omnibus plan provides for the award to employees, directors, consultants, advisors or to nonemployees, to whom an offer of employment has been or is being extended, of the Company and its affiliates of options, restricted stock, restricted stock units, stock appreciation rights ("SARs"), performance awards (which may take the form of performance units or performance shares) and other stock and stock unit awards. The purpose of the omnibus plan is to (i) provide incentives and awards to participants in the omnibus plan by encouraging their ownership of stock and (ii) to aid the Company and its affiliates in retaining such participants, upon whose efforts our success and future growth depends, and to attract other such individuals.

        Administration.     The omnibus plan will be administered by the Board, although a compensation committee of the Board may administer the omnibus plan, in whole or in part, in certain circumstances. Subject to the terms of the omnibus plan, the Board may select participants to receive awards, determine the types of awards and terms and conditions of awards and interpret provisions of the omnibus plan. The Board may delegate, to a subcommittee of directors and/or officers, the authority to grant or administer awards to persons who are not then reporting persons under Section 16 of the Exchange Act and who are not "covered employees" under Section 162(m) of the Code.

        Authorized Shares.     Initially, there are            shares of our common stock reserved for issuance under the omnibus plan. Each fiscal year of the Company, beginning after the adoption of the 2014 Omnibus Plan, the number of shares reserved for issuance under the plan will be increased by an amount equal to      % of the total number of outstanding shares of common stock as of the beginning of such fiscal year. No awards have yet been granted under the omnibus plan. The shares of common stock to be issued under the omnibus plan may consist of either authorized and unissued shares, or shares previously held in the treasury of the Company, or both.

        Eligibility and Share Limitations.     Awards may be made under the omnibus plan to employees, directors, consultants, advisors or to nonemployees, to whom an offer of employment has been or is being extended, of the Company or an affiliate as determined by the Board to be in our best interests, provided that only employees will be eligible to receive incentive stock options, and incentive stock options may be granted with respect to no more than            shares of common stock initially reserved for issuance under the plan. The maximum number of shares of common stock subject to options or SARs that may be awarded under the omnibus plan to any person is            per fiscal year. The maximum number of shares of common stock that may be awarded under the omnibus plan to any person, other than pursuant to options or SARs, is            per fiscal year. The maximum performance award opportunity that may be awarded to any person under the omnibus plan relating to performance units and payable in cash is $             million per fiscal year.

        Types of Awards.     The omnibus plan provides for the award of options, restricted stock, restricted stock units, SARs, performance awards and other stock and stock unit awards. The terms of the awards are described below.

        Options.     The omnibus plan permits the granting of options to purchase shares of common stock intended to qualify as incentive stock options under the Code and also options to purchase shares of common stock that do not qualify as incentive stock options, which we also refer to as non-qualified options. The exercise price of each option may not be less than 100% of the fair market value of the

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common stock subject to the option on the grant date. In the case of certain 10% shareholders who receive incentive stock options, the exercise price may not be less than 110% of the fair market value of the common stock subject to the option on the grant date. Options granted under the omnibus plan may generally not be sold, transferred, pledged or assigned other than by will or under applicable laws of descent and distribution.

        The term of each option will be fixed by the Board and may not exceed ten years from the grant date (or five years in the case of incentive stock options granted to 10% shareholders). The Board will determine at what time or times each option may be exercised. Except as set forth otherwise in an award agreement, options will generally be forfeited upon a termination of a participant's employment or service for cause, and a participant will generally have up to (i) 90 days to exercise any vested option for a termination for any reason other than cause, death or disability, and (ii) one year to exercise any vested option for a termination due to death or disability.

        Options may be made exercisable in installments. In general, an optionee may pay the exercise price of an option by cash or certified check, and the Board will be authorized to permit the exercise price to be paid by net share settlement, broker assisted cashless exercise, tendering shares of common stock already owned, or any other form permitted by the Board and applicable laws, rules and regulations. The Board may impose blackout periods on the exercise of any option to the extent required by applicable laws.

        Restricted Stock Awards.     The omnibus plan permits the granting of restricted stock awards, which includes restricted stock and restricted stock units. Restricted stock awards consist of shares of common stock granted subject to forfeiture if specified employment or service continuation requirements and/or performance targets are not met. The Board will determine the employment or service continuation requirements and/or performance targets. Restricted stock units are substantially similar to restricted stock but result in the issuance of shares of common stock upon meeting specified continued employment or service requirements and/or performance targets rather than the issuance of shares of common stock on the grant date (and therefore do not provide the holder the rights of a shareholder during the vesting period, although the Board may provide for dividend rights). Prior to the end of the restricted period, restricted stock and restricted stock units may not be sold, assigned, pledged, or otherwise disposed of or hypothecated by participants, and may be forfeited in the event of termination of employment or service. During the restricted period, the restricted stock entitles the participant to all of the rights of a shareholder, including the right to vote the shares and the right to receive any dividends thereon.

        Performance Awards.     Performance units and performance shares may also be granted under the omnibus plan. Performance units and performance shares are awards that will result in a payment to a participant only if performance goals established by the Board are achieved. The Board will establish performance goals in its discretion within the parameters of the omnibus plan, which, depending on the extent to which they are met, will determine the degree of granting, vesting and/or payout value of performance units and performance shares. The Board may impose additional conditions on an award to qualify it as performance-based compensation within the meaning of Section 162(m) of the Code (as described below). While the performance units and performance shares remain unvested, a participant may not sell, assign, transfer, pledge or otherwise dispose of the securities, subject to specified limitations.

        Compliance with Section 162(m) of the Code.     After a transition period following a company's initial public offering, Section 162(m) of the Code limits publicly-held companies to an annual deduction for U.S. federal income tax purposes of $1 million for compensation paid to its Chief Executive Officer and the three highest compensated executive officers (other than the Chief Executive Officer and Chief Financial Officer) determined at the end of each taxable year (the "covered employees"). However, performance-based compensation may be excluded from this limitation. The

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omnibus plan is designed to permit the Board to grant awards that may be intended to qualify for purposes of satisfying the conditions of Section 162(m), when applicable after the initial public offering transition period.

        Business Criteria.     The Board would exclusively use one or more of the following business criteria to measure company, affiliate, and/or business unit performance for a specified performance period, whether in absolute or relative terms (including, without limitation, terms relative to a peer group or index), in establishing performance goals for awards to covered employees if the award is to be intended to satisfy the conditions of Section 162(m):

    achieving a level of company net sales;

    achieving a level of earnings (including gross earnings; earnings before certain deductions, such as interest, taxes, depreciation, or amortization, or EBITDA, or other adjustments to EBITDA as determined by the Board (including discontinued operations, income (loss) from equity investment, gain on bargain purchase, gain (loss) on disposal of property, plant and equipment, non-operating income (expense), impairment, severance for officers, state tax credits and share-based compensation (income) expense); or earnings per share);

    achieving a level of income (including net income or income before consideration of certain factors, such as overhead) or a level of gross profits for the Company, an affiliate, or a business unit;

    achieving a return on the Company's (or an affiliate's) sales, revenues, capital, assets, or shareholders' equity;

    achieving a level of appreciation in the price of the shares of common stock;

    achieving a level of market share;

    achieving a share price, or a share price return relative to specified stock market indices or other benchmarks, including peer companies, over a specified period;

    achieving a level of earnings or income performance relative to peer companies over a specified period;

    achieving specified reductions of costs or targeted levels in costs;

    achieving specified improvements in collection of outstanding accounts or specified reductions in non-performing debts;

    achieving a level of cash flow;

    introducing one or more products into one or more new markets;

    acquiring a prescribed number of (or sales volume related to) new customers in a line of business, or maintaining a prescribed number of (or sales volume related to) existing customers;

    achieving a level of productivity within one or more business units;

    completing specified projects within or below the applicable budget;

    completing acquisitions or dispositions of other businesses or assets, or integrating acquired businesses or assets;

    expanding into other markets;

    scientific or regulatory achievements;

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    implementation, completion or attainment of measurable objectives with respect to research, development, patents, inventions, products, projects or facilities and other key performance indicators; and

    achieving any of the above performance measures on a per-prescription basis.

        The Board will have authority to exclude one or more of the following items in establishing such performance measures, provided any such determination is made within the applicable time period required by Section 162(m) of the Code: (i) extraordinary items outside the ordinary course of business, including acquisitions, dispositions or restructurings and related expenses; (ii) accounting policy changes required by the SEC or the FASB; (iii) the effects of any statutory adjustments to corporate tax rates; (iv) the effect of any change in the outstanding shares of common stock by reason of any stock dividend or split, stock repurchase, reorganization, recapitalization, merger, consolidation, spin-off, combination or exchange of shares of common stock or other similar corporate change, or any distributions to common shareholders other than regular cash dividends; and (v) such other objective criteria established by the Board within the applicable time period required by Section 162(m) of the Code or other applicable laws.

        Dividends or Dividend Equivalents for Performance Awards.     Notwithstanding anything to the contrary in the omnibus plan, the right to receive dividends, dividend equivalents or distributions with respect to a performance award will only be earned by a participant if and to the extent that the underlying award is earned.

        Other Awards.     The Board may also grant the following awards under the omnibus plan:

    SARs, which are rights to receive a number of shares of common stock or, in the discretion of the Board, an amount in cash or a combination of shares of common stock and cash, based on the increase in the fair market value of the shares of common stock underlying the right over the market value of such shares on the grant date (or over an amount greater than the grant date fair market value, if the Board so determines) during a stated period specified by the Board not to exceed ten years from the grant date;

    other stock and stock unit awards, which may be issued at such times, subject to or based upon achievement of such performance or other goals or on other such terms and conditions as the compensation committee shall deem appropriate and specify in the award agreement; and

    unrestricted stock, which are shares of common stock granted without restrictions.

        Adjustments.     The Board will make appropriate adjustments in outstanding awards and the number of shares of common stock available for issuance under the omnibus plan, including the individual limitations on awards, to reflect stock dividends, splits, extraordinary cash dividends, reorganizations, recapitalizations, mergers, consolidations and other similar events.

        Change in Control.     The Board may in its discretion provide for the accelerated vesting, lapse of restrictions, or cash-out of any outstanding award in connection with a change in control and may require that a participant incur a termination of employment or service or satisfy other conditions in connection with such treatment. Notwithstanding the foregoing, the Board may not pay cash for any underwater options or SARs.

        Forfeiture Provisions.     The Board may provide by rule or regulation or in any award agreement, or may determine in any individual case, the circumstances in which awards shall be paid or forfeited in the event a participant ceases to be employed by us, or to provide services to us, prior to the end of a performance period, period of restriction or the exercise, vesting or settlement of such award. Generally the omnibus plan provides that awards will be forfeited if not earned or vested upon termination, unless otherwise provided for in an award agreement.

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        In addition, unless otherwise specified in an award agreement, the Board retains the right to cause a forfeiture of awards upon any breach or violation of agreements, policies or plans of the Company, as well as to the extent permitted by applicable law or regulations.

        Amendment and Termination.     Unless terminated earlier, the omnibus plan will terminate on the next day preceding the tenth anniversary of the date the Board adopts the omnibus plan. The Board may terminate or amend the omnibus plan at any time and for any reason, in its discretion. However, no amendment may adversely impair the rights of grantees with respect to outstanding awards. Amendments will be submitted for shareholder approval to the extent required by the Code or other applicable laws, rules or regulations.

Compensation Committee Interlocks and Insider Participation

        During fiscal 2013, we did not have a compensation committee or other Board committee performing similar functions; the Board consisted of our five named executive officers; and our Chief Executive Officer made determinations concerning our executive officer compensation, in consultation with certain members of management, including our Chief Financial Officer, our President, our Executive V.P. and our General Counsel. None of our executive officers served as a member of the compensation committee or board of directors of another entity, one of whose executive officers served on our Board of Directors in 2013.

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CERTAIN RELATIONSHIPS AND RELATED-PARTY TRANSACTIONS

Procedures for Related-Party Transactions

        Our Board of Directors will adopt a written code of business conduct and ethics for our Company in compliance with Sarbanes-Oxley, which will be effective and publicly available on our website at www.diplomat.is upon the completion of this offering. Under our code of business conduct and ethics, our employees, officers and directors will be discouraged from entering into any transaction that may cause a conflict of interest for us. In addition, they must report any potential conflict of interest, including related-party transactions, to their supervisor, an executive officer or the compliance officer, as defined in our code of business conduct and ethics, who then reviews and summarizes the proposed transaction for our audit committee. Pursuant to its charter, our audit committee will be required to approve any related-party transactions, including those transactions involving our directors. Such policy was not in place when the related-party transactions disclosed below were approved.

Indemnification of Officers and Directors

        Our amended and restated bylaws will generally require us to indemnify our officers and directors to the fullest extent permitted by law, and to advance expenses incurred by our directors and officers prior to the final disposition of any action or proceeding arising by reason of the fact that any such person is or was our agent. In addition, our amended and restated bylaws will permit us to provide such other indemnification and advancement of expenses to our other employees and agents as permitted by law and authorized by the Board from time to time. We will also have the power to secure insurance on behalf of any director, officer, employee or other agent for any liability arising out of his or her status as such, regardless of whether we would have the power to indemnify such person against such liability pursuant to our amended and restated bylaws.

        Prior to or following the completion of this offering, we expect to enter into separate indemnification agreements with our directors and executive officers. Such agreements will generally provide for indemnification by reason of being a director or executive officer, as the case may be. These agreements will be in addition to the indemnification provided by our amended and restated bylaws.

Related-Party Transactions

    Redemptions of Company Securities

        In January and April 2014, pursuant to various Stock Redemption Agreements, we redeemed 328.31567 shares of our Class B Nonvoting Common Stock in exchange for a total cash payment of $46,725,900 to the Hagerman family (excluding Philip Hagerman).

        Also in 2014, we redeemed nonqualified stock options to purchase shares of our Class A Voting and Class B Nonvoting Common Stock with several of our employees. Upon the redemption of these rights to purchase, the existing nonqualified stock option was cancelled and we and the option holder entered into an Amended and Restated Nonqualified Stock Option Agreement, reflecting the option holder's continuing ownership of the remaining options. In connection with the January redemptions described below, each employee entered into an Employee Securities Agreement with us, which contains certain restrictions on transfer of our securities. The transactions with our executive officers are as follows:

        We redeemed 16.86341 shares of Class B Nonvoting Common Stock from Mr. Rowe in exchange for a cash payment in the amount of $2,400,000, pursuant to a Stock Redemption Agreement dated January 2014. We also redeemed 23.00520 shares of Class B Nonvoting Common Stock from Mr. Rowe in exchange for a cash payment in the amount of $3,274,100 pursuant to a Stock Redemption Agreement dated April 2014.

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        We redeemed the right to purchase 2.6 shares of Class A Voting Common Stock and 2.27073 shares of Class B Nonvoting Common Stock in exchange for a cash payment of $600,000 to Dr. Kaddis, pursuant to a Stock Option Redemption Agreement dated January 2014. Additionally, we redeemed his right to purchase 1.62358 shares of Class B Nonvoting Common Stock in exchange for a cash payment in the amount of $200,000 to Dr. Kaddis, pursuant to a Stock Option Redemption Agreement dated April 2014.

        Mr. Kadlec received a cash payment in the amount of $200,000 in exchange of the redemption of his right to purchase 1.88775 shares of Class A Voting Common Stock, pursuant to a Stock Option Redemption Agreement dated January 2014. We also redeemed his right to purchase 0.38725 shares of Class A Voting Common Stock and 1.50050 shares of Class B Nonvoting Common Stock in exchange for a cash payment to Mr. Kadlec in the amount of $200,000, pursuant to a Stock Option Redemption Agreement dated April 2014.

        Mr. Whelan received a cash payment in the amount of $600,000 in exchange for the redemption of his right to purchase 2.5 shares of Class A Voting Common Stock and 2.94818 shares of Class B Nonvoting Common Stock, pursuant to a Stock Option Redemption Agreement dated January 2014. We also redeemed Mr. Whelan's right to purchase 4.54015 shares of Class B Nonvoting Common Stock in exchange for a cash payment in the amount of $500,000, pursuant to a Stock Option Redemption Agreement dated April 2014.

    Company Loans

        We previously made several loans to our executive officers. Loans to Philip Hagerman were in advance of regular distributions to Mr. Hagerman for S corporation tax obligations. Philip Hagerman was indebted to us in the amount of $588,400 at June 2, 2011, which indebtedness accrued interest at an annual interest rate of 3% and was evidenced by an agreement (amended January 1, 2012) to repay the loan in full prior to, or at the time of, termination of employment with the Company; Philip Hagerman repaid the loan in full in May 2012. Philip Hagerman was indebted to us in the amount of $300,000 at December 21, 2011, which indebtedness accrued interest at an annual interest rate of 1.3% and was evidenced by an agreement to repay the loan in full prior to April 1, 2012; Philip Hagerman repaid the loan in full in May 2012. In addition, Philip Hagerman had loans with us in the amounts of $100,000 at January 31, 2012 and $100,000 at February 29, 2012; he repaid the loans in full in May 2012. Philip Hagerman also had a loan with us in the amount of $235,000 at July 25, 2012, which indebtedness accrued interest at an annual interest rate of 1.3% and was evidenced by an agreement to repay the loan in full prior to, or at the time of, termination of employment; he repaid the loan in full in August 2012. Philip Hagerman was also indebted to us in the amount of $40,000 at August 10, 2012; he repaid the loan in full on such date. Additionally, we were indebted to Philip Hagerman in the original amount of $5,851,642 for an ownership distribution effective December 30, 2012 with interest at 3% per annum, which was to be paid in a lump sum payment on January 20, 2017, having a balance owing at December 31, 2012 in the amount of $5,852,130, including interest; the loan was paid off in 2013. Mr. Kadlec was indebted to us in the amount of $50,000 at November 13, 2012, and in the amount of $100,000 at March 21, 2013, which indebtedness accrued interest at an annual interest rate of 3%, and was evidenced by agreements to pay the loans in full on the earlier to occur of December 1, 2014 or termination of employment; Mr. Kadlec repaid the loans in full in May 2014.

        We were indebted to Deborah L. Ward, Philip Hagerman's sister, in the original amount of $300,000 for a covenant not to compete effective January 1, 2005, which indebtedness was evidenced by an agreement to pay equal monthly installments of $2,500; the loan was paid off in 2011. We were also indebted to Deborah L. Ward in the original amount of $480,000 pursuant to Amendment #1 of the Stock Redemption Agreement (the "Amendment") effective June 7, 2012, which indebtedness was evidenced by an agreement to pay equal quarterly installments of $40,000. The Amendment further provides that in the event of a specified change of control transaction, certain trusts for the benefit of

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Ms. Ward and certain other immediate family members are entitled to 1.0% of the net proceeds of such sale (the "Payment Right"). Ms. Ward subsequently assigned 50% of the Payment Right to the Deborah L. Ward 2014 Irrevocable Exempt Trust and 50% of the Payment Right to the David F. Ward 2014 Irrevocable Exempt Trust (collectively, the "Ward Trusts"). In connection therewith, we subsequently entered into an Exchange and Release Agreement, dated August 12, 2014, pursuant to which we, Ms. Ward, the Ward Trusts, and David F. Ward agreed to cancel the Payment Right in exchange for 21.910915 newly issued shares of the Company's Class B Nonvoting Common Stock to each of (1) the Deborah L. Ward 2014 Irrevocable Exempt Trust and (2) the David F. Ward 2014 Irrevocable Exempt Trust (43.82183 shares of Class B Nonvoting Common Stock in the aggregate). The Exchange and Release Agreement also terminated the Stock Redemption Agreement in all respects, except as to the Company's continued indebtedness of $120,000 under the promissory note to Ms. Ward expected to be paid off with a portion of the net proceeds from this offering.

        We are indebted to Jeffrey M. Rowe in the original amount of $8,061,966 for the redemption of common stock effective September 18, 2012, which indebtedness is evidenced by an agreement to pay equal quarterly installments of $100,000 with a final payment of $6,161,966 on July 20, 2017, and having a balance owing at December 31, 2013 in the amount of $7,574,366, including interest. We were also indebted to Mr. Rowe in the original amount of $562,657.89 for an ownership distribution effective December 30, 2012, which indebtedness was evidenced by a promissory note, with interest at 3% until paid in full and having a balance owing at December 31, 2012 in the amount of $562,704.77, including interest; the loan was paid off in 2013.

    Other Family Relationships

        We employ Jennifer Hagerman, Philip Hagerman's daughter, as our senior director of education and quality. In this capacity, Dr. Hagerman directs Diplomat University, our educational and training department that educates both Diplomat employees and external professionals seeking education in the specialty pharmacy industry. Dr. Hagerman also oversees our quality assurance program and serves as the director of Diplomat's Postgraduate Year One Pharmacy Residency Program, which is accredited by the American Society of Health-System Pharmacists. Dr. Hagerman was recently voted president-elect of the Michigan Pharmacists Association (the "MPA") by the MPA's membership. Dr. Hagerman earned the following compensation for her services during fiscal 2013: base salary, $142,015; discretionary and performance-based bonuses, $14,868 in the aggregate; and 401(k) matching contribution, $5,680. In addition, in January 2013, we granted Dr. Hagerman the right to purchase 10.68751 shares of common stock (consisting of an option to acquire 0.53438 shares of Class A Voting Common Stock and 10.15313 shares of Class B Nonvoting Common Stock) at an exercise price of $49,966.02 per share. We redeemed her right to purchase 0.27070 shares of Class A Voting Common Stock in exchange for a cash payment of $25,000, pursuant to a Stock Option Redemption Agreement dated January 2014. In connection with the January redemption of her stock options. Dr. Hagerman also entered into an Employee Securities Agreement. Also in January and April, 2014, respectively, we redeemed 1.75660 shares of common stock from Dr. Hagerman in exchange for $250,000 on each redemption, for a total of $500,000 in the aggregate.

    Shareholder Agreements

        In December 2012, the Philip R. Hagerman Revocable Trust dated September 6, 1991, as Amended, gifted shares of Class B Nonvoting Common Stock to the Hagerman family (excluding Philip Hagerman). In connection with the gift, the donees entered into Buy/Sell Agreements with us, which contained certain restrictions on transfer of our securities.

        The Hagerman family has entered into a voting agreement, which provides that the members of the Hagerman family will vote as a group (based on the voting determination of a majority of the shares held by the Hagerman family, which Philip Hagerman will hold as of the completion of this

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offering). After completion of this offering, members of the Hagerman family will collectively hold more than 50% of our common stock. The voting agreement terminates, among other things: upon the liquidation, dissolution or winding up of business operations of the Company or the Company's general assignment for the benefit of creditors; in the sole discretion of Philip Hagerman; upon the death or permanent and substantial incapacity of Philip Hagerman; and six months (or longer, as specified therein) after the later of the date on which Philip Hagerman (1) ceases to be the Chief Executive Officer of the Company and (2) ceases to be the Chairman of the Board of Directors or a director on the Board of Directors and is no longer devoting substantially all of his business efforts to the Company.

    Registration Rights Agreement

        We are a party to an amended and restated registration rights agreement dated as of March 31, 2014 (the "Registration Rights Agreement"), relating to our securities held by certain funds of T. Rowe Price Associates, Inc., Janus Capital Management, LLC, affiliates of Mr. Hagerman, and Mr. Rowe. Under the Registration Rights Agreement, we are responsible, subject to certain exceptions, for the expenses of any offering of our shares of common stock offered pursuant to the agreement other than underwriting discounts and selling commissions. The Registration Rights Agreement contains customary indemnification provisions. Further, under the Registration Rights Agreement, each shareholder party agreed, if required by us and the managing underwriter in an underwritten offering, not to effect (other than pursuant to such registration) any public sale or distribution of any of our or their holdings in our Company or securities convertible into any of our equity securities for (1) 180 days after the effective date of an initial public offering, and (2) 90 days after the registration of any offering other than an initial public offering.

        Demand Registration Rights.     Under the Registration Rights Agreement, subject to certain exceptions, certain funds of T. Rowe Price Associates, Inc. and Janus Capital Management have the right to require us to register for public sale under the Securities Act all shares of common stock held by them that they request be registered, in which case we would be required to notify and offer registration to the other shareholder parties insofar as the aggregate number of shares to be registered does not exceed the number which can be sold in such offering without materially and adversely affecting the offering price, as determined by the relevant managing underwriter or investment banking firm.

        Piggyback Registration Rights.     If we propose to register the offer and sale of any of our securities under the Securities Act in connection with the public offering of such securities other than with respect to (1) a registration related to a company stock plan or (2) a registration related to the exchange of securities in certain corporate reorganizations or certain other transactions, all shareholders party to the Registration Rights Agreement will be entitled to certain "piggyback" registration rights allowing them to include their shares in such registration, subject to certain marketing and other limitations. As a result, whenever we propose to file a registration statement under the Securities Act, certain of our shareholders are entitled to notice of the registration and have the right, subject to limitations that the underwriters may impose on the number of shares included in the registration, to include their shares in the registration.

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PRINCIPAL AND SELLING SHAREHOLDERS

        The following table sets forth information regarding beneficial ownership of our common stock as of August 12, 2014, by:

    each person or group we know to beneficially own more than 5% of our outstanding shares of common stock;

    each of our named executive officers;

    each of our directors individually;

    all of our executive officers, directors and as a group; and

    each selling shareholder.

        Beneficial ownership for the purposes of the following table is determined in accordance with the rules and regulations of the SEC. These rules generally provide that a person is the beneficial owner of securities if such person has or shares the power to vote or direct the voting thereof, or to dispose or direct the disposition thereof or has the right to acquire such powers within 60 days. Shares of common stock subject to options that are currently exercisable or exercisable within 60 days of August 12, 2014 are deemed to be outstanding and beneficially owned by the person holding the options. Shares issuable pursuant to stock options are deemed outstanding for computing the percentage ownership of the person holding such options but are not outstanding for computing the percentage of any other person. The percentage of beneficial ownership of our common stock for the following table is based on our common stock outstanding as of August 12, 2014.

        Immediately prior to the completion of this offering, in the following order:

    the conversion of all shares of our Series A Preferred Stock into shares of our Class C Voting Common Stock on a one-for-one basis;

    the filing of our amended and restated articles of incorporation and the adoption of our amended and restated bylaws;

    the conversion of all shares of our Class A Voting Common Stock, Class B Nonvoting Common Stock and Class C Voting Common Stock into shares of our common stock on a one-for-one basis;

    the conversion of all options to acquire Class A Voting Common Stock and Class B Nonvoting Common Stock into options to acquire shares of our common stock on a one-for one basis; and

    a stock split effected as a stock dividend of                        shares for each share of our common stock to our common shareholders of record immediately prior to the completion of this offering, with an adjustment to the number of options to acquire shares of our common stock and exercise price therefor to be proportionately adjusted.

        The number of shares of common stock outstanding after the completion of this offering also includes the shares of common stock being offered for sale by us in this offering.

        Unless otherwise indicated, the address for each listed shareholder is c/o Diplomat Pharmacy, Inc., 4100 S. Saginaw St., Flint, MI 48507. To our knowledge, except as indicated in the footnotes to this

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table and pursuant to applicable community property laws, the persons named in the table have sole voting and investment power with respect to all shares of common stock.

 
  Shares of Common
Stock Owned Before
this Offering
   
  Shares of Common
Stock Owned After
this Offering(1)
 
 
  Shares
Offered
 
Name
  Number   Percent   Number   Percent  

5% shareholders:

                               

Janus Funds(2)

            %                          %

T. Rowe Price Funds(3)

            %                          %

Named executive officers and directors:

                               

Philip R. Hagerman(4)

    3,608.47969     89.6 %                          %

Sean M. Whelan(5)

    54.25875     1.3 %                          %

Gary W. Kadlec(6)

    21.80613     * %                          %

Jeffrey M. Rowe(7)

    335.13139     7.7 %                          %

Atheer A. Kaddis(8)

    97.90569     2.3 %                          %

All executive officers and directors as a group (5 persons)

    4,117.58165     90.8 %                          %

*
Less than 1%

(1)
Column includes conversion of shares of Series A Preferred Stock, Class A Voting Common Stock and Class B Nonvoting Common Stock into shares of common stock as discussed under the heading "Description of Capital Stock—Conversion of Issued and Outstanding Common Stock and Preferred Stock."

(2)
Consists of (i)                 shares held by Janus Global Life Sciences Fund, (ii)                  shares held by Janus Triton Fund, (iii)                 shares held by Janus Venture Fund, (iv)                  shares held by Janus Capital Funds PLC Janus US Venture Fund, and (v)                  shares held by Janus Capital Funds PLC Janus US Venture Fund. The foregoing funds (the "Janus Funds") are managed by Janus Capital Management LLC. Janus Capital Management LLC has sole voting and dispositive power over the securities held by the Janus Funds and may be deemed to be the beneficial owner of all the shares listed. The address for these entities is 151 Detroit Street, Denver CO, 80206.

(3)
Consists of (i)                 shares held by T. Rowe Price Health Sciences Fund, Inc., (ii)                  shares held by TD Mutual Funds—TD Health Sciences Fund, (iii)                 shares held by Valic Company I—Health Sciences Fund, (iv)                  shares held by T. Rowe Price Health Sciences Portfolio, (v)                 shares held by John Hancock Variable Insurance Trust—Health Sciences Trust, (vi)                  shares held by John Hancock Funds II—Health Sciences Fund, (vii)                 shares held by T. Rowe Price New Horizons Fund, Inc., (vii)                  shares held by T. Rowe Price New Horizons Trust, and (ix)                 shares held by T. Rowe Price U.S. Equities Trust. The foregoing funds and accounts are advised or sub-advised by T. Rowe Price Associates, Inc. T. Rowe Price Associates, Inc. serves as investment adviser with power to direct investments and/or sole power to vote the securities owned by these funds and accounts. T. Rowe Price Associates, Inc. may be deemed to be the beneficial owner of all the shares listed; however, T. Rowe Price Associates, Inc. expressly disclaims that it is, in fact, the beneficial owner of such securities. T. Rowe Price Associates, Inc. is the wholly owned subsidiary of T. Rowe Price Group, Inc., which is a publicly traded financial services holding company. The address for T. Rowe Price Associates, Inc. is 100 East Pratt Street, Baltimore, MD 21202.

(4)
Represents 195 shares of Class A Voting Common Stock and 347.09521 shares of Class B Nonvoting Common Stock held by the Philip R. Hagerman Revocable Trust, 540.73019 shares of

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    Class B Nonvoting Common Stock held by the 2007 Hagerman Family Trusts, 606.43395 shares of Class B Nonvoting Common Stock held by the JH Trusts, 225.0 shares of Class B Nonvoting Common Stock held by the 2013 Irrevocable Exempt Trust for Thomas R. Hagerman, 225.0 shares of Class B Nonvoting Common Stock held by the 2013 Irrevocable Exempt Trust for Taylor G. Hagerman, 225.0 shares of Class B Nonvoting Common Stock held by the 2013 Irrevocable Exempt Trust for Jennifer K. Hagerman, 225.0 shares of Class B Nonvoting Common Stock held by the 2013 Irrevocable Exempt Trust for Megan Lineberger, 76.0 shares of Class B Nonvoting Common Stock held by the 2014 Irrevocable Exempt Trust for Thomas R. Hagerman, 76.0 shares of Class B Nonvoting Common Stock held by the 2014 Irrevocable Exempt Trust for Taylor G. Hagerman, 76.0 shares of Class B Nonvoting Common Stock held by the 2014 Irrevocable Exempt Trust for Jennifer K. Hagerman, 76.0 shares of Class B Nonvoting Common Stock held by the 2014 Irrevocable Exempt Trust for Megan Lineberger, 150.0 shares of Class B Nonvoting Common Stock held by the Philip Hagerman 2014 GRAT, 150.0 shares of Class B Nonvoting Common Stock held by the Jocelyn Hagerman 2014 GRAT, 31.0 shares of Class B Nonvoting Common Stock held by the JH Marital Trust, 32.0 shares of Class B Nonvoting Common Stock held by the PH Marital Trust, 46.46 shares of Class B Nonvoting Common Stock held by Philip Hagerman as custodian F/B/O Thomas Hagerman, and 46.46 shares of Class B Nonvoting Common Stock held by Philip Hagerman as custodian F/B/O Taylor Hagerman. Mr. Hagerman has entered into a voting agreement with each of the foregoing and certain additional family members holding an aggregate            shares of our common stock. If the underwriters' overallotment option is exercised in full, the Hagerman family would own             shares of common stock, or        %, after the completion of this offering.

(5)
Represents shares of our common stock issuable on the exercise of options held by Mr. Whelan.

(6)
Represents shares of our common stock issuable on the exercise of options held by Mr. Kadlec.

(7)
Represents 270.13139 shares of our Class B Nonvoting Common Stock held by Mr. Rowe and 65 shares of our Class B Nonvoting Common Stock held by The Rowe Family Trust.

(8)
Represents shares of our common stock issuable on the exercise of options held by Dr. Kaddis.

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DESCRIPTION OF CAPITAL STOCK

        The following discussion is a summary of the terms of our capital stock and our amended and restated articles of incorporation and bylaws following certain amendments that we intend to make in connection with this offering, as well as certain applicable provisions of Michigan law. Forms of our amended and restated articles of incorporation and bylaws as they will be in effect following this offering have been filed as exhibits to the registration statement of which this prospectus is a part.

Conversion of Issued and Outstanding Common Stock and Preferred Stock

        Prior to this offering, we had three classes of common stock (Class A Voting Common Stock, Class B Nonvoting Common Stock and Class C Voting Common Stock) and one class of preferred stock (Series A Preferred Stock). As of July 31, 2014, there were 195 shares of our Class A Voting Common Stock outstanding that were held of record by 1 shareholder, 3,789.10628 shares of our Class B Nonvoting Common Stock outstanding that were held of record by 41 shareholders, no shares of Class C Voting Common Stock outstanding, and 730.74767 shares of our Series A Preferred Stock outstanding that were held of record by 14 shareholders (which were certain funds of Janus Capital Management LLC and T. Rowe Price Associates, Inc.). In addition, shares of our common stock were issuable upon exercise of outstanding options granted under our 2007 Option Plan.

        Immediately prior to the completion of this offering, in the following order:

    the conversion of all shares of our Series A Preferred Stock into shares of our Class C Voting Common Stock on a one-for-one basis;

    the filing of our amended and restated articles of incorporation and the adoption of our amended and restated bylaws;

    the conversion of all shares of our Class A Voting Common Stock, Class B Nonvoting Common Stock and Class C Voting Common Stock into shares of our common stock on a one-for-one basis; and

    the conversion of all options to acquire Class A Voting Common Stock and Class B Nonvoting Common Stock into options to acquire shares of our common stock on a one-for one basis; and

    a stock split effected as a stock dividend of                         shares for each share of our common stock to our common shareholders of record immediately prior to the completion of this offering, with an adjustment to the number of options to acquire shares of our common stock and exercise price therefor to be proportionately adjusted.

Authorized Capitalization

        The following description summarizes certain important terms of our capital stock, as they are expected to be in effect immediately prior to the completion of this offering. We expect to amend our existing amended and restated articles of incorporation and bylaws such that they will reflect the descriptions of those charter documents below. Because it is only a summary, it does not contain all the information that may be important to you. For a complete description of the matters set forth in this section titled "Description of Capital Stock," you should refer to our amended and restated certificate of incorporation, amended and restated bylaws, which are included as exhibits to the registration statement of which this prospectus forms a part, and to the applicable provisions of Michigan law. Immediately following the completion of this offering, our authorized capital stock will consist of                     shares of common stock, no value per share, and                    shares of preferred stock.

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Common Stock

        Our amended and restated articles of incorporation will authorize us to issue up to                    shares of common stock.

    Voting Rights

        Each holder of our common stock will be entitled to one vote per share on all matters submitted to a vote of the shareholders, including the election of directors. Our amended and restated articles of incorporation and bylaws will not provide for cumulative voting rights. As a result, the holders of a majority of the shares entitled to vote in any election of directors will be able to elect all of the directors standing for election, if they should so choose.

    Dividend Rights

        Subject to preferences that may be applicable to any then outstanding preferred stock, the holders of our common stock will be entitled to receive dividends, if any, as may be declared from time to time by the Board out of legally available funds.

    Rights Upon Liquidation

        In the event of our liquidation, dissolution or winding up, holders of our common stock will be entitled to share ratably in the net assets legally available for distribution to shareholders after the payment of all of our debts and other liabilities, subject to the satisfaction of any liquidation preference granted to the holders of any outstanding shares of preferred stock.

    Other Rights and Preferences

        As of this offering, holders of our common stock will have no preemptive, conversion or subscription rights, and there will be no redemption or sinking fund provisions applicable to our common stock. The rights, preferences and privileges of our common stock will be subject to, and may be adversely affected by, the rights, preferences and privileges of any series of preferred stock that we may issue in the future.

    Fully Paid and Nonassessable

        All of our outstanding shares are, and the shares to be issued in this offering will be, duly authorized, validly issued, fully paid and nonassessable.

Preferred Stock

        Our amended and restated articles of incorporation will authorize us to issue up to                    shares of preferred stock in one or more series. Our Board is authorized, subject to limitations prescribed by Michigan law, to issue preferred stock in one or more series, to establish from time to time the number of shares to be included in each series and to fix the designation, powers, preferences and rights of the shares of each series and any of its qualifications, limitations or restrictions, in each case without further vote or action by our shareholders. Our Board can also increase or decrease the number of shares of any series of preferred stock, but not below the number of shares of that series then outstanding, without any further vote or action by our shareholders. Our Board may authorize the issuance of preferred stock with voting or conversion rights that could adversely affect the voting power or other rights of the holders of our common shares. The issuance of preferred stock, while providing flexibility in connection with possible acquisitions and other corporate purposes, could, among other things, have the effect of delaying, deferring or preventing a change in control of our Company and

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might adversely affect the market price of our common stock and the voting and other rights of the holders of our common stock.

Anti-Takeover Effects of Certain Provisions of Our Amended and Restated Articles of Incorporation and Bylaws and Michigan Law

        Our amended and restated articles of incorporation and bylaws will contain certain provisions that could have the effect of delaying, deterring or preventing another party from acquiring control of us, and therefore could adversely affect the market price of our common stock. These provisions and certain provisions of the Michigan Business Corporation Act (as it may be amended from time to time, the "MBCA"), which are summarized below, may also discourage coercive takeover practices and inadequate takeover bids, and are designed, in part, to encourage persons seeking to acquire control of us to negotiate first with the Board. We believe that the benefits of increased protection of our potential ability to negotiate more favorable terms with an unfriendly or unsolicited acquirer outweigh the disadvantages of potentially discouraging a proposal to acquire us.

    Amended and Restated Articles of Incorporation and Bylaws

        Following this offering, our amended and restated articles of incorporation and bylaws will contain provisions that:

    permit the Board to issue up to                    shares of preferred stock, with any rights, preferences and privileges as they may determine (including the right to approve an acquisition or other change in control);

    provide that the authorized number of directors may be fixed only by the Board in accordance with our amended and restated bylaws;

    do not provide for cumulative voting rights (therefore allowing the holders of a majority of the shares entitled to vote in any election of directors to elect all of the directors standing for election);

    divide our Board into three staggered classes;

    provide that all vacancies and newly created directorships may be filled by the affirmative vote of a majority of directors then in office, even if less than a quorum;

    prohibit removal of directors without cause;

    prohibit shareholders from calling special meetings of shareholders;

    requires unanimous consent for stockholders to take action by written consent without approval of the action by our Board;

    provide that shareholders seeking to present proposals before a meeting of shareholders or to nominate candidates for election as directors at a meeting of shareholders must provide advance notice in writing and also comply with specified requirements related to the form and content of a shareholder's notice;

    require at least 80% supermajority shareholder approval to alter, amend or repeal certain provisions of our amended and restated articles of incorporation; and

    require at least 80% supermajority shareholder approval in order for shareholders to adopt, amend or repeal our amended and restated bylaws.

        The provisions of our amended and restated articles of incorporation and bylaws, effective upon the closing of this offering, could have the effect of discouraging others from attempting hostile takeovers and, as a consequence, they might also inhibit temporary fluctuations in the market price of

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our common stock that often result from actual or rumored hostile takeover attempts. These provisions might also have the effect of preventing changes in our management. It is possible that these provisions could make it more difficult to accomplish transactions that our shareholders might otherwise deem to be in their best interests.

    Michigan Business Corporation Act

        We may also opt-in to the provisions of Chapter 7A of the MBCA. In general, subject to certain exceptions, Chapter 7A of the MBCA prohibits a Michigan corporation from engaging in a "business combination" with an "interested shareholder" for a period of five years following the date that such shareholder became an interested shareholder, unless: (i) prior to such date, the board of directors approved the business combination; or (ii) on or subsequent to such date, the business combination is approved by at least 90% of the votes of each class of the corporation's stock entitled to vote and by at least two-thirds of such voting stock not held by the interested shareholder or such shareholder's affiliates. The MBCA defines a "business combination" to include certain mergers, consolidations, dispositions of assets or shares and recapitalizations. An "interested shareholder" is defined by the MBCA to include a beneficial owner, directly or indirectly, of 10% or more of the voting power of the outstanding voting shares of the corporation. While our Board of Directors to date has not elected to opt-in to these provisions, any future decision to do so could have an anti-takeover effect.

Limitation on Liability and Indemnification of Officers and Directors.

        Our amended and restated articles will eliminate the liability of our directors for monetary damages to the fullest extent under the MBCA and other applicable law. The MBCA permits a corporation to eliminate or limit a director's liability to the corporation or its shareholders for money damages for any action taken or any failure to take any action as a director, except liability for:

    the amount of a financial benefit received by a director to which he is not entitled;

    any intentional infliction of harm on the corporation or its shareholders;

    any illegal distributions to shareholders or the making of improper loans as provided in Section 551 of the MBCA; and

    any intentional criminal act.

The limitation of liability in our amended and restated articles of incorporation will not affect the availability of equitable remedies such as injunctive relief or rescission, nor will it limit the liability of our directors under federal securities laws.

        Our amended and restated bylaws will generally require us to indemnify our officers and directors to the fullest extent permitted by law, and to advance expenses incurred by our directors and officers prior to the final disposition of any action or proceeding arising by reason of the fact that any such person is or was our agent. In addition, our amended and restated bylaws will permit us to provide such other indemnification and advancement of expenses to our other employees and agents as permitted by law and authorized by the Board from time to time. We will also have the power to secure insurance on behalf of any director, officer, employee or other agent for any liability arising out of his or her status as such, regardless of whether we would have the power to indemnify such person against such liability pursuant to our amended and restated bylaws.

        Prior to or following the completion of this offering, we expect to enter into separate indemnification agreements with our directors and executive officers. Such agreements will generally provide for indemnification by reason of being a director or executive officer, as the case may be. These agreements will be in addition to the indemnification provided by our amended and restated bylaws.

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        The limitation of liability and indemnification provisions in our amended and restated articles of incorporation and bylaws may discourage our shareholders from bringing lawsuits against our directors for breach of their fiduciary duties. They may also reduce the likelihood of derivative litigation against our directors and officers, even though an action, if successful, might benefit us and our shareholders. A shareholder's investment may be harmed to the extent we pay the costs of settlement and damage awards against directors and officers pursuant to these indemnification provisions.

        At present, there is no pending litigation or proceeding involving any of our directors or executive officers as to which indemnification is required or permitted, and we are not aware of any threatened litigation or proceeding that may result in a claim for indemnification.

Choice of Forum

        Our amended and restated bylaws provides that the courts of the State of Michigan located in Genesee County and the United States District Court for the Eastern District of Michigan will be the exclusive forum for: any derivative action or proceeding brought on our behalf; any action asserting a claim of breach of fiduciary duty owed by any of our directors, officers or employees to us or our stockholders; any action asserting a claim against us arising pursuant to the MBCA; or any actions asserting a claim otherwise governed by the State of Michigan's internal affairs doctrine. The enforceability of similar choice of forum provisions has been challenged in legal proceedings, and it is possible that a court could find these types of provisions to be inapplicable or unenforceable.

Transfer Agent and Registrar

        The transfer agent and registrar for our common stock is Computershare Trust Company, N.A.

Listing

        Our common stock has been approved for listing on the                    under the symbol "DPLO," subject to official notice of issuance.

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DESCRIPTION OF INDEBTEDNESS

Line of Credit

        On June 26, 2014, we entered into an amended and restated credit agreement with GE Capital Bank, as agent, Comerica Bank, JPMorgan Chase Bank, N.A. and Wells Fargo Bank, N.A., as additional lenders. The amended and restated credit agreement provides allows us to borrow, on a revolving basis, the lesser of (x) $120.0 million and (y) the Borrowing Base (as defined), less, in either case, the sum of (a) the aggregate amount of letter of credit obligations plus (b) outstanding swing loans. The amended facility provides for issuances of letters of credit up to $3.0 million and swing loans up to $5.0 million. Additionally, the line of credit permits incremental increases in the revolving line of credit or issuance of term loans up to an aggregate amount of $25.0 million. The amended and restated credit agreement amended our prior credit agreement with GE Capital Bank, as agent, which allowed us to borrow up to $85.0 million.

        The line of credit will expire on July 20, 2017. The line of credit is guaranteed by all of our subsidiaries and collateralized by substantially all of our and our subsidiaries' respective assets.

        At August 14, 2014, we had $78.0 million of borrowings outstanding and had $31.4 million of availability under the line of credit and we were in compliance with all applicable covenants under the line of credit.

        We may select from two interest rate options for revolving and letter of credit borrowings under the line of credit: (i) LIBOR (as defined in the line of credit) plus 1.75% or (ii) Base Rate (as defined in the line of credit) plus 0.75%. Swing loans may not be Base Rate loans.

        We are required to pay a commitment fee on the unused portion of the revolving line of credit commitment as of each calendar month at a rate of 0.25% if the unused portion is less than one-third of the commitment, 0.375% if the unused portion is greater than or equal to one-third but less than two-thirds of the commitment or 0.5% if the unused portion is greater than or equal to two-thirds of the commitment. We are also required to pay a letter of credit fee on the undrawn amount of all issued letters of credit as of each calendar month at a rate of 1.75%. The fees will be payable monthly in arrears.

        The line of credit includes customary restrictions on, among other things and subject to certain exceptions, our ability to incur additional indebtedness, pay dividends or make other distributions, redeem or repurchase capital stock, make investments and loans and enter into certain transactions, including selling assets, engaging in mergers or acquisitions and transactions with affiliates. We are required to maintain cash management arrangements to manage payments received by account debtors. Such arrangements will include entering into control agreements providing for full cash dominion, establishing lockboxes if electronic deposit capture payments exceed a certain percentage of all account collections, and entering into sweep agreements with respect to governmental payors making payments under Medicare or Medicaid.

        In the event the amount available to be drawn under our revolving line of credit is less than $20.0 million, we are required to satisfy a minimum fixed charge coverage ratio of not less than 1.10 to 1.0, as measured on a trailing 12-month basis. At June 30, 2014, we were not required to satisfy the test as we met the specified excess availability threshold.

        We have pledged the equity of substantially all of our subsidiaries as security for the line of credit. In addition, the line of credit includes customary events of defaults, including a change of control default and an event of default if a material adverse effect occurs with respect to certain FDA or health care matters. In case of an event of default, the agent would be entitled to, among other things, accelerate payment of amounts due under the line of credit, foreclose on the equity of our subsidiaries, and exercise all rights of a secured creditor on behalf of the lenders.

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Other Debt

    Stakeholder Debt

        We are also indebted to certain current or former stakeholders. The following outstanding principal balances are as of June 30, 2014. We are indebted to Mark Chaffee, a former shareholder, in the amount of $12.7 million in connection with our redemption of Mr. Chaffee's shares. We issued Mr. Chaffee a promissory note, secured by a pledge on certain treasury shares, which bears interest at a rate of 1.3% per annum and matures in January of 2017. We are indebted to Jeffrey M. Rowe, an existing shareholder, executive officer, and director, in the amount of $7.1 million for the redemption of common stock effective September 18, 2012. We issued Mr. Rowe a promissory note which requires us to pay equal quarterly installments of $100,000 at an interest rate of 1.3% per annum with a final payment of $6,161,966 on July 20, 2017. We are indebted to Deborah Ward, an existing shareholder and the sister of Philip Hagerman, our Chairman of the Board of Directors and Chief Executive Officer, in the amount of $0.2 million in connection with our redemption of certain of Ms. Ward's shares. On June 7, 2012, we issued Ms. Ward a non-interest bearing promissory note which requires us to pay quarterly installments of $40,000 until paid in full on April 20, 2015. We are indebted to Stephen M. Lund, a former employee and option holder, in the amount of $0.9 million in connection with the repurchase of his then-existing options. We issued Mr. Lund a promissory note dated October 1, 2012 which bears interest at the prime rate plus 1.0%, requires payment of quarterly installments of $71,150.65 plus interest, and matures on July 20, 2017.

    Mortgage

        We entered into a $7,440,000 mortgage loan with JP Morgan Chase in December 2010 for the purchase of our headquarters building. The outstanding principal and interest amount of $2.6 million was paid in full in May 2014.

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SHARES ELIGIBLE FOR FUTURE SALE

        Prior to this offering, there has been no market for our common stock. Future sales of substantial amounts of our common stock in the public market or the perception that such sales might occur could adversely affect market prices prevailing from time to time. Furthermore, because only a limited number of shares will be available for sale shortly after this offering due to existing contractual and legal restrictions on resale as described below, there may be sales of substantial amounts of our common stock in the public market after the restrictions lapse. This may adversely affect the prevailing market price and our ability to raise equity capital in the future.

        Upon the completion of this offering, assuming no exercise of outstanding options, we will have                    shares of common stock outstanding. Of these shares, the                     shares sold in this offering will be freely transferable without restriction or registration under the Securities Act, except for any shares purchased by one of our existing "affiliates," as that term is defined in Rule 144 under the Securities Act. The remaining shares of common stock held by our existing shareholders are "restricted securities" as defined in Rule 144. Restricted shares may be sold in the public market only if registered under the Securities Act or if they qualify for an exemption from registration, including, among others, the exemptions provided by Rules 144 and 701 promulgated by the SEC under the Securities Act. As a result of the contractual 180-day lock-up period described in "Underwriting (Conflicts of Interest)" and the provisions of Rules 144 and 701, these shares will be available for sale in the public market as follows:

Number of Shares
  Date

                        

  On the date of this prospectus.

                        

  After 90 days from the date of this prospectus.

                        

  After 180 days from the date of this prospectus (subject, in some cases, to volume limitations).

Lock-Up Agreements

        In connection with this offering, we, our directors and our executive officers (including the selling shareholders, but excluding shares to be sold in this offering by such selling shareholders), and certain other holders of our common stock or options to purchase common stock have agreed with the underwriters, subject to certain exceptions, not to dispose of or hedge any of our common stock or securities convertible into or exercisable or exchangeable for shares of our common stock, file or cause to be filed a registration statement covering shares of common stock or any securities that are convertible into, exercisable or exchangeable for any shares of our common stock, or publicly disclose the intention to do any of the foregoing, during the period from the date of this prospectus continuing through the date 180 days after the date of this prospectus, except with the prior written consent of Credit Suisse Securities (USA) LLC and Morgan Stanley & Co. LLC. For additional information, including regarding certain exceptions to which this agreement is subject, see "Underwriting (Conflicts of Interest)". Following the lock-up period, substantially all of the shares of our common stock that are restricted securities or are held by our affiliates as of the date of this prospectus will be eligible for sale in the public market in compliance with Rule 144.

Rule 144

        In general, under Rule 144, an affiliate who beneficially owns shares that were purchased from us, or any affiliate, at least six months previously, is entitled to sell, upon the expiration of the lock-up agreement described in "Underwriting (Conflicts of Interest)," within any three-month period beginning 90 days after the date of this prospectus, a number of shares that does not exceed the greater of 1% of our then-outstanding shares of common stock, which will equal approximately                    shares immediately after the completion of this offering, or the average weekly trading volume of our common

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stock on the New York Stock Exchange during the four calendar weeks preceding the filing of a notice of the sale with the SEC. Sales under Rule 144 are also subject to certain manner of sale provisions, notice requirements and the availability of current public information about us.

        Following this offering, a person that is not an affiliate of ours at the time of, or at any time during the three months preceding, a sale and who has beneficially owned restricted securities within the meaning of Rule 144 for at least six months, may sell shares subject only to the availability of current public information about us, and any such person who has beneficially owned restricted shares of our common stock for at least one year may sell shares without restriction.

        We are unable to estimate the number of shares that will be sold under Rule 144 since this will depend on the market price for our common stock, the personal circumstances of the shareholder and other factors.

Rule 701

        In general, under Rule 701, any of our employees, directors, officers, consultants or advisors who purchased shares from us in connection with a compensatory stock or option plan or other written agreement before the effective date of this offering is entitled to resell such shares 90 days after the effective date of this offering in reliance on Rule 144, without having to comply with the holding period requirements or other restrictions contained in Rule 701.

        The SEC has indicated that Rule 701 will apply to typical stock options granted by an issuer before it becomes subject to the reporting requirements of the Exchange Act, along with the shares acquired upon exercise of such options, including exercises after the date of this prospectus. Securities issued in reliance on Rule 701 are restricted securities and, subject to the contractual restrictions described above, beginning 90 days after the date of this prospectus, may be sold by persons other than "affiliates," as defined in Rule 144, subject only to the manner of sale provisions of Rule 144 and by "affiliates" under Rule 144 without compliance with its one-year minimum holding period requirement.

Registration Statements on Form S-8

        We intend to file a registration statement on Form S-8 under the Securities Act to register all of the shares of common stock issued or reserved for issuance under our 2007 Option Plan, and our 2014 Omnibus Plan, which will be effective immediately prior to the completion of this offering. This registration statement would cover approximately                    shares as of the date of this offering. Shares registered under the registration statement will generally be available for sale in the open market after the 180-day lock-up period immediately following the date of this prospectus (as such period may be extended in certain circumstances).

Registration Rights

        Beginning 180 days after the date of this prospectus, subject to certain exceptions and automatic extensions in certain circumstances, certain holders of shares of our common stock will be entitled to the rights described under "Certain Relationships and Related-Party Transactions—Registration Rights Agreement." Registration of these shares under the Securities Act would result in these shares becoming freely tradable without restriction under the Securities Act immediately upon effectiveness of the registration.

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MATERIAL U.S. FEDERAL INCOME AND ESTATE TAX CONSIDERATIONS
FOR NON-U.S. HOLDERS OF COMMON STOCK

        The following discussion is a summary of the material U.S. federal income and estate tax considerations with respect to the acquisition, ownership and disposition of our common stock by "Non-U.S. Holders" (defined below). This discussion applies only if you (1) purchase our common stock in this offering, (2) will hold the common stock as a capital asset and (3) are a "Non-U.S. Holder." You are a Non-U.S. Holder if, for U.S. federal income tax purposes, you are a beneficial owner of shares of our common stock and are not:

    an individual who is a citizen or resident of the United States;

    a corporation or other entity taxable as a corporation created or organized in, or under the laws of, the United States, any state thereof or the District of Columbia;

    an estate, the income of which is subject to U.S. federal income taxation regardless of its source;

    a trust, if a court within the United States is able to exercise primary supervision over the administration of the trust and one or more U.S. persons have the authority to control all substantial decisions of the trust; or

    a trust that has a valid election in place pursuant to the applicable Treasury regulations to be treated as a U.S. person for U.S. federal income tax purposes.

        This discussion assumes that a Non-U.S. Holder will hold our common stock as a capital asset (generally, property held for investment). The summary does not address all of the U.S. federal income and estate tax considerations that may be relevant to you in the light of your particular circumstances or if you are a beneficial owner subject to special treatment under U.S. federal income tax laws (for instance, you are a controlled foreign corporation, passive foreign investment company, company that accumulates earnings to avoid U.S. federal income tax, foreign tax-exempt organization, bank, financial institution, broker or dealer in securities, insurance company, regulated investment company, real estate investment trust, person who holds our common stock as part of a hedging or conversion transaction or as part of a short-sale or straddle, U.S. expatriate, former long-term permanent resident of the United States or partnership or other pass-through entity for U.S. federal income tax purposes). This summary does not discuss non-income taxes (except, to a limited extent below, the U.S. federal estate tax), any aspect of the U.S. federal alternative minimum tax or state, local or non-U.S. taxation. This summary is based on current provisions of the Code, Treasury regulations, judicial opinions, published positions of the Internal Revenue Service ("IRS"), and all other applicable authorities (we refer to all such sources of law in this prospectus as "Tax Authorities"). The Tax Authorities are subject to change, possibly with retroactive effect.

        If you are an individual, you may be deemed to be a resident alien, as opposed to a nonresident alien, by virtue of being present in the United States for at least 31 days in the calendar year and for an aggregate of at least 183 days during a three-year period ending in the current calendar year. For these purposes, all the days present in the current year, one-third of the days present in the immediately preceding year, and one-sixth of the days present in the second preceding year are counted. Resident aliens are subject to U.S. federal income tax as if they were U.S. citizens. Such an individual is urged to consult his or her own tax advisor regarding the U.S. federal income tax consequences of the ownership or disposition of our common stock.

        If a partnership (or an entity or arrangement classified as a partnership for U.S. federal income tax purposes) beneficially owns our common stock, the tax treatment of a partner will generally depend on the status of the partner and the activities of the partnership. If you are a partner of a partnership owning our common stock, you should consult your own tax advisor.

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        WE URGE PROSPECTIVE INVESTORS TO CONSULT THEIR OWN TAX ADVISORS REGARDING THE U.S. FEDERAL, STATE, LOCAL AND NON-U.S. INCOME AND OTHER TAX CONSIDERATIONS OF ACQUIRING, HOLDING AND DISPOSING OF SHARES OF OUR COMMON STOCK.

Distributions

        Although we do not anticipate that we will pay any dividends on our common stock in the foreseeable future, to the extent dividends are paid to Non-U.S. Holders, such distributions will be subject to U.S. withholding tax at a rate of 30% of the gross amount of the dividend, unless you are eligible for a reduced rate of withholding tax under an applicable income tax treaty and you properly provide the payor or the relevant withholding agent with an IRS Form W-8BEN or IRS Form W-8BEN-E, or successor form, claiming an exemption from or reduction in withholding under the applicable income tax treaty. Special certification and other requirements may apply if you hold shares of our common stock through certain foreign intermediaries. For payments made to a partnership or other pass-through entity, the certification requirements generally apply to the partners or other owners rather than to the partnership or other entity, and the partnership or other entity must provide the partners' or other owners' documentation to us or our paying agent. A distribution of cash or other property (other than certain pro rata distributions of our common stock) in respect of our common stock will constitute a dividend for U.S. federal income tax purposes to the extent of our current or accumulated earnings and profits as determined under the Tax Authorities. Any distribution not constituting a dividend will be treated first as reducing your adjusted tax basis in your shares of our common stock and, to the extent it exceeds your tax basis, as capital gain from the sale of stock as described below under the heading "—Sale or Other Disposition of Our Common Stock."

        Dividends we pay to you that are effectively connected with your conduct of a trade or business within the United States (and, if certain income tax treaties apply, are attributable to a U.S. permanent establishment or a fixed base maintained by you) generally will not be subject to U.S. withholding tax if you provide an IRS Form W-8ECI, or successor form, to the payor. Instead, such dividends generally will be subject to U.S. federal income tax, net of certain deductions, at the same graduated individual or corporate rates applicable to U.S. persons. If you are a corporation, effectively connected income may also be subject to a "branch profits tax" at a rate of 30% (or such lower rate as may be specified by an applicable income tax treaty).

        A Non-U.S. Holder that is eligible for a reduced rate of U.S. federal withholding tax under an income tax treaty may obtain a refund or credit of any excess amounts withheld by timely filing an appropriate claim for a refund together with the required information with the IRS.

Sale or Other Disposition of Our Common Stock

        Subject to the discussions of backup withholding and FATCA below, you generally will not be subject to U.S. federal income tax on any gain realized upon the sale or other disposition of your shares of our common stock unless:

    the gain is effectively connected with your conduct of a trade or business within the United States (and, under certain income tax treaties, is attributable to a U.S. permanent establishment or a fixed U.S. base maintained by you);

    you are an individual, you are present in the United States for a period or periods aggregating 183 days or more in the taxable year of disposition and you meet other conditions; or

    we are or have been a "United States real property holding corporation" for U.S. federal income tax purposes (which we believe we are not and have not been and do not anticipate we will become) and you hold or have held, directly or indirectly, more than five percent of our

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      common stock at any time within the five-year period ending on the date of disposition of our common stock.

        If you are described in the first bullet point above, you will be subject to U.S. federal income tax on the gain from the sale, net of certain deductions, at the same rates applicable to U.S. persons and, if you are a corporation, the 30% branch profits tax also may apply to such effectively connected gain. If you are described in the second bullet point above, you generally will be subject to U.S. federal income tax at a rate of 30% on the gain realized, although the gain may be offset by certain U.S. source capital losses realized during the same taxable year. Non-U.S. Holders should consult any applicable income tax or other treaties that may provide for different rules.

Information Reporting and Backup Withholding Requirements

        We must report annually to the IRS the amount of any dividends or other distributions we pay to you and the amount of tax we withhold on these distributions regardless of whether withholding is required. A similar report will be sent to you. The IRS may make available copies of the information returns reporting those distributions and amounts withheld to the tax authorities in the country in which you reside pursuant to the provisions of an applicable income tax treaty or exchange of information treaty.

        The United States imposes a backup withholding tax at a rate of 28% on any dividends and certain other types of payments to U.S. persons. You will not be subject to backup withholding tax on dividends you receive on your shares of our common stock if you provide proper certification of your status as a Non-U.S. Holder or you are one of several types of entities and organizations that qualify for an exemption (an "exempt recipient") and neither we nor the payor has actual knowledge (or reason to know) that you are a U.S. holder that is not an exempt recipient.

        Information reporting and backup withholding generally are not required with respect to the amount of any proceeds from the sale of your shares of our common stock outside the United States through a foreign office of a foreign broker that does not have certain specified connections to the United States. If you sell your shares of our common stock through a U.S. broker or the U.S. office of a foreign broker, however, the broker will be required to report to the IRS the amount of proceeds paid to you and also backup withhold on that amount, unless you provide appropriate certification to the broker of your status as a Non-U.S. Holder or you are an exempt recipient. Information reporting will also apply if you sell your shares of our common stock through a foreign broker deriving more than a specified percentage of its income from U.S. sources or having certain other connections to the United States, unless such broker has documentary evidence in its records that you are a Non-U.S. Holder and certain other conditions are met, or you are an exempt recipient.

        Backup withholding is not an additional tax. Any amounts withheld under the backup withholding rules from a payment to you with respect to your shares of our common stock will be refunded to you if withholding results in an overpayment of taxes or credited against your U.S. federal income tax liability, if any, by the IRS if you furnish the required information to the IRS in a timely manner.

FATCA

        Sections 1471 through 1474 of the Code (provisions commonly known as "FATCA") may impose a withholding tax of 30% on dividends and the gross proceeds of a disposition of our shares paid to a foreign financial institution unless such institution enters into an agreement with the U.S. government to withhold on certain payments and collect and provide to the U.S. tax authorities substantial information regarding U.S. account holders of such institution (which would include certain account holders that are foreign entities with U.S. owners) and meets certain other requirements. This legislation may also impose a withholding tax of 30% on dividends and the gross proceeds of a disposition of our shares paid (directly or indirectly) to a non-financial foreign entity that is the

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beneficial owner of the payment unless such entity certifies that it does not have any substantial U.S. owners or provides the name, address and taxpayer identification number of each substantial U.S. owner and such entity meets certain other requirements. Under certain circumstances, a Non-U.S. Holder of our common stock may be eligible for a refund or credit of such taxes. Any withholding obligations under FATCA became effective July 1, 2014 with respect to dividends and are expected to become effective on or after January 1, 2017 with respect to gross proceeds. Congress has delegated broad authority to the U.S. Treasury Department to promulgate regulations to implement FATCA. We cannot predict whether or how any such regulations will affect you. You should consult your own tax advisor as to the possible implications of this legislation on your investment in shares of our common stock.

U.S. Federal Estate Tax

        Shares of our common stock owned or treated as owned by an individual who is not a citizen or resident (as defined for U.S. federal estate tax purposes) of the United States at the time of his or her death will be included in the individual's gross estate for U.S. federal estate tax purposes and therefore may be subject to U.S. federal estate tax unless an applicable tax treaty provides otherwise.

         The preceding discussion of U.S. federal income and estate tax considerations is for general information only. It is not tax advice. Each prospective investor should consult his or her own tax advisor regarding the particular U.S. federal, state, local and non-U.S. tax consequences of purchasing, holding and disposing of our common stock, including the consequences of any proposed change in applicable laws.

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UNDERWRITING (CONFLICTS OF INTEREST)

        Under the terms and subject to the conditions contained in an underwriting agreement dated                    , 2014, we and the selling shareholders have agreed to sell to the underwriters named below, for whom Credit Suisse Securities (USA) LLC and Morgan Stanley & Co. LLC are acting as representatives (the "representatives"), the following respective numbers of shares of common stock:

Underwriter
  Number
of Shares

Credit Suisse Securities (USA) LLC

   

Morgan Stanley & Co. LLC

   

J.P. Morgan Securities LLC

   

Wells Fargo Securities, LLC

   

William Blair & Company, L.L.C. 

   

Leerink Partners LLC

   
     

Total

   
     
     

        The underwriting agreement provides that the underwriters are obligated to purchase all the shares of common stock in the offering if any are purchased, other than those shares covered by the over-allotment option described below. The underwriting agreement also provides that, if an underwriter defaults, the purchase commitments of non-defaulting underwriters may be increased or the offering may be terminated.

        We and the selling shareholders have granted to the underwriters a 30-day option to purchase on a pro rata basis up to          additional shares from us and up to           additional outstanding shares from the selling shareholders, in each case at the initial public offering price less the underwriting discounts and commissions. The option may be exercised only to cover any over-allotments of common stock.

        The underwriters propose to offer the shares of common stock initially at the public offering price on the cover page of this prospectus and to selling group members at that price less a selling concession of $        per share. After the initial public offering, the representatives may change the public offering price and concession.

        The following table summarizes the compensation and estimated expenses we and the selling shareholders will pay:

 
  Per Share   Total  
 
  Without
Over-
allotment
  With
Over-
allotment
  Without
Over-
allotment
  With
Over-
allotment
 

Underwriting Discounts and Commissions paid by us

  $              $              $              $             

Expenses payable by us(1)

  $              $              $              $             

Underwriting Discounts and Commissions paid by the selling shareholders

  $              $              $              $             

Expenses payable by the selling shareholders

  $              $              $              $             

(1)
We have agreed to reimburse the underwriters for the reasonable fees and expenses up to $25,000 of counsel for the underwriters related to the review by the Financial Industry Regulatory Authority, Inc. of the offering.

        The representatives have informed us that they do not expect sales to accounts over which the underwriters have discretionary authority to exceed 5% of the shares of common stock being offered.

        We have agreed that we will not offer, sell, issue, contract to sell, issue, pledge or otherwise dispose of, directly or indirectly, or file with the Securities and Exchange Commission a registration

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statement under the Securities Act relating to, any shares of our common stock or securities convertible into or exchangeable or exercisable for any shares of our common stock, or publicly disclose the intention to make any offer, sale, pledge, disposition or filing, without the prior written consent of the representatives for a period of 180 days after the date of this prospectus, subject to certain exceptions. However, in the event that either (1) during the last 17 days of the "lock-up" period, we release earnings results or material news or a material event relating to us occurs or (2) prior to the expiration of the "lock-up" period, we announce that we will release earnings results during the 16-day period beginning on the last day of the "lock-up" period, then in either case the expiration of the "lock-up" will be extended until the expiration of the 18-day period beginning on the date of the release of the earnings results or the occurrence of the material news or event, as applicable, unless the representatives waive, in writing, such an extension.

        Our officers and directors (including the selling shareholders, but excluding shares to be sold in this offering by such selling shareholders) and certain of our other shareholders, collectively representing in the aggregate      % of our common stock on a fully diluted basis, have agreed, subject to specified exceptions, that they will not offer, sell, contract to sell, pledge or otherwise dispose of, directly or indirectly, any shares of our common stock or securities convertible into or exchangeable or exercisable for any shares of our common stock, enter into a transaction that would have the same effect, or enter into any swap, hedge or other arrangement that transfers, in whole or in part, any of the economic consequences of ownership of our common stock, whether any of these transactions are to be settled by delivery of our common stock or other securities, in cash or otherwise, or publicly disclose the intention to make any offer, sale, pledge or disposition, or to enter into any transaction, swap, hedge or other arrangement, without, in each case, the prior written consent of the representatives for a period of 180 days after the date of this prospectus. However, in the event that either (1) during the last 17 days of the "lock-up" period, we release earnings results or material news or a material event relating to us occurs or (2) prior to the expiration of the "lock-up" period, we announce that we will release earnings results during the 16-day period beginning on the last day of the "lock-up" period, then in either case the expiration of the "lock-up" will be extended until the expiration of the 18-day period beginning on the date of the release of the earnings results or the occurrence of the material news or event, as applicable, unless the representatives waive, in writing, such an extension. The representatives may, in their discretion, release any of the securities subject to the lock-up agreements at any time.

        The underwriters have reserved for sale at the initial public offering price up to          shares of the common stock for employees, directors and other persons associated with us who have expressed an interest in purchasing common stock in the offering. If purchased by these persons, these shares will be subject to a 180-day lock-up restriction. The number of shares available for sale to the general public in the offering will be reduced to the extent these persons purchase the reserved shares. Any reserved shares not so purchased will be offered by the underwriters to the general public on the same terms as the other shares.

        We and the selling shareholders have agreed to indemnify the underwriters against liabilities under the Securities Act, or contribute to payments that the underwriters may be required to make in that respect.

        We intend to apply to list our shares of common stock on the New York Stock Exchange, under the symbol "DPLO".

        Prior to this offering, there has been no public market for our common stock. The initial public offering price was determined by negotiations among us, the selling shareholders and the representatives and will not necessarily reflect the market price of the common stock following this offering. The principal factors that will be considered in determining the initial public offering price will include:

    the information presented in this prospectus and otherwise available to the underwriters;

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    the history of, and prospects for, the industry in which we will compete;

    the ability of our management;

    the prospects for our future earnings;

    the present state of our development, results of operations and our current financial condition;

    the general condition of the securities markets at the time of this offering; and

    the recent market prices of, and the demand for, publicly traded common stock of generally comparable companies.

        We cannot assure you that the initial public offering price will correspond to the price at which the common stock will trade in the public market subsequent to this offering.

        The underwriters and their respective affiliates are full-service financial institutions engaged in various activities, which may include securities trading, commercial and investment banking, financial advisory, investment management, investment research, principal investment, hedging, financing and brokerage activities. Certain of the underwriters and their respective affiliates have, from time to time, performed, and may in the future perform, various financial advisory and investment banking services for us, for which they received or will receive customary fees and expenses. An affiliate of J.P. Morgan Securities LLC and an affiliate of Wells Fargo Securities, LLC are lenders under our line of credit (see "—Conflicts of Interest").

        In addition, in the ordinary course of their business activities, the underwriters and their affiliates may make or hold a broad array of investments and actively trade debt and equity securities (or related derivative securities) and financial instruments (including bank loans) for their own account and for the accounts of their customers. These investments and securities activities may involve securities and/or instruments of ours or our affiliates. The underwriters and their affiliates may also make investment recommendations and/or publish or express independent research views in respect of such securities or financial instruments and may hold, or recommend to clients that they acquire, long and/or short positions in such securities and instruments.

        In connection with the offering the underwriters may engage in stabilizing transactions, over-allotment transactions, syndicate covering transactions and penalty bids in accordance with Regulation M under the Exchange Act.

    Stabilizing transactions permit bids to purchase the underlying security so long as the stabilizing bids do not exceed a specified maximum.

    Over-allotment involves sales by the underwriters of shares in excess of the number of shares the underwriters are obligated to purchase, which creates a syndicate short position. The short position may be either a covered short position or a naked short position. In a covered short position, the number of shares over-allotted by the underwriters is not greater than the number of shares that they may purchase in the over-allotment option. In a naked short position, the number of shares involved is greater than the number of shares in the over-allotment option. The underwriters may close out any covered short position by either exercising their over-allotment option and/or purchasing shares in the open market.

    Syndicate covering transactions involve purchases of the common stock in the open market after the distribution has been completed in order to cover syndicate short positions. In determining the source of shares to close out the short position, the underwriters will consider, among other things, the price of shares available for purchase in the open market as compared to the price at which they may purchase shares through the over-allotment option. If the underwriters sell more shares than could be covered by the over-allotment option, a naked short position, the position can only be closed out by buying shares in the open market. A naked short position is more likely to be created if the underwriters are concerned that there could be downward pressure on

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      the price of the shares in the open market after pricing that could adversely affect investors who purchase in this offering.

    Penalty bids permit the representatives to reclaim a selling concession from a syndicate member when the common stock originally sold by the syndicate member is purchased in a stabilizing or syndicate covering transaction to cover syndicate short positions.

These stabilizing transactions, syndicate covering transactions and penalty bids may have the effect of raising or maintaining the market price of our common stock or preventing or retarding a decline in the market price of the common stock. As a result the price of our common stock may be higher than the price that might otherwise exist in the open market. These transactions may be effected on the New York Stock Exchange or otherwise and, if commenced, may be discontinued at any time.

        A prospectus in electronic format may be made available on the web sites maintained by one or more of the underwriters, or selling group members, if any, participating in this offering, and one or more of the underwriters participating in this offering may distribute prospectuses electronically. The representatives may agree to allocate a number of shares to underwriters and selling group members for sale to their online brokerage account holders. Internet distributions will be allocated by the underwriters and selling group members that will make internet distributions on the same basis as other allocations.

Conflicts of Interest

        Affiliates of J.P. Morgan Securities LLC and Wells Fargo Securities, LLC, two of the underwriters in this offering, are lenders under our line of credit that will be repaid with net proceeds of this offering. See "Use of Proceeds". As a result of the repayment of our line of credit, affiliates of J.P. Morgan Securities LLC and Wells Fargo Securities, LLC, in each case may receive at least 5% of the net proceeds of this offering depending on the borrowings then-outstanding under our line of credit (based on the outstanding borrowings under our line of credit as of August 14, 2014, affiliates of J.P. Morgan Securities LLC and Wells Fargo Securities, LLC would have each received more than 5% of the net proceeds of this offering). As a result of this repayment, a "conflict of interest" may be deemed to exist under FINRA Rule 5121(f)(5)(C)(i), and this offering will be made in compliance with the applicable provisions of FINRA Rule 5121. To comply with Rule 5121, each of J.P. Morgan Securities LLC and Wells Fargo Securities, LLC will not confirm any sales to any account over which it exercises discretionary authority without the specific written approval of the transaction from the account holder.

European Economic Area

        In relation to each Member State of the European Economic Area which has implemented the Prospectus Directive (each, a "Relevant Member State"), with effect from and including the date on which the Prospectus Directive is implemented in that Relevant Member State (the "Relevant Implementation Date"), our common shares will not be offered to the public in that Relevant Member State prior to the publication of a prospectus in relation to the common shares that has been approved by the competent authority in that Relevant Member State or, where appropriate, approved in another Relevant Member State and notified to the competent authority in that Relevant Member State, all in accordance with the Prospectus Directive, except that, with effect from and including the Relevant Implementation Date, an offer of common shares may be made to the public in that Relevant Member State at any time:

    to any legal entity that is a qualified investor as defined in the Prospectus Directive;

    to fewer than 100 or, if the Relevant Member State has implemented the relevant provision of the 2010 PD Amending Directive, 150, natural or legal persons (other than qualified investors as defined in the Prospectus Directive), as permitted under the Prospectus Directive, subject to obtaining the prior consent of the manager for any such offer; or

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    in any other circumstances which do not require the publication by the issuer of a prospectus pursuant to Article 3(2) of the Prospectus Directive.

        For the purposes of this provision, the expression an "offer of common shares to the public" in relation to any shares in any Relevant Member State means the communication in any form and by any means of sufficient information on the terms of the offer and the common shares to be offered so as to enable an investor to decide to purchase or subscribe to the common shares, as the same may be varied in that Relevant Member State by any measure implementing the Prospectus Directive in that Relevant Member State. The expression "Prospectus Directive" means Directive 2003/71/EC (and amendments thereto, including the 2010 PD Amending Directive, to the extent implemented in the Relevant Member State) and includes any relevant implementing measure in each Relevant Member State, and the expression "2010 PD Amending Directive" means Directive 2010/73/EU.

United Kingdom

        Our common stock may not be offered or sold and will not be offered or sold to any persons in the United Kingdom other than persons whose ordinary activities involve them in acquiring, holding, managing or disposing of investments (as principal or as agent) for the purposes of their businesses and in compliance with all applicable provisions of the Financial Services and Markets Act 2000 ("FSMA") with respect to anything done in relation to our common stock in, from or otherwise involving the United Kingdom.

        In addition, each underwriter:

    has only communicated or caused to be communicated and will only communicate or cause to be communicated an invitation or inducement to engage in investment activity (within the meaning of section 21 of FSMA) to persons who have professional experience in matters relating to investments falling within Article 19(5) of the Financial Services and Markets Act of 2000 (Financial Promotion) Order 2005 or in circumstances in which section 21 of FSMA does not apply to us; and

    has complied with, and will comply with all applicable provisions of FSMA with respect to anything done by it in relation to the common stock in, from or otherwise involving the United Kingdom.

Hong Kong

        The shares of common stock may not be offered or sold by means of any document other than (i) in circumstances which do not constitute an offer to the public within the meaning of the Companies Ordinance (Cap.32, Laws of Hong Kong), or (ii) to "professional investors" within the meaning of the Securities and Futures Ordinance (Cap.571, Laws of Hong Kong) and any rules made thereunder, or (iii) in other circumstances which do not result in the document being a "prospectus" within the meaning of the Companies Ordinance (Cap.32, Laws of Hong Kong), and no advertisement, invitation or document relating to the shares of common stock may be issued or may be in the possession of any person for the purpose of issue (in each case whether in Hong Kong or elsewhere), which is directed at, or the contents of which are likely to be accessed or read by, the public in Hong Kong (except if permitted to do so under the laws of Hong Kong) other than with respect to shares of common stock which are or are intended to be disposed of only to persons outside Hong Kong or only to "professional investors" within the meaning of the Securities and Futures Ordinance (Cap. 571, Laws of Hong Kong) and any rules made thereunder.

Singapore

        This prospectus has not been registered as a prospectus with the Monetary Authority of Singapore. Accordingly, this prospectus supplement, the accompanying prospectus and any other document or material in connection with the offer or sale, or invitation for subscription or purchase, of the shares of

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common stock may not be circulated or distributed, nor may the shares of common stock be offered or sold, or be made the subject of an invitation for subscription or purchase, whether directly or indirectly, to persons in Singapore other than (i) to an institutional investor under Section 274 of the Securities and Futures Act, Chapter 289 of Singapore (the "SFA"), (ii) to a relevant person, or any person pursuant to Section 275(1A), and in accordance with the conditions, specified in Section 275 of the SFA or (iii) otherwise pursuant to, and in accordance with the conditions of, any other applicable provision of the SFA.

        Where the shares of common stock are subscribed or purchased under Section 275 by a relevant person which is: (i) a corporation (which is not an accredited investor) the sole business of which is to hold investments and the entire share capital of which is owned by one or more individuals, each of whom is an accredited investor; or (ii) a trust (where the trustee is not an accredited investor) whose sole purpose is to hold investments and each beneficiary is an accredited investor, shares, debentures and units of shares and debentures of that corporation or the beneficiaries' rights and interest in that trust shall not be transferable for six months after that corporation or that trust has acquired the shares under Section 275 except: (a) to an institutional investor under Section 274 of the SFA or to a relevant person, or any person pursuant to Section 275(1A), and in accordance with the conditions, specified in Section 275 of the SFA; (b) where no consideration is given for the transfer; or (c) by operation of law.


LEGAL MATTERS

        The validity of the issuance of the shares of common stock offered hereby and certain legal matters in connection with this offering will be passed upon for Diplomat Pharmacy, Inc. by Honigman Miller Schwartz and Cohn LLP, Detroit, Michigan. The underwriters have been represented by Cravath, Swaine & Moore LLP, New York, New York, in connection with this offering.


EXPERTS

        The consolidated financial statements of Diplomat Pharmacy, Inc. as of December 31, 2013 and 2012 and for each of the three years in the period ended December 31, 2013 included in this prospectus have been so included in reliance on the report of BDO USA, LLP, an independent registered public accounting firm, given on the authority of said firm as experts in auditing and accounting.

        The consolidated financial statements of American Homecare Federation, Inc. as of September 30, 2013 and for the nine months ended September 30, 2013 included in this prospectus have been so included in reliance on the reports of Plante Moran PLLC, an independent certified public accounting firm, given on the authority of said firm as experts in auditing and accounting.

        The consolidated financial statements of MedPro Rx, Inc. as of December 31, 2013 and 2012 and for each of the three years in the period ended December 31, 2013, included in this prospectus have been so included in reliance on the report of BDO USA, LLP, an independent registered public accounting firm, given on the authority of said firm as experts in auditing and accounting.

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WHERE YOU CAN FIND MORE INFORMATION

        We have filed with the SEC a registration statement, of which this prospectus is a part of, on Form S-1 under the Securities Act with respect to the shares of common stock offered hereby. This prospectus does not contain all of the information set forth in the registration statement and the exhibits, amendments and schedules thereto. Statements contained in this prospectus relating to the contents of any contract, agreement or other document are not necessarily complete, and, in each instance, we encourage you to read in its entirety the copy of the contract, agreement or other document filed as an exhibit to the registration statement. Whenever this prospectus refers to any contract, agreement or other document, you should refer to the exhibits that are a part of the registration statement for a copy of the contract, agreement or document. A copy of the registration statement, including the exhibits thereto, may be read and copied at the SEC's Public Reference Room at 100 F Street, N.E., Washington, D.C. 20549. Information on the operation of the Public Reference Room may be obtained by calling the SEC at 1-800-SEC-0330. In addition, the SEC maintains an Internet website that contains reports, proxy statements and other information about issuers, like us, that file electronically with the SEC; you may inspect these reports and other information without charge on that Internet website. The address of that site is www.sec.gov.

        As a result of this offering, we will become subject to the informational requirements of the Exchange Act. We will fulfill our obligations with respect to such requirements by filing periodic reports and other information with the SEC. We intend to furnish our shareholders with annual reports containing consolidated financial statements certified by an independent public accounting firm.

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INDEX TO THE CONSOLIDATED FINANCIAL STATEMENTS

 
  Page  

Financial Statements of Diplomat Pharmacy, Inc.

       

Audited Financial Statements:

       

Report of Independent Registered Public Accounting Firm

    F-2  

Consolidated Balance Sheets as of December 31, 2013 and 2012

    F-3  

Consolidated Statements of Operations for the years ended December 31, 2013, 2012 and 2011

    F-4  

Consolidated Statements of Cash Flows for the years ended December 31, 2013, 2012, and 2011

    F-5  

Consolidated Statements of Shareholders' (Deficit) Equity for the years ended December 31, 2013, 2012 and 2011

    F-6  

Notes to Consolidated Financial Statements

    F-7  

Unaudited Financial Statements:

   
 
 

Condensed Consolidated Balance Sheets as of June 30, 2014 and December 31, 2013

    F-26  

Condensed Consolidated Statements of Operations for the six months ended June 30, 2014 and 2013

    F-27  

Condensed Consolidated Statements of Cash Flows for the six months ended June 30, 2014 and 2013

    F-28  

Condensed Consolidated Statements of Shareholders' Deficit for the six months ended June 30, 2014

    F-29  

Notes to Condensed Consolidated Financial Statements

    F-30  

Financial Statements of American Homecare Federation, Inc.

   
 
 

Audited Financial Statements:

       

Independent Auditor's Report

    F-49  

Consolidated Balance Sheet as of September 30, 2013

    F-50  

Consolidated Statement of Operations and Comprehensive Income for the nine months ended September 30, 2013

    F-51  

Consolidated Statement of Changes in Stockholders' Equity for the nine months ended September 30, 2013

    F-52  

Consolidated Statement of Cash Flows for the nine months ended September 30, 2013

    F-53  

Notes to Consolidated Financial Statements

    F-54  

Financial Statements of MedPro Rx, Inc.

   
 
 

Audited Financial Statements:

       

Independent Auditor's Report

    F-61  

Consolidated Balance Sheets as of December 31, 2013 and 2012

    F-62  

Consolidated Statements of Income for the years ended December 31, 2013, 2012 and 2011

    F-63  

Consolidated Statements of Changes in Stockholders' Equity for the years ended December 31, 2013, 2012 and 2011

    F-64  

Consolidated Statements of Cash Flows for the years ended December 31, 2013, 2012 and 2011

    F-65  

Notes to Consolidated Financial Statements

    F-66  

Unaudited Financial Statements:

   
 
 

Consolidated Balance Sheets as of March 31, 2014 and December 31, 2013

    F-72  

Consolidated Statements of Income for the three months ended March 31, 2014 and 2013

    F-73  

Consolidated Statement of Changes in Stockholders' Equity for the three months ended March 31, 2014

    F-74  

Consolidated Statements of Cash Flows for the three months ended March 31, 2014 and 2013

    F-75  

Notes to Consolidated Financial Statements

    F-76  

Unaudited Pro Forma Combined Financial Information of Diplomat Pharmacy, Inc.

   
 
 

Pro forma Combined Consolidated Balance Sheet as of June 30, 2014

    F-83  

Pro forma Combined Consolidated Statement of Operations for the six months ended June 30, 2014

    F-84  

Pro forma Combined Consolidated Statement of Operations for the year ended December 31, 2013

    F-85  

Notes to Pro forma Combined Consolidated Financial Information

    F-86  

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REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

Board of Directors and Shareholders
Diplomat Pharmacy, Inc.
Flint, Michigan

        We have audited the accompanying consolidated balance sheets of Diplomat Pharmacy, Inc. as of December 31, 2013 and 2012 and the related consolidated statements of operations, shareholders' (deficit) equity, and cash flows for each of the three years in the period ended December 31, 2013. These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements based on our audits.

        We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. Our audits included consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company's internal control over financial reporting. Accordingly, we express no such opinion. An audit also includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

        In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of Diplomat Pharmacy, Inc. at December 31, 2013 and 2012, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 2013, in conformity with accounting principles generally accepted in the United States of America.

/s/ BDO USA, LLP

Troy, Michigan
June 27, 2014

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DIPLOMAT PHARMACY, INC.

Consolidated Balance Sheets

 
  December 31,  
 
  2013   2012  
 
  (Dollars in Thousands,
Except Par Values)

 

ASSETS

             

Current assets:

             

Cash and cash equivalents

  $ 9,109   $  

Accounts receivable, net

    104,047     71,634  

Other receivables

    6,247     4,057  

Inventories

    56,454     41,206  

Prepaid expenses and other current assets

    1,924     2,485  
           

Total current assets

    177,781     119,382  

Property and equipment, net

   
12,378
   
12,634
 

Capitalized software for internal use, net

    6,564     4,605  

Goodwill

    1,537      

Definite-lived intangible assets, net

    7,100      

Investment in non-consolidated entity

    5,577     2,133  

Other noncurrent assets

    840     841  
           

  $ 211,777   $ 139,595  
           
           

LIABILITIES AND SHAREHOLDERS' DEFICIT

             

Current liabilities:

             

Accounts payable

  $ 142,353   $ 104,567  

Line of credit

    62,622     27,020  

Short-term debt, including current portion of long-term debt

    6,693     4,126  

Accrued compensation

    2,703     2,197  

Other accrued expenses

    2,296     2,269  
           

Total current liabilities

    216,667     140,179  

Long-term debt, less current portion

   
18,849
   
31,956
 

Other noncurrent liabilities

    673      

Commitments and contingencies

   
 
   
 
 

Shareholders' deficit:

   
 
   
 
 

Common stock:

             

Class A Voting Common Stock ($1.00 par value; 5,000 authorized shares; 195 issued and outstanding shares at both December 31, 2013 and 2012)

         

Class B Nonvoting Common Stock ($1.00 par value; 95,000 authorized shares; 4,080 issued and outstanding shares at both December 31, 2013 and 2012)

    4     4  

Additional paid-in capital

    4,446     3,560  

Accumulated deficit

    (28,862 )   (36,104 )
           

Total shareholders' deficit

    (24,412 )   (32,540 )
           

  $ 211,777   $ 139,595  
           
           

   

See accompanying notes to consolidated financial statements.

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DIPLOMAT PHARMACY, INC.

Consolidated Statements of Operations

 
  Year Ended December 31,  
 
  2013   2012   2011  
 
  (Dollars in Thousands,
Except Per Share Amounts)

 

Net sales

  $ 1,515,139   $ 1,126,943   $ 771,962  

Cost of goods sold

    (1,426,112 )   (1,057,608 )   (715,448 )
               

Gross profit

    89,027     69,335     56,514  

Selling, general and administrative expenses

   
(77,944

)
 
(64,392

)
 
(47,434

)
               

Income from operations

    11,083     4,943     9,080  

Interest expense

   
(1,996

)
 
(1,086

)
 
(598

)

Equity loss of non-consolidated entity

    (1,055 )   (267 )   (95 )

Other income

    196     337     764  
               

Net income / net comprehensive income

  $ 8,228   $ 3,927   $ 9,151  
               
               

Net Income Per Common Share:

                   

Basic

  $ 1,924.70   $ 878.35   $ 1,759.77  
               
               

Diluted

  $ 1,885.45   $ 853.50   $ 1,723.13  
               
               

Weighted Average Shares Outstanding:

                   

Basic

    4,275     4,471     5,200  

Diluted

    4,364     4,602     5,311  

Pro Forma Data (Unaudited) (Note 14):

   
 
   
 
   
 
 

Income before income taxes

  $ 8,228   $ 3,927   $ 9,151  

Income tax provision

    (2,911 )   (1,558 )   (3,307 )
               

Net income / net comprehensive income

  $ 5,317   $ 2,369   $ 5,844  
               
               

Pro Forma Net Income Per Common Share (Unaudited):

                   

Basic

  $ 1,243.68   $ 529.99   $ 1,123.87  
               
               

Diluted

  $ 1,218.32   $ 515.00   $ 1,100.42  
               
               

   

See accompanying notes to consolidated financial statements.

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DIPLOMAT PHARMACY, INC.

Consolidated Statements of Cash Flows

 
  Year Ended December 31,  
 
  2013   2012   2011  
 
  (Dollars in Thousands)
 

Cash Flows From Operating Activities

                   

Net income

  $ 8,228   $ 3,927   $ 9,151  

Adjustments to reconcile net income to net cash provided by operating activities:

                   

Depreciation and amortization

    3,934     3,842     3,079  

Equity loss of non-consolidated entity

    1,055     267     95  

Asset impairment

    932          

Share-based compensation expense

    886     915     1,410  

Net provision for doubtful accounts

    873     605     1,162  

Amortization of debt issuance costs

    204     85      

Loss on disposal of property and equipment

    13     29     230  

Certain expenses paid with notes

        480      

Changes in operating assets and liabilities, net of acquired business:

                   

Accounts receivable

    (29,774 )   (23,833 )   (13,437 )

Inventories

    (14,109 )   (13,995 )   (1,402 )

Accounts payable

    36,138     31,854     12,504  

Other assets and liabilities

    (2,153 )   830     (253 )
               

Net cash provided by operating activities

    6,227     5,006     12,539  

Cash Flows From Investing Activities

   
 
   
 
   
 
 

Payment to acquire business, net of cash acquired

    (10,232 )        

Expenditures for capitalized software for internal use

    (4,679 )   (1,105 )   (1,294 )

Expenditures for property and equipment

    (852 )   (3,214 )   (4,443 )

Capital investment in and loans to non-consolidated entity

    (4,500 )   (1,500 )   (994 )

Net (issuance) repayment of related party notes receivable

    (69 )   829     (188 )

Net proceeds from sale of property and equipment

    40     141     172  
               

Net cash used in investing activities

    (20,292 )   (4,849 )   (6,747 )

Cash Flows From Financing Activities

   
 
   
 
   
 
 

Net proceeds from (payments on) line of credit

    35,602     23,390     (6,500 )

Payments on long term debt

    (10,540 )   (7,893 )   (726 )

Proceeds from long term debt

            474  

Debt issuance and finance activity costs

    (204 )   (892 )    

Shareholder distributions

    (1,684 )   (10,868 )   (1,109 )

Payments associated with stock and stock option redemptions

        (3,894 )    
               

Net cash provided by (used in) financing activities

    23,174     (157 )   (7,861 )

Increase (decrease) in cash and cash equivalents

   
9,109
   
   
(2,069

)

Cash and cash equivalents at beginning of year

   
   
   
2,069
 
               

Cash and cash equivalents at end of year

  $ 9,109   $   $  
               
               

Supplemental Cash Flow Information

                   

Cash interest paid

  $ 1,793   $ 1,041   $ 596  

Issuance of notes payable associated with stock and stock option redemptions

        28,249      

Distributions declared, not yet paid

        6,413      

Forgiveness of note receivable

        196      

   

See accompanying notes to consolidated financial statements.

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DIPLOMAT PHARMACY, INC.

Consolidated Statements of Shareholders' (Deficit) Equity

 
  Common Stock    
   
   
 
 
  Class A
Voting
  Class B
Nonvoting
  Additional
Paid-in
Capital
  Accumulated
Deficit
  Total  
 
  (Dollars in Thousands)
 

Balance at January 1, 2011

  $   $ 5   $ 2,388   $ (87 ) $ 2,306  

Net income / net comprehensive income

   
   
   
   
9,151
   
9,151
 

Share-based compensation expense

            1,410         1,410  

Shareholder distributions

                (1,109 )   (1,109 )
                       

Balance at December 31, 2011

        5     3,798     7,955     11,758  

Net income / net comprehensive income

   
   
   
   
3,927
   
3,927
 

Stock redemptions

          (1 )   (640 )   (28,752 )   (29,393 )

Share-based compensation expense

            915         915  

Redemption of certain stock options

            (513 )   (1,953 )   (2,466 )

Shareholder distributions

                (17,281 )   (17,281 )
                       

Balance at December 31, 2012

        4     3,560     (36,104 )   (32,540 )

Net income / net comprehensive income

   
   
   
   
8,228
   
8,228
 

Share-based compensation expense

            886         886  

Shareholder distributions

                (986 )   (986 )
                       

Balance at December 31, 2013

  $   $ 4   $ 4,446   $ (28,862 ) $ (24,412 )
                       
                       

   

See accompanying notes to consolidated financial statements.

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements

(Dollars in Thousands, Except Per Share Amounts)

1. BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

        Business Activity:     Diplomat Pharmacy, Inc. d/b/a Diplomat Specialty Pharmacy (the "Company") is a specialty pharmacy sales business and includes all of its wholly owned subsidiaries including American Homecare Federation, Inc. ("AHF") that was acquired in December 2013. The Company stocks, dispenses and distributes prescriptions for various biotech and specialty pharmaceuticals and operates as one reportable segment. The Company has its corporate headquarters and main distribution facility in Flint, Michigan and maintains seven other pharmacy locations in Michigan, Illinois, Florida, California, Connecticut and Massachusetts.

        Financial Statement Presentation:     The audited consolidated financial statements of the "Company have been prepared in accordance with accounting principles generally accepted in the United States of America ("U.S. GAAP").

        Principles of Consolidation:     The consolidated financial statements include the accounts of the Diplomat Pharmacy, Inc. and all of its wholly-owned subsidiaries. The Company also owns a 25% interest in a non-consolidated entity which is accounted for under the equity method of accounting. All intercompany transactions and accounts have been eliminated in consolidation.

        Use of Estimates:     The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the amounts reported therein. Due to the inherent uncertainty involved in making estimates, actual results reported in future periods may be based upon amounts that differ from these estimates.

        Concentrations of Risk:     Financial instruments which potentially subject the Company to concentrations of credit risk consist principally of cash on deposit with banks or other financial institutions and trade accounts receivable.

        A federal program provides non-interest bearing cash balances insurance coverage up to $250 per depositor at each financial institution. The Company's cash balances may exceed federally insured limits.

        Concentration of credit risk with respect to trade receivables is limited by the large number of patients comprising the Company's customer base and their dispersion across multiple payors and multiple geographic areas. As of December 31, 2013 and 2012, the Company had no significant trade receivable concentrations of credit risk.

        Cash Equivalents:     The Company considers all highly liquid investments with maturities of 90 days or less from the date of purchase to be cash equivalents.

        Accounts Receivable and Allowance for Doubtful Accounts:     Accounts receivable primarily include amounts from third-party pharmacy benefit managers and insurance providers and are based on contracted prices. Trade receivables require no collateral and are on an unsecured basis. Accounts receivable terms vary by payor, but generally are due within 30 days after the sale of the product or performance of the service.

        The Company maintains an allowance for doubtful accounts that reduces receivables to amounts that are expected to be collected. In estimating the allowance, management considers factors such as current overall economic conditions, historical and anticipated customer performance, historical

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

1. BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

experience with write-offs, and the level of past due accounts. Changes in these conditions may result in additional allowances. Once an amount is deemed to be uncollectible, the amount is written off against the allowance.

        The following is a rollforward of the Company's allowance for doubtful accounts for the three years ended December 31, 2013:

Balance at January 1, 2011

  $ (547 )

Provisions

    (1,162 )

Write-offs, net of settlements

    1,034  
       

Balance at December 31, 2011

    (675 )

Provisions

    (605 )

Write-offs, net of settlements

    529  
       

Balance at December 31, 2012

    (751 )

Provisions

    (873 )

Write-offs, net of settlements

    775  
       

Balance at December 31, 2013

  $ (849 )
       
       

        Inventories:     Inventories are stated at the lower of cost or market and consist primarily of prescription medications, over-the-counter ("OTC") medications and medical supplies. Cost is determined using the first-in, first-out method and are adjusted to actual cost quarterly based on a physical count. Inventory is returnable and fully refundable before six months of expiration, and any remaining expired medication is relieved from inventory quarterly. The Company records an estimated reserve for service fees and other deductions from the refund expected for returns of expired medication.

        Property and Equipment:     Property and equipment are valued at cost less accumulated depreciation. Expenditures for maintenance and repairs are expensed as incurred, while expenditures that increase asset lives are capitalized. Depreciation is computed generally on a straight-line basis over the estimated useful lives of the assets. For income tax purposes, accelerated methods of depreciation are generally used.

        When items of property or equipment are sold or retired, the related cost and accumulated depreciation are removed from the accounts, and any gain or loss is included in earnings.

        Construction in progress is stated at cost, which includes the cost of construction and other direct costs attributable to the construction. No provision for depreciation is made on construction in progress until such time as the relevant assets are completed and put into use.

        Assets held for sale are carried at the lower of their historical depreciated costs or estimated fair values less costs to sell.

        Capitalized Software for internal use:     The Company has also developed software for internal use. The Company expenses the costs incurred during the preliminary project stage, and capitalizes the

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

1. BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

direct development costs (including the associated payroll and related costs for employees working on development, and outside contractor costs) during the application development stage. The Company monitors development on an ongoing basis and capitalizes the costs of any major improvements or new functionality. Amortization is computed generally on a straight-line basis over the estimated useful lives of the assets. For income tax purposes, accelerated methods of amortization are generally used.

        Goodwill:     Goodwill represents excess purchase price paid for a business over the estimated fair value of its acquired net assets related to the Company's acquisition of AHF on December 16, 2013. See Note 2 for further details.

        Goodwill will be reviewed for impairment annually, or more frequently if impairment indicators exist. Accounting guidance provides the option of performing a qualitative assessment that may allow companies to forego the annual two-step quantitative impairment test for goodwill if it is determined that the fair value of the applicable reporting unit is more likely than not greater than its carrying value. This qualitative assessment evaluates various events and circumstances, such as macro-economic conditions, industry and market conditions, cost factors, relevant events and financial trends, that may impact a reporting unit's fair value. If the two-step impairment test for goodwill is deemed necessary, this quantitative impairment analysis compares the fair values of the Company's reporting units to their related carrying values. If a reporting unit carrying value exceeds its fair value, the Company must then calculate the reporting unit's implied fair value of goodwill and impairment charges are recorded for any excess of the goodwill carrying value over the implied fair value of goodwill. The reporting units' fair values are based upon consideration of various valuation methodologies, including projected future cash flows discounted at rates commensurate with the risks involved, guideline transaction multiples, and multiples of current and future earnings.

        Definite-Lived Intangible Assets:     Intangible assets consist of the assets related to the acquisition of AHF, and are amortized over their estimated useful lives using the accelerated method for patient relationships, and the straight line method for the remaining intangible assets.

        Long-Lived Asset Impairment Testing:     Long-lived assets, which include property, equipment, capitalized software, investment in non-consolidated entity and definite-lived intangible assets, are periodically reviewed for impairment indicators. In assessing long-lived assets for impairment, assets are grouped with other assets and liabilities at the lowest level for which identifiable cash flows are largely independent of the cash flows of other assets and liabilities. If impairment indicators exist, the Company performs an undiscounted cash flow test to determine recoverability. If this recoverability test identifies a possible impairment, management will perform a fair value analysis. Fair values of long-lived assets are determined through various techniques, such as applying probability weighted, expected present value calculations to the estimated future cash flows using assumptions a market participant would utilize or through the use of valuation specialists. The Company compares the fair value of the long-lived asset to it net carrying value and an impairment charge is recorded for the amount by which the net carrying value of the long-lived asset exceeds its fair value.

        Debt Issuance Costs:     Debt issuance costs related to the Company's revolving line of credit are capitalized within "Other noncurrent assets" and amortized as interest expense on a straight-line basis over the term of the agreement for which the fees were paid.

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

1. BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

        Share-Based Compensation:     The Company expenses the grant date fair values of its employee stock options over their respective vesting periods on a straight-line basis. Estimating grant date fair values for employee stock options requires management to make assumptions regarding the current value of the Company's common shares, expected volatility of value of those underlying shares, the risk-free rate over the expected life of the stock options, and the date on which share-based payments will be settled. The Company estimates its common share fair value using the income approach and market approach using the market comparable method. Expected volatility is based on an implied volatility for a group of industry-relevant healthcare companies as of the measurement date. Risk-free rate is determined based upon U.S. Treasury rates over the estimated expected option lives. Expected dividend yield is zero as the Company does not anticipate that any dividends will be declared during the expected term of the options. Expected option life is less than the option term. If actual results differ significantly from these estimates and assumptions, particularly in relation to management's estimation of volatility which requires the most judgment due to the Company being a private entity, share-based compensation expense, primarily with respect to future share-based awards, could be materially impacted.

        Revenue Recognition:     The Company recognizes revenue from prescription drug sales for home delivery at the time the drugs are shipped. At the time of shipment, the Company performed substantially all of its obligations under its payor contracts and does not experience a significant level of returns or reshipments. If the Company administers a drug treatment regimen in a patient's home, the Company recognizes revenue at time of administration. Revenues from dispensing specialty prescriptions that are filled at an open door or retail pharmacy location are recorded at prescription adjudication, which approximates fill date. Sales taxes are presented on a net basis (excluded from revenues and costs). Revenues generated from prescription drugs were $1,504,534, $1,119,775 and $767,625 for the years ended December 31, 2013, 2012 and 2011, respectively.

        Shipping and handling costs are not billed to patients; therefore, there are no shipping and handling revenues. Conversely, the Company recognizes shipping and handling costs as incurred by the Company as a component of "Selling, general and administrative expenses" and were $10,123, $8,203 and $5,548 for the years ended December 31, 2013, 2012 and 2011, respectively.

        The Company recognizes revenue from service, data and consulting services when the services have been performed and the earnings process is complete. Revenues generated from service, data and consulting services were approximately $10,605, $7,168 and $4,337 for the years ended December 31, 2013, 2012 and 2011, respectively.

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

1. BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

        The Company derived its revenue from the following therapeutic classes:

 
  For the year ended December 31,  
 
  2013   2012   2011  

Oncology

  $ 736,987   $ 495,028   $ 353,684  

Immunology(1)

    378,685     319,092     216,069  

Multiple Sclerosis

    169,470     110,947     71,199  

Other (none greater than 10%)

    229,997     201,876     131,010  
               

Total Revenue

  $ 1,515,139   $ 1,126,943   $ 771,962  
               
               

(1)
Includes drugs dispensed to treat arthritis, Crohn's disease and psoriasis.

        Advertising and Marketing Costs:     Advertising and marketing costs are expensed as incurred and were $823, $604 and $1,004 for the years ended December 31, 2013, 2012 and 2011, respectively.

        Income Taxes:     The Company had elected to be taxed under the provisions of Subchapter S of the Internal Revenue Code. Under these provisions, the Company did not pay federal corporate income taxes on its taxable income. Instead, the stockholders were liable for individual federal income taxes on their respective shares of the Company's taxable income. Distributions were made periodically to the Company's shareholders to the extent needed to cover their income tax liability based on the Company's taxable income. See Note 14 for discussion on the Company's subsequent change to its income tax status.

        New Accounting Pronouncements:     In February 2013, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") No. 2013-4, Liabilities (Topic 405): Obligations Resulting from Joint and Several Liability Arrangements for Which the Total Amount of the Obligation is Fixed at the Reporting Date . This ASU is effective for interim and annual periods beginning after December 15, 2013 and requires the measurement of obligations resulting from joint and several liability arrangements for which the total amount of the obligation is fixed at the reporting date as the sum of: a) the amount the reporting entity agreed to pay on the basis of its arrangement among its co-obligors; and b) any additional amount the reporting entity expects to pay on behalf of its co-obligors. Required disclosures include a description of the joint-and-several arrangement and the total outstanding amount of the obligation for all joint parties. The Company anticipates the adoption of this guidance will have minimal impact on its financial position, results of operations, cash flows or disclosures.

        In July 2013, the FASB issued ASU No. 2013-11 , Income Taxes (Topic 740): Presentation of an Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a Tax Credit Carryforward Exists. This ASU is effective for fiscal years and interim periods beginning after December 15, 2013 and changes the presentation of unrecognized tax benefits. The Company is currently evaluating the impact that the adoption of this guidance will have on its financial position, results of operations, cash flows and/or disclosures.

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

1. BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Continued)

        In April 2014, the FASB issued ASU No. 2014-8 , Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity. This ASU is effective within annual periods beginning on or after December 15, 2014, and interim periods within annual periods beginning on or after December 15, 2015 with early adoption permitted in certain circumstances. This ASU changes the requirements for reporting discontinued operations. The Company is currently evaluating the impact that the adoption of this guidance will have on its financial position, results of operations, cash flows and/or disclosures.

        In May 2014, the FASB issued ASU No. 2014-9 , Revenue from Contracts with Customers (Topic 606). This ASU is effective for annual periods beginning after December 15, 2016, including interim periods within that reporting period. This ASU changes the requirements for revenue recognition. The Company is currently evaluating which of the several adoption methods it will select and what impact that the adoption of this guidance will have on its financial position, results of operations, cash flows and/or disclosures.

2. BUSINESS ACQUISITION

        On December 16, 2013, the Company acquired all of the authorized, issued and outstanding shares of capital stock of AHF for a total acquisition price of approximately $13,449, excluding related acquisition costs. Included in the total acquisition price was approximately $12,100 in cash and contingent consideration fair valued at $1,300, with a maximum payout of $2,000 of contingent consideration that is based on achieving certain revenue and gross profit targets in each of the years ending December 31, 2014 and 2015. At the closing of the acquisition, approximately $1,353 of the purchase consideration was deposited into an escrow account that will be held for two years after the closing date to satisfy any of the Company's indemnification claims. The Company incurred related acquisition costs of approximately $309 that were expensed through "Selling, general and administrative expenses" during the year ended December 31, 2013.

        AHF provides clotting medications, ancillaries and supplies to individuals with bleeding disorders, such as hemophilia. AHF has provided pharmacy services exclusively to the bleeding disorders community since 1989. The acquisition of AHF will allow the Company to participate in AHF's direct purchase agreements with key hemophilia manufacturers while also providing AHF access to the Company's proprietary care management modules to better manage clinical care of the AHF patients. The Company ascribes significant value to the cost reductions as well as synergies and other benefits that do not meet the recognition criteria of acquired identifiable intangible assets. Accordingly, the value of these components is included within goodwill. The acquisition is treated as a stock purchase for accounting purposes, and the goodwill resulting from this acquisition is deductible for tax purposes. The results of operations for AHF are included in the Company's consolidated financial statements from the acquisition date, which were not material for the year ended December 31, 2013.

        The Company did not acquire AHF's affiliate from which AHF leased its operating facility. Instead, the Company, commensurate with the acquisition, entered into a five-year external lease agreement for the facility with similar terms. As the Company does not direct the significant activities of the lessor, it is not consolidated into the Company's financial statements.

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

2. BUSINESS ACQUISITION (Continued)

        The Company accounted for its acquisition of AHF using the acquisition method as required by FASB Accounting Standards Codification Topic 805, Business Combinations . A summary of the preliminary fair value determination of the acquired assets and liabilities from the AHF acquisition is as follows:

Cash and cash equivalents

  $ 1,917  

Accounts receivable

    3,512  

Inventories

    1,138  

Prepaid expenses and other current assets

    27  

Property and equipment

    158  

Goodwill

    1,537  

Definite-lived intangible assets

    7,100  

Current liabilities

    (1,940 )
       

  $ 13,449  
       
       

        The Company determined the estimated fair values of AHF's identifiable long-lived assets with assistance from an independent valuation firm. That firm also assisted in the Company's determination of the fair value of the contingent consideration utilizing historical results, forecasted operating results of AHF for each of the two years ending December 31, 2014 and 2015, and the corresponding contractual contingent payouts based on those results discounted at rates commensurate with the uncertainty involved.

        The following unaudited pro forma results assume that the AHF acquisition occurred as of January 1, 2012 and are inclusive of purchase price adjustments. This pro forma information is not necessarily indicative of the results that actually would have been obtained had the acquisition been in effect for the periods presented nor that may be obtained in the future.

 
  Year Ended December 31,  
 
  2013   2012  

Net sales

  $ 1,543,548   $ 1,158,862  
           
           

Net income

  $ 8,478   $ 3,329  
           
           

Net income per common share—basic

  $ 1,983.18   $ 744.60  
           
           

Net income per common share—diluted

  $ 1,942.74   $ 723.53  
           
           

        Definite-lived intangible assets that were acquired and their respective useful lives are as follows:

 
  Useful Life   Amount  

Patient relationships

  10 years   $ 5,100  

Trade names and trademarks

  10 years     1,400  

Non-compete employment agreements

  5 years     600  
           

      $ 7,100  
           
           

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

2. BUSINESS ACQUISITION (Continued)

        Given the proximity of the acquisition date to year-end, the Company recorded no amortization expense for the year ended December 31, 2013. Amortization of these definite-lived intangible assets began on January 1, 2014. The Company's estimated future amortization expense for these definite-lived intangible assets is as follows:

2014

  $ 903  

2015

    869  

2016

    838  

2017

    806  

2018

    777  

Thereafter

    2,907  
       

  $ 7,100  
       
       

3. FAIR VALUE MEASUREMENTS

        Accounting guidance clarifies that fair value is an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. As such, fair value is a market-based measurement that should be determined based upon assumptions that market participants would use in pricing an asset or liability. As a basis for considering such assumptions, a three-tier fair value hierarchy was established, which prioritizes the inputs used in measuring fair value as follows:

Level 1:   Observable inputs such as quoted prices in active markets;

Level 2:

 

Inputs, other than quoted prices in active markets, that are observable either directly or indirectly; and

Level 3:

 

Unobservable inputs in which there is little or no market data, which require the reporting entity to develop its own assumptions.

        An asset's or liability's fair value measurement level within the fair value hierarchy is based on the lowest level of any input that is significant to the fair value measurement. Valuation techniques used need to maximize the use of observable inputs and minimize the use of unobservable inputs.

        Assets and liabilities measured at fair value are based on one or more of the following three valuation techniques noted in FASB ASC Topic 820:

    A.
    Market approach: Prices and other relevant information generated by market transactions involving identical or comparable assets or liabilities.

    B.
    Cost approach: Amount that would be required to replace the service capacity of an asset (replacement cost).

    C.
    Income approach: Techniques to convert future amounts to a single present amount based upon market expectations (including present value techniques, option-pricing and excess earnings models).

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

3. FAIR VALUE MEASUREMENTS (Continued)

        Assets and liabilities of the Company remeasured and disclosed at fair value on a recurring basis at December 31, 2013 and 2012 are set forth in the table below:

 
  Asset
(Liability)
  Level 2   Valuation
Technique

December 31, 2013:

               

Interest rate swap contract

  $ (16 ) $ (16 ) C

December 31, 2012:

   
 
   
 
 

 

Interest rate swap contract

  $ (53 ) $ (53 ) C

        The significant inputs, primarily the LIBOR yield curve, used to determine the fair value of the Company's interest rate swap contract were considered Level 2 observable market inputs. The Company monitored the credit and nonperformance risk associated with its counterparty and believed them to be insignificant and not warranting a credit adjustment at December 31, 2013 and 2012.

        The Company's interest rate swap agreement had an original notional amount of $2,160, equal to a mortgage loan with Bank of America. The purpose of the swap agreement was to fix the interest rate on the monthly balance of the mortgage and reduce exposure to interest rate fluctuations. Under the agreement, the Company paid the counterparty interest at a fixed rate of 2.72% and received interest at a variable rate, adjusted quarterly and based on LIBOR. Because this instrument is not classified as a hedging activity, changes in the fair value of this instrument are included in interest expense on the accompanying statements of operations. Fair value of the interest rate swap agreement was recorded in "Other accrued expenses" on the consolidated balance sheets.

        Assets and liabilities of the Company measured at fair value on a nonrecurring basis at December 31, 2013 are set forth in the table below:

 
  Asset
(Liability)
  Level 3   Gain
(Loss)
  Valuation
Technique

December 31, 2013:

                     

Assets held for sale

  $ 300   $ 300   $ (932 ) C

        Assets held for sale, which represent certain properties and are contained within "Prepaid expenses and other current assets" on the consolidated balance sheets, with a carrying value of $1,232 as of December 31, 2012 were written down to their fair value of $300, resulting in an impairment charge of $932, which was recorded within "Selling, general and administrative expenses" for the year ended December 31, 2013. The Company determined the fair value of these assets through the use of a realtor.

        There were no assets nor liabilities measured at fair value on a nonrecurring basis at December 31, 2012 that required any adjustments to their respective carrying values.

        The carrying amounts of the Company's financial instruments, consisting primarily of cash and cash equivalents, accounts receivable, accounts payable and other liabilities, approximate their estimated fair values due to the relative short-term nature of the amounts. The carrying amount of debt approximates fair value due to variable interest rates at customary terms and rates the Company could obtain in current financing.

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

4. INVENTORIES

        Inventories consist of the following:

 
  December 31,
2013
  December 31,
2012
 

Prescription medications, OTC medications and medical supplies, and retail items

  $ 56,155   $ 40,912  

Raw materials

    284     280  

Finished goods

    15     14  
           

  $ 56,454   $ 41,206  
           
           

5. PROPERTY AND EQUIPMENT

        Property and equipment are recorded at cost and are depreciated over the estimated useful lives of the respective assets using the straight-line method. Depreciation expense for the years ended December 31, 2013, 2012 and 2011 was $1,365, $1,798 and $1,144, respectively.

        Property and equipment consist of the following:

 
  Useful Life   December 31,
2013
  December 31,
2012
 

Land

    $ 332   $ 332  

Buildings

  40 years     7,419     6,543  

Building and leasehold improvements

  5 - 15 years*     889     656  

Equipment and fixtures

  5 - 10 years     6,465     6,183  

Computer equipment

  3 - 5 years     2,096     2,389  

Vehicles

  5 years     82     268  

Construction in progress

      25     59  
               

        17,308     16,430  

Accumulated depreciation

        (4,930 )   (3,796 )
               

      $ 12,378   $ 12,634  
               
               

*
Unless applicable lease term is shorter

        Included in "Prepaid expenses and other current assets" on the consolidated balance sheets are certain properties held for sale with carrying values of $300 and $1,232 as of December 31, 2013 and 2012, respectively. See Note 3 that describes a $932 impairment loss that was recognized during the year ended December 31, 2013 associated with these held for sale assets.

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

6. CAPITALIZED SOFTWARE FOR INTERNAL USE

        Capitalized software for internal use is recorded at cost and is amortized over the estimated useful lives of the respective assets using the straight-line method. Amortization expense for the years ended December 31, 2013, 2012 and 2011 was $2,568, $2,021 and $1,865, respectively.

        Balances of capitalized software for internal use are as follows:

 
  Useful Life   December 31,
2013
  December 31,
2012
 

Capitalized software for internal use

  3 years   $ 13,638   $ 7,847  

Construction in progress

        941     2,314  
               

        14,579     10,161  

Accumulated amortization

        (8,015 )   (5,556 )
               

      $ 6,564   $ 4,605  
               
               

        The Company's estimated future amortization expense for its capitalized software for internal use is as follows:

2014

  $ 2,562  

2015

    2,110  

2016

    951  

2017

    941  
       

  $ 6,564  
       
       

7. INVESTMENT IN NON-CONSOLIDATED ENTITY

        In October 2011, the Company purchased a 25% minority interest in WorkSmartMD, L.L.C., also known as Ageology, for $5,000 of cash consideration, which was paid in installments during 2011, 2012 and 2013. No further payments or other commitments are required as of December 31, 2013. Because the Company does not direct the activities that most significantly impact the economic performance of Ageology, management has determined that the Company is not its primary beneficiary.

        Ageology is an anti-aging physician network dedicated to nutrition, fitness and hormones, and has created a commercial software product for anti-aging physician practices that is in the late stages of development. The Company accounts for Ageology under the equity method, as it has significant influence over its operations. The Company's portion of Ageology's net losses for the years ended December 31, 2013, 2012 and 2011 were $1,055, $267 and $95, respectively. The Company's equity investment balance in Ageology at December 31, 2013 and 2012 was $3,577 and $2,133, respectively.

        During November and December 2013, the Company entered into two $1,000 6% per annum interest-bearing promissory notes receivable from Ageology. The notes are secured by all personal property and fixtures owned by Ageology. While due on demand, the Company does not intend to call the notes anytime prior to December 31, 2014 and, accordingly, reflects the notes as noncurrent assets within "Investment in Non-consolidated Entity" on the consolidated balance sheets.

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

7. INVESTMENT IN NON-CONSOLIDATED ENTITY (Continued)

        The following tables present summarized financial information of Ageology:

 
  Years Ended December 31,  
 
  2013   2012   2011  

Statements of Operations

                   

Net sales

  $ 1   $ 26   $  

Net loss

    (4,220 )   (1,069 )   (378 )

 

 
  December 31,
2013
  December 31,
2012
 

Balance Sheets

             

Current assets

  $ 633   $ 267  

Noncurrent assets

    53     782  

Current liabilities

    2,138     13  

8. LINE OF CREDIT

        On July 20, 2012, the Company entered into a five-year line of credit with General Electric Capital Corporation ("GE"). The original facility was comprised of a $60,000 revolving loan commitment, which is secured by security interest in and lien upon substantially all of the Company's assets, not otherwise encumbered. The Company maintains a depository bank account where money is swept directly to the line of credit. Advances under the revolving credit loan commitment are limited to a borrowing base that consists of approximately 85% of the book value of eligible accounts receivable. In 2013, the facility was amended to increase the aggregate revolving loan commitments under the line of credit from $60,000 to $85,000, leaving $12,666 available to borrow as of December 31, 2013. See Note 14 for discussion on the Company's subsequent amendment to further increase the aggregate revolving loan commitments under the line of credit.

        Interest on borrowings are charged at a rate equal to either: (a) the base rate, which equates to the rate last quoted by The Wall Street Journal as the "Prime Rate" or as further defined in the agreement in the absence of such, plus an applicable margin (the "Base Rate"); or (b) LIBOR, as defined by the agreement, plus an applicable margin. The applicable margin on the Base Rate borrowings is 0.75% and on LIBOR rate borrowings is 1.75%. The effective interest rate for Base Rate borrowings at December 31, 2013 was 4.00%. The effective rate on LIBOR rate borrowings at December 31, 2013 was 1.92%. At December 31, 2013, the Company had Base Rate borrowings outstanding in the amount $37,622 and LIBOR rate borrowings outstanding in the amount of $25,000. Additionally, the Company is charged a monthly unused commitment fee ranging from 0.25% to 0.50% on the average unused daily balance.

        In connection with securing and amending this facility, the Company incurred transaction costs totaling $1,097. These costs are being amortized as interest expense over the remaining life of the line of credit.

        The revolving credit commitment with GE and the mortgage with JPMorgan Chase Bank, N.A. (Note 9) contain certain financial and non-financial covenants. The Company was in compliance with all covenants as of December 31, 2013 and 2012.

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

9. DEBT

        Debt consists of the following:

 
  December 31,
2013
  December 31,
2012
 

Note payable to an individual; payable monthly in the amount of $242 - $282 including interest at 1.3% through January 2017; secured by redeemed shares held in escrow per the pledge agreement and subordinated to the line of credit commitment and the mortgage loan

  $ 14,252   $ 17,023  

Note payable to a shareholder; payable quarterly in the amount of $100 including interest at 1.3%; matures July 20, 2017; secured by redeemed shares held in escrow per the pledge agreement and subordinated to the line of credit commitment and the mortgage loan

   
7,235
   
7,538
 

Mortgage with JPMorgan Chase; payable in quarterly payments of principal of $124 plus interest at a rate per year equal to the adjusted LIBOR rate (2.16% effective rate at December 31, 2013) plus the floating rate (4.25% effective rate at December 31, 2013); matures June 30, 2014; secured by certain property

   
2,728
   
3,224
 

Note payable to an individual; payable quarterly in the amount of $79 including interest at 4.25%; matures July 20, 2017; secured by redeemed shares held in escrow per the pledge agreement and subordinated to the line of credit commitment and the mortgage loan

   
1,087
   
1,349
 

Note payable to an individual; payable quarterly in the amount of $40 interest free; matures June 15, 2015; unsecured and subordinated to the line of credit commitment and the mortgage loan

   
240
   
400
 

Note payable to a shareholder; payable in a lump sum plus interest at 3% when it matures January 20, 2017; unsecured and subordinated to the line of credit commitment and the mortgage loan. 

   
   
5,851
 

Capital lease payables to CISCO Capital; payable in monthly installments of $16 including interest at 2.41%; matured Oct - Dec 2013; secured by equipment

   
   
134
 

Note payable to a shareholder; payable in a lump sum plus interest at 3% when it matures January 20, 2017; unsecured and subordinated to the line of credit commitment and the mortgage loan. 

   
   
563
 
           

    25,542     36,082  

Less short-term debt, including current portion of long-term debt

    (6,693 )   (4,126 )
           

Long-term debt, less current portion

  $ 18,849   $ 31,956  
           
           

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

9. DEBT (Continued)

        Future principal payments required as of December 31, 2013 are as follows:

2014

  $ 6,693  

2015

    3,932  

2016

    3,382  

2017

    11,535  
       

Total

  $ 25,542  
       
       

10. COMMITMENTS AND CONTINGENCIES

Claims and Lawsuits

        The Company is subject to claims and lawsuits that arise primarily in the ordinary course of business. It is the opinion of the Company that the disposition or ultimate resolution of such claims and lawsuits will not have a material adverse effect on the consolidated financial position of the Company.

Purchase Commitments

        The Company purchases a significant portion of its prescription drug inventory from AmerisourceBergen, a prescription drug wholesaler. These purchases accounted for approximately 58%, 64% and 59% of cost of goods sold for the years ended December 31, 2013, 2012 and 2011, respectively. The Company entered into an agreement in January 2012 with AmerisourceBergen that required a minimum of $3,500,000 in purchase obligations over a five-year period. The Company fully expects to meet this requirement. Furthermore, the Company has alternative vendors available if necessary.

        The Company purchases certain prescription drugs from Celgene, a drug manufacturer. These purchases accounted for approximately 19%, 21% and 26% of cost of goods sold for the years ended December 31, 2013, 2012 and 2011, respectively, with no minimum purchase obligation.

Lease Commitments

        Capital lease obligations:     In 2010, the Company entered into four agreements to lease telephone equipment with an original cost of $551. These agreements qualify as a capital lease and, as such, they are included in the equipment account on the accompanying balance sheets. The leases have been fully depreciated in 2013 and there are no future minimum lease payments.

        Operating lease obligations:     The Company leases multiple pharmacy and distribution facilities and office equipment under various operating lease agreements expiring through December 2017. Total rental expense under operating leases for the years ended December 31, 2013, 2012 and 2011 was $1,109, $460 and $415, respectively, exclusive of property taxes, insurance and other occupancy costs generally payable by the Company.

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

10. COMMITMENTS AND CONTINGENCIES (Continued)

        Future minimum payments under non-cancelable operating leases with initial or remaining terms of more than one year are as follows:

2014

  $ 1,241  

2015

    968  

2016

    304  

2017

    21  
       

  $ 2,534  
       
       

11. CAPITAL STOCK

        The Company filed Amended Articles of Incorporation effective July 5, 2007 which establish classes of common stock. The amendment authorizes 5,000 shares of Class A Voting Common Stock and 95,000 shares of Class B Nonvoting Common Stock. Each share of existing common stock issued and outstanding as of July 5, 2007 was converted into 0.05 shares of Class A Voting Common Stock and 0.95 shares of Class B Nonvoting Common Stock. As of December 31, 2013, a shareholder agreement representing 375 shares of common stock contain provisions that, upon the death of the shareholder or termination of his employment from the Company, all shares immediately will be deemed to have been offered for sale to the Company at an agreed-upon price, meant to represent the then-current market value of such shares, and terms, as set forth in the shareholder agreement. The Company will then be required to purchase the shares.

        Each share of common stock has equal and identical rights, preferences and limitations, except for voting rights. The holders of shares of the Class A Voting Common Stock are entitled to one vote for each share of common stock held on any matter submitted to a vote of the shareholders. The holders of shares of the Class B Nonvoting Common Stock have no voting rights, except as otherwise required by law. None of the classes of Common Stock are convertible into any other class of capital stock. See also subsequent events in Note 14 for further disclosure on common stock transactions.

        In January 2012, the Company entered into a settlement agreement with a former shareholder whereby 32.50 shares of Class A Voting Common Stock and 617.50 shares of Class B Nonvoting Common Stock formerly owned by this shareholder were purchased by the Company for consideration of $20,978 of which $2,065 was paid in cash, forgiveness of note of $196 and the remaining $18,717 was payable in full, as per the terms of an executed promissory note, maturing January 2017 (Note 9).

        In September 2012, the Company entered into a settlement agreement with a current shareholder whereby 32.50 shares of Class A Voting Common Stock and 242.50 shares of Class B Nonvoting Common Stock formerly owned by this shareholder were purchased by the Company for consideration of $8,415, of which $786 was paid in cash and the remaining $7,629 was payable in full, as per the terms of an executed promissory note, maturing July 2017 (Note 9).

        Additionally in 2012, the Company settled a matter with a prior shareholder in which $580 of expense was recognized of which $100 was paid in cash and the remaining $480 was payable in full, as per the terms of an executed promissory note, maturing June 2015 (Note 9).

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

12. SHARE-BASED COMPENSATION

        The Company's 2007 Stock Option Plan, as approved by the Company's Board of Directors and amended March 1, 2009, authorizes the granting of stock options to its key employees at no less than the market price on the date the option is granted. Options generally become exercisable in installments of 25% per year, beginning on the first anniversary of the grant date and each of the three anniversaries thereafter, and have a maximum term of ten years. All share-based compensation awards for employees have been granted under the 2007 Stock Option Plan.

        The Company uses the Black-Scholes-Merton option pricing model to determine the grant date valuation of options and has applied the assumptions set forth in the following table:

 
  Year Ended December 31,
 
  2013   2012   2011

Exercise price of options (in thousands)

  $50.0 - $137.4   $36.4 - $50.8   $32.2

Expected volatility

  23.3% - 25.3%   22.5% - 25.3%   21.6 - 23.0%

Expected dividend yield

  0%   0%   0%

Risk-free rate over the estimated expected life

  0.65 - 1.27%   0.55 - 0.66%   0.94 - 1.53%

Expected life (in years)

  4.0   4.0   4.0

        Total compensation cost expensed during the years ended December 31, 2013, 2012 and 2011 related to employee stock options was $886, $915 and $1,410, respectively. During 2012, the Company redeemed stock options to buy 0.0104 shares of Class A Voting Common Stock and 0.1982 shares of Class B Nonvoting Common Stock from two former employees for cash consideration totaling $1,043 and a note payable in the amount of $1,423, resulting in a reduction of additional paid-in capital of $513 and an increase in accumulated deficit of $1,953.

        At December 31, 2013, the total compensation cost related to non-vested options not yet recognized was $2,340, which will be recognized over a weighted average period of 2.1 years, assuming the employees complete their service period for vesting of the options.

        A summary of the Company's stock option activity on an annual basis is as follows:

 
  Number
of Shares
  Weighted
Average
Exercise
Price
  Weighted
Average
Grant
Date Fair
Value
  Weighted
Average
Remaining
Contractual
Term
  Aggregate
Intrinsic
Value
 
 
   
  (In Thousands)
  (Years)
   
 

Outstanding at January 1, 2011

    702.2   $ 21.4   $ 8.9     8.0   $ 292  

Granted

    78.0     32.2     1.8              

Forfeited

    (208.6 )   26.6     6.5              
                           

Outstanding at December 31, 2011

    571.6     21.0     8.8     7.2   $ 1,412  

Granted

    248.2     37.7     2.5              

Expired/cancelled

    (166.2 )   18.5     8.1              
                           

Outstanding at December 31, 2012

    653.6     27.9     6.6     7.5   $ 14,976  

Granted

    129.6     79.8     11.0              
                           

Outstanding at December 31, 2013

    783.2   $ 36.5   $ 7.3     7.0   $ 69,732  
                       
                       

Exercisable at December 31, 2013

    411.7   $ 22.9   $ 7.4     5.6   $ 37,851  
                       
                       

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

13. INCOME PER COMMON SHARE

        The following is a reconciliation of the numerators and the denominators of the basic and diluted income per common share:

 
  Year Ended December 31,  
 
  2013   2012   2011  

Net income

  $ 8,228   $ 3,927   $ 9,151  
               
               

Weighted average common shares outstanding, basic

    4,275     4,471     5,200  

Incremental shares on assumed exercise of stock options

    89     131     111  
               

Weighted average common shares outstanding, diluted

    4,364     4,602     5,311  
               
               

Net income per common share:

                   

Basic

  $ 1,924.70   $ 878.35   $ 1,759.77  

Diluted

  $ 1,885.45   $ 853.50   $ 1,723.13  

        Options to purchase 44, 441 and 415 common shares were not included in the computation of diluted earnings per share because the exercise prices were greater than the average market price of the Company's common shares during the years ended December 31, 2013, 2012 and 2011, respectively.

14. SUBSEQUENT EVENTS

        The Company has evaluated subsequent events through June 27, 2014, the date the consolidated financial statements were originally available for issuance and re-evaluated subsequent events through August 18, 2014.

Income Tax Status Change

        On January 23, 2014, the Company changed its income tax status from an S corporation to a C corporation. Accordingly, on that date, the Company recorded a net deferred income tax liability of $2,492 (unaudited) and reclassified all of its accumulated deficit, inclusive of the net deferred tax liability adjustment, into additional paid-in capital. The pro forma data presented on the consolidated statements of operations give effect to the Company's election to be a C corporation as if that election was made effective January 1, 2011.

        As a C corporation, the Company will account for income taxes under the asset and liability method to account for income taxes. Deferred tax assets or liabilities will be determined based on the difference between the financial statement and tax bases of assets and liabilities and on tax credit carryforwards as measured by the enacted tax rates which will be in effect when these items are expected to impact the tax returns. The Company would provide a valuation allowance against net deferred tax assets unless, based upon the available evidence, it is more likely than not that the deferred tax assets will be realized.

        The Company will prepare and file tax returns based on interpretations of tax laws and regulations. In the normal course of business the Company's tax returns will be subject to examination by various taxing authorities. Such examinations may result in future tax and interest assessments by these taxing authorities. In determining the Company's tax provision for financial reporting purposes,

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

14. SUBSEQUENT EVENTS (Continued)

the Company will establish a reserve for uncertain income tax positions unless it is determined to be "more likely than not" that such tax positions would be sustained upon examination, based on their technical merits. That is, for financial reporting purpose, the Company will only recognize tax benefits taken on the tax return if it believes it is "more likely than not" that such tax position would be sustained. There will be considerable judgment involved in determining whether it is "more likely than not" that such tax positions would be sustained.

        The Company will adjust its tax reserve estimates periodically because of ongoing examinations by, and settlements with, varying taxing authorities, as well as changes in tax laws, regulations and interpretations. The consolidated tax provision of any given period will include adjustments to prior year income tax accruals and related estimated interest charges that are considered appropriate. The Company's policy will be to recognize, when applicable, interest and penalties on uncertain income tax positions as part of income tax expense.

Equity Matters

        In January and March 2014, the Company authorized an aggregate of 732 shares of a new class of common stock, Class C Voting Common Stock, of which none are outstanding as of May 15, 2014. The Class C Voting Common Stock is identical in all respects to the Class A Voting Common Stock and Class B Nonvoting Common Stock other than for voting rights. Pursuant to the amended and restated articles of incorporation effective March 31, 2014, the Class A Voting Common Stock is entitled to 20 votes per share, the Class B Nonvoting Common Stock is nonvoting and the Class C Voting Common Stock is entitled to one vote per share.

        In January 2014, the Company also entered into a Series A Preferred Stock Purchase Agreement with certain funds of T. Rowe Price under which the Company issued to certain funds of T. Rowe Price 351.32097 shares of Series A Preferred Stock at a purchase price of $142 per share. The Company will use $20,000 of this $50,000 investment for general corporate purposes inclusive of fees associated with this transaction, and the remaining $30,000 was used to redeem common stock ($26,900) and common stock options ($3,100).

        In April 2014, the Company entered into a Series A Preferred Stock Purchase Agreement with certain funds of Janus Capital Group ("Janus") under which the Company issued to certain funds of Janus 379.4267 shares of Series A Preferred Stock at a purchase price of $142 per share. The Company will use $25,200 of the $54,000 investment for general corporate purposes inclusive of fees associated with this transaction, and the remaining $28,800 was used to redeem common stock ($26,500) and common stock options ($2,300).

        The Series A Preferred Stock is entitled to vote as if converted into Class C Voting Common Stock on the voting date. The Series A Preferred Stock has no coupon rate, is convertible into Class C Voting Common Stock at any time at the option of the holder, has optional redemption rights and has liquidation preferences. The conversion rate is on a one-for-one basis, subject to adjustment for stock splits and subdivisions, stock combinations, certain future issuances of common stock or common stock equivalents at effective prices lower than the then-applicable conversion rate, and other circumstances as described in the amended articles of incorporation. The Series A Preferred Stock automatically converts into Class C Voting Common Stock upon either (i) a qualified common stock public offering (as defined), or (ii) an affirmative vote of the majority of the Series A Preferred Stock.

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DIPLOMAT PHARMACY, INC.

Notes to Consolidated Financial Statements (Continued)

(Dollars in Thousands, Except Per Share Amounts)

14. SUBSEQUENT EVENTS (Continued)

        Pursuant to an affirmative vote of the majority of the Series A Preferred Stock, the holders thereof can demand redemption of all outstanding shares of Series A Preferred Stock anytime on or after the earlier of (i) January 23, 2021, (ii) such time as the Company's aggregate market price (as defined) is equal or greater than $5,000,000, and (iii) such time as certain changes are made to the Company's board of directors, certain executive officers and/or certain controlling shareholders. The redemption price is payable in cash and will be the greater of the original issuance price plus all declared but unpaid dividends and fair market value (as defined). Because of these redemption provisions, the Series A Preferred Shares will be reflected outside of permanent equity on the Company's Consolidated Balance Sheet. Upon a liquidation event (as defined), the Series A Preferred Stockholders are entitled to receive the greater of (i) the sum of the original issuance price plus a 15% return compounded annually, and (ii) the amount they would receive upon the liquidation had the Series A Preferred Stock converted into Class C Voting Common Stock just prior to the liquidation date.

Other Matters

        In February 2014, the interest rate swap disclosed in Note 3 was terminated and the related liability of $9 at that time was paid in full.

        On May 30, 2014, the Company satisfied its mortgage loan obligation owed to JPMorgan Chase Bank. The total payment of $2,609 was comprised of $2,604 for the face amount of the note and $5 for accrued interest.

        On May 30, 2014, the Company entered into a Stock Option Redemption Agreement with a former executive whereby the Company redeemed options to acquire 0.104 shares of common stock, comprised of 0.0052 shares of Class A Voting Common Stock and 0.0988 shares of Class B Nonvoting Common Stock, for the cash purchase price of $4,000.

        On June 26, 2014, the Company's line of credit with GE was amended to increase the aggregate revolving loan commitments under the line of credit from $85,000 to $120,000.

        On June 27, 2014, the Company acquired all of the outstanding stock of MedPro Rx, Inc. ("MedPro") for $52,000 in cash, 84.31703 shares of the Company's Class B Nonvoting Common Stock, valued at approximately $12,000, and up to $11,500 of contingent consideration that is based on the achievement of certain revenue and gross profit targets. MedPro is a specialty pharmacy focused on specialty infusion therapies, including hemophilia and immune globulin, based in Raleigh, North Carolina. The Company acquired MedPro to expand its existing specialty infusion business and to increase its presence in the mid-Atlantic Southern regions of the country. The results of operations for MedPro will be included in the Company's consolidated financial statements from the acquisition date.

        The Company is in the process of preparing for an initial public offering ("IPO"). The Company's expectation is that the IPO will occur during the latter half of 2014, though no assurances can be made. Upon completion of the IPO, all outstanding shares of capital stock will automatically convert into shares of newly-authorized shares of voting common stock. Additionally, prior to our IPO, the Company will affect a stock split in the form of a stock dividend. Accordingly, all share and per share amounts presented in these consolidated financial statements and notes thereto, will be adjusted, where applicable to reflect the conversions and split.

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DIPLOMAT PHARMACY, INC.

Condensed Consolidated Balance Sheets (Unaudited)

 
  June 30, 2014
Pro Forma
Shareholders'
Equity
(Note 15)
  June 30,
2014
  December 31,
2013
 
 
  (Dollars in Thousands, Except Par Values)
 

ASSETS

                   

Current assets:

                   

Cash and cash equivalents

        $ 25,550   $ 9,109  

Accounts receivable, net

          139,490     104,047  

Other receivables

          6,067     6,247  

Inventories

          69,490     56,454  

Deferred income taxes

          155      

Prepaid expenses and other current assets

          3,178     1,924  
                 

Total current assets

          243,930     177,781  

Property and equipment, net

         
12,900
   
12,378
 

Capitalized software for internal use, net

          9,002     6,564  

Goodwill

          22,851     1,537  

Definite-lived intangible assets, net

          43,747     7,100  

Investment in non-consolidated entity

          5,368     5,577  

Other noncurrent assets

          1,111     840  
                 

        $ 338,909   $ 211,777  
                 
                 

LIABILITIES AND SHAREHOLDERS' DEFICIT

   
 
   
 
   
 
 

Current liabilities:

                   

Accounts payable

        $ 194,248   $ 142,353  

Line of credit

          79,876     62,622  

Short-term debt, including current portion of long-term debt

          3,949     6,693  

Accrued compensation

          2,500     2,703  

Income taxes payable

          1,333      

Other accrued expenses

          5,414     2,296  
                 

Total current liabilities

          287,320     216,667  

Long-term debt, less current portion

         
16,893
   
18,849
 

Deferred income taxes

          2,261      

Other noncurrent liabilities

          2,289     673  

Redeemable Series A Preferred Stock ($0.001 par value; 732 authorized shares at June 30, 2014; 731 issued and outstanding shares at June 30, 2014)

 
$

   
101,815
   
 

Commitments and contingencies

   
 
   
 
   
 
 

Shareholders' equity (deficit):

   
 
   
 
   
 
 

Common stock:

                   

Class A Voting Common Stock ($1.00 par value; 5,000 authorized shares; 195 issued and outstanding shares at both June 30, 2014 and December 31, 2013)

             

Class B Nonvoting Common Stock ($1.00 par value; 95,000 authorized shares; 3,705 issued and outstanding shares at June 30, 2014 and 4,080 issued and outstanding shares at December 31, 2013)

        4     4  

Class C Voting Common Stock ($1.00 par value; 732 authorized shares; none issued or outstanding)

             

Additional paid-in capital

    27,160     (74,659 )   4,446  

Retained earnings (accumulated deficit)

    2,986     2,986     (28,862 )
               

Total shareholders' equity (deficit)

  $ 30,146     (71,669 )   (24,412 )
               

        $ 338,909   $ 211,777  
                 
                 

   

See accompanying notes to condensed consolidated financial statements.

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DIPLOMAT PHARMACY, INC.

Condensed Consolidated Statements of Operations (Unaudited)

 
  Six Months Ended
June 30,
 
 
  2014   2013  
 
  (Dollars in Thousands,
Except Per Share Amounts)

 

Net sales

  $ 1,007,352   $ 704,525  

Cost of goods sold

    (948,275 )   (663,883 )
           

Gross profit

    59,077     40,642  

Selling, general and administrative expenses

   
(51,024

)
 
(35,988

)
           

Income from operations

    8,053     4,654  

Interest expense

   
(895

)
 
(941

)

Equity loss of non-consolidated entity

    (710 )   (311 )

Other income

    517     112  
           

Income before income taxes

    6,965     3,514  

Income tax expense

    (4,557 )    
           

Net income / net comprehensive income

    2,408     3,514  

Net income allocable to preferred shareholders

   
266
   
 
           

Net income allocable to common shareholders

  $ 2,142   $ 3,514  
           
           

Net income per common share:

             

Basic

  $ 533.40   $ 822.05  
           
           

Diluted

  $ 491.55   $ 818.56  
           
           

Weighted average shares outstanding:

             

Basic

    4,016     4,275  

Diluted

    4,358     4,293  

Pro Forma Data (Notes 1 and 15):

             

Income before income taxes

  $ 6,965   $ 3,514  

Income tax expense

    (2,665 )   (1,243 )
           

Net income / net comprehensive income

    4,300     2,271  

Net income allocable to preferred shareholders

   
   
 
           

Net income allocable to common shareholders

  $ 4,300   $ 2,271  
           
           

Pro forma net income per common share:

             

Basic

  $ 1,070.64   $ 531.21  
           
           

Diluted

  $ 986.65   $ 528.96  
           
           

   

See accompanying notes to condensed consolidated financial statements.

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DIPLOMAT PHARMACY, INC.

Condensed Consolidated Statements of Cash Flows (Unaudited)

 
  Six Months Ended
June 30,
 
 
  2014   2013  
 
  (Dollars in Thousands)
 

Cash Flows From Operating Activities

             

Net income

  $ 2,408   $ 3,514  

Adjustments to reconcile net income to net cash provided by operating activities:

             

Depreciation and amortization

    2,545     1,821  

Share-based compensation expense

    1,135     455  

Equity loss of non-consolidated entity

    710     311  

Net provision for doubtful accounts

    997     280  

Amortization of debt issuance costs

    182     96  

Deferred income tax expense

    2,105      

Gain on disposal of property and equipment

    (7 )   (2 )

Changes in operating assets and liabilities, net of business acquisition:

             

Accounts receivable

    (27,154 )   (5,013 )

Inventories

    (9,217 )   (7,735 )

Accounts payable

    48,258     9,021  

Other assets and liabilities

    (1,135 )   (2,231 )
           

Net cash provided by operating activities

    20,827     517  

Cash Flows From Investing Activities

   
 
   
 
 

Payments to acquire business, net of cash acquired

    (51,302 )    

Expenditures for capitalized software for internal use

    (3,893 )   (1,658 )

Expenditures for property and equipment

    (426 )   (270 )

Capital investment in and loans to non-consolidated entity

    (500 )   (1,750 )

Net repayment (issuance) of related parties' notes receivable

    150     (54 )

Net proceeds from sales of equipment

    17     13  
           

Net cash used in investing activities

    (55,954 )   (3,719 )

Cash Flows From Financing Activities

   
 
   
 
 

Net proceeds from line of credit

    17,254     9,049  

Payments on long-term debt

    (4,701 )   (5,758 )

Proceeds from sale of preferred stock, net of transaction costs

    101,815      

Payments associated with stock and stock option redemptions

    (62,800 )    

Shareholder distributions

        (89 )
           

Net cash provided by financing activities

    51,568     3,202  
           

Increase in cash and cash equivalents

    16,441      

Cash and cash equivalents at beginning of period

   
9,109
   
 
           

Cash and cash equivalents at end of period

  $ 25,550   $  
           
           

Supplemental Cash Flow Information

   
 
   
 
 

Issuance of class B Nonvoting Common Stock as partial consideration for a business acquisition

  $ 12,000   $  

Cash paid for interest

    713     845  

   

See accompanying notes to condensed consolidated financial statements.

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DIPLOMAT PHARMACY, INC.

Condensed Consolidated Statement of Shareholders' Deficit (Unaudited)

 
  Common Stock    
   
   
 
 
   
  Retained
Earnings
(Accumulated
Deficit)
   
 
 
  Class A
Voting
  Class B
Nonvoting
  Additional
Paid-in
Capital
  Total  
 
  (Dollars in Thousands)
 

Balance at January 1, 2014

  $   $ 4   $ 4,446   $ (28,862 ) $ (24,412 )

Net income/net comprehensive income

                2,408     2,408  

Reclassification of S corporation accumulated deficit

            (29,440 )   29,440      

Stock redemptions

            (53,400 )       (53,400 )

Redemption of certain stock options

            (9,400 )       (9,400 )

Issuance of Class B Nonvoting Common Stock as partial consideration for a business acquisition

            12,000         12,000  

Share-based compensation expense

            1,135         1,135  
                       

Balance at June 30, 2014

  $   $ 4   $ (74,659 ) $ 2,986   $ (71,669 )
                       
                       

   

See accompanying notes to condensed consolidated financial statements.

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited)

(Dollars in Thousands, Except Per Share Amounts)

1. BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES

        Business Activity:     Diplomat Pharmacy, Inc. d/b/a Diplomat Specialty Pharmacy (the "Company") is a specialty pharmacy sales business and includes all of its wholly owned subsidiaries including MedPro Rx, Inc. ("MedPro") and American Homecare Federation, Inc. ("AHF") that were acquired in June 2014 and December 2013, respectively. The Company stocks, dispenses and distributes prescriptions for various biotech and specialty pharmaceuticals and operates as one reportable segment. The Company has its corporate headquarters and main distribution facility in Flint, Michigan and maintains eight other pharmacy locations in Michigan, Illinois, Florida, California, Connecticut, Massachusetts and North Carolina.

        Interim Financial Statements:     The unaudited condensed consolidated financial statements of the Company have been prepared in accordance with the rules and regulations of the Securities and Exchange Commission. Certain information and footnote disclosures normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States of America ("U.S. GAAP") have been condensed or omitted pursuant to such rules and regulations. These statements include all adjustments (consisting of normal recurring adjustments) that management believes are necessary for a fair presentation of the results of operations, financial position and cash flows of the Company. The Company's management believes that the disclosures are adequate to make the information presented not misleading when read in conjunction with the consolidated financial statements and the notes thereto included in the Company's annual financial statements for the year ended December 31, 2013. Operating results for the six months ended June 30, 2014 are not necessarily indicative of the results that may be expected for the year ending December 31, 2014.

        Principles of Consolidation:     The consolidated financial statements include the accounts of the Diplomat Pharmacy, Inc. and all of its wholly-owned subsidiaries. The Company also owns a 25% interest in a non-consolidated affiliate which is accounted for under the equity method of accounting. All intercompany transactions and accounts have been eliminated in consolidation.

        Use of Estimates:     The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the amounts reported therein. Due to the inherent uncertainty involved in making estimates, actual results reported in future periods may be based upon amounts that differ from these estimates.

        Concentrations of Risk:     Financial instruments which potentially subject the Company to concentrations of credit risk consist principally of cash on deposit with banks or other financial institutions and trade accounts receivable.

        A federal program provides non-interest bearing cash balances insurance coverage for up to $250 per depositor at each financial institution. The Company's cash balances may exceed federally insured limits.

        Concentration of credit risk with respect to trade receivables is limited by the large number of patients comprising the Company's customer base and their dispersion across multiple payors and multiple geographic areas. As of June 30, 2014 and December 31, 2013, the Company had no significant trade receivable concentrations of credit risk.

        Cash Equivalents:     The Company considers all highly liquid investments with maturities of 90 days or less from the date of purchase to be cash equivalents.

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

1. BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES (Continued)

        Accounts Receivable and Allowance for Doubtful Accounts:     Accounts receivable primarily include amounts from third-party pharmacy benefit managers and insurance providers and are based on contracted prices. Trade receivables require no collateral and are on an unsecured basis. Accounts receivable terms vary by payor, but generally are due within 30 days after the sale of the product or performance of the service.

        The Company maintains an allowance for doubtful accounts that reduces receivables to amounts that are expected to be collected. In estimating the allowance, management considers factors such as current overall economic conditions, historical and anticipated customer performance, historical experience with write-offs, and the level of past due accounts. Changes in these conditions may result in additional allowances. Once an amount is deemed to be uncollectible, the amount is written off against the allowance. The allowance for doubtful accounts as of June 30, 2014 and December 31, 2013 was $1,159 and $849, respectively.

        Inventories:     Inventories are stated at the lower of cost or market and consist primarily of prescription medications, over-the-counter ("OTC") medications and medical supplies. Cost is determined using the first-in, first-out method and are adjusted to actual cost quarterly based on a physical count. Inventory is returnable and fully refundable before six months of expiration, and any remaining expired medication is relieved from inventory quarterly. The Company records an estimated reserve for service fees and other deductions from the refund expected for returns of expired medication.

        Property and Equipment:     Property and equipment are valued at cost less accumulated depreciation. Expenditures for maintenance and repairs are expensed as incurred, while expenditures that increase asset lives are capitalized. Depreciation is computed generally on a straight-line basis over the estimated useful lives of the assets. For income tax purposes, accelerated methods of depreciation are generally used.

        When items of property or equipment are sold or retired, the related cost and accumulated depreciation are removed from the accounts, and any gain or loss is included in earnings.

        Construction in progress is stated at cost, which includes the cost of construction and other direct costs attributable to the construction. No provision for depreciation is made on construction in progress until such time as the relevant assets are completed and put into use.

        Assets held for sale are carried at the lower of their historical depreciated costs or estimated fair values less costs to sell.

        Capitalized Software for Internal Use:     The Company has also developed software for internal use. The Company expenses the costs incurred during the preliminary project stage, and capitalizes the direct development costs (including the associated payroll and related costs for employees working on development, and outside contractor costs) during the application development stage. The Company monitors development on an ongoing basis and capitalizes the costs of any major improvements or new functionality. Amortization is computed generally on a straight-line basis over the estimated useful lives of the assets. For income tax purposes, accelerated methods of amortization are generally used.

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

1. BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES (Continued)

        Goodwill:     Goodwill represents excess purchase price paid for a business over the estimated fair value of its acquired net assets related to the Company's acquisitions of MedPro and AHF on June 27, 2014 and December 16, 2013, respectively. See Note 2 for further details.

        Goodwill will be reviewed for impairment annually, or more frequently if impairment indicators exist. Accounting guidance provides the option of performing a qualitative assessment that may allow companies to forego the annual two-step quantitative impairment test for goodwill if it is determined that the fair value of the applicable reporting unit is more likely than not greater than its carrying value. This qualitative assessment evaluates various events and circumstances, such as macro-economic conditions, industry and market conditions, cost factors, relevant events and financial trends, that may impact a reporting unit's fair value. If the two-step impairment test for goodwill is deemed necessary, this quantitative impairment analysis compares the fair values of the Company's reporting units to their related carrying values. If a reporting unit's carrying value exceeds its fair value, the Company must then calculate the reporting unit's implied fair value of goodwill and impairment charges are recorded for any excess of the goodwill carrying value over the implied fair value of goodwill. The reporting units' fair values are based upon consideration of various valuation methodologies, including projected future cash flows discounted at rates commensurate with the risks involved, guideline transaction multiples, and multiples of current and future earnings.

        Definite-Lived Intangible Assets:     Intangible assets consist of the assets related to the acquisitions of AHF and MedPro, and are amortized over their estimated useful lives using the accelerated method for patient relationships, and the straight line method for the remaining intangible assets.

        Long-Lived Asset Impairment Testing:     Long-lived assets, which include property, equipment, capitalized software, investment in non-consolidated affiliate and definite-lived intangible assets, are periodically reviewed for impairment indicators. In assessing long-lived assets for impairment, assets are grouped with other assets and liabilities at the lowest level for which identifiable cash flows are largely independent of the cash flows of other assets and liabilities. If impairment indicators exist, the Company performs an undiscounted cash flow test to determine recoverability. If this recoverability test identifies a possible impairment, management will perform a fair value analysis. Fair values of long-lived assets are determined through various techniques, such as applying probability weighted, expected present value calculations to the estimated future cash flows using assumptions a market participant would utilize or through the use of valuation specialists. The Company compares the fair value of the long-lived asset to its net carrying value and an impairment charge is recorded for the amount by which the net carrying value of the long-lived asset exceeds its fair value.

        Debt Issuance Costs:     Debt issuance costs related to the Company's revolving line of credit are capitalized within "Other noncurrent assets" and amortized as interest expense on a straight-line basis over the term of the agreement for which the fees were paid.

        Share-Based Compensation:     The Company expenses the grant date fair values of its employee stock options over their respective vesting periods on a straight-line basis. Estimating grant date fair values for employee stock options requires management to make assumptions regarding the current value of the Company's common shares, expected volatility of value of those underlying shares, the risk-free rate over the expected life of the stock options, and the date on which share-based payments will be settled. The Company estimates its common share fair value using the income approach and

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

1. BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES (Continued)

market approach using the market comparable method. Expected volatility is based on an implied volatility for a group of industry-relevant healthcare companies as of the measurement date. Risk-free rate is determined based upon U.S. Treasury rates over the estimated expected option lives. Expected dividend yield is zero as the Company does not anticipate that any dividends will be declared during the expected term of the options. Expected option life is less than the option term. If actual results differ significantly from these estimates and assumptions, particularly in relation to management's estimation of volatility which requires the most judgment due to the Company being a private entity, share-based compensation expense, primarily with respect to future share-based awards, could be materially impacted.

        Revenue Recognition:     The Company recognizes revenue from prescription drug sales for home delivery at the time the drugs are shipped. At the time of shipment, the Company has performed substantially all of its obligations under its payor contracts and does not experience a significant level of returns or reshipments. If the Company administers a drug treatment regimen in a patient's home, the Company recognizes revenue at the time of administration. Revenues from dispensing specialty prescriptions that are filled at an open door or retail pharmacy location are recorded at prescription adjudication, which approximates fill date. Sales taxes are presented on a net basis (excluded from revenues and costs). Revenues generated from prescription drugs were $1,001,438 and $699,700 for the six months ended June 30, 2014 and 2013, respectively.

        Shipping and handling costs are not billed to patients; therefore, there are no shipping and handling revenues. Conversely, the Company recognizes shipping and handling costs as incurred by the Company as a component of "Selling, general and administrative expenses" and were $5,881 and $4,817 for the six months ended June 30, 2014 and 2013, respectively.

        The Company recognizes revenue from service, data and consulting services when the services have been performed and the earnings process is complete. Revenues generated from service, data and consulting services were $5,914 and $4,825 for the six months ended June 30, 2014 and 2013, respectively.

        The Company derived its revenue from the following therapeutic classes:

 
  Six Months Ended
June 30,
 
 
  2014   2013  

Oncology

  $ 477,640   $ 340,221  

Immunology(1)

    211,972     174,712  

Multiple Sclerosis

    105,378     76,459  

Other (none greater than 10%)

    212,362     113,133  
           

  $ 1,007,352   $ 704,525  
           
           

(1)
Includes drugs dispensed to treat arthritis, crohn's disease and psoriasis.

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

1. BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES (Continued)

        Advertising and Marketing Costs:     Advertising and marketing costs are expensed as incurred and were $488 and $337 for the six months ended June 30, 2014 and 2013, respectively.

        Income Taxes:     Prior to January 23, 2014, the Company had elected to be taxed under the provisions of Subchapter S of the Internal Revenue Code. Under these provisions, the Company did not pay federal corporate income taxes on its taxable income. Instead, the stockholders were liable for individual federal income taxes on their respective shares of the Company's taxable income. Distributions were made periodically to the Company's shareholders to the extent needed to cover their income tax liability based on the Company's taxable income.

        On January 23, 2014, the Company changed its income tax status from an S corporation to a C corporation. Accordingly, on that date, the Company recorded a net deferred income tax liability of $2,492 and reclassified all of its accumulated deficit, inclusive of the net deferred tax liability adjustment, into additional paid-in capital. The pro forma data presented on the condensed consolidated statements of operations give effect to the Company's election to be a C corporation as if that election was made effective January 1, 2013, in addition to also giving effect to the conversion of Series A Preferred Stock as described in Note 15.

        As a C corporation, the Company accounts for income taxes under the asset and liability approach. Deferred tax assets or liabilities are determined based on the difference between the financial statement and tax bases of assets and liabilities and on tax credit carryforwards as measured by the enacted tax rates which will be in effect when these items impact the tax returns. The Company provides a valuation allowance against net deferred tax assets unless, based upon the available evidence, it is more likely than not that the deferred tax assets will be realized.

        The Company prepares and file tax returns based on interpretations of tax laws and regulations. In the normal course of business the Company's tax returns are subject to examination by various taxing authorities. Such examinations may result in future tax and interest assessments by these taxing authorities. In determining the Company's tax provision for financial reporting purposes, the Company establishes a reserve for uncertain income tax positions unless it is determined to be "more likely than not" that such tax positions would be sustained upon examination, based on their technical merits. That is, for financial reporting purposes, the Company only recognizes tax benefits taken on the tax return if it believes it is "more likely than not" that such tax position would be sustained. There is considerable judgment involved in determining whether it is "more likely than not" that such tax positions would be sustained. As of June 30, 2014, the Company has no recorded uncertain tax positions.

        The Company adjusts its tax reserve estimates periodically because of ongoing examinations by, and settlements with, varying taxing authorities, as well as changes in tax laws, regulations and interpretations. The consolidated tax provision of any given year includes adjustments to prior year income tax accruals and related estimated interest charges that are considered appropriate. The Company's policy is to recognize, when applicable, interest and penalties on uncertain income tax positions as part of income tax expense.

        Earnings per Share:     The Company computes net earnings per common share using the two-class method as its preferred shares meet the definition of a participating security and thereby share in the net income or loss of the Company on a ratable basis with the common stockholders. The preferred shares portion of net income for the six months ended June 30, 2014 was 11%. Basic net income per

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

1. BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING
POLICIES (Continued)

common share is computed by dividing net income allocable to common stockholders by the weighted average number of common shares outstanding during the period. Diluted earnings per common share further includes any common shares available to be issued upon exercise of outstanding stock options if such inclusion would be dilutive.

        New Accounting Pronouncements:     In February 2013, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") No. 2013-4, Liabilities (Topic 405): Obligations Resulting from Joint and Several Liability Arrangements for Which the Total Amount of the Obligation is Fixed at the Reporting Date . This ASU is effective for interim and annual periods beginning after December 15, 2013 and requires the measurement of obligations resulting from joint and several liability arrangements for which the total amount of the obligation is fixed at the reporting date as the sum of: a) the amount the reporting entity agreed to pay on the basis of its arrangement among its co-obligors; and b) any additional amount the reporting entity expects to pay on behalf of its co-obligors. Required disclosures include a description of the joint-and-several arrangement and the total outstanding amount of the obligation for all joint parties. The Company's adoption of this guidance had no impact on its financial position, results of operations, cash flows or disclosures.

        In July 2013, the FASB issued ASU No. 2013-11 , Income Taxes (Topic 740): Presentation of an Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a Tax Credit Carryforward Exists. This ASU is effective for fiscal years and interim periods beginning after December 15, 2013 and changes the presentation of unrecognized tax benefits. The Company's adoption of this guidance had no impact on its financial position, results of operations, cash flows or disclosures.

        In April 2014, the FASB issued ASU No. 2014-8 , Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity. This ASU is effective within annual periods beginning on or after December 15, 2014, and interim periods within annual periods beginning on or after December 15, 2015 with early adoption permitted in certain circumstances. This ASU changes the requirements for reporting discontinued operations. The Company is currently evaluating the impact that the adoption of this guidance will have on its financial position, results of operations, cash flows and/or disclosures.

        In May 2014, the FASB issued ASU No. 2014-9 , Revenue from Contracts with Customers (Topic 606). This ASU is effective for annual periods beginning after December 15, 2016, including interim periods within that reporting period. This ASU changes the requirements for revenue recognition. The Company is currently evaluating which of the several adoption methods it will select and what impact that the adoption of this guidance will have on its financial position, results of operations, cash flows and/or disclosures.

        In June 2014, the FASB issued ASU No. 2014-12 , Compensation—Stock Compensation (Topic 718): Accounting for Share-Based Payments When the Terms of an Award Provide That a Performance Targets Could Be Achieved after the Requisite Service Period. This ASU is effective within annual periods beginning on or after December 15, 2015, including interim periods within that reporting period. This ASU requires that a performance target that affects vesting and that could be achieved after the requisite service period be treated as a performance condition. The Company is currently evaluating the impact that the adoption of this guidance will have on its financial position, results of operations, cash flows and/or disclosures.

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

2. BUSINESS ACQUISITIONS

MedPro

        On June 27, 2014, the Company acquired all of the authorized, issued and outstanding shares of capital stock of MedPro for a total acquisition price of approximately $68,240, excluding related acquisition costs. Included in the total acquisition price is $51,970 in cash, 84.31703 restricted shares of the Company's Class B Nonvoting Common Stock valued at approximately $12,000, and contingent consideration fair valued at $4,270, with a maximum payout of $11,500 of contingent consideration that is based upon the achievement of certain revenue and gross profit targets in each of the twelve month periods ending June 30, 2015 and 2016. At the closing of the acquisition, approximately $3,503 of the purchase consideration was deposited into an escrow account that will be held for two years after the closing date to satisfy any of the Company's indemnification claims. The Company incurred related acquisition costs of approximately $635 that were expensed through "Selling, general and administrative expenses" during the six months ended June 30, 2014.

        MedPro is a specialty pharmacy focused on specialty infusion therapies including hemophilia and immune globulin based in Raleigh, North Carolina. The Company acquired MedPro to expand its existing specialty infusion business and to increase its presence in the mid-Atlantic and Southern regions of the country. The Company ascribes significant value to the cost reductions as well as synergies and other benefits that do not meet the recognition criteria of acquired identifiable intangible assets. Accordingly, the value of these components is included within goodwill. The acquisition is treated as a stock purchase for accounting purposes, and the goodwill resulting from this acquisition is deductible for tax purposes. The results of operations for MedPro are included in the Company's condensed consolidated financial statements from the acquisition date and are not material for the three days ended June 30, 2014.

        The Company did not acquire MedPro's affiliate from which MedPro leased certain operating and other facilities. Instead, the Company, commensurate with the acquisition, entered into a five-year external lease agreement for the facilities with similar terms. As the Company does not direct the significant activities of the lessor, it is not consolidated into the Company's financial statements.

        The Company accounted for its acquisition of MedPro using the acquisition method as required by FASB Accounting Standards Codification ("ASC") Topic 805, Business Combinations ("FASB ASC 805"). A summary of the preliminary fair value determination of the acquired assets and liabilities from the MedPro acquisition is as follows:

Cash and cash equivalents

  $ 668  

Accounts receivable

    9,050  

Inventories

    3,819  

Prepaid expenses and other current assets

    204  

Property and equipment

    697  

Capitalized software for internal use

    25  

Goodwill

    21,338  

Definite-lived intangible assets

    37,099  

Current liabilities

    (4,660 )
       

  $ 68,240  
       
       

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

2. BUSINESS ACQUISITIONS (Continued)

        Definite-lived intangible assets that were acquired and their respective useful lives are as follows:

 
  Useful Life   Amount  

Patient relationships

    10 years   $ 24,000  

Trade names and trademarks

    10 years     8,700  

Non-compete employment agreements

    5 years     4,399  
             

        $ 37,099  
             
             

        The Company determined the estimated fair values of MedPro's identifiable long-lived assets with assistance from an independent valuation firm. That firm also assisted in the Company's determination of the fair value of the contingent consideration utilizing historical results, forecasted operating results of MedPro for each of the twelve month periods ending June 30, 2015 and 2016, and the corresponding contractual contingent payouts based on those results discounted at rates commensurate with the uncertainty involved.

        Given the proximity of the acquisition date to quarter-end, the Company recorded no amortization expense for the six months ended June 30, 2014. Amortization of these definite-lived intangible assets began on July 1, 2014.

AHF

        On December 16, 2013, the Company acquired all of the authorized, issued and outstanding shares of capital stock of AHF for a total acquisition price of approximately $13,449, excluding related acquisition costs. Included in the total acquisition price was approximately $12,100 in cash and contingent consideration fair valued at $1,300, with a maximum payout of $2,000 of contingent consideration that is based on achieving certain revenue and gross profit targets in each of the two years ending December 31, 2014 and 2015. At the closing of the acquisition, approximately $1,353 of the purchase consideration was deposited into an escrow account that will be held for two years after the closing date to satisfy any of the Company's indemnification claims. The Company incurred related acquisition costs of approximately $499 that were expensed through "Selling, general and administrative expenses" during the twelve months ended June 30, 2014.

        AHF provides clotting medications, ancillaries and supplies to individuals with bleeding disorders, such as hemophilia. AHF has provided pharmacy services exclusively to the bleeding disorders community since 1989. The acquisition of AHF will allow the Company to participate in AHF's direct purchase agreements with key hemophilia manufacturers while also providing AHF access to the Company's proprietary care management modules to better manage clinical care of the AHF patients. The Company ascribes significant value to the cost reductions as well as synergies and other benefits that do not meet the recognition criteria of acquired identifiable intangible assets. Accordingly, the value of these components is included within goodwill. The acquisition is treated as a stock purchase for accounting purposes, and the goodwill resulting from this acquisition is deductible for tax purposes. The results of operations for AHF are included in the Company's condensed consolidated financial statements from the acquisition date.

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

2. BUSINESS ACQUISITIONS (Continued)

        The Company did not acquire AHF's affiliate from which AHF leased its operating facility. Instead, the Company, commensurate with the acquisition, entered into a five-year external lease agreement for the facility with similar terms. As the Company does not direct the significant activities of the lessor, it is not consolidated into the Company's financial statements.

        The Company accounted for its acquisition of AHF using the acquisition method as required by FASB Accounting Standards Codification Topic 805, Business Combinations . A summary of the preliminary fair value determination of the acquired assets and liabilities from the AHF acquisition is as follows:

Cash and cash equivalents

  $ 1,917  

Accounts receivable

    3,512  

Inventories

    1,138  

Prepaid expenses and other current assets

    27  

Property and equipment

    182  

Goodwill

    1,513  

Definite-lived intangible assets

    7,100  

Current liabilities

    (1,940 )
       

  $ 13,449  
       
       

        Definite-lived intangible assets that were acquired and their respective useful lives are as follows:

 
  Useful Life   Amount  

Patient relationships

  10 years   $ 5,100  

Trade names and trademarks

  10 years     1,400  

Non-compete employment agreements

  5 years     600  
           

      $ 7,100  
           
           

        The Company determined the estimated fair values of AHF's identifiable long-lived assets with assistance from an independent valuation firm. That firm also assisted in the Company's determination of the fair value of the contingent consideration utilizing historical results, forecasted operating results of AHF for each of the two years ending December 31, 2014 and 2015, and the corresponding contractual contingent payouts based on those results discounted at rates commensurate with the uncertainty involved. Based on operating results since AHF's acquisition, the Company increased the estimated contingent payout to the maximum $2,000 total and therefore increased the related liability at fair value to $1,621 as of June 30, 2014, with a $321 charge to "Selling, general and administrative expenses" during the six months ended June 30, 2014.

        Given the proximity of the acquisition date to year-end, the Company recorded no amortization expense for the year ended December 31, 2013. Amortization of these definite-lived intangible assets began on January 1, 2014. Amortization expense was $452 for the six months ended June 30, 2014.

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

2. BUSINESS ACQUISITIONS (Continued)

Pro Forma Results

        The following unaudited pro forma results for the six months ended June 30, 2014 assume that the MedPro acquisition occurred as of January 1, 2013 and are inclusive of purchase price adjustments. The following unaudited pro forma results for the six months ended June 30, 2013 assume that both the MedPro acquisition and the AHF acquisition occurred as of January 1, 2013 and are inclusive of purchase price adjustments. This pro forma information is not necessarily indicative of the results that actually would have been obtained had the acquisitions been in effect for the periods presented nor that may be obtained in the future.

 
  Six Months Ended
June 30,
 
 
  2014   2013  

Net sales

  $ 1,051,132   $ 757,911  
           
           

Net income

  $ 2,674   $ 2,429  
           
           

Net income per common share—basic

  $ 587.32   $ 557.24  
           
           

Net income per common share—diluted

  $ 542.10   $ 554.95  
           
           

3. FAIR VALUE MEASUREMENTS

        Accounting guidance clarifies that fair value is an exit price, representing the amount that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants. As such, fair value is a market-based measurement that should be determined based upon assumptions that market participants would use in pricing an asset or liability. As a basis for considering such assumptions, a three-tier fair value hierarchy was established, which prioritizes the inputs used in measuring fair value as follows:

    Level
    1:     Observable inputs such as quoted prices in active markets;

    Level
    2:     Inputs, other than quoted prices in active markets, that are observable either directly or indirectly; and

    Level
    3:     Unobservable inputs in which there is little or no market data, which require the reporting entity to develop its own assumptions.

        An asset's or liability's fair value measurement level within the fair value hierarchy is based on the lowest level of any input that is significant to the fair value measurement. Valuation techniques used need to maximize the use of observable inputs and minimize the use of unobservable inputs.

        Assets and liabilities measured at fair value are based on one or more of the following three valuation techniques noted in FASB ASC Topic 820:

    A.
    Market approach:     Prices and other relevant information generated by market transactions involving identical or comparable assets or liabilities.

    B.
    Cost approach:     Amount that would be required to replace the service capacity of an asset (replacement cost).

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

3. FAIR VALUE MEASUREMENTS (Continued)

    C.
    Income approach:     Techniques to convert future amounts to a single present amount based upon market expectations (including present value techniques, option-pricing and excess earnings models).

        Assets and liabilities of the Company remeasured and disclosed at fair value on a recurring basis at December 31, 2013 are set forth in the table below:

 
  Asset
(Liability)
  Level 2   Valuation
Technique

December 31, 2013:

               

Interest rate swap contract

  $ (16 ) $ (16 ) C

        The significant inputs, primarily the LIBOR yield curve, used to determine the fair value of the Company's interest rate swap contract were considered Level 2 observable market inputs. The Company monitored the credit and nonperformance risk associated with its counterparty and believed them to be insignificant and not warranting a credit adjustment at December 31, 2013.

        The Company's interest rate swap agreement had an original notional amount of $2,160, equal to a mortgage loan with Bank of America. The purpose of the swap agreement was to fix the interest rate on the monthly balance of the mortgage and reduce exposure to interest rate fluctuations. Under the agreement, the Company paid the counterparty interest at a fixed rate of 2.72% and received interest at a variable rate, adjusted quarterly and based on LIBOR. Because this instrument is not classified as a hedging activity, changes in the fair value of this instrument are included in interest expense on the accompanying condensed consolidated statements of operations. Fair value of the interest rate swap agreement was recorded in "Other accrued expenses" on the December 31, 2013 condensed consolidated balance sheet. This agreement was terminated in February 2014 at a cost of $9.

        The carrying amounts of the Company's financial instruments, consisting primarily of cash and cash equivalents, accounts receivable, accounts payable and other liabilities, approximate their estimated fair values due to the relative short-term nature of the amounts. The carrying amount of debt approximates fair value due to variable interest rates at customary terms and rates the Company could obtain in current financing.

4. INVENTORIES

        Inventories consist of the following:

 
  June 30,
2014
  December 31,
2013
 

Prescription medications, OTC medications and medical supplies, and retail items

  $ 69,216   $ 56,155  

Raw materials

    256     284  

Finished goods

    18     15  
           

  $ 69,490   $ 56,454  
           
           

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

5. PROPERTY AND EQUIPMENT

        Property and equipment are recorded at cost and are depreciated over the estimated useful lives of the respective assets using the straight-line method. Depreciation expense was $695 and $689 for the six months ended June 30, 2014 and 2013, respectively.

        Property and equipment consist of the following:

 
  Useful Life   June 30,
2014
  December 31,
2013
 

Land

      $ 332   $ 332  

Buildings

    40 years     7,549     7,419  

Building and leasehold improvements

    5 - 15 years *   889     889  

Equipment and fixtures

    5 - 10 years     7,212     6,465  

Computer equipment

    3 - 5 years     2,147     2,096  

Vehicles

    5 years     59     82  

Construction in progress

        294     25  
                 

          18,482     17,308  

Accumulated depreciation

          (5,582 )   (4,930 )
                 

        $ 12,900   $ 12,378  
                 
                 

*
Unless applicable lease term is shorter

        Included in "Prepaid expenses and other current assets" on the condensed consolidated balance sheets are certain properties held for sale with a carrying value of $300 at both June 30, 2014 and December 31, 2013.

6. CAPITALIZED SOFTWARE FOR INTERNAL USE

        Capitalized software for internal use is recorded at cost and is amortized over the estimated useful lives of the respective assets using the straight-line method. Amortization expense was $1,398 and $1,132 for the six months ended June 30, 2014 and 2013, respectively.

        Balances of capitalized software for internal use are as follows:

 
  Useful Life   June 30,
2014
  December 31,
2013
 

Capitalized software for internal use

  3 years   $ 13,692   $ 13,638  

Construction in progress

        4,723     941  
               

        18,415     14,579  

Accumulated amortization

        (9,413 )   (8,015 )
               

      $ 9,002   $ 6,564  
               
               

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

7. INVESTMENT IN NON-CONSOLIDATED ENTITY

        In October 2011, the Company purchased a 25% minority interest in WorkSmartMD, L.L.C., also known as Ageology, for $5,000 of cash consideration, which was paid in installments during 2011, 2012 and 2013. No further payments or other commitments are required as of June 30, 2014. Because the Company does not direct the activities that most significantly impact the economic performance of Ageology, management has determined that the Company is not its primary beneficiary.

        Ageology is an anti-aging physician network dedicated to nutrition, fitness and hormones, and has created a commercial software product for anti-aging physician practices that is in the late stages of development. The Company accounts for Ageology under the equity method, as it has significant influence over its operations. The Company's portion of Ageology's net losses were $710 and $311 for the six months ended June 30, 2014 and 2013, respectively. The Company's equity investment balance in Ageology at June 30, 2014 and December 31, 2013 was $2,868 and $3,577, respectively.

        During January 2014, the Company entered into a $500 8% per annum interest-bearing secured promissory note receivable from Ageology. During November and December 2013, the Company entered into two $1,000 6% per annum interest-bearing promissory notes receivable from Ageology. The notes are secured by all personal property and fixtures owned by Ageology. While due on demand, the Company does not intend to call the notes anytime prior to June 30, 2015 and, accordingly, reflects the notes as noncurrent assets within "Investment in non-consolidated entity" on the Condensed Consolidated Balance Sheets.

        The following table presents summarized financial information of Ageology:

 
  Six Months Ended
June 30,
 
 
  2014   2013  

Statements of Operations:

             

Net sales

  $ 1   $ 1  

Net loss

    (2,839 )   (1,244 )

8. LINE OF CREDIT

        On July 20, 2012, the Company entered into a five-year line of credit with General Electric Capital Corporation ("GE"). The original facility was comprised of a $60,000 revolving loan commitment, which is secured by security interest in and lien upon substantially all of the Company's assets, not otherwise encumbered. The Company maintains a depository bank account where money is swept directly to the line of credit. Advances under the revolving credit loan commitment are limited to a borrowing base that consists of approximately 85% of the book value of eligible accounts receivable. In 2013, the facility was amended to increase the aggregate revolving loan commitments under the line of credit from $60,000 to $85,000. On June 26, 2014, the facility was amended to increase the aggregate revolving loan commitments under the line of credit from $85,000 to $120,000. As of June 30, 2014, the Company had $79,876 of borrowings outstanding and had $18,176 of availability under the line of credit. Additionally, the facility allows incremental increases in the line of credit or issuances of term loans up to an aggregate amount of $25,000, subject to specific conditions.

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

8. LINE OF CREDIT (Continued)

        Interest on borrowings are charged at a rate equal to either: (a) the base rate, which equates to the rate last quoted by The Wall Street Journal as the "Prime Rate" or as further defined in the agreement in the absence of such, plus an applicable margin (the "Base Rate"); or (b) LIBOR, as defined by the agreement, plus an applicable margin. The applicable margin on the Base Rate borrowings is 0.75% and on LIBOR rate borrowings is 1.75%. The effective interest rate for Base Rate borrowings at both June 30, 2014 and December 31, 2013 was 4.00%. The effective rate on LIBOR rate borrowings at June 30, 2014 and December 31, 2013 was 1.90% and 1.92%, respectively. At June 30, 2014, the Company had Base Rate borrowings outstanding in the amount $39,876 and LIBOR rate borrowings outstanding in the amount of $40,000. Additionally, the Company is charged a monthly unused commitment fee ranging from 0.25% to 0.50% on the average unused daily balance.

        In connection with securing and amending this facility, the Company incurred transaction costs totaling $1,424. These costs are being amortized as interest expense over the remaining life of the line of credit.

        The revolving credit commitment with GE contains certain financial and non-financial covenants. The Company was in compliance with all covenants as of June 30, 2014 and December 31, 2013.

9. DEBT

        Debt consists of the following:

 
  June 30,
2014
  December 31,
2013
 

Note payable to an individual; payable monthly in the amount of $242-$282 including interest at 1.3% through January 2017; secured by redeemed shares held in escrow per the pledge agreement and subordinated to the line of credit commitment

  $ 12,651   $ 14,252  

Note payable to a shareholder; payable quarterly in the amount of $100 including interest at 1.3%; matures July 20, 2017; secured by redeemed shares held in escrow per the pledge agreement and subordinated to the line of credit commitment

    7,082     7,235  

Mortgage with JPMorgan Chase; was payable in quarterly payments of principal of $124 plus interest at a rate per year equal to the adjusted LIBOR rate plus the floating rate; was paid off in May 2014

        2,728  

Note payable to an individual; payable quarterly in the amount of $79 including interest at 4.25%; matures July 20, 2017; secured by redeemed shares held in escrow per the pledge agreement and subordinated to the line of credit commitment

    949     1,087  

Note payable to an individual; payable quarterly in the amount of $40 interest free; matures June 15, 2015; unsecured and subordinated to the line of credit commitment

    160     240  
           

    20,842     25,542  

Less short-term debt, including current portion of long-term debt

    (3,949 )   (6,693 )
           

Long-term debt, less current portion

  $ 16,893   $ 18,849  
           
           

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

10. INCOME TAXES

        Significant components of the expense for income taxes for the period from January 23, 2014 to June 30, 2014 are as follows:

Current:

       

Federal

  $ (2,256 )

State and local

    (195 )
       

Total current

    (2,451 )

Deferred:

       

Federal

    (1,973 )

State and local

    (133 )
       

Total deferred

    (2,106 )
       

  $ (4,557 )
       
       

        Included in the deferred tax expense is a $2,492 expense recorded upon the January 23, 2014 effectiveness of the Company's election to become a C corporation.

        The reconciliation of income taxes computed at the United States federal statutory tax rate to income tax expense for the six months ended June 30, 2014 is:

Income tax expense at United States statutory rate

  $ (2,438 )

Tax effect from:

       

Earnings while an S corporation

    651  

Adoption of C corporation status

    (2,492 )

State income taxes, net of federal benefit

    (195 )

Other

    (83 )
       

Income tax expense

  $ (4,557 )
       
       

        Significant components of the Company's deferred tax assets and liabilities at June 30, 2014 are as follows:

Deferred tax assets:

       

Inventories

  $ 53  

Compensation and benefits

    1,795  

Other temporary differences

    557  
       

Total deferred tax assets

    2,405  

Deferred tax liabilities:

       

Property and intangible assets

    (1,928 )

Investment in non-consolidated entity

    (1,987 )

Prepaid expenses

    (596 )
       

Total deferred tax liabilities

    (4,511 )
       

Net deferred tax liabilities

  $ (2,106 )
       
       

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

11. COMMITMENTS AND CONTINGENCIES

Claims and Lawsuits

        The Company is subject to claims and lawsuits that arise primarily in the ordinary course of business. It is the opinion of the Company that the disposition or ultimate resolution of such claims and lawsuits will not have a material adverse effect on the consolidated financial position of the Company.

Purchase Commitments

        The Company purchases a significant portion of its prescription drug inventory from AmerisourceBergen, a prescription drug wholesaler. The Company entered into an agreement in January 2012 with AmerisourceBergen that required a minimum of $3,500,000 in purchase obligations over a five-year period. The Company fully expects to meet this requirement. Furthermore, the Company has alternative vendors available if necessary.

        The Company purchases certain prescription drugs from Celgene, a drug manufacturer. These purchases also comprise a large portion of the Company's prescription drug inventory. The Company has no minimum purchase obligation with Celgene.

Lease Commitments

        The Company leases multiple pharmacy and distribution facilities and office equipment under various operating lease agreements expiring through December 2017. Total rental expense under operating leases, exclusive of property taxes, insurance and other occupancy costs generally payable by the Company, was $916 and $457 for the six months ended June 30, 2014 and 2013, respectively.

12. CAPITAL STOCK

        Pursuant to the Second Amended and Restated Articles of Incorporation dated March 31, 2014, the Company has the following classes of capital stock:

Class
  Par Value   Authorized   Voting Rights

Class A Common

  $ 1.00     5,000   20 votes per share

Class B Common

  $ 1.00     95,000   Nonvoting

Class C Common

  $ 1.00     732   One vote per share

Series A Preferred

  $ 0.001     732   As described below
               

          101,464    
               
               

        Each class of common stock has equal and identical rights, preferences and limitations, other than for voting rights. As of June 30, 2014, a shareholder agreement representing 285 shares of Class B Nonvoting Common Stock contains provisions that, upon death of the shareholder or termination of his employment from the Company, all shares immediately will be deemed to have been offered for sale to the Company at an agreed-upon price, meant to represent the then-current market value of such shares, and terms, as set forth in the shareholder agreement. The Company will then be required to purchase the shares. The Series A Preferred Stock is entitled to vote as if converted into Class C Voting Common Stock on the voting date.

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

12. CAPITAL STOCK (Continued)

        The Series A Preferred Stock has no coupon rate, is convertible into Class C Voting Common Stock at any time at the option of the holder, has optional redemption rights and has liquidation preferences. The conversion rate is on a one-for-one basis, subject to adjustment for stock splits and subdivisions, stock combinations, certain future issuances of common stock or common stock equivalents at effective prices lower than the then-applicable conversion rate, and other circumstances as described in the amended articles of incorporation. The Series A Preferred Stock automatically converts into Class C Voting Common Stock upon either (i) a qualified common stock public offering (as defined), or (ii) an affirmative vote of the majority of the Series A Preferred Stock.

        Pursuant to an affirmative vote of the majority of the Series A Preferred Stock, the holders thereof can demand redemption of all outstanding shares of Series A Preferred Stock anytime on or after the earlier of (i) January 23, 2021, (ii) such time as the Company's aggregate market price (as defined) is equal or greater than $5,000,000, and (iii) such time as certain changes are made to the Company's board of directors, certain executive officers and/or certain controlling shareholders. The redemption price is payable in cash and will be the greater of the original issuance price plus all declared but unpaid dividends and fair market value (as defined). Because of these redemption features, the Series A Preferred Stock is reflected outside of permanent equity on the Company's Condensed Consolidated Balance Sheet. Upon a liquidation event (as defined) the Series A Preferred Stockholders are entitled to receive the greater of (i) the sum of the original issuance price plus a 15% return compounded annually and (ii) the amount they would receive upon the liquidation had the Series A Preferred Stock converted into Class C Voting Common Stock on the liquidation date.

        In January 2014, the Company entered into a Series A Preferred Stock Purchase Agreement with T.Rowe Price under which the Company issued to T.Rowe Price 351.32097 shares of Series A Preferred Stock at a purchase price of $142 per share. The Company used $20,000 of this $50,000 investment for general corporate purposes inclusive of fees associated with this transaction, and the remaining $30,000 was distributed to the currently existing holders of common stock ($26,900) and currently existing holders of options to acquire common stock ($3,100) (Note 13).

        In April 2014, the Company entered into a Series A Preferred Stock Purchase Agreement with Janus Capital Group ("Janus") under which the Company issued to Janus 379.4267 shares of Series A Preferred Stock at a purchase price of $142 per share. The Company used $25,200 of the $54,000 investment for general corporate purposes inclusive of fees associated with this transaction, and the remaining $28,800 was distributed to the currently existing holders of common stock ($26,500) and currently existing holders of options to acquire common stock ($2,300) (Note 13).

13. SHARE-BASED COMPENSATION

        The Company's 2007 Stock Option Plan, as approved by the Company's Board of Directors and amended March 1, 2009, authorizes the granting of stock options to its key employees at no less than the market price on the date the option is granted. Options generally become exercisable in installments of 25% per year, beginning on the first anniversary of the grant date and each of the three anniversaries thereafter, and have a maximum term of ten years. All share-based compensation awards for employees have been granted under the 2007 Stock Option Plan.

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

13. SHARE-BASED COMPENSATION (Continued)

        The Company uses the Black-Scholes-Merton option pricing model to determine the grant date valuation of options and has applied the assumptions set forth in the following table to the options granted during the six months ended June 30, 2014:

Exercise price of options (in thousands)

  $142.3  

Expected volatility

  24.1% - 24.3 %

Expected dividend yield

  0 %

Risk-free rate over the estimated expected life

  1.82 - 1.85 %

Expected life (in years)

  6.25  

        Total compensation expense related to employee stock options was $1,135 and $455 during the six months ended June 30, 2014 and 2013, respectively. In January 2014, the Company redeemed stock options to buy 17.5 shares of Class A Voting Common Stock and 10.7 shares of Class B Nonvoting Common Stock from certain current and former employees for cash consideration totaling $3,100 (Note 12). In April 2014, the Company redeemed stock options to buy 1.1 shares of Class A Voting Common Stock and 20.5 shares of Class B Nonvoting Common Stock from certain current and former employees for cash consideration totaling $2,300 (Note 12). No incremental compensation expense was recognized as a result of these redemptions.

        In May 2014, the Company entered into a Stock Option Redemption Agreement with a former executive whereby the Company redeemed options to acquire 104 shares of common stock, comprised of 5.2 shares of Class A Voting Common Stock and 98.8 shares of Class B Nonvoting Common Stock, for the cash purchase price of $4,000. No incremental compensation expense was recognized as a result of this redemption.

        At June 30, 2014, the total compensation cost related to non-vested options not yet recognized was $6,056, which will be recognized over a weighted average period of 1.7 years, assuming the employees complete their service period for vesting of the options.

        A summary of the Company's stock option activity for the six months ended June 30, 2014 is as follows:

 
  Number
of Shares
  Weighted
Average
Exercise
Price
  Weighted
Average
Grant
Date Fair
Value
  Weighted
Average
Remaining
Contractual
Term
  Aggregate
Intrinsic
Value
 
 
   
  (In Thousands)
  (Years)
   
 

Outstanding at January 1, 2014

    783.2   $ 36.5   $ 7.3     7.0   $ 69,732  

Granted

    104.2     142.3     40.3              

Cancelled

    (153.8 )   12.3     3.0              
                           

Outstanding at June 30, 2014

    733.6   $ 56.5   $ 13.0     7.5   $ 62,977  
                       
                       

Exercisable at June 30, 2014

    334.0   $ 31.6   $ 9.1     6.2   $ 36,970  
                       
                       

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DIPLOMAT PHARMACY, INC.

Notes to Condensed Consolidated Financial Statements (Unaudited) (Continued)

(Dollars in Thousands, Except Per Share Amounts)

14. INCOME PER COMMON SHARE

        The following is a reconciliation of the numerators and the denominators of the basic and diluted income per common share:

 
  Six Months Ended
June 30,
 
 
  2014   2013  

Net income

  $ 2,408   $ 3,514  

Net income allocable to preferred shareholders

    266      
           

Net income allocable to common shareholders

  $ 2,142   $ 3,514  
           
           

Weighted average common shares outstanding, basic

    4,016     4,275  

Incremental shares on assumed exercise of stock options

    342     18  
           

Weighted average common shares outstanding, diluted

    4,358     4,293  
           
           

Net income per common share:

             

Basic

  $ 533.40   $ 822.05  
           
           

Diluted

  $ 491.55   $ 818.56  
           
           

        There were no anti-dilutive options outstanding as of either June 30, 2014 or 2013.

15. SUBSEQUENT EVENTS

        The Company has evaluated subsequent events through August 18, 2014, the date these condensed consolidated financial statements were originally available for issuance.

        On August 12, 2014, the Company issued 43.82183 shares of Class B Nonvoting Common Stock in the aggregate to Deborah L. Ward (Philip Hagerman's sister) and associated trusts, in connection with the termination of an existing Stock Redemption Agreement.

        The Company is in the process of preparing for an initial public offering ("IPO"). The Company's expectation is that the IPO will occur during the latter half of 2014, though no assurances can be made. Upon completion of the IPO, all outstanding shares of capital stock will automatically convert into shares of newly-authorized shares of voting common stock. Additionally, prior to the IPO, the Company will affect a stock split in the form of a stock dividend. Accordingly, all share and per share amounts presented in these consolidated financial statements and notes thereto, will be adjusted, where applicable, to reflect the conversions and split.

        In addition to giving effect to the Company's election to be a C corporation as described in Note 1, the pro forma data presented on the condensed consolidated statements of operations give effect to the conversion of outstanding capital stock as if such conversion occurred at the later of the beginning of the applicable period or upon their issuance dates. Similarly, the pro forma shareholders' equity data presented on the condensed consolidated balance sheets give effect to these conversions as if they occurred on June 30, 2014. This pro forma data does not reflect the common shares issued in the IPO nor the expected uses of the related net proceeds.

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Independent Auditor's Report

To the Stockholders and Board of Directors
American Homecare Federation, Inc. and Affiliate

        We have audited the accompanying consolidated financial statements of American Homecare Federation, Inc. and Affiliate (the "Company"), which comprise the consolidated balance sheet as of September 30, 2013 and the related consolidated statements of operations and comprehensive income, changes in stockholders' equity, and cash flows for the nine months then ended, and the related notes to the consolidated financial statements.

Management's Responsibility for the Consolidated Financial Statements

        Management is responsible for the preparation and fair presentation of these consolidated financial statements in accordance with accounting principles generally accepted in the United States of America; this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of consolidated financial statements that are free from material misstatement, whether due to fraud or error.

Auditor's Responsibility

        Our responsibility is to express an opinion on these consolidated financial statements based on our audit. We conducted our audit in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free from material misstatement.

        An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the consolidated financial statements. The procedures selected depend on the auditor's judgment, including the assessment of the risks of material misstatement of the consolidated financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity's preparation and fair presentation of the consolidated financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity's internal control. Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements.

        We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.

Opinion

        In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of American Homecare Federation, Inc. and Affiliate as of September 30, 2013 and the results of their operations and their cash flows for the nine months then ended, in accordance with accounting principles generally accepted in the United States of America.

Emphasis of Matter

        As described in Note 12 to the consolidated financial statements, on December 16, 2013, all of the outstanding stock of American Healthcare Federation, Inc. was acquired by an unrelated party.

/s/ PLANTE MORAN PLLC

Flint, Michigan
June 24, 2014

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American Homecare Federation, Inc. and Affiliate

Consolidated Balance Sheet

September 30, 2013

 
   
 

Assets

       

Current Assets

   
 
 

Cash and cash equivalents

  $ 1,069,028  

Investments (Note 2)

    557,876  

Accounts receivable—Net of allowance for doubtful accounts of $244,000

    3,992,481  

Inventories (Note 1)

    1,167,065  

Prepaid expenses

    38,295  
       

Total current assets

    6,824,745  

Property and Equipment —Net (Note 3)

    741,878  

Other Assets —Security deposits

   
1,897
 
       

Total assets

  $ 7,568,520  
       
       

Liabilities and Stockholders' Equity

       

Current Liabilities

   
 
 

Accounts payable

  $ 1,283,820  

Current portion of long-term debt (Note 5)

    362,762  

Accrued and other current liabilities

    1,193,707  
       

Total current liabilities

    2,840,289  

Long-term Debt —Net of current portion (Note 5)

    1,246,798  

Redeemable Common Stock (Note 8)

   
746,459
 

Stockholders' Equity

   
2,734,974
 
       

Total liabilities and stockholders' equity

  $ 7,568,520  
       
       

   

See Notes to Consolidated Financial Statements.

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American Homecare Federation, Inc. and Affiliate

Consolidated Statement of Operations and Comprehensive Income

Nine Months Ended September 30, 2013

Net Sales

  $ 21,757,091  

Cost of Goods Sold

    16,859,764  
       

Gross Profit

    4,897,327  

Selling, General, and Administrative Expenses

    3,888,748  
       

Income from Operations

    1,008,579  

Other Income (Expenses)

       

Interest income

    25,288  

Loss on sale of investments—Realized

    (10,719 )

Interest expense

    (63,847 )
       

Net other expenses

    (49,278 )
       

Net Income

    959,301  

Other Comprehensive Income —Unrealized gain on investments

    3,656  
       

Comprehensive Income

  $ 962,957  
       
       

Amounts Attributable to Noncontrolling Interest and AHF Stockholders

       

Net Income

  $ 959,301  

Less Net Income Attributable to Noncontrolling Interest in Affiliate

    25,851  
       

Net Income Attributable to AHF Stockholders

  $ 933,450  
       
       

Comprehensive Income

  $ 962,957  

Less Comprehensive Income Attributable to Noncontrolling Interest in Affiliate

    25,851  
       

Comprehensive Income Attributable to AHF Stockholders

  $ 937,106  
       
       

   

See Notes to Consolidated Financial Statements.

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American Homecare Federation, Inc. and Affiliate

Consolidated Statement of Changes in Stockholders' Equity

Nine Months Ended September 30, 2013

 
  AHF Stockholders    
   
 
 
  Common
Stock
  Treasury
Stock
  Retained
Earnings
  Accumulated
Other
Comprehensive
Loss
  Total   Noncontrolling
Interest
  Total
Equity
 

Balance —January 1, 2013

  $ 221,650   $ (262,747 ) $ 2,071,382   $ (10,627 ) $ 2,019,658   $ 184,882   $ 2,204,540  

Net income

            933,450         933,450     25,851     959,301  

Other comprehensive income

                3,656     3,656         3,656  

Distributions

            (449,687 )       (449,687 )   (22,620 )   (472,307 )

Issuance of noncontrolling interest (Note 11)

                        70,000     70,000  

Redemption (Note 7)

        (18,110 )           (18,110 )       (18,110 )

Accretion of redeemable common stock (Note 8)

            (19,606 )       (19,606 )       (19,606 )

Reclassification—Expiration of redemption options (Note 8)

            7,500         7,500         7,500  
                               

Balance —September 30, 2013

  $ 221,650   $ (280,857 ) $ 2,543,039   $ (6,971 ) $ 2,476,861   $ 258,113   $ 2,734,974  
                               
                               

   

See Notes to Consolidated Financial Statements.

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American Homecare Federation, Inc. and Affiliate

Consolidated Statement of Cash Flows

Nine Months Ended September 30, 2013

Cash Flows from Operating Activities

       

Net income

  $ 959,301  

Adjustments to reconcile net income to net cash from operating activities:

       

Depreciation

    33,576  

Loss on disposal of property and equipment

    314  

Net realized loss on investments

    10,719  

Changes in operating assets and liabilities which (used) provided cash:

       

Accounts receivable

    (704,780 )

Inventories

    213,048  

Prepaid expenses and other assets

    12,592  

Accounts payable

    562,179  

Accrued and other liabilities

    884,460  
       

Net cash provided by operating activities

    1,971,409  

Cash Flows from Investing Activities

       

Purchases of property and equipment

    (16,421 )

Purchases of investments

    (212,925 )

Proceeds from sales and maturities of investments

    212,155  
       

Net cash used in investing activities

    (17,191 )

Cash Flows from Financing Activities

       

Payments on debt

    (343,381 )

Payments on stockholders' loans

    (373,430 )

Payments on revolving credit facilities

    (750,000 )

Issuance of noncontrolling interest

    70,000  

Redemption of stock

    (18,110 )

Distributions to noncontrolling interest

    (22,620 )

Distributions to stockholders

    (449,687 )
       

Net cash used in financing activities

    (1,887,228 )
       

Net Increase in Cash and Cash Equivalents

    66,990  

Cash and Cash Equivalents —Beginning of period

    1,002,038  
       

Cash and Cash Equivalents —End of period

  $ 1,069,028  
       
       

Supplemental Cash Flow Information —Cash paid for interest

  $ 63,847  
       
       

   

See Notes to Consolidated Financial Statements.

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American Homecare Federation, Inc. and Affiliate

Notes to Consolidated Financial Statements

September 30, 2013

Note 1—Nature of Business and Significant Accounting Policies

        American Homecare Federation Inc. (AHF) is a specialty pharmacy sales business headquartered in Enfield, Connecticut. The Company stocks, dispenses, and distributes prescriptions for various biotech and specialty pharmaceuticals, principally for the treatment of hemophilia and other blood disorders

        Basis of Presentation —The accompanying consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (GAAP) and include the accounts of AHF and an affiliate, 31 Moody Road, LLC, a variable interest entity for which the Company is the primary beneficiary (collectively, the "Company"). All significant intercompany transactions and balances have been eliminated upon consolidation.

        Cash and Cash Equivalents —Cash includes cash on hand and cash held in banks which is readily convertible to known amounts of cash. For the purpose of the consolidated statement of cash flows, included in cash are money market funds totaling $27,332 at September 30, 2013.

        Investments —Debt and equity securities purchased to be held for an indefinite period of time are classified as available-for-sale securities. Available-for-sale securities are reported at fair value with unrealized gains and temporary losses reported in other comprehensive income.

        Fair Value of Financial Instruments —Financial instruments consist of cash equivalents, investments, accounts receivable, accounts payable, and debt. The carrying amount of all debt approximates fair value due to the existence of interest rates that approximate prevailing market rates. The carrying amount of all other significant financial instruments approximates fair value due to the short maturities.

        Accounting standards require certain assets and liabilities be reported at fair value in the financial statements and provide a framework for establishing that fair value. The framework for determining fair value is based on a hierarchy that prioritizes the inputs and valuation techniques used to measure fair value.

        Fair values determined by Level 1 inputs use quoted prices in active markets for identical assets or liabilities that the Company has the ability to access.

        Fair values determined by Level 2 inputs use other inputs that are observable, either directly or indirectly. These Level 2 inputs include quoted prices for similar assets and liabilities in active markets, and other inputs such as interest rates and yield curves that are observable at commonly quoted intervals.

        Level 3 inputs are unobservable inputs, including inputs that are available in situations where there is little, if any, market activity for the related asset. These Level 3 fair value measurements are based primarily on management's own estimates using pricing models, discounted cash flow methodologies, or similar techniques taking into account the characteristics of the asset.

        In instances whereby inputs used to measure fair value fall into different levels in the above fair value hierarchy, fair value measurements in their entirety are categorized based on the lowest level input that is significant to the valuation. The Company's assessment of the significance of particular inputs to these fair value measurements requires judgment and considers factors specific to each asset or liability.

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American Homecare Federation, Inc. and Affiliate

Notes to Consolidated Financial Statements (Continued)

September 30, 2013

Note 1—Nature of Business and Significant Accounting Policies (Continued)

        Trade Accounts Receivable —Accounts receivable primarily include amounts from third-party pharmacy benefit managers and insurance providers and are based on contracted prices. Trade receivables require no collateral and are on an unsecured basis. Accounts receivable terms vary by payor, but generally are due within 30 days after the sale of the product or performance of the service.

        The Company maintains an allowance for doubtful accounts that reduces receivables to amounts that are expected to be collected.

        In estimating the allowance, management considers factors such as current overall economic conditions, historical and anticipated customer performance, historical experience with write-offs, and the level of past due accounts. Changes in these conditions may result in additional allowances. All amounts deemed to be uncollectible are charged against the allowance for doubtful accounts in the period that determination is made. The allowance for doubtful accounts on accounts receivable balances was $244,000 as of September 30, 2013.

        Inventories —Inventories consist primarily of prescription medications and over-the-counter medications. Inventories are stated at the lower of average cost or market, with cost determined on the first-in, first-out (FIFO) method, and are adjusted to actual cost monthly based on a physical count.

        Property and Equipment —Property and equipment are recorded at cost and are depreciated using the straight-line method. Assets are depreciated over their estimated useful lives, including leasehold improvements since the lease is with a related party.

        Costs of maintenance and repairs are charged to expense when incurred. Renewals and improvements that extend the useful life of the assets are capitalized. The cost of assets sold or retired and the related amount of the accumulated depreciation are eliminated from the accounts in the period of sale or retirement. Any resulting gain or loss is included in earnings.

        Revenue Recognition —The Company recognizes revenue from prescription drug sales for home delivery at the time the drugs are shipped. Shipping and handling costs are not billed to patients; therefore, there are no shipping and handling revenues. Conversely, shipping and handling costs incurred by the Company are included in selling, general, and administrative expenses and were approximately $23,000.

        Advertising Expenses —Advertising expenses are charged to income during the period in which they are incurred. Advertising expenses were approximately $88,000.

        Income Taxes —Pursuant to provisions of the Internal Revenue Code, AHF has elected to be taxed as an S Corporation. Generally, the income of an S Corporation is not subject to federal income tax at the corporate level, but rather the stockholders are required to include a pro rata share of the corporation's taxable income or loss in their personal income tax returns, irrespective of whether distributions have been paid. Accordingly, no provision for federal income taxes has been made in the accompanying financial statements.

        31 Moody Road, LLC is treated as a partnership for federal income tax purposes. Consequently, federal income taxes are not payable or provided for by the entity. Members are taxed individually on their pro-rata ownership share of the earnings. The net income or loss is allocated among the members in accordance with the Company's operating agreement.

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American Homecare Federation, Inc. and Affiliate

Notes to Consolidated Financial Statements (Continued)

September 30, 2013

Note 1—Nature of Business and Significant Accounting Policies (Continued)

        The Company classifies interest and penalties associated with tax liabilities as interest expense and operating expenses, respectively.

        Income tax filings pertaining to the federal and state filings remain open for potential examinations for the 2010 through 2013 years.

        Concentrations of Risk —Financial instruments which potentially subject the Company to concentrations of credit risk consist principally of cash on deposit with banks or other financial institutions and trade accounts receivable.

        As of and for the nine months ended September 30, 2013, approximately 72 percent of sales and 80 percent of accounts receivable related to six insurance carriers. Concentrations of credit risk with respect to trade receivables are limited by the large number of patients comprising the Company's customer base and their dispersion across multiple payors and multiple geographic areas.

        The Company purchases prescription drugs from pharmaceutical companies. Three companies make up 75 percent of the cost of sales and the accounts payable as of and for the nine months ended September 30, 2013.

        Use of Estimates —The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Although the estimates are considered reasonable, actual results could differ from those estimates. The most significant estimate that is susceptible to significant change in the near term relates to the determination of the allowance for doubtful accounts. Adjustments related to changes in the estimates are reflected in the Company's results of operations in the period in which those estimates changed.

        Subsequent Events —The consolidated financial statements and related disclosures include evaluation of events up through and including June 24, 2014, which is the date the consolidated financial statements were available to be issued. See Note 12 for disclosure of significant events subsequent to September 30, 2013.

Note 2—Investments and Fair Value

        The details of the Company's investments in debt and equity securities are as follows at September 30, 2013:

    Available-for-sale Securities

 
  Amortized Cost   Fair Value   Gross
Unrealized
Gains
  Gross
Unrealized
Losses
 

Debt securities—Corporate

  $ 564,847   $ 557,876   $ 155   $ (7,126 )
                   
                   

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American Homecare Federation, Inc. and Affiliate

Notes to Consolidated Financial Statements (Continued)

September 30, 2013

Note 2—Investments and Fair Value (Continued)

        Realized gains and losses are determined on the basis of specific identification. During 2013, sales proceeds and gross realized gains and losses on securities classified as available for sale were as follows:

Sales proceeds

  $ 212,155  

Gross realized gains

    279  

Gross realized losses

    (10,998 )

        The following table shows the gross unrealized losses and fair value of the Company's investments with unrealized losses that are not deemed to be other-than-temporarily impaired.

 
  September 30, 2013  
 
  Less than 12 Months   12 Months or Greater  
 
  Fair Value   Unrealized
Losses
  Fair Value   Unrealized
Losses
 

Debt securities—Corporate

  $ 377,113   $ (2,445 ) $ 109,223   $ (4,681 )
                   
                   

        Corporate Bonds —The Company's unrealized losses on investments in corporate bonds relate to high yield bonds. The severity of the impairment and duration of the losses reflect normal market fluctuations. The Company evaluated the near-term prospects of the issuers. Based on the evaluation and the Company's ability and intent to hold the investments for a reasonable period of time sufficient for a forecasted recovery of fair value, management does not consider these investments to be other-than-temporarily impaired at September 30, 2013.

        The Company measures the available-for-sale debt securities at fair value on a recurring basis. The fair value of the debt securities is based primarily on Level 1 inputs as described in Note 1.

        The contractual maturities of these available-for-sale investments as of September 30, 2013 were as follows:

 
  Fair Value   Cost  

September 30, 2014

  $ 172,934   $ 176,805  

September 30, 2015

    175,619     178,337  

September 30, 2016

    209,323     209,705  
           

Total

  $ 557,876   $ 564,847  
           
           

Note 3—Property and Equipment

        Property and equipment are summarized as follows:

 
  Amount   Depreciable
Life—Years
 

Land

  $ 97,778      

Building

    457,222     40  

Furniture and fixtures

    344,496     3 - 10  

Leasehold improvements

    228,846     5 - 39  
             

Total cost

    1,128,342        

Accumulated depreciation

    386,464        
             

Net property and equipment

  $ 741,878        
             
             

        Depreciation expense was $33,576 for 2013.

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American Homecare Federation, Inc. and Affiliate

Notes to Consolidated Financial Statements (Continued)

September 30, 2013

Note 4—Line of Credit

        Under a line of credit agreement with a bank, the Company had available borrowings of $2,500,000 as of September 30, 2013. Interest on the outstanding balance was payable monthly at the prime rate (an effective rate of 3.25 percent at September 30, 2013). The line of credit was due upon demand and was collateralized by all of AHF's assets. There were no outstanding borrowings on the line at September 30, 2013. The line was closed in December 2013.

Note 5—Long-term Debt

        Long-term debt at September 30, 2013 is as follows:

Installment note payable to a foundation in monthly installments of $33,360 including interest at 4.5 percent. The note matures in April 2017. The note was unsecured. The note was paid in full in December 2013

  $ 1,322,530  

Installment note payable to a foundation in monthly installments of $3,168 including interest at 5.00 percent. The note matures in July 2027. The note is secured by real estate

    287,030  
       

Total

    1,609,560  

Less current portion

    362,762  
       

Long-term portion

  $ 1,246,798  
       
       

The scheduled maturities of the above debt are as follows:

Years Ending September 30
  Amount  

2014

  $ 362,762  

2015

    379,504  

2016

    397,020  

2017

    247,287  

2018

    18,110  

Thereafter

    204,877  
       

Total

  $ 1,609,560  
       
       

        Interest expense for the nine months ended September 30, 2013 was $63,847.

Note 6—Capital Stock

        Common stock consists of 200,000 authorized shares of no par value stock. As of September 30, 2013, there were 11,501 shares issued and outstanding.

Note 7—Stock Subscription, Redemption, and Restriction Agreements

        Under the terms of stock subscription, redemption, and restriction agreements, the stockholders had the option to require AHF to repurchase any or all of their shares on or within 30 days of the third or fourth anniversary of the date of issuance of the shares, at a price specified in the agreement. Under the same agreement, AHF had the option to repurchase these shares upon 30 days' notice to the respective stockholders at any time after the third anniversary of the date of issuance of the shares, at a price specified in the agreement. Stock transfers were restricted under the terms of the agreement.

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American Homecare Federation, Inc. and Affiliate

Notes to Consolidated Financial Statements (Continued)

September 30, 2013

Note 7—Stock Subscription, Redemption, and Restriction Agreements (Continued)

        During 2013, AHF repurchased 100 shares of common stock of one stockholder in accordance with the Articles of Incorporation and Corporate Bylaws, for the amount of $18,110.

Note 8—Redeemable Common Stock

        Redeemable common stock is a temporary equity account that consists of shares of outstanding common stock that contain unexpired stockholder options to require AHF to repurchase the shares under the circumstances described in Note 7. The shares are initially recorded at fair market value, and the carrying amount is accreted to the maximum redemption price over a three-year period. When the related put options expire, the carrying amounts of the shares are reclassified to permanent equity accounts.

        The maximum redemption price for all outstanding shares with unexpired put options as of September 30, 2013 was $755,400. The related put options were scheduled to expire at various dates through September 2015. As discussed in Note 12, all shares of the Company's stock were purchased by an unrelated party in December 2013. No put options were exercised prior to the purchase.

        The changes in redeemable common stock for the nine-month period ended September 30, 2013 are as follows:

Balance—January 1, 2013

  $ 734,353  

Accretion of redeemable common stock

    19,606  

Reclassifications to permanent equity

    (7,500 )
       

Balance—September 30, 2013

  $ 746,459  
       
       

Note 9—Operating Lease

        AHF leases office space in West Springfield, Massachusetts under an operating lease arrangement with consecutive three-year renewal options. The current renewal option expires in February 2016 and the final renewal option, if accepted, would expire in February 2019. The monthly base rent for 2013 was $1,803. The lease also requires AHF to pay a proportionate share of taxes, insurance, utilities, and maintenance costs. Total rent under this agreement was $16,019 for the nine months ended September 30, 2013.

        Future minimum annual commitments under this operating lease are as follows:

Years Ending September 30
  Amount  

2014

  $ 21,641  

2015

    21,641  

2016

    9,017  
       

Total

  $ 52,299  
       
       

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American Homecare Federation, Inc. and Affiliate

Notes to Consolidated Financial Statements (Continued)

September 30, 2013

Note 10—Retirement Plans

        AHF sponsors a 401(k) plan for substantially all of its employees. The plan allows for the employer to make discretionary matching contributions and discretionary profit-sharing contributions. Contributions to the plan totaled $121,539 for the nine months ended September 30, 2013.

Note 11—Information About Variable Interest Entities

        AHF leases its main operating facility from 31 Moody Road, LLC (Moody), an entity with common ownership. The entity was formed for the purpose of holding the building leased to AHF. The lease requires monthly rent payments that are adjusted annually based upon changes in the Consumer Price Index. The lease agreement expires in May 2017, and includes a five-year renewal option through May 2022. Moody generated $69,036 of rental income during the nine months ended September 30, 2013, all of which was from AHF and was eliminated in consolidation.

        Moody is considered to be a variable interest entity (VIE) because its sole property is leased to an entity under common control and the lease with AHF is the primary source of resources to service the VIE's obligations.

        AHF determined that it is the primary beneficiary of the VIE because the lease agreement provides it with (1) the power to direct the activities of the VIE that most significantly impact its economic performance and (2) the obligation to absorb losses that could potentially be significant to the VIE. As a result, Moody has been included in the financial statements as a consolidated VIE.

        Included in the consolidated balance sheet as of September 30, 2013 are the following amounts related to the VIE:

Current assets

  $ 30,200  

Property and equipment

    514,943  
       

Total assets

  $ 545,143  
       
       

Current liabilities

  $ 14,833  

Long-term debt

    272,197  
       

Total liabilities

  $ 287,030  
       
       

Equity—Noncontrolling interest

  $ 258,113  
       
       

        The creditors and beneficial interest holders of the VIE have no recourse against the assets or general credit of AHF.

Note 12—Subsequent Events

        In November and December 2013, the Company paid discretionary bonuses totaling approximately $1,500,000 attributable to 2013 operations. At September 30, 2013, $950,000 of this bonus expense was recorded and was included in accrued and other current liabilities in the accompanying consolidated financial statements, representing the estimated amount attributable to the nine months ended September 30, 2013.

        On December 16, 2013, all of the authorized, issued, and outstanding shares of capital stock of AHF were acquired by Diplomat Pharmacy, Inc. for a total acquisition price of $13,448,982.

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Independent Auditor's Report

Board of Directors
MedPro Rx, Inc. and Affiliate
Raleigh, North Carolina

        We have audited the accompanying consolidated financial statements of MedPro Rx, Inc. and Affiliate (the "Company"), which comprise the consolidated balance sheets as of December 31, 2013 and 2012, and the related consolidated statements of income, changes in stockholders' equity and cash flows for each of the three years in the period ended December 31, 2013, and the related notes to the consolidated financial statements.

Management's Responsibility for the Financial Statements

        Management is responsible for the preparation and fair presentation of these consolidated financial statements in accordance with accounting principles generally accepted in the United States of America; this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of consolidated financial statements that are free from material misstatement, whether due to fraud or error.

Auditor's Responsibility

        Our responsibility is to express an opinion on these consolidated financial statements based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free from material misstatement.

        An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the consolidated financial statements. The procedures selected depend on the auditor's judgment, including the assessment of the risks of material misstatement of the consolidated financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity's preparation and fair presentation of the consolidated financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity's internal control. Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the consolidated financial statements.

        We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.

Opinion

        In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of MedPro Rx, Inc. and its Affiliate as of December 31, 2013 and 2012, and the results of their operations and their cash flows for each of the three years in the period ended December 31, 2013, in accordance with accounting principles generally accepted in the United States of America.

Emphasis of Matter

        As described in Note 1 to the consolidated financial statements, on June 27, 2014, all of the outstanding stock of the Company was acquired by an unrelated party.

/s/ BDO USA, LLP

August 18, 2014
Chicago, Illinois

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MEDPRO RX, INC. AND AFFILIATE

Consolidated Balance Sheets

 
  December 31,  
 
  2013   2012  

Assets

             

Current assets:

             

Cash and cash equivalents

  $ 1,251,650   $ 5,618,068  

Accounts receivable—net

    8,386,536     8,766,135  

Inventories

    3,622,369     2,973,491  

Prepaid expenses

    30,621     27,000  
           

Total current assets

    13,291,176     17,384,694  

Property and equipment—net

   
2,948,386
   
2,601,446
 

Other assets

    132,288     122,112  
           

  $ 16,371,850   $ 20,108,252  
           
           

Liabilities and Stockholders' Equity

             

Current liabilities:

             

Accounts payable

  $ 1,455,011   $ 3,629,325  

Accrued expenses

    713,741     787,775  
           

Total current liabilities

    2,168,752     4,417,100  
           

Stockholders' equity:

   
 
   
 
 

Controlling interest:

             

Common stock—no par value

    150,000     150,000  

Additional paid-in capital

    5,329,760     5,275,160  

Retained earnings

    6,818,014     8,651,451  
           

Total controlling interest

    12,297,774     14,076,611  

Non-controlling interest

    1,905,324     1,614,541  
           

Total stockholders' equity

    14,203,098     15,691,152  
           

  $ 16,371,850   $ 20,108,252  
           
           

   

See accompanying notes to consolidated financial statements.

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MEDPRO RX, INC. AND AFFILIATE

Consolidated Statements of Income

 
  Years Ended December 31,  
 
  2013   2012   2011  

Net sales

  $ 82,686,011   $ 77,053,888   $ 69,168,411  

Cost of goods sold

    65,860,080     60,105,220     53,070,860  
               

Gross profit

    16,825,931     16,948,668     16,097,551  

Selling, general and administrative expenses

    10,095,680     9,984,155     9,073,191  
               

Income from operations

    6,730,251     6,964,513     7,024,360  
               

Other income (expense):

                   

Rental income

    12,415     12,375     11,375  

Interest expense

        (1,277 )   (22,902 )

Interest income

    47,243     43,229     77,847  
               

Total other income

    59,658     54,327     66,320  
               

Net income

    6,789,909     7,018,840     7,090,680  

Less net loss attributable to non-controlling interest

    5,118     14,505     31,932  
               

Net income attributable to MedPro Rx, Inc.

  $ 6,795,027   $ 7,033,345   $ 7,122,612  
               
               

   

See accompanying notes to consolidated financial statements.

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MEDPRO RX, INC. AND AFFILIATE

Consolidated Statements of Changes in Stockholders' Equity

 
  Common Stock    
   
   
   
   
 
 
  Additional
Paid-in
Capital
  Retained
Earnings
  Total
Controlling
Interest
  Non-
controlling
Interest
   
 
 
  Shares   Amount   Total  

Balance, January 1, 2011

    4,200,000   $ 150,000   $ 5,501,523   $ 4,225,757   $ 9,877,280   $ 1,281,218   $ 11,158,498  

Member contributions

                        365,000     365,000  

Net income (loss)

                7,122,612     7,122,612     (31,932 )   7,090,680  

Distributions

                (3,917,381 )   (3,917,381 )       (3,917,381 )

Stock options repurchased

            (722,045 )   (689,947 )   (1,411,992 )       (1,411,992 )

Stock options exercised

    85,000         23,715         23,715         23,715  

Stock-based compensation

            319,600         319,600         319,600  
                               

Balance, December 31, 2011

    4,285,000     150,000     5,122,793     6,741,041     12,013,834     1,614,286     13,628,120  

Member contributions

                        15,000     15,000  

Net income (loss)

                7,033,345     7,033,345     (14,505 )   7,018,840  

Distributions

                (5,122,935 )   (5,122,935 )   (240 )   (5,123,175 )

Stock-based compensation

            152,367         152,367         152,367  
                               

Balance, December 31, 2012

    4,285,000     150,000     5,275,160     8,651,451     14,076,611     1,614,541     15,691,152  

Member contributions

                        296,141     296,141  

Net income (loss)

                6,795,027     6,795,027     (5,118 )   6,789,909  

Distributions

                (8,583,148 )   (8,583,148 )   (240 )   (8,583,388 )

Stock options repurchased

            (65,820 )   (45,316 )   (111,136 )       (111,136 )

Stock-based compensation

            120,420         120,420         120,420  
                               

Balance, December 31, 2013

    4,285,000   $ 150,000   $ 5,329,760   $ 6,818,014   $ 12,297,774   $ 1,905,324   $ 14,203,098  
                               
                               

Authorized shares

    6,000,000                                      
                                           
                                           

   

See accompanying notes to consolidated financial statements.

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MEDPRO RX, INC. AND AFFILIATE

Consolidated Statements of Cash Flows

 
  Years Ended December 31,  
 
  2013   2012   2011  

Cash flows from operating activities:

                   

Net income

  $ 6,789,909   $ 7,018,840   $ 7,090,680  

Adjustments to reconcile net income to net cash provided by operating activities

                   

Depreciation

    285,855     244,260     205,235  

Stock-based compensation

    120,420     152,367     319,600  

Changes in operating assets and liabilites:

                   

Accounts receivable—net

    379,599     (184,089 )   (1,542,725 )

Inventories

    (648,878 )   (767,908 )   143,710  

Prepaid expenses

    (3,621 )   (27,000 )    

Other assets

    (10,176 )   (16,362 )   (1,917 )

Accounts payable

    (2,174,314 )   851,641     193,041  

Accrued expenses

    (74,034 )   211,353     279,785  
               

Net cash provided by operating activities

    4,664,760     7,483,102     6,637,409  
               

Cash flows from investing activities:

                   

Purchases of property and equipment

    (632,795 )   (344,916 )   (521,362 )
               

Cash flows from financing activities:

                   

Repurchase of stock options

    (111,136 )       (1,411,992 )

Stock options exercised

            23,715  

Member contributions

    296,141     15,000     365,000  

Distributions

    (8,583,388 )   (5,123,175 )   (3,917,381 )

Payments on notes payable

            (717,207 )
               

Net cash used in financing activities

    (8,398,383 )   (5,108,175 )   (5,657,865 )
               

Net (decrease) increase in cash and cash equivalents

    (4,366,418 )   2,030,011     458,182  

Cash and cash equivalents, beginning of year

    5,618,068     3,588,057     3,129,875  
               

Cash and cash equivalents, end of year

  $ 1,251,650   $ 5,618,068   $ 3,588,057  
               
               

Supplemental disclosures of cash flow information:

                   

Cash paid for:

                   

Interest

  $   $ 1,277   $ 22,902  
               
               

   

See accompanying notes to consolidated financial statements.

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MEDPRO RX, INC. AND AFFILIATE

Notes to Consolidated Financial Statements

1. Summary of Significant Accounting Policies

        Business Activity:     MedPro Rx, Inc. ("MedPro") is a specialty pharmacy retailing prescription medications. MedPro is located in Raleigh, North Carolina and provides services primarily in the Mid-Atlantic states.

        Selfridge Investments, LLC ("Affiliate") owns real estate and leases office and condominium space to MedPro RX, Inc.

        Basis of Presentation:     The accompanying consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States ("GAAP") and include all the accounts of MedPro and Affiliate (collectively, the "Company"). All significant intercompany transactions and balances have been eliminated in the consolidation.

        MedPro's primary stockholders own all of the equity interests in Affiliate. MedPro leases its main operating and other properties from Affiliate, which was formed for the purpose of owning such properties. Mortgages for the properties were paid off in certain cases with funding provided to Affiliate by MedPro in the form of loans (which are eliminated in consolidation). Because Affiliate does not have adequate equity at risk to support its significant operating activities and because the vast majority of its properties are leased only to MedPro, MedPro is deemed to control the significant operating activities of Affiliate and therefore is deemed to be its primary beneficiary. Accordingly, Affiliate is consolidated into the Company's financial statements.

        Accounting for Non-controlling Interest:     The Company records the non-controlling interest of other consolidated entities as a separate component of stockholders' equity in the consolidated balance sheets. Additionally, the consolidated statements of income separately present earnings attributable to controlling and non-controlling interests.

        Use of Estimates:     The preparation of consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the periods reported. Although the estimates are considered reasonable, actual results could differ from those estimates. The most significant estimate is the contractual and bad debt allowance. Adjustments related to changes in the estimates are reflected in the Company's results of operations in the period in which those estimates changed.

        Revenue Recognition:     The Company recognizes revenue upon delivery and administration of medicines, supplies, and services to patients. Shipping and handling costs are not billed to patients; therefore, there are no shipping and handling revenues.

        Concentrations of Risk:     Financial instruments which potentially subject the Company to concentrations of credit risk consist primarily of cash and accounts receivable.

        The temporary federal program that insured non-interest bearing cash balances without balance limitations expired December 31, 2012. Beginning in 2013, insurance coverage reverted to $250,000 per depositor at each financial institution, and non-interest bearing cash balances may again exceed federally insured limits.

        Concentration of credit risk with respect to trade receivables in limited by the large number of patients comprising the Company's customer base and their dispersion across multiple payors and

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MEDPRO RX, INC. AND AFFILIATE

Notes to Consolidated Financial Statements (Continued)

1. Summary of Significant Accounting Policies (Continued)

multiple geographic areas. As of December 31, 2013 and 2012, the Company had no significant trade receivable concentrations of credit risk.

        The Company's products are purchased from several suppliers. For 2013, two suppliers accounted for approximately 72% of the total cost of sales. For 2012, two suppliers accounted for approximately 73% of the total cost of sales. For 2011, two suppliers accounted for approximately 76% of the total cost of sales. The Company believes it has the flexibility to use a number of other vendors to fulfill its sales requirements should the need arise.

        Fair Value of Financial Instruments:     The carrying amounts of the Company's financial instruments, consisting primarily of cash and cash equivalents, accounts receivable, accounts payable and other liabilities, approximate their fair value due to the relative short-term nature of the amounts.

        The Company uses a framework for measuring fair value under GAAP and defines fair value as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. This guidance requires that valuation techniques maximize the use of observable inputs and minimize the use of unobservable inputs. This guidance also establishes a fair value hierarchy which prioritizes the valuation inputs into three broad levels. Based on the underlying inputs, each fair value measurement in its entirety is reported in one of three levels:

        Level 1—Unadjusted quoted prices that are available in active markets for the identical assets or liabilities at the measurement date.

        Level 2—Other observable inputs available at the measurement date, other than quoted prices included in Level 1, either directly or indirectly, including:

    Quoted prices for similar assets or liabilities in active markets;

    Quoted prices for identical or similar assets in non-active markets;

    Inputs other than quoted prices that are observable for the asset or liability; and

    Inputs that are derived principally from or corroborated by other observable market data.

        Level 3—Unobservable inputs that cannot be corroborated by observable market data and reflect the use of significant management judgment. These values are generally determined using pricing models for which the assumptions utilize management's estimates of market participant assumptions.

        Cash and Cash Equivalents:     The Company considers all highly liquid investments purchased with a maturity of three months or less to be cash equivalents.

        Accounts Receivable:     Accounts receivable primarily includes amounts from individuals, Medicaid, Medicare and independent insurance providers and are based on contracted prices. Trade receivables require no collateral and are on an unsecured basis. Accounts receivable vary by payor, but generally are due within 30 days after the sale of the product or performance of the service.

        The Company maintains an allowance for doubtful accounts that reduces receivables to amounts that are expected to be collected.

        In estimating the allowance, management considers factors such as current, overall economic conditions, historical and anticipated customer performance, historical experience with write-offs, and

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MEDPRO RX, INC. AND AFFILIATE

Notes to Consolidated Financial Statements (Continued)

1. Summary of Significant Accounting Policies (Continued)

the level of past due accounts. Changes in these conditions may result in additional allowances. Once an amount is deemed uncollectible, the amount is written-off against the allowance. The allowance for doubtful accounts was $374,119 at December 31, 2013 and $377,793 at December 31, 2012.

        Inventories:     Inventories consist of pharmaceuticals held for sale and are stated at the lower of cost determined on the average-cost method (which approximates the first in-first out method) or market.

        Property and Equipment:     Property and equipment are stated at cost. Major repairs and betterments are capitalized and normal maintenance and repairs are charged to expense as incurred. Depreciation is computed by the straight-line method over the estimated useful lives of the related assets. Upon retirement or sale of an asset, the cost and accumulated depreciation are removed from the accounts and any gain or loss is reflected in operations. Estimated useful lives are as follows:

 
  Years  

Buildings

    20  

Office equipment

    5  

Software

    5  

Furniture and fixtures

    7  

Computer equipment

    5  

        Share-Based Awards:     Share-based compensation awards are recognized at fair value, see Note 7 for further disclosure.

        Income Taxes:     MedPro, with the consent of its stockholders, has elected for income tax purposes to be an S Corporation. In lieu of corporate income taxes, the stockholders of an S Corporation are taxed on their proportionate share of the Company's taxable income or loss. Selfridge Investments, LLC is treated as a partnership for income tax purposes and its members are taxed on their share of net earnings. The Company is required to file and does file tax returns with the Internal Revenue Service and other taxing authorities. Accordingly, no provision or liability for income taxes has been included in the accompanying financial statements.

        Income Tax Uncertainties:     The Company follows applicable accounting guidance for how uncertain tax positions should be recognized, measured, disclosed and presented in the financial statements. This guidance requires the evaluation of tax positions taken or expected to be taken in the course of preparing the Company's tax returns to determine whether the tax positions are "more-likely-than-not" of being sustained "when challenged" or "when examined" by the applicable tax authority. Tax positions not deemed to meet the more-likely-then-not threshold would be recorded as a tax expense and liability in the current year. Management evaluated the Company's tax position and concluded that the Company had taken no uncertain tax positions that require adjustment to the financial statements to comply with the provisions of this guidance. The Company's income tax returns for years since 2010 remain open for examination by tax authorities. The Company is not currently under audit by any tax jurisdiction.

        Advertising and Marketing:     Advertising and marketing costs are expensed as incurred and were approximately $121,114 for 2013, $53,150 for 2012 and $82,372 for 2011.

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MEDPRO RX, INC. AND AFFILIATE

Notes to Consolidated Financial Statements (Continued)

1. Summary of Significant Accounting Policies (Continued)

        Subsequent Events:     Management has evaluated subsequent events August 18, 2014, the date the consolidated financial statements were available for issuance, and has determined there are no subsequent events to be reported in the accompanying consolidated financial statements other than that MedPro was sold to Diplomat Pharmacy, Inc. on June 26, 2014 for total considerations of approximately $70 million.

2. Property and Equipment

        Property and equipment consisted of the following at December 31:

 
  2013   2012  

Land

  $ 605,641   $ 337,500  

Buildings and improvements

    2,193,790     2,193,790  

Office equipment

    1,108,135     765,347  

Software

    50,702     45,628  

Furniture and fixtures

    52,662     52,662  

Computer equipment

    153,391     136,599  
           

    4,164,321     3,531,526  

Less accumulated depreciation

    (1,215,935 )   (930,080 )
           

  $ 2,948,386   $ 2,601,446  
           
           

        Depreciation expense was $285,855 for 2013, $244,260 for 2012, and $205,235 for 2011.

3. Line of Credit

        The Company has available a revolving line of credit with a bank providing for maximum borrowings of $4,000,000 payable on demand, as defined and limited by the loan agreement. The amount available under the line is the lesser of $4,000,000 or the borrowing base as defined in the loan agreement. Interest on funds advanced is payable monthly at a rate determined by the loan agreement.

        At December 31, 2013, the effective rate was LIBOR plus 2.75% (2.92% at December 31, 2013). The line is collateralized by substantially all of the assets of the Company. The line expires on February 4, 2015.

        There were no outstanding borrowings on the line of credit at December 31, 2013 and 2012. No interest expense was incurred during 2013. Interest expense amounted to $1,277 in 2012 and $482 in 2011.

4. Note Payable

        The Company had a note payable to a financial institution payable in monthly installments of $6,485 plus interest at 7.75%. The note was collateralized by real and personal property and was paid off in August 2011. The note balance at December 31, 2010 was $717,207. Interest expense amounted to $22,420 in 2011.

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MEDPRO RX, INC. AND AFFILIATE

Notes to Consolidated Financial Statements (Continued)

5. Leases

        In 2011, the Company entered into an operating lease for additional office space in Raleigh, North Carolina which commenced on January 1, 2012. This lease agreement was amended, effective January 1, 2014. Future minimum lease commitments are as follows:

Year
  Amount  

2014

  $ 226,457  

2015

    89,931  

2016

    92,629  
       

  $ 409,017  
       
       

        The Company has entered into additional operating leases with initial commitments of up to a year. After the initial commitment, the leases will continue on a month-to-month basis.

        Net rent expense amounted to $292,544 for 2013, $218,607 for 2012 and $64,658 for 2011.

6. Employee Retirement Plan

        The Company sponsors an employee savings plan under Section 401(k) of the Internal Revenue Code. Eligible employees may elect to contribute up to 90% of their compensation, not to exceed federal tax law limitations. The Company makes discretionary contributions to the plan as determined by the Board of Directors. Company contributions to the plan were $207,126 in 2013, $199,987 in 2012 and $196,011 in 2011.

7. Share-Based Compensation

        Certain employees were offered the option to purchase shares of common stock under the 2005 stock option plan. Generally, under the option plan, options become exercisable ratably over the three-year period after the date of grant and expire if not exercised in a period of ten years or if the employee ceases to be employed by the Company. The exercise price of all the stock options granted under the option plan has generally been equal to the fair value of the Company's common stock at the date of grant, as determined by the Company's Board of Directors.

        A summary of the Company's stock options outstanding at December 31, 2013, 2012, and 2011 and changes during the years then ended, is presented below:

 
   
  Exercise Price Per Share  
 
  Number of Options   Range   Weighted Average  

Outstanding, January 1, 2011

    1,297,000   $.28—$.95   $ 0.48  

Granted

    40,000   $4.57—$4.57   $ 4.57  

Forfeited

    (200,000 ) $.28—$.28   $ 0.28  

Exercised

    (85,000 ) $.28—$.28   $ 0.28  

Repurchased

    (164,550 ) $.28—$.95   $ 0.37  
                 

Outstanding, December 31, 2011

    887,450   $.28—$4.57   $ 0.76  

Outstanding, December 31, 2012

    887,450   $.28—$4.57   $ 0.76  

Repurchased

    (12,750 ) $.95   $ 0.95  
                 

Outstanding, December 31, 2013

    874,700   $.28—$4.57   $ 0.73  
                 
                 

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MEDPRO RX, INC. AND AFFILIATE

Notes to Consolidated Financial Statements (Continued)

7. Share-Based Compensation (Continued)

        As of December 31, 2013 and 2012, there were 874,700 and 874,090 of exercisable stock options with weighted average exercise prices of $0.67 and $0.68, respectively, per share. The weighted average remaining contractual life for all outstanding stock options at December 31, 2013 was 3.38 years.

        The fair value of the stock options granted in 2011 was calculated using the Black-Scholes option pricing model and the following assumptions:

Dividend yield

    0.0 %

Expected volatility

    80.0 %

Risk free interest rate

    2.16 %

Expected option life

    6.5 years  

        The Company recorded stock option compensation expense of $120,420 for 2013, $152,367 for 2012 and $319,600 for 2011.

        In 2011, the Company repurchased 15% of all stock options outstanding as an incentive for long-term employees. The stock option purchase price was determined based on a recent offer to acquire the Company and was considered to be at fair value. No additional compensation was recognized.

        In 2013, the Company repurchased the stock options from two employees. The first repurchase was done to extend the non-compete agreement for a terminated employee. The second repurchase was for an employee that was terminally ill. The price paid for the options was considered to be fair value and no additional compensation was recognized.

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MEDPRO RX, INC. AND AFFILIATE

Consolidated Balance Sheets (Unaudited)

 
  March 31, 2014   December 31, 2013  

Assets

             

Current assets:

             

Cash and cash equivalents

  $ 3,643,675   $ 1,251,650  

Accounts receivable—net

    8,681,743     8,386,536  

Inventories

    3,988,711     3,622,369  

Prepaid expenses

    88,625     30,621  
           

Total current assets

    16,402,754     13,291,176  

Property and equipment—net

    2,970,795     2,948,386  

Other assets

    134,088     132,288  
           

  $ 19,507,637   $ 16,371,850  
           
           

Liabilities and Stockholders' Equity

             

Current liabilities:

             

Accounts payable

  $ 3,445,160   $ 1,455,011  

Accrued expenses

    652,518     713,741  
           

Total current liabilities

    4,097,678     2,168,752  
           

Stockholders' equity:

             

Controlling interest:

             

Capital stock—no par value

    150,000     150,000  

Additional paid-in capital

    5,329,760     5,329,760  

Retained earnings

    8,021,437     6,818,014  
           

Total controlling interest

    13,501,197     12,297,774  

Non-controlling interest

    1,908,762     1,905,324  
           

Total stockholders' equity

    15,409,959     14,203,098  
           

  $ 19,507,637   $ 16,371,850  
           
           

   

See accompanying notes to consolidated financial statements.

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MEDPRO RX, INC. AND AFFILIATE

Consolidated Statements of Income (Unaudited)

 
  Three Months Ended
March 31,
 
 
  2014   2013  

Net sales

  $ 20,529,540   $ 17,675,358  

Cost of goods sold

    16,631,558     14,269,378  
           

Gross profit

    3,897,982     3,405,980  

Selling, general and administrative expenses

    2,470,783     2,421,280  
           

Income from operations

    1,427,199     984,700  
           

Other income:

             

Rental income

    4,500     3,000  

Interest income

    13,736     6,800  
           

Total other income

    18,236     9,800  
           

Net income

    1,445,435     994,500  

Less net income attributable to non-controlling interest

    (3,438 )   (2,266 )
           

Net income attributable to MedPro Rx, Inc.

  $ 1,441,997   $ 992,234  
           
           

   

See accompanying notes to consolidated financial statements.

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MEDPRO RX, INC. AND AFFILIATE

Consolidated Statement of Changes in Stockholders' Equity (Unaudited)

 
  Shares   Amount   Additional Paid-in Capital   Retained Earnings   Total Controlling Interest   Non-
Controlling Interest
  Total  

Balance, January 1, 2014

    4,285,000   $ 150,000   $ 5,329,760   $ 6,818,014   $ 12,297,774   $ 1,905,324   $ 14,203,098  

Net income

                1,441,997     1,441,997     3,438     1,445,435  

Distributions

                (238,574 )   (238,574 )       (238,574 )
                               

Balance, March 31, 2014

    4,285,000   $ 150,000   $ 5,329,760   $ 8,021,437   $ 13,501,197   $ 1,908,762   $ 15,409,959  
                               
                               

Authorized shares

    6,000,000                                      
                                           
                                           

   

See accompanying notes to consolidated financial statements.

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MEDPRO RX, INC. AND AFFILIATE

Consolidated Statements of Cash Flows (Unaudited)

 
  Three Months Ended
March 31,
 
 
  2014   2013  

Cash flows from operating activities:

             

Net income

  $ 1,445,435   $ 994,500  

Adjustments to reconcile net income to net cash from operating activities:

             

Depreciation

    79,971     71,464  

Stock-based compensation

        30,105  

Changes in operating assets and liabilites:

             

Accounts receivable—net

    (295,207 )   (646,846 )

Inventories

    (366,342 )   (419,228 )

Prepaid expenses

    (58,004 )   (18,411 )

Other assets

    (1,800 )   (6,650 )

Accounts payable

    1,990,149     (891,562 )

Accrued expenses

    (61,223 )   (135,851 )
           

Net cash provided by (used in) operating activities

    2,732,979     (1,022,479 )
           

Cash flows from investing activities:

             

Purchases of property and equipment

    (102,380 )   (119,152 )
           

Cash flows from financing activities:

             

Distributions

    (238,574 )   (4,033,717 )
           

Net increase (decrease in) cash and cash equivalents

    2,392,025     (5,175,348 )

Cash and cash equivalents, beginning of year

    1,251,650     5,618,068  
           

Cash and cash equivalents, end of year

  $ 3,643,675   $ 442,720  
           
           

   

See accompanying notes to consolidated financial statements.

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MEDPRO RX, INC. AND AFFILIATE

Notes to Consolidated Financial Statements (Unaudited)

1. Summary of Significant Accounting Policies

        Business Activity:     MedPro Rx, Inc. ("MedPro") is a specialty pharmacy retailing prescription medications. MedPro is located in Raleigh, North Carolina and provides services primarily in the Mid-Atlantic states.

        Selfridge Investments, LLC ("Affiliate") owns real estate and leases office and condominium space to MedPro RX, Inc.

        Basis of Presentation:     The accompanying consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States ("GAAP") and include all the accounts of MedPro and Affiliate (collectively, the "Company"). All significant intercompany transactions and balances have been eliminated in the consolidation.

        MedPro's primary stockholders own all of the equity interests in Affiliate. MedPro leases its main operating and other properties from Affiliate, which was formed for the purpose of owning such properties. Mortgages for the properties were paid off in certain cases with funding provided to Affiliate by MedPro in the form of loans (which are eliminated in consolidation). Because Affiliate does not have adequate equity at risk to support its significant operating activities and because the vast majority of its properties are leased only to MedPro, MedPro is deemed to control the significant operating activities of Affiliate and therefore is deemed to be its primary beneficiary. Accordingly, Affiliate is consolidated into the Company's financial statements.

        Accounting for Non-controlling Interest:     The Company records the non-controlling interest of other consolidated entities as a separate component of stockholders' equity in the consolidated balance sheets. Additionally, the consolidated statements of income separately present earnings attributable to controlling and non-controlling interests.

        Use of Estimates:     The preparation of consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the periods reported. Although the estimates are considered reasonable, actual results could differ from those estimates. The most significant estimate is the contractual and bad debt allowance. Adjustments related to changes in the estimates are reflected in the Company's results of operations in the period in which those estimates changed.

        Revenue Recognition:     The Company recognizes revenue upon delivery and administration of medicines, supplies, and services to patients. Shipping and handling costs are not billed to patients; therefore, there are no shipping and handling revenues.

        Concentrations of Risk:     Financial instruments which potentially subject the Company to concentrations of credit risk consist primarily of cash and accounts receivable.

        The temporary federal program that insured non-interest bearing cash balances without balance limitations expired December 31, 2012. Beginning in 2013, insurance coverage reverted to $250,000 per depositor at each financial institution, and non-interest bearing cash balances may again exceed federally insured limits.

        Concentration of credit risk with respect to trade receivables in limited by the large number of patients comprising the Company's customer base and their dispersion across multiple payors and

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MEDPRO RX, INC. AND AFFILIATE

Notes to Consolidated Financial Statements (Unaudited) (Continued)

1. Summary of Significant Accounting Policies (Continued)

multiple geographic areas. As of March 31, 2014 and 2013, the Company had no significant trade receivable concentrations of credit risk.

        The Company's products are purchased from several suppliers. For the three months ended March 31, 2014, two suppliers accounted for approximately 71% of the total cost of sales. For the three months ended March 31, 2013, three suppliers accounted for approximately 84% of the total cost of sales. The Company believes it has the flexibility to use a number of other vendors to fulfill its sales requirements should the need arise.

        Fair Value of Financial Instruments:     The carrying amounts of the Company's financial instruments, consisting primarily of cash and cash equivalents, accounts receivable, accounts payable and other liabilities, approximate their fair value due to the relative short-term nature of the amounts.

        The Company uses a framework for measuring fair value under GAAP and defines fair value as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. This guidance requires that valuation techniques maximize the use of observable inputs and minimize the use of unobservable inputs. This guidance also establishes a fair value hierarchy which prioritizes the valuation inputs into three broad levels. Based on the underlying inputs, each fair value measurement in its entirety is reported in one of three levels:

        Level 1—Unadjusted quoted prices that are available in active markets for the identical assets or liabilities at the measurement date.

        Level 2—Other observable inputs available at the measurement date, other than quoted prices included in Level 1, either directly or indirectly, including:

    Quoted prices for similar assets or liabilities in active markets;

    Quoted prices for identical or similar assets in non-active markets;

    Inputs other than quoted prices that are observable for the asset or liability; and

    Inputs that are derived principally from or corroborated by other observable market data.

        Level 3—Unobservable inputs that cannot be corroborated by observable market data and reflect the use of significant management judgment. These values are generally determined using pricing models for which the assumptions utilize management's estimates of market participant assumptions.

        Cash and Cash Equivalents:     The Company considers all highly liquid investments purchased with a maturity of three months or less to be cash equivalents.

        Accounts Receivable:     Accounts receivable primarily includes amounts from individuals, Medicaid, Medicare and independent insurance providers and are based on contracted prices. Trade receivables require no collateral and are on an unsecured basis. Accounts receivable vary by payor, but generally are due within 30 days after the sale of the product or performance of the service.

        The Company maintains an allowance for doubtful accounts that reduces receivables to amounts that are expected to be collected.

        In estimating the allowance, management considers factors such as current, overall economic conditions, historical and anticipated customer performance, historical experience with write-offs, and

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MEDPRO RX, INC. AND AFFILIATE

Notes to Consolidated Financial Statements (Unaudited) (Continued)

1. Summary of Significant Accounting Policies (Continued)

the level of past due accounts. Changes in these conditions may result in additional allowances. Once an amount is deemed uncollectible, the amount is written-off against the allowance. The allowance for doubtful accounts was $377,822 at March 31, 2014 and $370,284 at March 31, 2013.

        Inventories:     Inventories consist of pharmaceuticals held for sale and are stated at the lower of cost determined on the average-cost method (which approximates the first in-first out method) or market.

        Property and Equipment:     Property and equipment are stated at cost. Major repairs and betterments are capitalized and normal maintenance and repairs are charged to expense as incurred. Depreciation is computed by the straight-line method over the estimated useful lives of the related assets. Upon retirement or sale of an asset, the cost and accumulated depreciation are removed from the accounts and any gain or loss is reflected in operations. Estimated useful lives are as follows:

 
  Years  

Buildings and improvements

    20  

Office equipment

    5  

Software

    5  

Furniture and fixtures

    7  

Computer equipment

    5  

        Share-Based Awards:     Share-based compensation awards are recognized at fair value, see Note 6 for further disclosure.

        Income Taxes:     MedPro, with the consent of its stockholders, has elected for federal income tax purposes to be an S Corporation. In lieu of corporate income taxes, the stockholders of an S Corporation are taxed on their proportionate share of the Company's taxable income or loss. Selfridge Investments, LLC is treated as a partnership for income tax purposes and its members are taxed on their share of net earnings. The Company is required to file and does file tax returns with the Internal Revenue Service and other taxing authorities. Accordingly, no provision or liability for income taxes has been included in the accompanying financial statements.

        Income Tax Uncertainties:     The Company follows applicable accounting guidance for how uncertain tax positions should be recognized, measured, disclosed and presented in the financial statements. This guidance requires the evaluation of tax positions taken or expected to be taken in the course of preparing the Company's tax returns to determine whether the tax positions are "more-likely-than-not" of being sustained "when challenged" or "when examined" by the applicable tax authority. Tax positions not deemed to meet the more-likely-then-not threshold would be recorded as a tax expense and liability in the current year. Management evaluated the Company's tax position and concluded that the Company had taken no uncertain tax positions that require adjustment to the financial statements to comply with the provisions of this guidance. The Company's income tax returns for years since 2010 remain open for examination by tax authorities. The Company is not currently under audit by any tax jurisdiction.

        Advertising and Marketing:     Advertising and marketing costs are expensed as incurred and were approximately $70,000 for the three months ended March 31, 2014 and $46,000 for the three months ended March 31, 2013.

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MEDPRO RX, INC. AND AFFILIATE

Notes to Consolidated Financial Statements (Unaudited) (Continued)

1. Summary of Significant Accounting Policies (Continued)

        Subsequent Events:     Management has evaluated subsequent events August 18, 2014, the date the consolidated financial statements were available for issuance, and has determined there are no subsequent events to be reported in the accompanying consolidated financial statements other than that MedPro was sold to Diplomat Pharmacy, Inc. on June 26, 2014 for total considerations of approximately $70 million.

2. Property and Equipment

        Property and equipment consisted of the following:

 
  March 31, 2014   December 31, 2013  

Land

  $ 605,641   $ 605,641  

Buildings and improvements

    2,193,790     2,193,790  

Office equipment

    1,210,515     1,108,135  

Software

    50,702     50,702  

Furniture and fixtures

    52,662     52,662  

Computer equipment

    153,391     153,391  
           

    4,266,701     4,164,321  

Less accumulated depreciation

    1,295,906     (1,215,935 )
           

  $ 2,970,795   $ 2,948,386  
           
           

        Depreciation expense was $79,971 for the three months ended March 31, 2014 and $71,464 for the three months ended March 31, 2013.

3. Line of Credit

        The Company has available a revolving line of credit with a bank providing for maximum borrowings of $4,000,000 payable on demand, as defined and limited by the loan agreement. The amount available under the line is the lesser of $4,000,000 or the borrowing base as defined in the loan agreement. Interest on funds advanced is payable monthly at a rate determined by the loan agreement.

        At March 31, 2014, the effective rate was LIBOR plus 2.75% (2.92% at March 31, 2014). The line is collateralized by substantially all of the assets of the Company. The line expires on February 4, 2015.

        There were no outstanding borrowings on the line of credit at March 31, 2014 and 2013. No interest expense was incurred during the three months ended March 31, 2014 and 2013.

4. Leases

        In 2011, the Company entered into an operating lease for additional office space in Raleigh, North Carolina which commenced on January 1, 2012. This lease agreement was amended, effective January 1, 2014. Future minimum lease commitments are as follows as of March 31, 2014:

Year
  Amount  

2015

  $ 168,954  

2016

    90,606  

2017

    69,480  
       

  $ 329,040  
       
       

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MEDPRO RX, INC. AND AFFILIATE

Notes to Consolidated Financial Statements (Unaudited) (Continued)

4. Leases (Continued)

        The Company has entered into additional operating leases with initial commitments of up to a year. After the initial commitment, the leases will continue on a month-to-month basis.

        Net rent expense amounted to $93,405 for the three months ended March 31, 2014 and $80,027 for the three months ended March 31, 2013.

5. Employee Retirement Plan

        The Company sponsors an employee savings plan under Section 401(k) of the Internal Revenue Code. Eligible employees may elect to contribute up to 90% of their compensation, not to exceed federal tax law limitations. The Company makes discretionary contributions to the plan as determined by the Board of Directors. Company contributions to the plan were $46,455 for the three months ended March 31, 2014 and $44,814 for the three months ended March 31, 2013.

6. Share-Based Compensation

        Certain employees were offered the option to purchase shares of common stock under the 2005 stock option plan. Generally, under the option plan, options become exercisable ratably over the three-year period after the date of grant and expire if not exercised in a period of ten years or if the employee ceases to be employed by the Company. The exercise price of all the stock options granted under the option plan has generally been equal to the fair value of the Company's common stock at the date of grant, as determined by the Company's Board of Directors.

        A summary of the Company's stock options outstanding at March 31, 2014 and 2013 and changes during the periods then ended, is presented below:

 
   
  Exercise Price Per Share  
 
  Number of Options   Range   Weighted Average  

Outstanding, January 1, 2013

    887,450   $.28—$4.57   $ 0.76  

Outstanding, March 31, 2013

    887,450   $.28—$4.57   $ 0.76  
                 
                 

Outstanding, January 1, 2014

    874,700   $.28—$4.57   $ 0.73  

Outstanding, March 31, 2014

    874,700   $.28—$4.57   $ 0.73  
                 
                 

        As of March 31 2014 and 2013, there were 874,700 and 874,450 of exercisable stock options with weighted average exercise prices of $0.67 and $0.68, respectively, per share. The weighted average remaining contractual life for all outstanding stock options at March 31, 2014 was 3.11 years.

        The Company recorded stock option compensation expense of $0 for the three months ended March 31, 2014 and $30,105 for the three months ended March 31, 2013.

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UNAUDITED PRO FORMA COMBINED CONSOLIDATED FINANCIAL INFORMATION

        The following unaudited pro forma combined consolidated balance sheet as of June 30, 2014 presents our financial position after giving pro forma effect to the following as if such transactions had occurred on June 30, 2014:

    the conversion of all outstanding shares of our capital stock into shares of our common stock, and immediately thereafter a stock split effected as a stock dividend of                 shares for each share of our common stock in connection with this offering; and

    this offering and the contemplated use of the estimated net proceeds therefrom as described under "Use of Proceeds."

        The following unaudited pro forma combined consolidated statement of operations for the six months ended June 30, 2014 presents our operating results after giving pro forma effect to the following as if such transactions had occurred on January 1, 2013:

    our acquisition of MedPro Rx, Inc. ("MedPro") on June 27, 2014;

    our election to be taxed as a C corporation effective on January 23, 2014;

    our issuance of capital stock to certain funds of T. Rowe Price on January 23, 2014, our issuance of capital stock to certain funds of Janus Capital Group ("Janus") on April 1, 2014, the use of related proceeds to redeem common stock and common stock options and the conversion of all outstanding shares of our capital stock into shares of our common stock, and immediately thereafter a stock split effected as a stock dividend of                 shares for each share of our common stock in connection with this offering (collectively, the "capital stock transactions"); and

    this offering and the contemplated use of the estimated net proceeds therefrom as described under "Use of Proceeds."

        The following unaudited pro forma combined consolidated statement of operations for the year ended December 31, 2013 presents our operating results after giving pro forma effect to the following as if such transactions had occurred on January 1, 2013:

    our acquisition of American Homecare Federation, Inc. ("AHF") on December 16, 2013;

    our acquisition of MedPro on June 27, 2014;

    our election to be taxed as a C corporation effective on January 23, 2014;

    the capital stock transactions; and

    this offering and the contemplated use of the estimated net proceeds therefrom.

        These transactions are all more fully described in Note 2 hereto. The pro forma adjustments are based on available information and upon assumptions that our management believes are reasonable in order to reflect, on a pro forma basis, the impact of the noted events on our historical consolidated financial information.

        Included in the pro forma combined consolidated financial information is an allocation of the purchase price we paid for MedPro based on preliminary estimates and assumptions. Those estimates and assumptions could change materially as we finalize our assessment of the allocation and the fair values of the net tangible and intangible assets we acquired, some of which are dependent on the completion of valuations being performed by independent valuation specialists. The unaudited pro forma combined consolidated financial information does not reflect any future operating efficiencies, associated costs savings or any possible integration costs that may occur related to the MedPro or AHF acquisition.

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        The unaudited pro forma combined consolidated financial information is included for informational purposes only and does not purport to reflect our results of operations or financial position that would have occurred had we operated as a public company during the periods presented. The unaudited pro forma combined consolidated financial information should not be relied upon as being indicative of our financial condition or results of operations had the noted events occurred on the dates assumed nor as a projection of our results of operations or financial position for any future period or date. The preparation of the unaudited pro forma combined consolidated information requires the use of certain assumptions which may be materially different from our actual experience.

        The unaudited pro forma combined consolidated balance sheet and consolidated statements of operations should be read in conjunction with "Use of Proceeds," "Selected Consolidated Financial Data," "Management's Discussion and Analysis of Financial Condition and Results of Operations" and the historical consolidated financial statements and related notes appearing elsewhere in this prospectus.

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DIPLOMAT PHARMACY, INC.

Unaudited Pro Forma Combined Consolidated Balance Sheet

As of June 30, 2014

 
  Diplomat
Actual
  Stock
Conversions
  Offering
Transactions
  Pro Forma
Total
 
 
  (Dollars in Thousands)
 

ASSETS

                         

Current assets:

                         

Cash and equivalents

  $ 25,550   $   $   (D) $    

Accounts receivable, net

    139,490             139,490  

Other receivables

    6,067             6,067  

Inventories, net

    69,490             69,490  

Deferred income taxes

    155             155  

Prepaid expenses and other current assets

    3,178           (F)      
                   

Total current assets

    243,930                  

Property and equipment, net

   
12,900
   
   
   
12,900
 

Capitalized software for internal use, net

    9,002             9,002  

Goodwill

    22,851             22,851  

Definite-lived intangible assets, net

    43,747             43,747  

Investment in non-consolidated entity

    5,368             5,368  

Other noncurrent assets

    1,111             1,111  
                   

  $ 338,909   $   $     $    
                   
                   

LIABILITIES AND SHAREHOLDERS' EQUITY (DEFICIT)

                         

Current liabilities:

                         

Accounts payable

  $ 194,248   $   $   $ 194,248  

Line of credit

    79,876         (79,876 )(E)    

Short-term debt, including current portion of long-term debt

    3,949         (3,949 )(E)    

Accrued compensation

    2,500             2,500  

Income taxes payable

    1,333             1,333  

Other accrued expenses

    5,414             5,414  
                   

Total current liabilities

    287,320         (83,825 )   203,495  

Long-term debt, less current portion

   
16,893
   
   
(16,893

)(E)
 
 

Deferred income taxes

    2,261             2,261  

Other noncurrent liabilities

    2,289             2,289  

Redeemable Series A Preferred Stock

   
101,815
   
(101,815

)(A)
 
   
 

Commitments and contingencies

   
 
   
 
   
 
   
 
 

Shareholders' equity (deficit):

   
 
   
 
   
 
   
 
 

Common stock:

                         

Common shares

                 

Class A Voting Common Stock

                 

Class B Nonvoting Common Stock

    4     (4) (B)        

Class C Voting Common Stock

                 

Additional paid-in capital

    (74,659 )   101,819 (C)     (F)      

Retained earnings

    2,986             2,986  
                   

Total shareholders' equity (deficit)

    (71,669 )   101,815              
                   

  $ 338,909   $   $     $    
                   
                   

   

See accompanying notes to unaudited pro forma combined consolidated financial information.

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DIPLOMAT PHARMACY, INC.

Unaudited Pro Forma Combined Consolidated Statement of Operations

For the Six Months Ended June 30, 2014

 
  Diplomat
Actual
  MedPro
Actual
  Acquisition
Adjustments
  Subtotal   C
Corporation
Adjustments
  Capital
Stock
Transactions
  Offering
Transactions
  Pro Forma
Total
 
 
  (Dollars in Thousands, Except Per Share Amounts)
 

Net sales

  $ 1,007,352   $ 43,780   $   $ 1,051,132   $   $   $   $    

Cost of goods sold

    (948,275 )   (35,733 )       (984,008 )                  
                                   

Gross profit

    59,077     8,047         67,124                    

Selling, general and administrative expenses

    (51,024 )   (5,089 )   (2,556 )(G)   (57,831 )                  

                848 (H)                              

                (10 )(I)                              
                                   

Income from operations

    8,053     2,958     (1,718 )   9,293                      

Interest expense

    (895 )       (909 )(J)   (1,804 )             (P)      

Equity loss of non-consolidated entity

    (710 )           (710 )                  

Other income

    517     90         607                    
                                   

Income before income taxes

    6,965     3,048     (2,627 )   7,386                      

Income tax expense

    (4,557 )       (155 )(K)   (4,712 )   1,786 (M)         (Q)      
                                   

Net income / net comprehensive income

    2,408     3,048     (2,782 )   2,674     1,786                  

Net income allocable to preferred shareholders

    266             266         (266 )(N)        
                                   

Net income allocable to common shareholders

  $ 2,142   $ 3,048   $ (2,782 ) $ 2,408   $ 1,786   $ 266   $     $    
                                   
                                   

Net income per common share:

                                                 

Basic

  $ 533.40               $ 587.32                     $    
                                             
                                             

Diluted

  $ 491.55               $ 542.10                     $    
                                             
                                             

Weighted-average shares outstanding:

                                                 

Basic

    4,016           84 (L)   4,100           731 (O)     (R)      
                                       
                                       

Diluted

    4,358           84 (L)   4,442           731 (O)     (R)      
                                       
                                       

   

See accompanying notes to unaudited pro forma combined consolidated financial information.

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DIPLOMAT PHARMACY, INC.

Unaudited Pro Forma Combined Consolidated Statement of Operations

For the Year Ended December 31, 2013

 
  Diplomat
Actual
  AHF
Actual
  MedPro
Actual
  Acquisition
Adjustments
  Subtotal   C Corporation
Adjustments
  Capital Stock
Transactions
  Offering
Transactions
  Pro Forma
Total
 
 
  (Dollars in Thousands, Except Per Share Amounts)
 

Net sales

  $ 1,515,139   $ 28,408   $ 82,686   $   $ 1,626,233   $   $   $   $    

Cost of goods sold

    (1,426,112 )   (21,676 )   (65,860 )       (1,513,648 )                  
                                       

Gross profit

    89,027     6,732     16,826         112,585                    

Selling, general and administrative expenses

   
(77,944

)
 
(5,216

)
 
(10,096

)
 
(6,270

)(G)
 
(100,230

)
 
   
   
       

                      (604 )(H)                              

                      (100 )(I)                              
                                       

Income from operations

    11,083     1,516     6,730     (6,974 )   12,355                    

Interest expense

   
(1,996

)
 
(83

)
 
   
(2,225

)(J)
 
(4,304

)
 
   
   
(P)
     

Equity loss of non-consolidated entity

    (1,055 )               (1,055 )                  

Other income

    196     19     60         275                    
                                       

Income before income taxes

    8,228     1,452     6,790     (9,199 )   7,271                      

Income tax expense

                339 (K)   339     (2,911) (M)         (Q)      
                                       

Net income / net comprehensive income

    8,228     1,452     6,790     (8,860 )   7,610     (2,911 )                

Net income allocable to preferred shareholders

   
   
   
   
   
   
   
   
       
                                       

Net income allocable to common shareholders

  $ 8,228   $ 1,452   $ 6,790   $ (8,860 ) $ 7,610   $ (2,911 ) $   $     $    
                                       
                                       

Net income per common share:

                                                       

Basic

  $ 1,924.70                     $ 1,745.70                     $    
                                                   
                                                   

Diluted

  $ 1,885.45                     $ 1,710.77                     $    
                                                   
                                                   

Weighted-average shares outstanding:

                                                       

Basic

    4,275                 84 (L)   4,359         731 (O)     (R)      
                                             
                                             

Diluted

    4,364                 84 (L)   4,448   $ 7,610     731 (O)     (R)      
                                             
                                             

   

See accompanying notes to unaudited pro forma combined consolidated financial information.

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DIPLOMAT PHARMACY, INC.

Notes to Unaudited Pro Forma Combined Consolidated Financial Information

(Dollars in Thousands)

1. Basis of Presentation

        The unaudited pro forma combined consolidated financial information presents our financial position and results of operations as if the transactions described in Note 2 occurred on the earlier of their actual transaction date or June 30, 2014 for purposes of the pro forma balance sheet and on January 1, 2013 for purposes of the pro forma statements of operations. Our actual unaudited balance sheet as of June 30, 2014 was used as the basis for the pro forma balance sheet. For the six months ended June 30, 2014, our and MedPro's actual unaudited operating results for that six month period were used as the basis for the pro forma statement of operations. For the year ended December 31, 2013, our and MedPro's actual operating results for that year and AHF's actual unaudited operating results from January 1, 2013 to its December 16, 2013 acquisition date were used as the basis for the pro forma statement of operations. The pro forma combined consolidated financial information also reflects the assumptions and adjustments described in Note 3.

2. Description of Transactions

        MedPro Acquisition:     On June 27, 2014, we acquired all of the authorized, issued and outstanding shares of capital stock of MedPro for a total acquisition price of approximately $68,240, excluding related acquisition costs of approximately $635 that were expensed. Included in the total acquisition price is approximately $51,970 in cash, 84.31703 shares of the Company's Class B Nonvoting Common Stock, valued at approximately $12,000, which reflects the estimated per share value of such shares as of the acquisition date, and contingent consideration fair valued at $4,270, with a maximum payout of $11,500 of contingent consideration that is based on achieving certain revenue and gross profit targets through June 27, 2016. We funded the cash portion of the purchase price under our revolving line of credit. MedPro is a specialty pharmacy focused on specialty infusion therapies including hemophilia and immune globulin based in Raleigh, North Carolina. We ascribe significant value to the cost reductions as well as synergies and other benefits that do not meet the recognition criteria of acquired identifiable intangible assets. Accordingly, we have included the value of these components within goodwill. The goodwill resulting from this acquisition is deductible for tax purposes.

        Because this acquisition was completed so recently, we have not finalized the purchase price allocation pending further analysis of the net assets acquired, particularly in regards to valuations of acquired intangible assets. Accordingly, the purchase price allocation described below could change materially as we finalize our assessment of the allocation and the fair values of the net tangible and intangible assets we acquired, some of which are dependent on the finalization of valuations being performed by independent valuation specialists. Additionally, the current estimate of the fair value of the contingent consideration described above is based on preliminary assumptions regarding MedPro's operating results through June 27, 2016 and may be adjusted upon gathering additional information as to MedPro's forecast for that period.

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DIPLOMAT PHARMACY, INC.

Notes to Unaudited Pro Forma Combined Consolidated Financial Information (Continued)

(Dollars in Thousands)

2. Description of Transactions (Continued)

        A summary of the preliminary allocation of the purchase consideration for MedPro is as follows:

Cash and cash equivalents

  $ 668  

Accounts receivable

    9,050  

Inventories

    3,819  

Prepaid expenses and other current assets

    204  

Property and equipment

    697  

Capitalized software for internal use

    25  

Goodwill

    21,338  

Definite-lived intangible assets

    37,099  

Current liabilities

    (4,660 )
       

  $ 68,240  
       
       

        AHF Acquisition:     On December 16, 2013, we acquired all of the authorized, issued and outstanding shares of capital stock of AHF for a total acquisition price of approximately $13,449, excluding related acquisition costs of approximately $499 that were expensed. Included in the total acquisition price is approximately $12,100 in cash and contingent consideration fair valued at $1,300, with a maximum payout of $2,000 of contingent consideration that is based on achieving certain revenue and gross profit targets through December 16, 2015. We funded the purchase price under our revolving line of credit. At the closing of the acquisition, approximately $1,353 of the purchase consideration was deposited into an escrow account that will be held for two years after the closing date to satisfy any indemnification claims we may have.

        AHF provides clotting medications, ancillaries and supplies to individuals with bleeding disorders, such as hemophilia. AHF has provided pharmacy services exclusively to the bleeding disorders community since 1989. The acquisition of AHF will allow us to participate in AHF's direct purchase agreements with key hemophilia manufacturers while also providing AHF access to our proprietary care management modules to better manage clinical care of the AHF patients. We ascribe significant value to the cost reductions as well as synergies and other benefits that do not meet the recognition criteria of acquired identifiable intangible assets. Accordingly, we have included the value of these components within goodwill. The goodwill resulting from this acquisition is deductible for tax purposes.

        A summary of the preliminary allocation of the purchase consideration for AHF is as follows:

Cash and cash equivalents

  $ 1,917  

Accounts receivable, net

    3,512  

Inventories

    1,138  

Prepaid expenses and other current assets

    27  

Property and equipment

    182  

Goodwill

    1,513  

Definite-lived intangible assets

    7,100  

Current liabilities

    (1,940 )
       

  $ 13,449  
       
       

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DIPLOMAT PHARMACY, INC.

Notes to Unaudited Pro Forma Combined Consolidated Financial Information (Continued)

(Dollars in Thousands)

2. Description of Transactions (Continued)

        Change in Income Tax Status:     We elected to be taxed as a C corporation effective on January 23, 2014.

        Stock Conversions:     Immediately prior to the completion of this offering, all outstanding shares of our capital stock will convert, on a one-to-one basis, into shares of the single class of common stock that will be authorized in conjunction with this offering, and immediately thereafter a stock split will be effected as a stock dividend of              shares for each share of our common stock.

        Other Capital Stock Transactions:     In January 2014, we entered into a Series A Preferred Stock Purchase Agreement with certain funds of T. Rowe Price under which we issued to certain funds of T. Rowe Price 351.32097 shares of Series A Preferred Stock at a purchase price of $142 per share. We used $20,000 of this $50,000 investment for general corporate purposes inclusive of fees associated with this transaction, and the remaining $30,000 was used to redeem common stock ($26,900) and common stock options ($3,100).

        In April 2014, we entered into a Series A Preferred Stock Purchase Agreement with certain funds of Janus under which we issued to certain funds of Janus 379.4267 shares of Series A Preferred Stock at a purchase price of $142 per share. We used $25,200 of the $54,000 investment for general corporate purposes inclusive of fees associated with this transaction, and the remaining $28,800 was used to redeem common stock ($26,500) and common stock options ($2,300).

        Initial Public Offering:     At an assumed initial offering price of $      per share (the midpoint of the estimated price range set forth on the cover of this prospectus), and after deducting the underwriting discount and estimated offering expenses payable by us, we will receive net proceeds of $        in this offering. A portion of these net proceeds will be used to retire currently outstanding debt.

3. Unaudited Pro Forma Combined Consolidated Balance Sheet Adjustments

Stock Conversions:

A     Reflects the conversion of all outstanding shares of preferred stock into Class C Voting Common Stock, which is then converted into common stock authorized in connection with this offering.

B

 


 

Reflects the conversion of all outstanding shares of Class A Voting Common Stock and Class B Nonvoting Common Stock into common stock authorized in connection with this offering.

C

 


 

Reflects conversion of all outstanding shares of (1) preferred stock net of offering costs ($101,815) and (2) Class A Voting Common Stock and Class B Nonvoting Common Stock ($4), into common stock authorized in connection with this offering.

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DIPLOMAT PHARMACY, INC.

Notes to Unaudited Pro Forma Combined Consolidated Financial Information (Continued)

(Dollars in Thousands)

3. Unaudited Pro Forma Combined Consolidated Balance Sheet Adjustments (Continued)

Offering Transactions:

D     Reflects $        of net cash proceeds from this offering at an assumed initial offering price of $        per share (the midpoint of the estimated price on the cover of this prospectus), after deducting the underwriting discount and estimated offering costs payable by us and the use of $        of those net proceeds to retire outstanding indebtedness.

E

 


 

Reflects the retirement of all outstanding debt with a portion of the net proceeds from this offering.

F

 


 

Reflects the net proceeds from this offering at an assumed initial offering price of $        per share (the midpoint of the estimated price on the cover of this prospectus), after deducting the underwriting discount and estimated offering costs payable by us.

4. Unaudited Pro Forma Combined Consolidated Statements of Operations Adjustments

Acquisition Adjustments:

G     Reflects amortization of the identifiable definite-lived intangible assets acquired in the AHF acquisition, including patient relationships with an estimated ten year life, trade names and trademarks with an estimated ten year life and non-compete employment agreements with an estimated five year life (collectively $903 for the year ended December 31, 2013). Also reflects amortization of identifiable definite-lived intangible assets acquired in the MedPro acquisition, including patient relationships with an estimated ten year life, trade names and trademarks with an estimated ten year life and non-compete employment agreements with an estimated five year life (collectively $2,556 for the six months ended June 30, 2014 and $5,367 for the year ended December 31, 2013). The following table presents the definite-lived intangible assets acquired:

 
  AHF   MedPro  

Patient relationships

  $ 5,100   $ 24,000  

Trade names and trademarks

    1,400     8,700  

Non-compete employment agreements

    600     4,399  
           

  $ 7,100     37,099  
           
           

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DIPLOMAT PHARMACY, INC.

Notes to Unaudited Pro Forma Combined Consolidated Financial Information (Continued)

(Dollars in Thousands)

4. Unaudited Pro Forma Combined Consolidated Statements of Operations Adjustments (Continued)

H     Reflects (a) the elimination from actual results of the transaction costs incurred during the period for the AHF and MedPro acquisitions ($825 for the six months ended June 30, 2014 and $309 for the year ended December 31, 2013), (b) the elimination of the actual change in fair value of the AHF contingent consideration liability (a $321 expense for the six months ended June 30, 2014) and (c) the addition of the change in fair value of the AHF and MedPro contingent consideration liabilities on a pro forma basis (a $298 expense for the six months ended June 30, 2014 and a $913 expense for the year ended December 31, 2013). Transaction costs are eliminated from the pro forma results as they do not represent recurring expenses. Changes in fair value of the contingent consideration liabilities include accretion of those liabilities at a 14.5% and 10.5% interest rate for AHF and MedPro, respectively.

I

 


 

Reflects the net impact of the elimination of affiliate rental income ($69 for the six months ended June 30, 2014 and $229 for the year ended December 31, 2013) and affiliate depreciation expense ($59 for the six months ended June 2014 and $129 for the year ended December 31, 2013) associated with certain properties owned by consolidated affiliates of AHF and MedPro that we did not acquire in the related acquisitions from whom AHF and MedPro leased such properties. We have entered into external lease agreements with comparable terms on an ongoing basis.

J

 


 

Reflects interest expense on incremental borrowings at a 3.5% annual rate under our revolving line of credit to fund the cash portion of the AHF acquisition ($406 for the year ended December 31, 2013). Also reflects interest expense on incremental borrowings at a 3.5% annual rate under our revolving line of credit to fund the cash portion of the MedPro acquisition ($909 for the six months ended June 30, 2014 and $1,819 for the year ended December 31, 2013).

K

 


 

Reflects income taxes associated with a) the operating results of AHF ($1,452 for the year ended December 31, 2013), b) the operating results of MedPro ($3,048 for the six months ended June 30, 2014 and $6,790 for the year ended December 31, 2013) and c) the pro forma adjustments ($(2,627) for the six months ended June 30, 2014 and $(9,199) for the year ended December 31, 2013), at our estimated effective income tax rate of 36.8% for the six months ended June 30, 2014 and 35.4% for the year ended December 31, 2013.

L

 


 

Reflects the 84.31703 shares of Class B Nonvoting Common Stock issued to the sellers of MedPro as partial payment of the aggregate purchase price.

C Corporation Adjustments:

M     Reflects our income tax expense as if we (combined with MedPro and AHF, as applicable) had been a C corporation for the entire period. For purposes of these adjustments, we used a 36.8% effective income tax rate based on the actual effective tax rate for the period from January 23, 2014 through June 30, 2014 and a 35.4% effective income tax rate based on the rate we would have experienced if we were a C corporation for all of 2013.

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DIPLOMAT PHARMACY, INC.

Notes to Unaudited Pro Forma Combined Consolidated Financial Information (Continued)

(Dollars in Thousands)

4. Unaudited Pro Forma Combined Consolidated Statements of Operations Adjustments (Continued)

Capital Stock Transactions:

N     Reflects the impact of all preferred stock being outstanding for the entire period offset by the elimination of any net income attributable to preferred shareholders due to the assumed conversion of all outstanding shares of preferred stock into common stock.

O

 


 

Reflects the additional shares of common stock resulting from the assumed conversion of all shares of preferred stock (            shares) offset by the reduction of common stock and common stock options caused by their redemption with certain proceeds from the preferred stock offerings (            shares).

Offering Transactions:

P     Reflects the elimination of all historical and pro forma interest expense due to the retirement of all outstanding debt with a portion of net proceeds from this offering.

Q

 


 

Reflects the income tax impact from eliminating all historical and pro forma interest expense.

R

 


 

Reflects the shares assumed to be issued in this offering.

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PART II

INFORMATION NOT REQUIRED IN PROSPECTUS

Item 13.    Other Expenses of Issuance and Distribution

        The following table sets forth the fees and expenses, other than underwriting discounts and commissions, payable by us in connection with the offering of our common stock described in this Registration Statement. All amounts shown are estimates other than the registration fee and the FINRA filing fee.

 
  Amount To
Be Paid
 

SEC registration fee

  $ 12,880  

FINRA filing fee

    15,500  

Exchange listing fee

    *  

Transfer agent's fees

    *  

Printing and engraving expenses

    *  

Legal fees and expenses

    *  

Accounting fees and expenses

    *  

Blue Sky fees and expenses

    *  

Miscellaneous

    *  
       

Total

  $ *  
       
       

*
To be provided by amendment.

Item 14.    Indemnification of Directors and Officers.

        We are incorporated under the laws of the State of Michigan. Under Sections 561-571 of the Michigan Business Corporation Act (as it may be amended from time to time, the "MBCA"), directors and officers of a Michigan corporation may be entitled to indemnification by the corporation against judgments, expenses, fines and amounts paid by the director or officer in settlement of claims brought against them by third persons or by or in the right of the corporation if the statutory standard (defined below) is met. In particular, Section 561 of the MBCA provides that a Michigan corporation has the power to indemnify a person who was or is a party or is threatened to be made a party to a threatened, pending, or completed action, suit, or proceeding, whether civil, criminal, administrative, or investigative and whether formal or informal, other than an action by or in the right of the corporation, by reason of the fact that he or she is or was a director, officer, employee, or agent of the corporation, or is or was serving at the request of the corporation as a director, officer, partner, trustee, employee, or agent of another foreign or domestic corporation, partnership, joint venture, trust, or other enterprise, whether for profit or not, against expenses, including attorneys' fees, judgments, penalties, fines, and amounts paid in settlement actually and reasonably incurred by him or her in connection with the action, suit, or proceeding (provided that generally the director did not (i) receive a financial benefit to which he was not entitled, (ii) intentionally inflict harm on the corporation or its shareholders, (iii) violate Section 551 of the MBCA relating to loans, dividends and distributions, or (iv) intentionally commit a criminal act, collectively, the "statutory standard"), and with respect to a criminal action or proceeding, if the person had no reasonable cause to believe his or her conduct was unlawful. In addition, Section 562 of the MBCA provides that a Michigan corporation has the power to indemnify a person who was or is a party or is threatened to be made a party to a threatened, pending, or completed action or suit by or in the right of the corporation to procure a judgment in its favor by reason of the fact that he or she is or was a director, officer, employee, or agent of the corporation, or is or was serving at the request of the corporation as a director, officer, partner, trustee, employee, or agent of another foreign or domestic corporation, partnership, joint venture, trust, or other enterprise,

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whether for profit or not, against expenses, including attorneys' fees, and amounts paid in settlement actually and reasonably incurred by the person in connection with the action or suit if the statutory standard is met. The MBCA does not permit indemnification for a claim, issue or matter in which the person has been found liable to the corporation unless application for indemnification is made to, and ordered by, the court conducting the proceeding or another court of competent jurisdiction.

        Section 563 of the MBCA provides that a director or officer who has been successful on the merits or otherwise in defense of an action, suit or proceeding referred to in Sections 561 and 562 of the MBCA, or in defense of a claim, issue, or matter in any such action, suit, or proceeding, shall be indemnified by the corporation against actual and reasonable expenses, including attorneys' fees, incurred by him or her in connection with the action, suit or proceeding, and any action, suit, or proceeding brought to enforce this mandatory indemnification.

        Our amended and restated articles will eliminate the liability of our directors for monetary damages to the fullest extent under the MBCA and other applicable law. Our amended and restated bylaws will generally require us to indemnify our officers and directors to the fullest extent permitted by law, and to advance expenses incurred by our directors and officers prior to the final disposition of any action or proceeding arising by reason of the fact that any such person is or was our agent. In addition, our amended and restated bylaws will permit us to provide such other indemnification and advancement of expenses to our other employees and agents as permitted by law and authorized by the Board from time to time.

        As permitted by the MBCA, prior to or following the completion of this offering, we expect to enter into separate indemnification agreements with our directors and executive officers. Such agreements will generally provide for indemnification by reason of being a director or executive officer of the company, as the case may be. These agreements will be in addition to the indemnification provided by our amended and restated bylaws discussed elsewhere in the prospectus.

        At present, there is no pending litigation or proceeding involving any of our directors or executive officers as to which indemnification is required or permitted, and we are not aware of any threatened litigation or proceeding that may result in a claim for indemnification.

        As of the offering, we will have an insurance policy covering our officers and directors with respect to certain liabilities, including liabilities arising under the Securities Act or otherwise.

        The underwriting agreement filed as Exhibit 1.1 to this registration statement will provide for indemnification by the underwriters of us and our officers and directors for certain liabilities arising under the Securities Act or otherwise.

        The foregoing statements are subject to the detailed provisions of the MBCA, as well as the following documents filed (or to be filed) as exhibits to this registration statement with respect to relevant indemnification provisions described above and elsewhere in this registration statement:

Exhibit
Number
  Description
  1.1   Form of Underwriting Agreement

 

3.2

 

Form of Amended and Restated Bylaws, to be in effect upon completion of this offering

 

10.6

 

Form of Director and Officer Indemnification Agreement

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Item 15.    Recent Sales of Unregistered Securities.

        In the three years preceding the filing of this Registration Statement, the Registrant has issued and sold the following unregistered securities:

        We granted stock options to purchase 483.91635 shares of our common stock to our employees, directors and consultants at a weighted-average exercise price of $70,016.58 per share under our 2007 Option Plan and pursuant to certain non-plan options.

        The issuance of securities described above was exempt from registration under the Securities Act of 1933, as amended (the "Securities Act"), in reliance on Rule 701 of the Securities Act pursuant to compensatory benefit plans approved by the Registrant's board of directors.

        On January 23, 2014, we sold to certain funds of T. Rowe Price, 351.32097 shares of Series A Preferred Stock at a purchase price of $142,320 per share. We used $20.0 million of the $50.0 million investment proceeds for general corporate purposes, including fees associated with the transaction, and the remaining $30.0 million were used to redeem shares of common stock and common stock options.

        On April 1, 2014, we sold to certain funds of Janus Capital Group, 379.4267 shares of Series A Preferred Stock at a purchase price of $142,320 per share. We used $25.2 million of the $54.0 million investment proceeds for general corporate purposes, including fees associated with the transaction, and the remaining $28.8 million were used to redeem shares of common stock and common stock options.

        On June 27, 2014 we issued 84.31703 shares of our Class B Nonvoting Common Stock, valued at approximately $12.0 million, to certain former stockholders of MedPro in connection with our acquisition of MedPro.

        We were indebted to Deborah L. Ward, Philip Hagerman's sister, in the original amount of $300,000 for a covenant not to compete effective January 1, 2005, which indebtedness was evidenced by an agreement to pay equal monthly installments of $2,500; the loan was paid off in 2011. We were also indebted to Deborah L. Ward in the original amount of $480,000 pursuant to Amendment #1 of the Stock Redemption Agreement (the "Amendment") effective June 7, 2012, which indebtedness was evidenced by an agreement to pay equal quarterly installments of $40,000. The Amendment further provided that in the event of a specified change of control transaction, certain trusts for the benefit of Ms. Ward and certain other immediate family members are entitled to 1.0% of the net proceeds of such sale (the "Payment Right"). Ms. Ward subsequently assigned 50% of the Payment Right to the Deborah L. Ward 2014 Irrevocable Exempt Trust and 50% of the Payment Right to the David F. Ward 2014 Irrevocable Exempt Trust (collectively, the "Ward Trusts"). In connection therewith, we subsequently entered into an Exchange and Release Agreement, dated August 12, 2014, pursuant to which we, Ms. Ward, the Ward Trusts, and David F. Ward agreed to cancel the Payment Right in exchange for 21.910915 newly issued shares of the Company's Class B Nonvoting Common Stock to each of (i) the Deborah L. Ward 2014 Irrevocable Exempt Trust and (ii) the David F. Ward 2014 Irrevocable Exempt Trust (43.82183 shares of Class B Nonvoting Common Stock in the aggregate). The Exchange and Release Agreement also terminated the Stock Redemption Agreement in all respects, except as to the Company's continued indebtedness of $120,000 under the promissory note to Ms. Ward expected to be paid off with a portion of the net proceeds from this offering.

        The issuances of stock to TRP, Janus, MedPro and The Ward Trusts described above were exempt from the Securities Act in reliance on Section 4(a)(2) of the Securities Act exempting transactions by an issuer not involving any public offering.

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Item 16.    Exhibits and Financial Statement Schedules.

        (a)   The following exhibits are filed as part of this Registration Statement:

Exhibit Number   Description
  1.1 * Form of Underwriting Agreement

 

2.1
***

**

Stock Purchase Agreement, dated December 16, 2013, by and among Diplomat Pharmacy, Inc., American Homecare Federation, Inc., and the other parties named therein

 

2.2
***

**

Stock Purchase Agreement, dated June 27, 2014, by and among Diplomat Pharmacy, Inc., MedPro RX, Inc., and the other parties named therein

 

3.1

*

Form of Amended and Restated Articles of Incorporation, to be in effect upon completion of this offering

 

3.2

*

Form of Amended and Restated Bylaws, to be in effect upon completion of this offering

 

3.3

***

Second Amended and Restated Articles of Incorporation of Diplomat Pharmacy, Inc., as currently in effect

 

3.4

***

Amended Bylaws of Diplomat Pharmacy, Inc., as currently in effect

 

4.1

*

Form of Common Stock Certificate

 

4.2

***

Diplomat Pharmacy, Inc. First Amended and Restated Investors' Rights Agreement, dated March 31, 2014, by and among the Registrant and various funds of T. Rowe Price Associates, Inc. and Janus Capital Management, LLC

 

5.1

*

Opinion of Honigman Miller Schwartz and Cohn LLP

 

10.1

***

Amended and Restated Credit Agreement, dated June 26, 2014, by and among the Registrant, each guarantor named therein, and General Electric Capital Corporation, as swingline lender and agent, and the various lenders and agents on the signature pages thereto

 

10.2

***

Amended and Restated Guaranty and Security Agreement, dated June 26, 2014, by and among the Registrant, each additional borrower named therein, and General Electric Capital Corporation, as agent

 

10.3

 

Voting Agreement by and among Philip Hagerman and the persons on the signature pages thereto

 

10.4

†***

Diplomat Pharmacy, Inc. 2007 Option Plan

 

10.5

†***

Form of Amended and Restated 2007 Option Plan Grant Agreement

 

10.6

†*

Form of 2007 Option Plan Grant (Performance-Based) Agreement

 

10.7

†*

Diplomat Pharmacy, Inc. 2014 Omnibus Incentive Plan

 

10.8.1

++

Pharmacy Distribution and Services Agreement, dated July 1, 2013, by and between Celgene Corporation and the Registrant

 

10.8.2

++

First Amendment to Pharmacy Distribution and Services Agreement, dated July 8, 2013, by and between Celgene Corporation and the Registrant

 

10.8.3

++

Adoption and Amendment of Pharmacy Distribution and Services Agreement, dated March 21, 2014, by and between Celgene Corporation and the Registrant

 

10.9.1

++

Prime Vendor Agreement, dated January 1, 2012, by and among AmerisourceBergen Drug Corporation, the Registrant and the subsidiaries of the Registrant named therein

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Exhibit Number   Description
  10.9.2   First Amendment to Prime Vendor Agreement, dated July 20, 2012, by and among AmerisourceBergen Drug Corporation, the Registrant and the subsidiaries of the Registrant named therein

 

21.1

***

Subsidiaries of the Registrant

 

23.1

 

Consent of BDO USA, LLP

 

23.2

 

Consent of Plante Moran PLLC

 

23.3

*

Consent of Honigman Miller Schwartz and Cohn LLP (contained in the opinion filed as Exhibit 5.1)

 

24.1

***

Power of Attorney (included on signature page)

*
To be filed by amendment.

**
Exhibits and schedules have been omitted in accordance with Item 601(b)(2) of Regulation S-K. A copy of omitted exhibits and schedules will be furnished to the Commission upon request.

***
Previously filed.

Indicates a management contract or compensatory plan or arrangement.

++
Confidential treatment has been requested for portions of this exhibit. These portions have been omitted from these exhibits to this Registration Statement on Form S-1, as amended, and submitted separately to the Securities and Exchange Commission.

        (b)   No financial statement schedules are provided because the information called for is not required or is shown either in the financial statements or the notes thereto.

Item 17.    Undertakings

        The undersigned registrant hereby undertakes to provide to the underwriter at the closing specified in the underwriting agreement certificates in such denominations and registered in such names as required by the underwriter to permit prompt delivery to each purchaser.

        Insofar as indemnification for liabilities arising under the Securities Act may be permitted to directors, officers and controlling persons of the registrant pursuant to the foregoing provisions, or otherwise, the registrant has been advised that in the opinion of the Securities and Exchange Commission such indemnification is against public policy as expressed in the Securities Act and is, therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than the payment by the registrant of expenses incurred or paid by a director, officer or controlling person of the registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Securities Act and will be governed by the final adjudication of such issue.

        The undersigned registrant hereby undertakes that:

            (1)   For purposes of determining any liability under the Securities Act, the information omitted from the form of prospectus filed as part of this registration statement in reliance upon Rule 430A and contained in a form of prospectus filed by the registrant pursuant to Rule 424(b) (1) or (4) or 497(h) under the Securities Act shall be deemed to be part of this registration statement as of the time it was declared effective.

            (2)   For the purpose of determining any liability under the Securities Act, each post-effective amendment that contains a form of prospectus shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.

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SIGNATURES

        Pursuant to the requirements of the Securities Act of 1933, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized in the City of Flint, State of Michigan, on August 18, 2014.

    DIPLOMAT PHARMACY, INC.

 

 

By:

 

/s/ PHILIP R. HAGERMAN

        Name:   Philip R. Hagerman
        Title:   Chief Executive Officer

        Pursuant to the requirements of the Securities Act of 1933, this registration statement has been signed by the following persons in the capacities and on the dates indicated:

Signature
 
Title
 
Date

 

 

 

 

 

 

 
/s/ PHILIP R. HAGERMAN

Philip R. Hagerman
  Chief Executive Officer and Director (principal executive officer)   August 18, 2014

/s/ SEAN M. WHELAN

Sean M. Whelan

 

Chief Financial Officer, Director (principal financial officer and principal accounting officer)

 

August 18, 2014

/s/ *

Gary W. Kadlec

 

President, Director

 

August 18, 2014

/s/ *

Jeffrey M. Rowe

 

Executive Vice President, Operations, Director

 

August 18, 2014

/s/ *

Atheer A. Kaddis

 

Senior Vice President, Sales & Business Development, Director

 

August 18, 2014

*By:

 

/s/ PHILIP R. HAGERMAN

Philip R. Hagerman,
Attorney-in-Fact

 

 

 

 

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EXHIBIT INDEX

Exhibit Number   Description
  1.1 * Form of Underwriting Agreement

 

2.1
***

**

Stock Purchase Agreement, dated December 16, 2013, by and among Diplomat Pharmacy, Inc., American Homecare Federation, Inc., and the other parties named therein

 

2.2
***

**

Stock Purchase Agreement, dated June 27, 2014, by and among Diplomat Pharmacy, Inc., MedPro RX, Inc., and the other parties named therein

 

3.1

*

Form of Amended and Restated Articles of Incorporation, to be in effect upon completion of this offering

 

3.2

*

Form of Amended and Restated Bylaws, to be in effect upon completion of this offering

 

3.3

***

Second Amended and Restated Articles of Incorporation of Diplomat Pharmacy, Inc., as currently in effect

 

3.4

***

Amended Bylaws of Diplomat Pharmacy, Inc., as currently in effect

 

4.1

*

Form of Common Stock Certificate

 

4.2

***

Diplomat Pharmacy, Inc. First Amended and Restated Investors' Rights Agreement, dated March 31, 2014, by and among the Registrant and various funds of T. Rowe Price Associates, Inc. and Janus Capital Management, LLC

 

5.1

*

Opinion of Honigman Miller Schwartz and Cohn LLP

 

10.1

***

Amended and Restated Credit Agreement, dated June 26, 2014, by and among the Registrant, each guarantor named therein, and General Electric Capital Corporation, as swingline lender and agent, and the various lenders and agents on the signature pages thereto

 

10.2

***

Amended and Restated Guaranty and Security Agreement, dated June 26, 2014, by and among the Registrant, each additional borrower named therein, and General Electric Capital Corporation, as agent

 

10.3

 

Voting Agreement by and among Philip Hagerman and the persons on the signature pages thereto

 

10.4

†***

Diplomat Pharmacy, Inc. 2007 Option Plan

 

10.5

†***

Form of Amended and Restated 2007 Option Plan Grant Agreement

 

10.6

†*

Form of 2007 Option Plan Grant (Performance-Based) Agreement

 

10.7

†*

Diplomat Pharmacy, Inc. 2014 Omnibus Incentive Plan

 

10.8.1

++

Pharmacy Distribution and Services Agreement, dated July 1, 2013, by and between Celgene Corporation and the Registrant

 

10.8.2

++

First Amendment to Pharmacy Distribution and Services Agreement, dated July 8, 2013, by and between Celgene Corporation and the Registrant

 

10.8.3

++

Adoption and Amendment of Pharmacy Distribution and Services Agreement, dated March 21, 2014, by and between Celgene Corporation and the Registrant

 

10.9.1

++

Prime Vendor Agreement, dated January 1, 2012, by and among AmerisourceBergen Drug Corporation, the Registrant and the subsidiaries of the Registrant named therein

II-7


Table of Contents

Exhibit Number   Description
  10.9.2   First Amendment to Prime Vendor Agreement, dated July 20, 2012, by and among AmerisourceBergen Drug Corporation, the Registrant and the subsidiaries of the Registrant named therein

 

21.1

***

Subsidiaries of the Registrant

 

23.1

 

Consent of BDO USA, LLP

 

23.2

 

Consent of Plante Moran PLLC

 

23.3

*

Consent of Honigman Miller Schwartz and Cohn LLP (contained in the opinion filed as Exhibit 5.1)

 

24.1

***

Power of Attorney (included on signature page)

*
To be filed by amendment.

**
Exhibits and schedules have been omitted in accordance with Item 601(b)(2) of Regulation S-K. A copy of omitted exhibits and schedules will be furnished to the Commission upon request.

***
Previously filed.

Indicates a management contract or compensatory plan or arrangement.

++
Confidential treatment has been requested for portions of this exhibit. These portions have been omitted from these exhibits to this Registration Statement on Form S-1, as amended, and submitted separately to the Securities and Exchange Commission.

II-8




Exhibit 10.3

 

VOTING AGREEMENT

 

THIS VOTING AGREEMENT (this “ Agreement ”) is made as of August 15, 2014, by and among Diplomat Pharmacy, Inc., a Michigan corporation (the “ Company ”), Philip R. Hagerman (“ Majority Holder ”) and the persons listed on the signature pages hereto (each, together with its successors, a “ Shareholder ” and collectively, the “ Shareholders ”).

 

RECITALS

 

A.                                     The Company and the Shareholders desire to secure a continuity of the management and business policies of the Company.

 

B.                                     The Shareholders are holders of shares of Class A or Class B common stock of the Company, no par value (the “ Common Holder Shares ”), or own options to acquire Common Holder Shares.

 

C.                                     This Agreement, among other things, requires Shareholders to vote all Common Holder Shares and all shares of capital stock of the Company that a Shareholder hereafter acquires or as to which a Shareholder hereafter acquires the right to exercise voting or dispositive authority (together, all such shares referred to in this sentence and any securities of the Company issued with respect to, upon conversion of, or in exchange or substitution of such shares, the “ Shares ”) in the manner set forth herein.

 

D.                                     This Agreement is being entered into in exchange for a payment of U.S. $100 in cash from Majority Holder to each Shareholder and for other good and valuable consideration, the sufficiency of which is hereby acknowledged and agreed.

 

THEREFORE, in consideration of the mutual promises herein and other valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties agree as follows:

 

1.                                       Voting Arrangements .  Shareholders hereby agree that, on all matters submitted to a vote of shareholders of the Company (“ Company Shareholders ”) at a meeting of Company Shareholders or through the solicitation of a written consent of Company Shareholders (whether of any individual class of stock or of multiple classes of stock voting together), the Shareholders shall vote such Shares as determined by the holders of a majority of all Shares held by the Majority Holder and the Shareholders, voting as a single class.

 

2.                                       Illustrative Examples .  Matters to which the voting arrangements described in Section 1 are applicable include, but are not limited to, the following, which are presented here solely by way of example:

 

(a)                                  Election, replacement or removal of directors of the Company (each, a “ Director ”);

 



 

(b)                                  Sale or other disposition of all or substantially all of the Company’s assets, provided , that any distribution to Company Shareholders of the proceeds of such sale or disposition are made in accordance with the Company’s articles of incorporation, as then in effect;

 

(c)                                   Mergers of, or acquisitions by, the Company or its subsidiaries that are submitted for Company Shareholder approval; and

 

(d)                                  Adoption by the Company of a rights plan or similar takeover defensive arrangements, or amendments thereof.

 

3.                                       Manner of Voting .  The Shareholders each agree to hold all Shares registered in their respective names or beneficially owned by them as of the date hereof and any and all other securities of the Company legally or beneficially acquired by each of the Investors after the date hereof subject to, and to vote the Shares in accordance with, the provisions of this Agreement.  The voting of Shares pursuant to this Agreement may be effected in person, by proxy, by written consent, or in any other manner permitted by applicable law.  All of the Stockholders agree to execute any written consents required to perform their obligations under this Agreement.

 

4.                                       Stock Splits, Dividends, Etc.   In the event of any issuance of shares of the Company’s voting securities hereafter to a Shareholder as a result of such Shareholder’s ownership of Shares (including, without limitation, in connection with any stock split, stock dividend, recapitalization, reorganization, or the like), such shares shall automatically be deemed “Shares” hereunder.

 

5.                                       Specific Enforcement .  It is agreed and understood that monetary damages would not adequately compensate an injured party for the breach of this Agreement by any party, that this Agreement shall be specifically enforceable, and that any breach or threatened breach of this Agreement shall be the proper subject of a temporary or permanent injunction or restraining order. Further, each party hereto waives any claim or defense that there is an adequate remedy at law for such breach or threatened breach.

 

6.                                       Securities Laws, Rules and Regulations . Shareholders, the Company and Majority Holder agree and understand that Shareholders, the Company and/or Majority Holder may become subject to the registration and/or reporting requirements, rules and regulations of the Securities Exchange Act of 1934, as amended (the “ Exchange Act ”), the Securities Act and/or any state and federal securities laws (collectively with the Exchange Act and the Securities Act, the “ Securities Laws ”). Shareholders, the Company and Majority Holder agree to use their respective commercially reasonable efforts to comply with the Securities Laws and to reasonably assist each other in complying with the Securities Laws in a timely and prompt manner. Such compliance may include, for example and without limiting the foregoing, the filing and updating and maintaining of Form 13G and/or Form 13D under the Exchange Act.  In furtherance thereof, Shareholders shall notify Majority Holder at least three business days prior to any transaction (including purchase, sale, pledge or hedge) with respect to the Shares.

 

7.                                       Majority Holder’s Liability Majority Holder shall not be liable for any error of judgment nor for any act done or omitted, nor for any mistake of fact or law nor for anything

 



 

which Majority Holder may do or refrain from doing in good faith, nor shall Majority Holder have any accountability hereunder, except for his own bad faith, gross negligence or willful misconduct.  Furthermore, upon any judicial or other inquiry or investigation of or concerning Majority Holder’s acts pursuant to his rights and powers as Majority Holder, such acts shall be deemed reasonable and in the best interests of Shareholders unless proved to the contrary by clear and convincing evidence.

 

8.                                       Consideration . In connection with this Agreement and as partial consideration for the obligations of Shareholders hereunder, Majority Holder shall pay (by check, cash or other valid consideration) to each Shareholder the sum of U.S. $100 in the aggregate.

 

9.                                       Termination .  This Agreement shall terminate:

 

(a)                                  upon the liquidation, dissolution or winding up of the business operations of the Company;

 

(b)                                  upon the execution by the Company of a general assignment for the benefit of creditors or the appointment of a receiver or trustee to take possession of the property and assets of the Company;

 

(c)                                   in the sole discretion of Majority Holder, upon the express written consent of Majority Holder (which he shall be under no obligation to provide); or

 

(d)                                  upon the death or permanent and substantial incapacity of Majority Holder, as determined in good faith by the Company’s board of directors, unless Majority Holder is actively contesting such determination of incapacity; or

 

(e)                                   Six (6) months after the later of the date on which Majority Holder (i) ceases to be Chief Executive Officer (“ CEO ”) of the Company, and (ii) is no longer Actively Engaged in the management of the Company, where “ Actively Engaged ” is defined as Majority Holder (I) being a Chairman of the Board or Director of the Company and (II) devoting substantially all of his business efforts to the Company.  Notwithstanding the foregoing, the date of termination of this Agreement pursuant to this Section 10(e) will be 12 (twelve) months after such later date if (x) Majority Holder is actively contesting his removal as CEO or Director, or (y) has ceased to be Actively Engaged due to having taken a leave of absence for medical reasons.

 

10.                                Successors and Assigns .  The terms and conditions of this Agreement shall inure to the benefit of and be binding upon the respective successors and assigns of the Company, Shareholders and Majority Holder. Nothing in this Agreement, express or implied, is intended to confer upon any party other than the parties hereto or the respective successors and assigns of the Company, Shareholders and Majority Holder any rights, remedies, obligations, or liabilities under or by reason of this Agreement, except as expressly provided in this Agreement. Except for an assignment by the Company (i) by operation of law, or (ii) in connection with an acquisition, consolidation or merger of the Company or sale of all or substantially all of the Company’s assets (which shall be permitted with only the written consent and notice of the Company), this Agreement may not be assigned without the written consent of Majority Holder, the Company and Shareholders.

 



 

11.                                Amendments and Waivers . Any term hereof may be amended or waived only with the written consent of Shareholders holding a majority of the Shares held by the Shareholders and Majority Holder, except where such amendment or waiver shall materially negatively alter the rights or obligations of the Company hereunder, in which case any such amendment or waiver shall also require the written consent of the Company. Any amendment or waiver effected in accordance with this Section 12 shall be binding upon the Company, Majority Holder and Shareholders, and each of the respective successors and assigns to the Company or Majority Holder.

 

12.                                Notices . Notwithstanding anything to the contrary contained herein, any notice required or permitted by this Agreement shall be in writing and shall be deemed sufficient and received on the earlier of (a) the date of delivery, when delivered personally, by overnight mail, courier or sent by electronic mail (e-mail) or fax, or (b) forty-eight (48) hours after being deposited in the U.S. mail, as certified or registered mail, with postage prepaid, and addressed to the party to be notified at such party’s address, e-mail address or fax number as set forth on Annex A hereto, or as subsequently modified by written notice. Any electronic mail (email) communication shall be deemed to be “in writing” for purposes of this Agreement.

 

13.                                Severability . If one or more provisions of this Agreement are held to be unenforceable under applicable law, the parties agree to renegotiate such provision in good faith. In the event that the parties cannot reach a mutually agreeable and enforceable replacement for such provision, then (a) such provision shall be excluded from this Agreement, (b) the balance of the Agreement shall be interpreted as if such provision were so excluded, and (c) the balance of the Agreement shall be enforceable in accordance with its terms.

 

14.                                Governing Law; Jurisdiction; Venue .

 

(a)                                  This Agreement and all acts and transactions pursuant hereto and the rights and obligations of the parties hereto shall be governed, construed and interpreted in accordance with the laws of the State of Michigan, without giving effect to conflict of law principles. In addition, each of the parties hereto (i) consents to submit itself to the exclusive jurisdiction of the courts of the State of Michigan in the event any dispute arises out of this Agreement or any of the transactions contemplated by this Agreement, (ii) agrees that it will not attempt to deny or defeat such jurisdiction by motion or other request for leave from such court, (iii) agrees that it will not bring any action relating to this Agreement or any of the transactions contemplated by this Agreement in any court other than the courts of the State of Michigan, and (iv) hereby waives, and agrees not to assert, by way of motion, as a defense, or otherwise, in any such suit, action or proceeding, any claim that it is not subject to the jurisdiction of the above-named courts, that its property is exempt or immune from attachment or execution, that the suit, action or proceeding is brought in an inconvenient forum, that the venue of the suit, action or proceeding is improper or that this Agreement or the subject matter hereof may not be enforced in or by such court.

 

(b)                                  Each party hereto hereby consents to service of process being made through the notice procedures set forth in Section 12 and agrees that, to the fullest extent permitted by law, service of any process, summons, notice or document by U.S. registered mail to the parties’ respective addresses set forth on the signature page hereto shall be effective

 



 

service of process for any suit or proceeding in connection with this Agreement or the transactions contemplated hereby.

 

15.                                Counterparts .  This Agreement may be executed in two or more counterparts, each of which shall be deemed an original and all of which together shall constitute one instrument.  Executed signatures to this Agreement may be delivered by any electronic means and any such electronically delivered signatures shall be deemed equivalent to manually executed signatures.

 

16.                                Titles and Subtitles . The titles and subtitles used in this Agreement are used for convenience only and are not to be considered in construing or interpreting this Agreement.

 

[SIGNATURES ON FOLLOWING PAGE]

 


 

IN WITNESS WHEREOF, the parties hereto have executed this Voting Agreement as of the day and year written above.

 

 

THE COMPANY

 

 

 

 

Diplomat Pharmacy, Inc.

 

 

 

 

By:

/s/ Philip R. Hagerman

 

Name:

 Philip R. Hagerman

 

Title:

 Chief Executive Officer

 

 

 

 

 

 

 

MAJORITY HOLDER

 

 

 

 

By:

/s/ Philip R. Hagerman

 

Name:

Philip R. Hagerman

 

 

 

 

 

 

 

SHAREHOLDERS:

 

 

 

 

Philip Hagerman Revocable Trust dated September 6, 1991, as amended

 

 

 

By:

/s/ Philip R. Hagerman

 

Name:

Philip R. Hagerman, its Trustee

 

 

 

 

 

 

 

The JH GST Trust U/T/A 5/1/2007

 

 

 

 

By:

/s/ Philip R. Hagerman

 

Name:

Philip R. Hagerman, its Trustee

 

 

 

 

 

 

 

2007 Hagerman Family GST Trust U/T/A 6/1/2007

 

 

 

 

By:

/s/ Jocelyn Hagerman

 

Name:

Jocelyn Hagerman, its Trustee

 

 

 

 

By:

/s/ Kerry Hayes

 

Name:

Kerry Hayes, its Trustee

 

 



 

2013 Irrevocable Exempt Trust for Thomas R. Hagerman

 

 

 

 

By:

/s/ Jocelyn Hagerman

 

Name:

Jocelyn Hagerman

 

 

 

 

 

 

 

2013 Irrevocable Exempt Trust for Taylor G. Hagerman

 

 

 

 

By:

/s/ Jocelyn Hagerman

 

Name:

Jocelyn Hagerman

 

 

 

 

 

 

 

2013 Irrevocable Exempt Trust for Jennifer K. Hagerman

 

 

 

 

 

 

 

By:

/s/ Philip Hagerman

 

Name:

Philip Hagerman

 

 

 

 

 

 

 

2013 Irrevocable Exempt Trust for Megan B. Lineberger

 

 

 

 

 

 

By:

/s/ Philip Hagerman

 

Name:

Philip Hagerman

 

 

 

 

 

 

 

Philip Hagerman 2014 GRAT

 

 

 

 

By:

/s/ Jocelyn Hagerman

 

Name:

Jocelyn Hagerman

 

 

 

 

 

 

2014 Irrevocable Exempt Trust for Thomas Hagerman

 

 

 

 

By:

/s/ Jocelyn Hagerman

 

Name:

Jocelyn Hagerman

 

 

 

 

By:

/s/ Amy Glenn

 

Name:

Amy Glenn

 

 

 

 

 

2014 Irrevocable Exempt Trust for Taylor Hagerman

 

 

 

 

By:

/s/ Jocelyn R. Hagerman

 

Name:

Jocelyn Hagerman

 

 

 

 

By:

/s/ Amy Glenn

 

Name:

Amy Glenn

 

 



 

2014 Irrevocable Exempt Trust for Jennifer Hagerman

 

 

 

 

By:

/s/ Philip Hagerman

 

Name:

Philip Hagerman

 

 

 

 

 

 

 

2014 Irrevocable Exempt Trust for Megan Lineberger

 

 

 

 

By:

/s/ Philip Hagerman

 

Name:

Philip Hagerman

 

 

 

 

 

 

 

Jocelyn Hagerman 2014 GRAT

 

 

 

 

By:

/s/ Philip Hagerman

 

Name:

Philip Hagerman

 

 

 

 

 

 

 

JH Marital Trust

 

 

 

 

By:

/s/ Philip Hagerman

 

Name:

Philip Hagerman

 

 

 

 

 

 

 

PH Marital Trust

 

 

 

 

By:

/s/ Jocelyn Hagerman

 

Name:

Jocelyn Hagerman

 

 

 

 

By:

/s/ Amy Glenn

 

Name:

Amy Glenn

 

 



 

Jennifer Hagerman

 

 

 

 

By:

/s/ Jennifer Hagerman

 

Name:

Jennifer Hagerman

 

 

 

 

 

 

 

Megan Lineberger

 

 

 

 

By:

/s/ Megan Lineberger

 

Name:

Megan Lineberger

 

 

 

 

 

 

Thomas Hagerman

 

 

 

 

By:

/s/ Philip Hagerman

 

Name:

Philip Hagerman f/b/o Thomas Hagerman

 

 

 

 

 

 

Taylor Hagerman

 

 

 

 

By:

/s/ Philip Hagerman

 

Name:

Philip Hagerman f/b/o Taylor Hagerman

 

 

 

 

 

 

 

Dale Hagerman

 

 

 

 

By:

/s/ Dale Hagerman

 

Name:

Dale Hagerman

 

 

 

 

 

 

 

David F. Ward 2014 Irrevocable Exempt Trust

 

 

 

 

By:

/s/ Deborah Ward

 

Name:

Deborah Ward

 

 

 

 

By:

/s/ Amy Glenn

 

Name:

Amy Glenn

 

 

 

 

 

 

 

Deborah L. Ward 2014 Irrevocable Trust

 

 

 

 

By:

/s/ David F. Ward

 

Name:

David F. Ward

 

 

 

 

 

 

 

Mike Hagerman

 

 

 

 

By:

/s/ Mike Hagerman

 

Name:

Mike Hagerman

 

 

 

 

 

 

 

John Hagerman

 

 

 

 

By:

/s/ John Hagerman

 

Name:

John Hagerman

 

 



 

Marc Hagerman

 

 

 

 

By:

/s/ Marc Hagerman

 

Name:

Marc Hagerman

 

 

 

 

 

 

 

J. Robert VanKirk 2014 Irrevocable Exempt Trust

 

 

 

 

By:

/s/ Carol VanKirk

 

Name:

Carol VanKirk

 

 

 

 

By:

/s/ Donald McAnelly

 

Name:

Donald McAnelly

 

 

 

 

 

 

 

Carol L. VanKirk 2014 Irrevocable Exempt Trust

 

 

 

 

By:

/s/ J. Robert VanKirk

 

Name:

J. Robert VanKirk

 

 

 

 

 

 

 

Jon VanKirk

 

 

 

 

By:

/s/ Jon VanKirk

 

Name:

Jon VanKirk

 

 

 

 

Kerry Hayes

 

 

 

 

By:

/s/ Kerry Hayes

 

Name:

Kerry Hayes

 

 



 

Annex A

 

[Insert notice information for each party: address, email and/or fax]

 




 

Celgene Corporation

86 Morris Avenue

Summit, NJ 07901

Telephone: 908-673-9000

Facsimile: 908-673-2771

 

PHARMACY DISTRIBUTION AND SERVICES AGREEMENT

 

THIS PHARMACY DISTRIBUTION AND SERVICES AGREEMENT (“ Agreement ”) is made effective as of the 1 st  day of July 2013 (“ Effective Date ”) between:

 

CELGENE CORPORATION

86 Morris Avenue

Summit, New Jersey 07901

 

(together with its subsidiaries and affiliates hereinafter collectively, “ Celgene ”),

 

and

 

DIPLOMAT SPECIALTY PHARMACY

4100 South Saginaw Street

Flint, MI 48507

 

(hereinafter, “ Pharmacy ”).

 

WHEREAS, Celgene is authorized to market and sell Revlimid® (lenalidomide) and Pomalyst® (pomalidomide) in the United States of America and its territories; and

 

WHEREAS, Celgene desires to appoint certain pharmacy distributors to provide quality services to Customers (as defined herein) and to provide data reporting and other services to Celgene; and

 

WHEREAS, Celgene and Pharmacy wish to enter into this Agreement under which Pharmacy, registered under POMALYST REMS™ and REVLIMID REMS™ and (as defined below) will distribute and sell Revlimid® (lenalidomide) and/or Pomalyst® (pomalidomide) to Customers and will provide data reporting and other services to Celgene.

 

NOW THEREFORE, in consideration of the promises and mutual covenants herein contained in this Agreement, the parties hereby agree as follows:

 

 

Diplomat Specialty Pharmacy — Celgene PDSA

 


* Information redacted pursuant to a confidential treatment request by Diplomat Pharmacy, Inc. under 5 U.S.C. §552(b)(4) and Rule 406 under the Securities Act of 1933 and submitted separately with the Securities and Exchange Commission.

 

Page 1 of 68



 

1.                                       DEFINITIONS

 

For purposes of this Agreement the following terms shall have the following meanings:

 

1.1                                Adverse Drug Experience ” or “ ADE ” shall have the meaning set forth in 21 CFR 314.80 as well as any occurrence of an elevated Beta HCG or positive urine pregnancy tests, or a pregnancy or a possible exposure of a pregnant woman, whether involving a Customer or partner of a male Customer or a pregnant female who comes into contact with the Product while dispensing. Furthermore:

 

(a)                                  the term “ Adverse Drug Experience ” or “ ADE ” shall also include cases of special situations, as required by Guidelines on good pharmacovigilance practices: Module VI - Management and reporting of adverse reactions to medicinal products, which requires companies with marketed products centrally authorized by the EMA to report situations such as, by way of example only, outcome of use of medicinal product during pregnancy, adverse reaction during breastfeeding, use of product in children, reports of lack of efficacy, suspected transmission of infectious agents, reports of overdose, abuse, misuse, medication error, and reports from compassionate/named-patient use; and,

 

(b)                                  the term “ suspected to be associated with the use of ” shall mean the causal relationship between the medicinal product and the adverse drug experience is considered at least a reasonable possibility.

 

1.2                                Affiliates ” shall mean, with respect to a given party, any corporation, firm, partnership or other entity that directly or indirectly controls or is controlled by or is under common control with such party. For purposes of this Section 1.2, “ control ” shall mean direct or indirect ownership of greater than fifty percent (50%) of the equity having the power to vote on or direct the affairs of the entity.

 

1.3                                Assignment of Benefits ” shall mean the assignment of a patient’s health care benefits by a Customer to Pharmacy.

 

1.4                                Certified Counselor ” shall mean a licensed healthcare professional certified by Celgene as a counselor for POMALYST REMS™ and REVLIMID REMS™ programs and who is either a: Doctor of Osteopathy (“ D.O. ”); Licensed Practical Nurse (“ LPN ”); Pharmacist (“ R.Ph. ”); Pharmacy Intern; Physician (“ M.D. ”); Physician Assistant (“ P.A. ”); or Registered Nurse (“ RN ”).

 

1.5                                Certified Prescriber ” shall mean a licensed healthcare professional who is licensed to prescribe medication and certified in the POMALYST REMS™ and REVLIMID REMS™ programs.

 

1.6                                Customers ” shall mean persons who are prescribed Product(s) by a Certified Prescriber.

 

1.7                                Database ” shall have the meaning set forth in Section 5.1.

 

 

Diplomat Specialty Pharmacy — Celgene PDSA

 

Page 2 of 68



 

1.8                                Dispensing Site ” shall mean Pharmacy’s facility(ies) that fill and ship prescriptions, listed on Schedule 1.8 , attached hereto, as may be amended from time to time by upon mutual agreement of the parties, after being properly certified in POMALYST REMS™ and REVLIMID REMS™ (for clarity, a Dispensing Site that has been certified for only REVLIMID REMS™ may dispense only Revlimid®, a Dispensing Site that has been certified for only POMALYST REMS™ may dispense only Pomalyst®, and a Dispensing Site that has been certified in both POMALYST REMS™ and REVLIMID REMS™ may dispense either or both). In the case of physician networks who are dispensing, it shall be responsible for placing and receiving orders of Product(s), administration, and record keeping, as well as certifying itself and any of its other Dispensing Sites and implementing POMALYST REMS™ and REVLIMID REMS™.

 

1.9                                EMA ” shall mean the European Medicines Agency.

 

1.10                         FDA ” shall mean the United States Food and Drug Administration.

 

1.11                         High Risk Deviation ” shall mean any action taken by the Pharmacy that is inconsistent or non-compliant with any provision, or part thereof, of POMALYST REMS™ and REVLIMID REMS™ which or which may (i) increases the risk of fetal exposure; or (ii) occurs on a consistent basis which evidences a negligent or willful disregard by the Pharmacy to the requirements of POMALYST REMS™ and REVLIMID REMS™. Any High Risk Deviation by Pharmacy shall be considered a material breach of the terms of this Agreement.

 

1.12                         Pharmacist ” shall mean an individual who is currently licensed by the state in which he/she is practicing to engage in the practice of preparing, preserving, compounding and dispensing medical drugs.

 

1.13                         Pharmacy ” shall be the corporate entity(ies) at Pharmacy responsible for placing and receiving orders of Product(s), administration, and record keeping, as well as certifying itself and all of its Dispensing Sites and implementing POMALYST REMS™ and REVLIMID REMS™ Programs. Pharmacy may also fill and ship prescriptions.

 

1.14                         Pharmacy Intern ” shall mean an individual who is currently licensed by the state in which he/she is practicing to engage in the practice of pharmacy while under the personal supervision of a Pharmacist and is enrolled in a professional degree program of an accredited school or college of pharmacy and is satisfactorily progressing towards meeting requirements for licensure as a Pharmacist.

 

1.15                         Product ” shall mean Celgene’s Pomalyst® (pomalidomide) or Revlimid® (lenalidomide), and “ Products ” shall mean Celgene’s Revlimid® (lenalidomide) and Pomalyst® (pomalidomide).

 

1.16                         Regulatory Authority ” shall mean any governmental authority, agency or other instrumentality having regulatory responsibility, control or oversight over the manufacture, use, labeling, packaging, shipping, distribution, dispensing or destruction of the Product.

 

 

Diplomat Specialty Pharmacy — Celgene PDSA

 

Page 3 of 68



 

1.17                         POMALYST REMS™ and REVLIMID REMS™ ” shall mean the controlled distribution program and component of the Risk Evaluation Mitigation Strategies (“ REMS ”) program specifically tailored to the sale and distribution of Product(s) Revlimid® and Pomalyst®, respectively, under which trained Certified Pharmacists or other qualified employees of Pharmacy will provide certain services, including but not limited to, required education and counseling to Customers, in addition to approved Product information including targeted medical and Customer education, medical treatment guidelines, and the need for pregnancy testing, as more fully detailed in the Revlimid® (lenalidomide) and REVLIMID REMS™ and Pomalyst® (pomalidomide) and POMALYST REMS™ and Celgene-Contracted Pharmacy Distribution Program Requirements document (“ Requirements Document ”), attached as Schedule 1.17 , which may be updated from time to time by Celgene, at its sole discretion. In the event the Requirements Document is updated, Celgene shall inform Pharmacy within ten (10) business days, and allow Pharmacy thirty (30) days to meet requirements of the updated Requirements Document, unless a shorter time frame is necessary to meet Regulatory Authority requirements.

 

1.18                         SOP ” shall mean the written standard operating procedures, specifications and instructions, mutually agreed upon by the parties, which may be updated from time to time, upon the sole discretion of the party who the owns the SOP.

 

1.19                         Territory ” shall mean the United States of America and its territories.

 

2.                                       PRODUCT ORDERS, SHIPMENT, AND HANDLING

 

2.1                                Orders . The parties hereto agree that, during the Term, as defined below, Pharmacy shall purchase Revlimid® (lenalidomide), Pomalyst® (pomalidomide), and Thalomid® (thalidomide) directly and exclusively from Celgene at the commercial prices in effect at the time of order, and, subject to the right of Celgene to allocate supplies of Product(s) under Section 2.6, Pharmacy has the option to purchase Vidaza® and Istodax® directly from Celgene at the commercial prices in effect at the time of order, Celgene shall supply Product(s) to Pharmacy, for sale and distribution to Customers. Pharmacy shall order Product(s) by phone, email, EDI or fax from Celgene in such quantities as are necessary to meet the demand for Product from Customers. All orders shall be firm, and Pharmacy may not change or cancel an order without the prior written approval from Celgene. All purchases of Product(s) by Pharmacy shall be on the terms and conditions set forth in this Agreement. No purchase order, invoice or other form shall be deemed to vary the terms of this Agreement.

 

2.2                                Shipment by Celgene . Celgene shall ship Product(s) to Pharmacy by means of transportation (commercial truck or better) determined by Celgene and at Celgene’s cost. While Celgene shall use reasonable efforts to avoid any delay in delivering Product(s) on the delivery dates agreed upon by the parties, Celgene shall not be liable to Pharmacy for late delivery.

 

 

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2.3                                Storage; Handling of Product(s); Inventory Accountability . Pharmacy shall unload each shipment of Product(s) immediately upon receipt from Celgene in accordance with the applicable Pharmacy SOP. Pharmacy may transport Product(s) to a Dispensing Site for storage and distribution; however, there shall be no transfer of Product(s) between Dispensing Sites. Pharmacy shall use storage facilities and storage conditions for Product(s) in compliance with applicable Celgene SOPs. Pharmacy shall at all times handle, store and distribute Product(s) in accordance with applicable Celgene SOPs which shall incorporate by this reference the handling and storage provisions in the package labeling for Product(s). Pharmacy shall keep an inventory log of the Product(s), by strength, reflecting its on-hand inventory, at all times. Pharmacy shall provide Celgene a Product(s) inventory report, quarterly, of all Celgene products. Inventory reports will be sent to Celgene within 5 days after the Date of Count (the “ Date of Count ” means that day which is always fifteenth (15 th ) day of the 2nd month in the calendar quarter, i.e. February 15 th , May 15 th , August 15 th , November 15 th ). A physical inventory count will be conducted by Pharmacy every six (6) months. Physical inventory reports will be sent to Celgene within five (5) days of the Date of Count prior to June 30 th and December 31 st,  The inventory report template is detailed in Schedule 2.3 . Pharmacy shall be responsible for all costs associated with storage, handling and shipment of Product(s) from the Pharmacy/Dispensing Site to the Customer.

 

2.4                                Inspection of Product(s); Remedies and Procedures for Defects . Pharmacy shall carefully examine Product(s) upon delivery and shall notify Celgene within five (5) business days of any non-delivery of a portion of a shipment or any defect in any Product(s) that is reasonably discoverable upon visual inspection of the Product(s), without unloading individual shipping units. Along with notice of any defect, Pharmacy shall furnish to Celgene a detailed description of the nature of the defect. Upon receipt of notice of any defect or non-delivery, Celgene, at its option, shall (a) replace any defective Product(s), (b) issue Pharmacy a credit in the amount of the purchase price paid for any defective Product(s), or (c) replace, or issue Pharmacy a credit in the amount of purchase price paid for, any undelivered Product(s). Except as set forth in Section 14, the preceding sentence sets forth Celgene’s sole liability with respect to non-delivery of a portion of a shipment and Product(s) defects reasonably discoverable upon visual inspection of the Product(s) without unloading individual shipping units. Section 7.1 sets forth Celgene’s sole liability with respect to other Product(s) returns, and except as set forth in this Section 2.4, and Sections 7.1 and 14, Celgene shall not be otherwise liable to Pharmacy for any Product(s) delivery failures or Product(s) defects. In the absence of written notice from Pharmacy to Celgene in accordance with the terms of this Section 2.4, a shipment of Product(s) shall be deemed to have been delivered and accepted by Pharmacy as complete and in satisfactory condition. Pharmacy shall, at Celgene’s request and expense, follow Celgene’s instructions to return to Celgene or Celgene’s third party disposal company any Product(s) delivered to Pharmacy, which are not in compliance with the documentation provided by Celgene. Pharmacy shall cooperate with Celgene in investigating the cause of any defect in Product(s).

 

2.5                                Title and Risk of Loss . Title to Product(s) and risk of loss of Product(s) shall transfer to Pharmacy upon delivery of Product(s) to the Pharmacy or Dispensing Site.

 

 

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2.6                                Shortages . Notwithstanding anything in this Agreement to the contrary, in the event of a shortage of the Product(s), Celgene reserves the right to allocate available supplies of the Product(s) in its sole discretion.

 

3.                                       PHARMACY ORDERS AND DELIVERY

 

3.1                                Obtaining and Filling Prescription and Shipment of Product(s) .

 

(a)                                  Pharmacy shall only accept prescriptions with an authorization number generated by Celgene’s electronic system. The authorization number on prescriptions for Females of Reproductive Potential (FRP) are only valid for seven (7) days from the date of the last pregnancy test, the authorization number on prescriptions for all other Customers are valid for thirty (30) days, from the date the authorization number is obtained. Pharmacy shall not accept or otherwise fill any prescription for Product(s) over the telephone or without a valid authorization number. Each unique authorization number on every prescription will require that a confirmation number must be obtained from Celgene Customer Care Center by way of: telephone; automated IVR system; batch authorization exchange (“BAX”); or Celgene Web portal (when available), prior to dispensing Product(s).

 

(b)                                  Prior to obtaining a confirmation number related to each unique authorization number on each prescription, Pharmacy will contact Customers. Only Certified Counselors shall contact Customers and provide counseling, which contact shall be in accordance with the instructions set forth in this Section 3.1, and the Requirements Document. Pharmacy shall ensure there is a Certified Counselor available during normal business hours. Pharmacy shall educate customers on the risks associated with the use of the Product(s), in accordance with the Requirements Document. Pharmacy must ensure that the Certified Counselors who will perform the counseling have been properly identified upon Pharmacy’s registration of the Pharmacy/Dispensing Site. Certified Counselors will be required to be recertified annually, or more frequently, as may be required by Celgene. In the event Certified Counselors at Pharmacy do not meet their annual recertification obligation, Pharmacy and/or Dispensing Site to which such Certified Counselors are certified on behalf of will be suspended from dispensing until such time as they have met their recertification obligations. Pharmacy will not ship the Product(s) to a Customer unless it has contacted Celgene to obtain a confirmation number and received a completed prescription from the Certified Prescriber (by facsimile or otherwise), which must indicate the authorization number and patient risk category, and has completed the additional Customer counseling, as outlined in the Requirements Document. Pharmacy shall fill valid prescriptions for Product(s) in accordance with all applicable laws and regulations. For each subsequent Customer prescription, Pharmacy shall repeat counseling for such Customer upon receipt of additional Product(s) prescriptions. Subsequent Customer prescriptions will only be allowed if fewer than seven (7) days of Product(s) dosage remains on the previous prescription with respect to such Customer. In addition to those Customers that have not previously been

 

 

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prescribed Product(s), any Customer who has not received Product(s) in the prior twelve (12) months will also be considered a “new Customer” and will have to re-enroll in POMALYST REMS™ and REVLIMID REMS™.

 

(c)                                   When filling prescriptions for Females of Reproductive Potential, Pharmacy/Dispensing Site shall ship Product(s) to Customer on the same day of obtaining the confirmation number by United Parcel Service or Federal Express, standard overnight delivery, or another similar carrier as agreed by the parties in writing, and in any case, such delivery shall require signature for delivery. For all other prescriptions Pharmacy/Dispensing Site shall ship Product(s) to Customer within twenty (24) hours of receipt of the confirmation number. Pharmacy/Dispensing Site shall package Products for shipment in accordance with its applicable SOP. Pharmacy/Dispensing Site shall use its best efforts to ship Product(s) having the earliest expiration date first from available inventory. Each shipment of the Product(s) shall be tracked and Pharmacy will maintain records of the disposition of all shipments, whether sent by Pharmacy or its Dispensing Site. Pharmacy/Dispensing Sites will require its shippers to receive written confirmation of delivery of Product(s), or to provide written notice of the non-delivery of a shipment of the Product(s) within twenty four (24) hours of shipping. If the intended Customer does not receive a shipment of the Product(s), Pharmacy shall use reasonable efforts to track and retrieve the missing shipment, and shall inform Celgene of the missing shipment if it is not retrieved. In the event Customer will pick up the Product(s) directly from Pharmacy/Dispensing Site, such pickup must occur within twenty four (24) hours of obtaining the confirmation number.

 

(d)                                  In addition to Pharmacy meeting all of its obligations under this Agreement and POMALYST REMS™ and REVLIMID REMS™, for “ new Customers ” (for purposes of this Section 3.1(d) and for greater clarity, the term “ new Customers ” shall mean those customers that have not received Product(s) in the prior twelve (12) months and/or those Customers that have not previously been prescribed Product(s)), Pharmacy shall: (A) upon receipt of a prescription for Product(s) immediately time-stamp such prescription, (B) dispense Product(s) to such new Customers within twenty four (24) hours of receiving the prescription, and (C) in addition to the other reporting obligations under this Agreement, also provide Celgene with a report of that month’s new prescriptions which shall, at minimum, contain: prescription numbers, the date and time which such prescriptions were received from the provider based upon the time-stamp, as well as any other information, in such form and substance as Celgene may require, and with such report to be delivered to Celgene no later than fifteen (15) days following the end of that month.

 

3.2                                Billing and Collection . Pharmacy shall be responsible for all billing and collection in connection with its sales of Product(s). Pharmacy shall not bundle sales of Product(s) with other products or services; provided, however that Pharmacy may list Product(s) on the same invoice with other products for the same Customer if required by Customer’s

 

 

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insurance provider, as long as the Product(s) price and any negotiated discount from or allowance taken with respect to the Product(s) price are listed separately.

 

4.                                       REIMBURSEMENT-RELATED SERVICES

 

4.1                                Reimbursement-related Procedures . To ensure a consistent, high level of services and to maintain consistency of communications with Certified Prescribers and Customers, the parties have agreed that Pharmacy shall accept Assignment of Benefits from each Customer with reimbursement coverage unless Customer’s insurance provider or other third party payor does not allow Assignment of Benefits.

 

4.2                                No Denial of Product(s)/Referral to Patient Assistance Program . If Customer has the ability to self-pay, Pharmacy shall apply its collection policy for cash payments or other self-payment by Customers.

 

5.                                       OTHER SERVICES

 

5.1                                Data . Pharmacy shall maintain a Celgene-specific data management system (the “ Database ”) from which reports can be generated and provided to Celgene and that contains information as required herein. In addition, and subject to Pharmacy obtaining appropriate Customer consent, Pharmacy shall maintain in the Database Customer-specific information as set forth herein. Pharmacy shall regularly update the Database with Product(s) and Customer information set forth in Schedule 5.1 , attached hereto. Celgene may amend Schedule 5.1 , from time to time to add or delete requested information. Celgene shall be the sole owner of the information compiled therein, provided, however, that Pharmacy shall have full access to the Database in order to fulfill its obligations under this Agreement and to comply with all applicable laws and regulations. Celgene must authorize any release of the data to third parties, including but not limited to, sales data, or prescriptions filled.

 

5.2                                Reports . Pharmacy shall generate and furnish a one-time 24 month historical report, within the data listed herein and in the format outlined in Schedule 5.1 , for Products(s) and for Vidaza®, Abraxane® and Istodax®. Pharmacy shall continue to provide this report on a monthly, basis, and periodic reporting as Celgene may reasonably request. Reports will include, but not be limited to the following information:

 

(a)          Pharmacy site address

 

(b)          Pharmacy site city

 

(c)           Pharmacy site state

 

(d)          Pharmacy site zip

 

(e)           Date Dispensed

 

(f)            Customer ID (specific to this customer)

 

 

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(g)           Prescriber First Name

 

(h)          Prescriber Last Name

 

(i)              Prescriber Address ID (if available)

 

(j)             Prescriber Address

 

(k)          Prescriber City

 

(l)              Prescriber State

 

(m)      Prescriber Zip

 

(n)          DEA (prescriber)

 

(o)          NPI (prescriber)

 

(p)          NDC

 

(q)          Product(s)

 

(r)             QTY in vials

 

Report should be generated and received by Celgene no later than ten (10) business days following the close of each month. If no products were dispensed, report should reflect this. Report should be sent to salesoperations@celgene.com

 

Data Reports may be further defined or amended by Schedule 5.1 . At Celgene’s request, Pharmacy will deliver the reports specified under this Section electronically through a secure connection in the format identified in Schedule 5.1 .

 

5.3                                Materials . Pharmacy shall maintain an inventory of Product(s) and current educational materials developed and provided by Celgene. Pharmacy shall include in shipments of Product(s) any required material supplied and designated by Celgene for inclusion in Product(s) shipments.

 

6.                                       PAYMENT

 

6.1                                Service Fee . Celgene shall pay Pharmacy a service fee for services provided in accordance with POMALYST REMS™ and REVLIMID REMS™, as further detailed in the Requirements Document, based on the achievement of performance metrics set forth in Schedule 6.1 (“ Service Fee ”).

 

6.2                                Service Fee Calculation. The Service Fee will be calculated and paid quarterly based on Celgene’s evaluation of Pharmacy’s achievement of performance metrics, as specified above.

 

 

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6.3                                Payment Due for Product(s) Orders; Late Fee .

 

(a)                                  All amounts due hereunder to Celgene for Product(s) orders shall be payable by check to Celgene. Celgene shall invoice Pharmacy for all amounts due to Celgene hereunder, as adjusted to take into account credits due to Pharmacy, and Pharmacy shall pay all invoiced amounts when due. Any amounts remaining unpaid for more than thirty-five (35) days after date of invoice shall be subject to interest thereon equal to one and one half percent (1.5%) per month.

 

(b)                                  Without limiting the generality of Section 6.3(a) and subject to Pharmacy being at all times in full compliance with all of the terms and conditions of this Agreement, Pharmacy shall be entitled to a two percent (2%) prompt payment cash discount off the invoice price if Celgene receives payment within thirty (30) days of the invoice date, net thirty one (31) (the “ Prompt Pay Discount ”).

 

6.4                                Costs and Expenses . Except as otherwise expressly set forth herein, Pharmacy shall be responsible for all costs and expenses associated with fulfilling its obligations under this Agreement.

 

6.5                                Taxes . All prices are exclusive of federal, state and local excise, sales, use and other taxes levied or imposed on the sale, shipment, delivery, ownership, possession or resale of Product(s) or any other activities contemplated under this Agreement. Except for taxes on Celgene’s income, Pharmacy shall be liable for and pay all taxes imposed in connection with the activities contemplated hereunder.

 

6.6                                Financial Condition . At any time, when in Celgene’s reasonable opinion, the financial condition of Pharmacy or its parent company so warrants, or if Pharmacy consistently fails to make payments when due or otherwise defaults under this Agreement, Celgene may alter terms of payment (including but not limited to requiring full or partial payment in advance of delivery, eliminating the Prompt Pay Discount), suspend credit, delay or cancel shipping, request quarterly financial statements or other financial information on an ongoing basis, or pursue any remedies available at law or under this Agreement.

 

7.                                       RETURN GOODS POLICY

 

7.1                                Return Goods Policy . The current form of Celgene’s return goods policy is attached as Schedule 7.1 (the “ Return Goods Policy ”). Celgene may, if it deems necessary or desirable, update the Return Goods Policy from time to time. In the event Celgene updates the Return Goods Policy, Celgene shall provide Pharmacy with advance written notice of any changes to its Return Goods Policy.

 

7.2                                Returns by Pharmacy . In the event Pharmacy returns or requests to return a Product(s), for any reason, Pharmacy shall promptly notify Celgene, and Celgene shall, upon return of Product(s), give Pharmacy a credit in the amount of the purchase price paid by Pharmacy for the returned Product(s), provided that the Product(s) is returnable and returned under the then current Return Goods Policy, provided that the reason for the

 

 

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return of the Product(s) does not arise from (i) the negligence or intentional misconduct of Pharmacy or any of its agents or employees, (ii) failure of Pharmacy to follow applicable SOPs or to otherwise comply with the terms of this Agreement or (iii) misdelivery or loss of Product(s) by a carrier used by Pharmacy. For any return of Product(s) authorized by Celgene, Pharmacy shall send the Product(s), or shall instruct Customer to send the Product(s), to Celgene or Celgene’s designated disposal company as specified and in the manner described in the then current Return Goods Policy.

 

8.                                       ADVERSE DRUG EXPERIENCE AND CUSTOMER COMPLAINTS

 

8.1                                Adverse Drug Experience . Consistent with its internal SOPs, Pharmacy will promptly inform Celgene’s Drug Safety Group of any information regarding adverse drug experiences suspected to be associated with the use of Product(s) and all cases of special situations it receives, with the appropriate information, as set forth in more detail on Schedule 8.1 , to the address set forth therein.

 

8.2                                Other Customer Complaints . Pharmacy shall give notice by fax to Celgene’s Customer Service Department within one (1) business day of receipt of any Customer complaint related to Product(s) and/or services, other than Adverse Drug Events, and any labeling and package insert issues, specifying in detail the nature of the complaint or issue. Pharmacy shall provide Customer Complaints in a form substantially similar to the form attached as Schedule 8.2 .

 

8.3                                Cooperation . Pharmacy shall cooperate with Celgene in responding to or investigating any Customer complaints and Adverse Drug Events.

 

9.                                       SUSPENSION OF DISTRIBUTION AND RECALLS

 

9.1                                Suspension of Distribution . Pharmacy shall suspend distribution of Product(s) if: (a) requested by Celgene as the result of a problem with Product(s) quality or a directive from the FDA; (b) Celgene has determined, in Celgene’s sole and absolute discretion, Pharmacy to have deviated from, or otherwise be in non-compliance with, the requirements of POMALYST REMS™ and REVLIMID REMS™; or (c) Pharmacy has engaged in High Risk Deviations. If multiple instances of deviations or non-compliance are uncovered, Celgene reserves the right to immediately and permanently suspend Pharmacy from dispensing any Product under a risk management program. Without otherwise limiting or waiving any other right or remedy available to Celgene under law or equity, certain specific consequences of Pharmacy deviations or non-compliance are as set forth in detail in the Requirements Documents. Any deviation from, or noncompliance with, POMALYST REMS™ and REVLIMID REMS™, as determined by Celgene in Celgene’s sole and absolute discretion, shall be considered a breach of the terms and conditions herein. Any occurrence of a High Risk Deviation shall be considered a material breach of the terms of this Agreement.

 

9.2                                Recalls . Celgene shall promptly notify Pharmacy of any recalls initiated by Celgene or requested by the FDA. Upon receipt of notice of a recall from Celgene, Pharmacy shall

 

 

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immediately notify the affected Customers. Celgene shall provide Pharmacy with the form of letter to be used in connection with notice of any recall which shall contain the appropriate instructions as to whether Customers should return or dispose of the affected Product(s). Celgene shall be responsible for the mailing, shipping and reasonable administrative expenses incurred by Pharmacy in connection with the recall as well as the cost of replacement Product(s) for Customers, provided that the reason for the recall does not arise from (i) the negligence or intentional misconduct of Pharmacy or any of its agents or employees or (ii) failure of Pharmacy to follow applicable SOPs or to otherwise comply with the terms of this Agreement. Pharmacy shall cooperate in any recalls by providing relevant Product(s) tracking information to Celgene.

 

9.3                                Records . Pharmacy shall maintain during the Term and for three (3) years thereafter such information as may be reasonably required by Celgene to effect a Product(s) recall, and shall make such information available to Celgene, at Celgene’s request, in the event of such a recall.

 

9.4                                Cooperation . Pharmacy shall cooperate with Celgene in investigating any Product(s) failure which resulted in the need for a recall.

 

10.                                REPRESENTATIONS, WARRANTIES AND COVENANTS OF PHARMACY

 

10.1                         Compliance . In performing its obligations under this Agreement, Pharmacy represents and warrants that it shall comply with all applicable federal, state and local laws, regulations and ordinances, including without limitation (a) the Social Security Act; (b) the Health Insurance Portability and Accountability Act, (c) federal and state health care anti-fraud and abuse laws; (d) state drug product selection, dispensing, pharmacy practice, biohazard disposal, privacy, and consumer protection laws; and (e) rules and regulations of the FDA, the Center for Medicare and Medicaid Services and any other Regulatory Authority by which Pharmacy may be governed. Pharmacy also shall comply with all applicable professional and industry standards and good business practices.

 

10.2                         Quality of Employees and Monitoring . Pharmacy represents and warrants that it shall use a well-trained, knowledgeable team of employees to handle Product(s) and to perform the services to be performed by Pharmacy under this Agreement. Pharmacy employees who will be providing the services will be required to be certified by Celgene in POMALYST REMS™ and REVLIMID REMS™ and any other training required by Celgene. Pharmacy’s ability to maintain its certification, and its right to dispense Product(s) is contingent upon completion of any such training required by Celgene, including compliance with recertification. Subject to applicable privacy laws, Celgene shall have the right, from time to time, to have a Celgene employee monitor Pharmacy’s responses during telephone calls transferred from Celgene’s customer support line, and Pharmacy shall cooperate with Celgene to enable such monitoring activities. Customer shall be notified at the beginning of a call to be monitored that monitoring for quality assurance purposes is to occur.

 

10.3                         Medicaid Provider Status . Pharmacy represents and warrants that it is currently eligible

 

 

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to participate as a provider in the Medicaid program in each state in the Territory except those states listed on Schedule 10.3 (for avoidance of doubt, the list of those states to be provided by Pharmacy) attached hereto, and agrees to maintain such eligibility during the Term. Upon notice to Celgene, Pharmacy may amend Schedule 10.3 in its sole discretion to add additional states and shall provide Celgene with prompt notice of any such amendment, provided that Pharmacy shall not add any state to Schedule 10,3 unless the state has changed its laws to require an in-state pharmacy presence for eligibility in its Medicaid program. Pharmacy shall remove a state from Schedule 10.3 (and shall provide notice to Celgene of such removal) when the state no longer requires an in-state pharmacy presence for eligibility in the state’s Medicaid program.

 

10.4                         Actions . Pharmacy shall not take any action which would materially adversely affect its standing or that of Celgene in the industry or with respect to Product(s) customer base or which would undermine the image of Product(s).

 

10.5                         Quality Reviews . Pharmacy shall periodically, but not less frequently than once per year, perform written quality reviews of Pharmacy’s performance in fulfilling its obligations under this Agreement, and shall provide Celgene with copies of such reviews. Pharmacy shall administer a validation checklist to each employee performing services related to Product(s) upon completion of such employee’s initial training and annually thereafter, and shall provide Celgene with copies of such checklists. Pharmacy shall fully cooperate with Celgene in fulfilling all of its obligations under this Agreement, including, but not limited to, quality reviews.

 

10.6                         Licenses . Pharmacy represents and warrants that it now has and shall maintain in full force during the Term all federal and state pharmacy, wholesaler and other licenses or approvals required by Pharmacy to fulfill its obligations under this Agreement,. Pharmacy shall provide Celgene with notice of any communications with pharmacy licensing boards or the FDA which relate to potential problems with facilities, operations or procedures used by Pharmacy in its distribution of Product(s), including notices of inquiries, investigations or inspections and resulting findings.

 

10.7                         Limitation on Promotion . Pharmacy shall not make any performance claims or engage in any promotional activities with respect to Product(s) except for the distribution of required Product(s) literature prepared by Celgene and any other activities directly related to the services to be provided by Pharmacy hereunder, in each case as expressly approved in writing by Celgene.

 

10.8                         Use of Trademarks . Pharmacy shall not use the trademarks, trade names, trade dress or logos of Celgene except to the extent contained in Product(s) literature provided by Celgene, on Product(s) labels or as otherwise approved by Celgene in writing.

 

10.9                         Authority . Pharmacy represents and warrants that (a) it has all requisite corporate power and authority to execute, deliver and perform this Agreement and any other agreements contemplated hereby and (b) it is not currently obligated nor will it assume any future obligation under any contract (including without limitation any commitment of any nature) or other agreement, instrument or arrangement that conflicts with its obligations

 

 

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under this Agreement.

 

10.10                  Limitation of Liability . Except for its obligations of indemnification, or breach of its obligations of confidentiality, in no event shall Pharmacy be liable for any consequential, exemplary, punitive, incidental, indirect or special damages or costs, including without limitation, lost profits, of Celgene, whether or not Pharmacy has been advised of the possibility of such damages or costs.

 

10.11                  Celgene Information . Pharmacy shall use information about Customers to whom Product(s) has been dispensed, including any list of such Customers, and other Celgene Information (as defined below) solely to perform its obligations under this Agreement and to dispense Product(s) to such Customers. Pharmacy shall not make such information (or any portion thereof) available to, or use such information for the benefit of, any third party other than an insurance provider and/or other third party payor (with respect to its covered persons). Notwithstanding the foregoing, Pharmacy may disclose information on or about Customers to whom Product(s) has been dispensed, including any list of such Customers, to Regulatory Authority(ies) and Pharmacy’s auditors, legal counsel and lenders, provided that each such party to whom such information is disclosed is obligated to preserve the confidentiality of such information.

 

11.                                REPRESENTATIONS, WARRANTIES AND COVENANTS OF CELGENE

 

11.1                         Compliance with Law . Celgene shall be responsible for testing Product(s) and ensuring that Product(s) complies, when shipped to Pharmacy, with all applicable laws, regulations, directives and requirements of the FDA, including without limitation, packaging and labeling requirements, product warning requirements, product design and safety requirements and advertising requirements.

 

11.2                         Use of Trademarks . Celgene shall not use the trademarks, trade names, trade dress or logos of Pharmacy except to the extent necessary for activities contemplated under this Agreement.

 

11.3                         Warranty . Celgene represents and warrants that, upon the date of shipment to Pharmacy, Product(s) will not be adulterated or misbranded within the meaning of the Federal Food, Drug and Cosmetic Act (the “ Act ”) and will not be articles which may not, under the provisions of the Act, be introduced into interstate commerce. THE EXPRESS WARRANTIES CONTAINED IN THIS SECTION 11 ARE IN LIEU OF ALL OTHER REPRESENTATIONS AND WARRANTIES WITH RESPECT TO PRODUCT(S). CELGENE DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING WITHOUT LIMITATION ALL WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Except as otherwise set forth in Section 14, Celgene’s sole liability and Pharmacy’s sole remedy for breach of warranty under this Agreement shall be for Celgene to replace the defective Product(s) or to credit Pharmacy’s account in accordance with Section 2.4 and Section 7.1. In no event shall Celgene be liable for any consequential, exemplary, punitive, incidental, indirect or special damages or costs, including without limitation, lost profits,

 

 

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of Pharmacy, whether or not Celgene has been advised of the possibility of such damages or costs.

 

11.4                         License . Celgene represents and warrants to Pharmacy that Celgene has a valid and existing license from the FDA to market and sell Product(s) in the Territory.

 

11.5                         Authority . Celgene represents and warrants that (i) it has all requisite corporate power and authority to execute, deliver and perform this Agreement and any other agreements contemplated hereby and (ii) it is not currently obligated nor will it assume any future obligation under any contract (including without limitation any commitment of any nature) or other agreement, instrument or arrangement that conflicts with its obligations under this Agreement.

 

11.6                         No Adverse Actions . Celgene shall not take any action which would adversely affect its standing or that of Pharmacy in the pharmaceutical and/or health care industry; provided that nothing in this Section 11.6 shall prevent Celgene from entering into agreements with other specialty distributors of Product(s) within the Territory, terminating this Agreement pursuant to Section 12.2 or 12.3 or enforcing its rights under this Agreement.

 

12.                                TERM AND TERMINATION

 

12.1                         Term . This Agreement shall become effective on the Effective Date and, unless earlier terminated in accordance with this Section 12, shall continue in effect for an initial term ending on June 30, 2016.

 

12.2                         Voluntary Termination . Either party may terminate this Agreement for convenience at any time upon at least ninety (90) days’ prior written notice to the other party.

 

12.3                         Termination for Breach . Either party may terminate this Agreement (i) for a material breach by the other party upon fifteen (15) days’ prior written notice unless the breaching party cures the breach within such fifteen (15) day period or (ii) in the event of any proceedings, voluntary or involuntary, in bankruptcy or insolvency, by or against the other party, or the appointment, with or without such other party’s consent, of a receiver for such other party.

 

12.4                         Transition . Upon the expiration or earlier termination of this Agreement, as applicable, the parties shall begin to transition distribution of Product(s) for Pharmacy’s Customers to a party to be designated by Celgene. Transition of distribution under this Section 12.4 shall mean the following:

 

(a)                                  Celgene shall as soon as practicable begin referring Pharmacy Customers who contact Celgene’s Customer Service Department to a new designated distributor.

 

(b)                                  At Celgene’s request, Pharmacy shall provide notice to all of Pharmacy Customers of the change in distributors.

 

 

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(c)                                   Pharmacy shall complete any Product(s) shipments then underway, but otherwise shall refer Customers to the Celgene-designated distributor.

 

(d)                                  Pharmacy shall transfer a copy of the Database and Customer information, including prescription files, to the Celgene-designated distributor, provided that if applicable patient confidentiality laws prohibit transfer of Customers’ names to such distributor, Pharmacy shall transfer the Database and Customer information using Customer numbers instead of names, and shall notify Customers of their respective numbers.

 

(e)                                   Pharmacy’s obligation to order additional Product(s) when its inventory falls to a one (1) week supply shall cease and Celgene shall repurchase any Product(s) held in inventory by Pharmacy on the date of termination at the price paid for the Product(s) by Pharmacy.

 

After (a) expiration of this Agreement or (b) upon the sending or receiving of any termination notice by Pharmacy in accordance with the terms hereof and (c) for a period of six (6) months after the event described in (a) or (b), as applicable, Pharmacy shall use commercially reasonable efforts to cooperate with Celgene in ensuring the smooth transition of the services provided by Pharmacy under this Agreement to any other distributor(s) designated by Celgene, provided that after the expiration or the effective date of any termination of this Agreement, as applicable, Celgene shall reimburse Pharmacy for its reasonable out-of-pocket, non-personnel-related expenses associated with such cooperation.

 

12.5                         Survival . Sections 3.2, 6 , 7, 8, 9, 10.6, 10.7, 10.8, 10.10, 10.11, 11.1, 11.2, 11.3, 11.6, 12.4, 12.5, 13, 14, 15 and 17 shall survive termination or expiration of this Agreement for as long as necessary to permit their full discharge.

 

13.                                REGULATORY INSPECTIONS, INVESTIGATIONS, AUDITS

 

13.1                         Regulatory Inspections . Pharmacy shall provide to the applicable Regulatory Authority or, at Celgene’s request, shall provide to Celgene all documents and information requested by any Regulatory Authority or by Celgene in support of its regulatory filings. Copies of all documents to be provided to the applicable Regulatory Authority shall be provided to Celgene in advance, if practicable, or otherwise within two (2) business days of delivery to Regulatory Authority. Pharmacy shall notify Celgene immediately upon receipt of notice of any inspection by any Regulatory Authority directed specifically toward Product(s), and Celgene shall have the right to have an employee(s) and/or agent(s) present at any such inspection, if allowed by law. Pharmacy shall notify Celgene immediately of any notices, requests for information or other communications related to Product(s) from the U.S. Department of Health and Human Services or any other Regulatory Authority or any state healthcare program or other state agency and, to the extent permitted under applicable law, shall promptly give Celgene copies of such communications.

 

 

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13.2                         Recalls, Returns or Investigations . Pharmacy shall provide Celgene, at Celgene’s request, any information reasonably required in connection with Celgene investigations relating to recalled or returned Product(s) or any requests or investigations by or filings with any applicable Regulatory Authority, including without limitation the FDA, or in support of Celgene’s applications to the FDA. Pharmacy shall respond within two (2) business days to any reasonable request for information by Celgene.

 

13.3                         Celgene Right to Audit . Throughout the Term and for a period of three (3) years following expiration or earlier termination of this Agreement, Pharmacy shall maintain complete and accurate records consistent with requirements REVLIMID REMS™ and POMALYST REMS™ programs and of sales of Product(s). Celgene will audit Pharmacy upon Pharmacy’s launch of Product(s) and thereafter determine the frequency of future audits based on volume of prescriptions filled and initial audit results, with the option of adjusting the number of audits to measure compliance with the REVLIMID REMS™ and POMALYST REMS™ programs. Celgene can perform on-site audits to monitor compliance of THALOMID REMS™ program.

 

13.4                         Inspection. Applicable records shall be made available for inspection at Pharmacy for three (3) years from the date of initial Product(s) receipt. Celgene and its representatives shall have the right to periodically visit Pharmacy and its Dispensing Sites during regular business hours, during the Term and for a period of three (3) years thereafter, upon reasonable prior notice to Pharmacy/Dispensing Site. During any such visit, Celgene and its representatives will have the right to (i) examine the books, ledgers and records, including inventory levels, of Pharmacy related to Celgene Product(s) sales, (ii) audit quality control/assurance procedures, registrations, supplements and regulatory correspondence to ensure that Pharmacy/Dispensing Site is in compliance with the SOPs and with applicable regulations, the Requirements Document or other procedures required by Celgene. The audit shall also include Celgene’s ability to interview Pharmacy’s Certified Counselors, monitor the services being provided, as well as access Pharmacy’s computer systems used to provide services for Celgene pursuant to this Agreement. Pharmacy shall take a course of action and resolution acceptable to Celgene in the event that Celgene finds any contractual or regulatory deficiencies during such audits. Each party shall bear its own costs of such examinations.

 

14.                                INDEMNIFICATION

 

14.1                         Celgene Indemnification of Pharmacy . Celgene shall at all times during the Term and thereafter defend, indemnify and hold Pharmacy and its officers, directors, agents and employees harmless from and against any and all claims, suits, damages, liabilities, costs and expenses, including but not limited to court costs and reasonable attorneys’ fees (collectively, “ Claims ”), incurred in connection with any third-party claim arising out of the use of any Product(s) by a Customer, except to the extent caused by (i) the negligence or intentional misconduct of Pharmacy or any of its officers, directors, agents or employees or (ii) breach by Pharmacy of any of the terms of this Agreement or (iii) acts of Pharmacy or any of its officers, directors, agents or employees which are outside the scope of this Agreement.

 

 

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14.2                         Pharmacy Indemnification of Celgene . Pharmacy shall at all times during the Term and thereafter defend, indemnify and hold Celgene and its officers, directors, agents and employees harmless from and against any and all Claims incurred in connection with any third-party claim arising out of (i) the negligence or intentional misconduct of Pharmacy or any of its officers, directors, agents or employees, (ii) breach by Pharmacy of any of the terms of this Agreement, or (iii) acts of Pharmacy or any of its officers, directors, agents or employees which are outside the scope of this Agreement.

 

14.3                         Procedures . A party that intends to seek indemnification under this Section 14 (the “ indemnitee ”) shall notify the other party (the “ indemnitor ”) promptly in writing of any Claim in respect of which the indemnitee believes it is entitled to claim indemnification, provided that the failure to give timely notice to the indemnitor shall not release the indemnitor from any liability to the indemnitee, except to the extent the indemnitor is prejudiced thereby. The indemnitor shall have the right, by notice to the indemnitee, to assume the defense of any such Claim within ten (10) days after the indemnitor’s receipt of notice of any Claim with counsel of the indemnitor’s choice and at the sole cost of the indemnitor. If the indemnitor so assumes such defense, the indemnitee may participate therein through counsel of its choice, but at the sole cost of the indemnitee; provided, however, that the indemnitor shall be obligated to pay fees and expenses of such indemnitee’s counsel if representation of the indemnitee by the counsel retained by the indemnitor would be inappropriate due to actual or potential conflicting interests between the indemnitee and any other party represented by such counsel in the investigation and defense of any such Claim. The party not assuming the defense of any such Claim shall render all reasonable assistance to the party assuming such defense, and all reasonable out-of-pocket costs of such assistance shall be for the account of the indemnitor. No such Claim shall be settled other than by the party defending the same, and then only with the consent of the other party which shall not be unreasonably withheld; provided that the indemnitee shall have no obligation to consent to any settlement of any such Claim which imposes on the indemnitee any liability or obligation which cannot be assumed and performed in full by the indemnitor, and the indemnitee shall have no right to withhold its consent to any settlement of any such Claim if the settlement involves only the payment of money by the indemnitor or its insurer.

 

15.                                CONFIDENTIALITY

 

15.1                         Pharmacy Obligation . Pharmacy agrees to treat any confidential or proprietary information obtained from Celgene and any confidential or proprietary information generated by Pharmacy in performing its obligations under this Agreement, including Customer lists, information regarding Celgene’s pricing policies, information regarding reimbursement for the Product(s), information regarding the cost of providing services to Celgene and the information in the Database, and anything derived therefrom, (collectively, the “ Celgene Information ”) as the confidential and exclusive property of Celgene, and agrees not to disclose any of the Celgene Information to any third party without first obtaining the written consent of Celgene. Pharmacy agrees that it will use the Celgene Information only for purposes of performing its obligations hereunder and

 

 

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for no other purpose without the prior written consent of Celgene. Pharmacy further agrees to take all practicable steps necessary to ensure that the Celgene Information (i) will be maintained in strict confidence, (ii) will not be disclosed to any third party except as expressly permitted herein, and (iii) will not be disclosed to or used by its directors, officers, employees or agents except pursuant to a written agreement with terms no less strict than those terms of confidentiality as aforesaid, set forth in this Section 15 and will be kept confidential by them.

 

The above provisions of confidentiality shall not apply to that part of the Celgene Information which Pharmacy is able to demonstrate by competent documentary evidence:

 

(a)                                  was in Pharmacy’s possession prior to receipt from Celgene and prior to being generated under this Agreement;

 

(b)                                  was in the public domain at the time of receipt from Celgene;

 

(c)                                   became part of the public domain through no fault of Pharmacy, its directors, officers, employees or agents;

 

(d)                                  was lawfully received by Pharmacy from a third party not disclosing the information on behalf of Celgene and having a right of further disclosure; or

 

(e)                                   is required to be disclosed by law or regulation applicable to Pharmacy, provided that Pharmacy gives prompt notice to Celgene that it is required to make such disclosure so that Celgene can take steps to limit the scope of the Celgene Information disclosed or otherwise to protect the Celgene Information, and provided further that Pharmacy limits such disclosure of the Celgene Information to the maximum extent practicable.

 

Specific aspects or details of the Celgene Information shall not be deemed to be within the public domain or in the possession of Pharmacy merely because the Celgene Information is embraced by general disclosures in the public domain or in the possession of Pharmacy. In addition, any combination of Celgene Information shall not be considered in the public domain or in the possession of Pharmacy merely because individual elements thereof are in the public domain or in the possession of Pharmacy unless the combination and its principles are in the public domain or in the possession of Pharmacy.

 

Pharmacy agrees that, at Celgene’s request, it shall return to Celgene all parts of the Celgene Information existing in documentary form, not including Pharmacy records, and will, at Celgene’s request, return or destroy any copies thereof made by Pharmacy, its directors, officers, employees or agents, except that Pharmacy shall retain a copy of the Database subject to the ongoing obligations of confidentiality set forth in this Section 15. Pharmacy shall not dispose of the information in the Database without first offering in writing, given at least five (5) business days prior to such disposal, to deliver such information to Celgene, at Celgene’s expense, without additional consideration.

 

 

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15.2                         Celgene Obligation . Celgene agrees to treat any confidential or proprietary information obtained from Pharmacy, (not including the Database and information about insurers’ reimbursement policies with respect to Product(s)) and anything derived therefrom, (collectively, the “ Pharmacy Information ”) as the confidential and exclusive property of Pharmacy, and Celgene agrees not to disclose any of the Pharmacy Information to any third party without first obtaining the written consent of Pharmacy, provided that Celgene may disclose Pharmacy Information to any third party providing reimbursement-related services to Celgene as long as the third party is obligated to Pharmacy to keep such information confidential. Celgene agrees that it will use any Pharmacy Information only for purposes of activities contemplated hereunder and for no other purpose without the prior written consent of Pharmacy. Celgene further agrees to take all practicable steps necessary to ensure that the Pharmacy Information (i) will be maintained in strict confidence, (ii) will not be disclosed to any third party except as expressly permitted herein, and (iii) will not be disclosed to or used by its directors, officers, employees or agents except pursuant to a written agreement with terms no less strict than those set forth in this Section 15.

 

The above provisions of confidentiality shall not apply to that part of the Pharmacy Information which Celgene is able to demonstrate by competent documentary evidence:

 

(a)                                  was in Celgene’s possession prior to receipt from Pharmacy;

 

(b)                                  was in the public domain at the time of receipt from Pharmacy;

 

(c)                                   became part of the public domain through no fault of Celgene, its directors, officers, employees or agents;

 

(d)                                  was lawfully received by Celgene from a third party not disclosing the information on behalf of Pharmacy and having a right of further disclosure; or

 

(e)                                   is required to be disclosed by law or regulation applicable to Celgene provided that Celgene gives prompt notice to Pharmacy that it is required to make such disclosure so that Pharmacy can take steps to limit the scope of the Pharmacy Information disclosed or otherwise to protect the Pharmacy Information, and provided further that Celgene limits such disclosure of the Pharmacy Information to the maximum extent practicable..

 

Specific aspects or details of the Pharmacy Information shall not be deemed to be within the public domain or in the possession of Celgene merely because the Pharmacy Information is embraced by general disclosures in the public domain or in the possession of Celgene. In addition, any combination of Pharmacy Information shall not be considered in the public domain or in the possession of Celgene merely because individual elements thereof are in the public domain or in the possession of Celgene unless the combination and its principles are in the public domain or in the possession of Celgene.

 

 

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Celgene agrees that, at Pharmacy’s request, it shall return to Pharmacy all parts of the Pharmacy Information existing in documentary form and will, at Pharmacy’s request, return or destroy any copies thereof made by Celgene, its directors, officers or employees.

 

15.3                         No Implied Licenses . Nothing contained herein shall be deemed to grant to either party any rights or licenses under any patent applications or patents or to any know-how, technology, inventions or other intellectual property rights of the other party.

 

15.4                         Publicity . Each party shall be permitted to make such public statements regarding its relationship with the other party as may be required by law or regulation or by obligations pursuant to any listing agreement with any securities exchange. Pharmacy shall not disclose the terms of this Agreement to any third party or, except as expressly set forth in this Section 15, make any public announcement of the existence of its relationship with Celgene without the prior written consent of Celgene except to its auditors and lawyers or as required by law.

 

15.5                         Length of Obligation . The obligations of the parties under this Section 15 shall continue during the Term and for a period ending five (5) years after the expiration or earlier termination thereof.

 

16.                                INSURANCE

 

Pharmacy agrees (i) to obtain and maintain, while this Agreement is in effect, (a) commercial general liability insurance, including product liability insurance, and Pharmacists professional liability insurance, each with coverage limits of not less than $1,000,000 per occurrence and $3,000,000 in the aggregate, and (ii) not to cancel the insurance or reduce the coverage without giving at least thirty (30) days’ prior written notice to Celgene. Pharmacy shall cause Celgene to be provided notice on each insurance policy such that Celgene shall receive notice of any cancellation or change in the policy. At the request of Celgene, Pharmacy shall provide Celgene with a copy of a certificate of insurance to verify that insurance with the required coverage is in effect. All policies should be placed with an insurer with financial ratings of at least A- or better.

 

17.                                MISCELLANEOUS

 

17.1                         Notices . Any notice required by this Agreement shall be given by prepaid, first class, certified mail, return receipt requested, or by air or other overnight courier, hand delivery or facsimile, or email provided that an original printed copy is also transmitted by any one of the methods prescribed in this sentence, to the parties at the following addresses (or at such other address as either party may from time to time notify the other party in writing):

 

 

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if to Celgene:

Celgene Corporation

 

86 Morris Avenue

 

Summit, NJ 07901

 

 

 

Attention: Mark Bauer

 

 

with a copy to:

Celgene Corporation

 

86 Morris Avenue

 

Summit, NJ 07901

 

 

 

Attention: Legal Department

 

 

if to Pharmacy:

Diplomat Specialty Pharmacy

 

4100 South Saginaw Street

 

Flint, MI 48507

 

 

 

Attention: Bob Fleckenstein, VP Operations

 

 

with a copy to:

Diplomat Specialty Pharmacy

 

4100 South Saginaw Street

 

Flint, MI 48507

 

 

 

Attention: General Counsel

 

Any notice sent under this Section shall be deemed delivered within five (5) days if sent by mail and within twenty-four (24) hours if sent by fax, courier or hand delivery. In the event that any Section or subsection of this Agreement requires the notice contemplated therein to be sent to a different notice party and/or address, then that notice and/or address shall apply in lieu of the notice party and/or address in this Section, but the remainder of this Section shall apply.

 

17.2                         Force Majeure . In the event a party (the “ Affected Party ”) shall be delayed or hindered in or prevented from the performance of any act required under this Agreement by reasons of fires, flood, earthquakes, accidents, explosions, sabotage, strikes, or other labor disturbances (regardless of the reasonableness of the demands of labor), civil commotions, riots, invasions, wars, acts, restraints, requisitions, regulations, or directions of governmental authorities, shortages of labor, fuel, power, or raw material, inability to obtain equipment or supplies, inability to obtain or delays in transportation, acts of God, or any other cause beyond its reasonable control (“ Force Majeure ”), then upon notice to the other party (the “ Other Party ”) performance of such act shall be excused for the period of such delay. Notice of the start and stop of any such Force Majeure and the nature and expected duration thereof shall be provided to the other party promptly following the occurrence thereof. The Affected Party shall use all commercially

 

 

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reasonable efforts to perform its obligations under this Agreement. In the event Force Majeure renders the Affected Party unable to perform its obligations under this Agreement for a period of ten (10) consecutive days or the aggregate of thirty (30) days in any twelve (12) month period, the Other Party may terminate this Agreement without penalty immediately upon written notice of termination to the Affected Party.

 

17.3                         Binding Effect / No Amendments Unless in Writing. This Agreement shall be binding upon and shall inure to the benefit of the parties hereto and their permitted successors and permitted assigns. No agreements amending, altering or supplementing the terms hereof may be made except by means of a written document signed by the duly authorized representatives of both parties.

 

17.4                         No Assignment/No Transfer Without Celgene’s Consent . This Agreement shall be personal to Pharmacy. Pharmacy shall not assign, sell, or otherwise transfer any of its rights and obligations (including, but not limited to, by operation-of-law, mergers, transfer of assets, change-of-ownership, or change-of-control) under this Agreement without the prior written consent of Celgene, which Celgene may grant or deny in its sole and absolute discretion. In the event Pharmacy attempts or otherwise enters into any agreement to assign, sell, or otherwise transfer this Agreement or any of its rights or obligations under this Agreement by way of any agreement or transaction which may involve any merger, transfer of assets, change-of-ownership, change-of-control or the like, Celgene shall have the right to immediately terminate this Agreement.

 

17.5                         No Deemed Waiver . Failure of either party to enforce a right under this Agreement shall not act as a waiver of that right or the ability to later assert that right relative to the particular situation involved or to terminate this Agreement as a result of any subsequent default or breach.

 

17.6                         No Publicity . Except as required by law, neither party shall use the name, logos, marks or trade names of the other party (or its affiliates) of the other party or of any employee of the other party in connection with any press release, public announcement or publicity without the prior written approval of the other party. The obligations in this section shall survive expiration or termination of the Agreement.

 

17.7                         Severability . If any provision of this Agreement shall be found by a court to be void, invalid or unenforceable, the same shall either be reformed to comply with applicable law or stricken if not so conformable, so as not to affect the validity or enforceability of this Agreement, except if the principal intent of the Agreement is frustrated by such reformation or deletion in which case this Agreement shall terminate.

 

17.8                         Independent Parties . The parties are, and shall be deemed to be, independent contractors and not agents or employees of the other party. Neither party shall have authority to make any statements, representations or commitments of any kind, or to take any action, which shall be binding on the other party.

 

17.9                         Counterparts . This Agreement may be executed in one or more counterparts, which

 

 

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taken together will constitute the one and the same Agreement, between the parties hereto.

 

17.10                  Headings . Headings and section numbers included herein are for convenience only, and shall not be used to construe this Agreement.

 

17.11                  Governing Law . This Agreement shall be construed and enforced in accordance with the laws of the state of New Jersey, without giving effect to its conflicts of law principles.

 

17.12                  Schedules/Attachments. As of the Effective Date of this Agreement the following schedules, exhibits and/or attachments are attached to this Agreement:

 

·                   Schedule 1.8 — Pharmacy Dispensing Site List

·                   Schedule 1.17 — Requirements Document

·                   Schedule 2.3 — Sample Inventory

·                   Schedule 5.1 — Data Reports

·                   Schedule 6.1 — Performance Metrics

·                   Schedule 7.1 — Return Goods Policy

·                   Schedule 8.1 — Adverse Drug Experience Reporting Form

·                   Schedule 8.2 — Complaints Form

·                   Schedule 10.3 — Medicaid Program List

 

17.13                  Entire Agreement. This Agreement, together with the attached schedules, exhibits and/or other attachments, constitutes the entire and only agreement between the parties relating to the subject matter hereof. Any and all other prior or contemporaneous negotiations, discussions, understandings, documents or agreements, are no longer of any force or effect, and are superseded by this Agreement. In the event of any conflict or inconsistency between the terms and conditions of this Agreement and any other document agreement concerning the subject matter hereof, the terms and conditions of this Agreement shall control.

 

[REMAINDER OF THIS PAGE LEFT BLANK, EXECUTION PAGE FOLLOWS]

 

 

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[EXECUTION PAGE TO AGREEMENT]

 

THIS AGREEMENT WILL NOT BE CONSIDERED ACCEPTED, APPROVED, OR OTHERWISE EFFECTIVE UNTIL THE SIGNATURE OF EACH PARTY IS AFFIXED IN THE SPACE PROVIDED BELOW.

 

A FULLY EXECUTED AGREEMENT MUST BE RETURNED TO, AND RECEIVED BY, CELGENE BY NO LATER THAN 12:00 NOON E.S.T., FRIDAY, JUNE 28 TH , 2013 OTHERWISE CELGENE RESERVES THE RIGHT TO RE-EVALUATE THE TERMS AND CONDITIONS OF THE AGREEMENT, INCLUDING BUT NOT LIMITED TO DECLARING THIS AGREEMENT NULL AND VOID.

 

IN WITNESS WHEREOF, the parties have executed and entered into this Agreement as of the Effective Date first above written.

 

CELGENE CORPORATION

 

DIPLOMAT SPECIALTY PHARMACY

 

 

 

By:

/s/ Shawn Tomasello

 

By:

/s/ Ryan E. Ruzziconi

 

 

 

 

 

Name:

Shawn Tomasello

 

Name:

Ryan E. Ruzziconi

 

 

 

 

 

Title:

Corporate VP & General Manager
U.S. Hematology and Oncology

 

Title:

VP, General Counsel
Diplomat Pharmacy, Inc.

 

 

 

 

 

 

 

 

Date:

6/27/13

Date:

7-9-2013

 

 

 

 

 

Approved by Legal:

RHO

 

 

 

7/8/2013

 

 

Legal Dept.

 

 

 

 

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SCHEDULE 1.8

 

PHARMACY DISPENSING SITE LIST

 

Diplomat Specialty Pharmacy

4100 S. Saginaw Street

Flint, MI 48507

 

Diplomat Specialty Pharmacy

G-3320 Beecher Rd.

Flint, MI 48532

 

Diplomat Specialty Pharmacy

1370 Busch Parkway

Buffalo Grove, IL 60089

 

Diplomat Specialty Pharmacy

500 SE 15 th  St. Suite 102

Ft. Lauderdale, FL 33316

 

Diplomat Specialty Pharmacy

1809 Excise Ave., Suite 205-208

Ontario, CA 91761

 

 

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SCHEDULE 1.17

 

REQUIREMENTS DOCUMENT

 

1.                                       BACKGROUND

 

1.1.                             REVLIMID ®

 

REVLIMID ®  is approved by the United States Food and Drug Administration (FDA) for use in patients with transfusion-dependent anemia due to low — or intermediate-1 — risk myelodysplastic syndromes (MDS) associated with a deletion 5q cytogentic abnormality with or without additional cytogenetic abnormalities; and in combination with dexamethasone for the treatment of patients with multiple myeloma (MM) who have received at least one prior therapy.

 

REVLIMID is an analogue of thalidomide, a known teratogen that causes severe birth defects or embryo-fetal death.

 

REVLIMID ®  is available in 5-mg (white opaque), 10-mg (blue/green and yellow opaque), 15-mg (blue and white), and 25-mg (white opaque) capsules.

 

Multiple myeloma: The recommended starting dose of REVLIMID is 25 mg once daily on Days 1-21 of repeated 28-day cycles. The recommended dose of dexamethasone is 40 mg once daily on Days 1-4, 9-12, and 17-20 of each 28-day cycle for the first 4 cycles of therapy and then 40 mg once daily orally on Days 1-4 every 28 days. Treatment is continued or modified based upon clinical and laboratory findings.

 

MDS: The recommended starting dose of REVLIMID is 10 mg daily. Treatment is continued or modified based upon clinical and laboratory findings.

 

2.                                       BACKGROUND

 

2.1.                             POMALYST ®

 

POMALYST®, a thalidomide analogue, is approved by the United States Food and Drug Administration (“FDA”) for use in patients with multiple myeloma who have received at least two prior therapies, including lenalidomide and bortezomib and have demonstrated disease progression on or within 60 days of completion of the last therapy. Approval is based on response rate. Clinical benefit, such as improvement in survival or symptoms, has not been verified.

 

 

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Thalidomide is a known teratogen that causes severe birth defects or embryo-fetal death.

 

POMALYST® capsules are available in:

 

1 mg: Dark blue opaque cap and yellow opaque body imprinted “POML” on the cap in white ink and “1 mg” on the body in black ink

 

2 mg: Dark blue opaque cap and orange opaque body imprinted “POML” on the cap and “2 mg” on the body in white ink

 

3 mg: Dark blue opaque cap and green opaque body, imprinted, “POML” on the cap and “3 mg” on the body in white ink

 

4 mg: Dark blue opaque cap and blue opaque body, imprinted “POML” on the cap and “4 mg” on the body in white ink

 

The recommended starting dose of POMALYST® is 4 mg once daily orally on Days 1-21 of repeated 28-day cycles until disease progression. POMALYST® may be given in combination with dexamethasone.

 

3.                                       RISK EVALUATION AND MITIGATION STRATEGY

 

3.1.                             OVERVIEW

 

Both REVLIMID and POMALYST are thalidomide analogues and are contraindicated in pregnancy. Thalidomide is a known teratogen that causes severe birth defects or embryo-fetal death.

 

Celgene addresses the risks of POMALYST®, REVLIMID®, and THALOMID® therapy not only through normal pharmacovigilance, but also through FDA-mandated Risk Evaluation and Mitigation Strategies, which include, among other things, restricted distribution programs entitled POMALYST REMS™, REVLIMID REMS™ and THALOMID REMS™ .

 

The primary tools defining the REVLIMID REMS™, POMALYST REMS and THALOMID REMS Programs are the package inserts and the REMS™ Programs Education and Prescribing Safety Kit.

 

The REVLIMID REMS™ and POMALYST REMS Programs control distribution of REVLIMID® and POMALYST® through certified pharmacies. The REVLIMID and POMALYST REMS Programs require education by telephone or in-person by trained, Certified Counselors who are licensed healthcare professionals, such as Nurses (“RNs”), Nurse Practitioners (“NPs”), Licensed Practical Nurses (“LPNs”), Pharmacists (“R.Ph, “), Pharmacy Interns, Physicians (“M.D.”), Doctors of Osteopathy (“D.O.”), and Physician Assistants (“P.A.”),

 

 

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before a prescription of POMALYST® or REVLIMID® can be dispensed by direct-shipment to a patient or the product is picked-up at the pharmacy. Education is the key component of the POMALYST REMS™ and REVLIMID REMS™ Programs.

 

3.2.                             DEFINITION

 

A Risk Evaluation and Mitigation Strategy (“REMS”) is a strategy to manage a known or potential serious risk associated with a drug or biological product. A REMS program can include a Medication Guide, Patient Package Insert, a communication plan, elements to assure safe use, and an implementation system, and must include a timetable for assessment of the REMS.

 

3.3.                             CURRENT GOALS

 

Consistent with Title IX of Subtitle A of the Food and Drug Administration Amendments Act (“FDAAA”) Celgene Corporation has proposed the following REMS goals for POMALYST® and REVLIMID® in the POMALYST REMS™ and REVLIMID REMS™ Programs:

 

·                   To prevent fetal exposures

 

·                   To educate physicians, other healthcare providers, and patients about embryo-fetal toxicity, deep venous thrombosis (“DVT”), and pulmonary embolism (“PE”) associated with POMALYST® and REVLIMID® therapy, as well as neutropenia and thrombocytopenia associated with REVLIMID® therapy.

 

3.4.                             POMALYST REMS ™ AND REVLIMID REMS™ PATIENT RISK CATEGORIES

 

The POMALYST REMS™ and REVLIMID REMS™ Programs classified patients into six patient risk categories:

 

·                   Female (4); and Male (2)

 

·                   Adult female of reproductive potential

·                   Adult female not of reproductive potential

·                   Female child of reproductive potential

·                   Female child not of reproductive potential

·                   Adult Male

·                   Male Child

 

What is a Female of Reproductive Potential (“FRP”)? An FRP is a female that:

 

·                   Is menstruating

·                   Is amenorrheic from previous medical treatments

 

 

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·                   Is under 50 years of age

·                   Is perimenopausal

·                   Does not qualify for the adult female or female child not of reproductive potential category

 

3.5.                             POMALYST REMS ™ AND REVLIMID REMS™ GENERAL REQUIREMENTS

 

3.5.1.                   Pregnancy Prevention

 

·                   FRP must

·                   Completely abstain from sexual intercourse, OR

·                   Use 2 methods of “effective birth control” simultaneously

·                   for 4 weeks before POMALYST® and/or REVLIMID® therapy commences

·                   during therapy

·                   during therapy interruptions

·                   for 4 weeks after completion of POMALYST® or REVLIMID® therapy

 

·                   Effective Birth Control

·                   Effective birth control

·                   At least one highly effective method of birth control combined with another highly effective or effective method of birth control must be used simultaneously

·                   Highly effective methods

·                   Intrauterine device

·                   Hormonal (pills, patch, injections, implants, or ring)

·                   Tubal ligation

·                   Partner’s vasectomy

 

·                   Effective barrier methods

·                   Male latex or synthetic condom

·                   Cervical cap

·                   Diaphragm

 

·                   Unacceptable Methods of Birth Control

 

·                   Progesterone-only “mini-pills”

·                   IUD Progesterone T

·                   Female condoms

·                   Natural family planning (rhythm method)

·                   Breastfeeding

·                   Fertility awareness

·                   Withdrawal

·                   Cervical shield

 

 

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·                   FRP must have 2 negative pregnancy tests (sensitivity of at least 50mIU/ml)

·                   Prior to first prescription

·                   The first one within 10-14 days

·                   The second one within 24 hours

 

·                   During the first month taking POMALYST® or REVLIMID® weekly for 4 weeks of use

 

·                   After first month

·                   Monthly if regular menses

·                   Twice a month if irregular menses

·                   If patient misses a period or has unusual menstrual bleeding, POMALYST® and/or REVLIMID® treatment should be discontinued and patient should consult with physician

 

·                   All Adult Females

·                   Do not breastfeed during POMALYST® and/or REVLIMID® therapy (including during dose interruptions) or for 4 weeks after last dose

 

·                   Do not donate blood during POMALYST® and/or REVLIMID® therapy or for 4 weeks after last dose

 

·                   Must not share drug with anyone

 

·                   Must participate in mandatory, confidential survey

 

·                   Male Patients

·                   During therapy and during dose interruptions

 

·                   Must use a latex or synthetic condom every time he has sexual intercourse with a Female of Reproductive Potential, even if he has undergone a successful vasectomy

·                   Tell his healthcare provider if he has had sexual intercourse without using a latex or synthetic condom and if his partner may be pregnant

·                   Do not donate blood or sperm

·                   Must not share drug with anyone

 

·                   For 4 weeks after therapy

 

·                   Continue using latex or synthetic condoms

 

·                   Do not donate blood or sperm

 

·                   Children

 

 

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·                   Certified Counselor should educate/counsel the parent/guardian

·                   Must not share drug with anyone

·                   Sexually active children

·                   Discuss birth control as with adults

 

·                   If not sexually active

·                   Must notify healthcare provider if female begins menses

 

·                   Counseling for all Patients with the patient/guardian for children

·                   Prevention of fetal exposure

·                   Appropriate contraception for both males and females

·                   Understand and counsel on the risks of embryo-fetal toxicity

·                   Understand and counsel on the risks of DVT and PE

·                   Understand and counsel on the risks of neutropenia and thrombocytopenia for REVLIMID therapy

·                   Do not share medication

·                   Do not donate blood

·                   During therapy and for 4 weeks after discontinuing therapy

 

3.5.2.                   Risk Management Plan Objectives and Tools

 

The following table ( Table 1: Certified Counselor Objectives and Tools ) provides an overview of the objectives and tools for the Certified Counselor.

 

[REMAINDER OF PAGE BLANK, TABLE 1 FOLLOWS]

 

 

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Table 1: Certified Counselor Objectives and Tools

 

Certified Counselor Objectives

 

Tools

 

 

 

·                   Completion of Celgene-sponsored training on POMALYST® and REVLIMID® and POMALYST REMS™ and REVLIMID REMS™ Programs to be able to counsel on the safe and effective use of POMALYST® and REVLIMID®

 

·                   Specific training provided by Celgene to contract pharmacy

 

·                   Pharmacy Guide

 

·                   POMALYST REMS™ and REVLIMID REMS™ Education and Counseling Checklist

 

 

 

·                   Warn and educate Females of Reproductive Potential and males that POMALYST® and REVLIMID® may cause severe human birth defects and embryo-fetal death. Females of Reproductive Potential must use 2 forms of effective birth control at the same time or 4 weeks before, during, during dose interruptions and 4 weeks after discontinuation of therapy. Male patients must use a latex or synthetic condom as required in the POMALYST REMS™ or REVLIMID REMS™ Programs.

 

·                   Adverse Drug Experience Reporting Procedure

 

·                   Guidelines for Ordering and Dispensing for POMALYST® and REVLIMID®

 

·                   Important Information about POMALYST REMS™ and REVLIMID REMS™

 

·                   Rules for Dispensing and Shipping

 

·                   Celgene Medical Information Services

 

·                   Q&A reference document

 

 

 

·                   Educate Females of Reproductive Potential of the requirements for pregnancy testing as scheduled during therapy

 

 

 

 

 

·                   Complete phone or in-person counseling with each patient, and complete the POMALYST REMS™ and REVLIMID REMS™ Education and Counseling Checklist prior to fulfillment of each prescription

 

 

 

 

 

·                   Understand and counsel on the risks of deep venous thrombosis (“DVT”) and pulmonary embolism (“PE”) with POMALYST® or REVLIMID® treatment

 

 

 

 

 

·                   Understand and counsel on the risks of neutropenia and thrombocytopenia with REVLIMID® treatment

 

 

 

 

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The physician and/or nurse and Certified Counselor will work as a team to ensure that the patient is properly educated about the potential risks associated with POMALYST® and/or REVLIMID® treatment.

 

3.6                                PHARMACY BUSINESS REQUIREMENTS

 

3.6.1                      Pharmacy Certification

 

Pharmacies must have: executed a Pharmacy Distribution and Services Agreement (“ Agreement ”) with Celgene; completed a POMALYST REMS™ and REVLIMID REMS™ Pharmacy Inclusion Form; and successfully completed the POMALYST REMS™ and REVLIMID REMS™ training and certification, in order to be certified with POMALYST REMS™ and REVLIMID REMS™ Programs. All pharmacy distribution sites must be certified with the POMALYST REMS™ and REVLIMID REMS™ Programs.

 

3.6.2                      POMALYST REMS™ and REVLIMID REMS™ PROGRAMS Training/Certification for Counselors and Staff

 

·                   Certified Counselors and Pharmacists involved in dispensing Celgene REMS Products:

 

·                   For counselors to be certified they are required to be licensed healthcare professionals (See section 3.1). Counselors must complete POMALYST® and REVLIMID® PI and Adverse Event Reporting training modules, and POMALYST REMS™ and REVLIMID REMS™ training via onsite training (for newly certified sites), along with web based training modules, as may be required, to receive certification (Certified Counselor)). Additional personnel added to the program by a certified pharmacy must perform the web based training to receive certification prior to counseling patients. All Pharmacists involved in dispensing POMALYST® and REVLIMID® must complete the same training as a Certified Counselor.

 

·                   All Certified Counselors are required to take the Adverse Event Reporting training modules and the POMALYST REMS™ and REVLIMID REMS™ Certification Exam on an annual basis in order to maintain their certification status as counselors. Additionally, revised training or additional training, based upon enhanced POMALYST REMS™ and REVLIMID REMS™ training requirements, or in response to identified regulatory issues, may be deployed using web based training and all Certified Counselors must complete the training by its scheduled due date in order to maintain their Certified Counselor status.

 

 

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·                   A score of one hundred percent (100%) is required to pass the POMALYST REMS™ and REVLIMID REMS™ exams. If a Counselor fails the POMALYST REMS™ and REVLIMID REMS™ exam 4 times they will be locked out and be required to contact Celgene Customer Care and speak to a Compliance Specialist to request one additional attempt. The 5 th  attempt resulting in failure, will be reported to the National Account Manager and/or Regional Account Manager to provide additional training as needed.

 

·                   Training for pharmacy staff involved in dispensing Celgene REMS products:

 

·                   Other Pharmacy staff involved in dispensing POMALYST®, REVLIMID®, or THALOMID® under the POMALYST REMS™, REVLIMID REMS™ and THALOMID REMS™ Programs that are not counselors or Pharmacists must be educated on the dispensing guidelines and adverse event reporting, and may be required to complete web based training as may be deemed necessary by Celgene. These staff members must read the POMALYST REMS and REVLIMID REMS™ pharmacy training and Adverse Drug Reaction Reporting, and must sign and date the acknowledgment form (Please see: Figure 1 ) indicating that that they have read and understand the trainings. A Certified Counselor/Pharmacist or Celgene representative must also sign and date form to acknowledge that they reviewed the training with the staff member to ensure the staff member’s understanding of the training materials. Additionally, revised training or additional training requirements, based on enhancements to training requirements or in response to identified regulatory issues, may be required to read and acknowledge.

 

3.6.3                      Guidelines for Dispensing POMALYST®, REVLIMID®, or THALOMID® (Please see Figure 2: Workflow for Dispensing POMALYST® or REVLIMID ®))

 

(1)                                  Fill valid prescriptions for POMALYST®, REVLIMID®, or THALOMID® in accordance with the respective POMALYST REMS™, REVLIMID REMS™, or THALOMID REMS™, and all applicable laws and regulations. Accept only prescriptions with an authorization number and patient risk category. NOTE: Patient risk category is not applicable to THALOMID REMS™. The authorization number is a number issued by Celgene Customer Care to the prescriber after the completion of patient counseling by the prescriber, the patient survey, and the physician survey.

 

 

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(2)                                  Prescriptions with corresponding authorization numbers are only valid for: (a) seven (7) days from the date of the last pregnancy test for FRP; and, (b) thirty (30) days from the date issued for all other patients. Prescriptions must be faxed or presented in person. Telephone prescriptions are not permitted. Prescriptions may be submitted electronically if state law permits. If a prescription does not have an authorization number and/or patient risk category, the pharmacy can contact the prescriber or Celgene Customer Care, obtain the authorization number and/or patient risk category over the phone and write it on the prescription or include in electronic pharmacy records that can be linked to the original prescription. The pharmacist or designee will need to sign, date, and obtain name and title of person who provided the information, document on the hard copy of the prescription or in electronic pharmacy records that can be linked to the original prescription.

 

(3)                                  Contact the patient through a Certified Counselor to provide the required counseling and to verify the shipping address. Before dispensing POMALYST® or REVLIMID®, a certified counselor will be required to complete the POMALYST REMS™ or REVLIMID REMS™ Education and Counseling Checklist. (Please see: Figure 3 and Figure 5 )

 

(4)                                  Call each unique authorization number on every prescription into the automated system at the Celgene Customer Care Center, open 24 hours a day, 7 days a week, at 1-888-423-5436, prompt #3 to identify yourself as a pharmacy, then #1 to obtain a confirmation number

 

(a)                                  Enter NABP# or DEA#

 

(b)                                  Enter authorization number written on prescription

 

(c)                                   Enter number of milligram strength and number of capsules being dispensed

 

(5)                                  Celgene Customer Care Center will provide a confirmation number once the authorization number has been verified. Write the confirmation number on the prescription and date it, or include in pharmacy electronic records that can be linked to the original prescription. The confirmation number is valid for 24-hours once it is obtained from Celgene.

 

 

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(6)                                  Dispense no more than a 4-week (28-day) supply with no refills, along with the FDA approved MEDICATION GUIDE. A new prescription is required for subsequent dispenses.

 

(7)                                  Dispense subsequent prescriptions only if 7 days or less of therapy remaining on the current prescription.

 

(8)                                  In the event that the patient cannot be contacted or does not have access to a phone:

 

(a)                                  Contact the Certified Prescriber; and

 

(b)                                  Call and counsel patient in Certified Prescriber’s office after prescription has been faxed.

 

(9)                                  Do not transfer POMALYST®, REVLIMID®, or THALOMID® to another Pharmacy. Prescription transfers are allowed to be faxed to another pharmacy in the POMALYST REMS™, REVLIMID REMS™, or THALOMID REMS™ network if the original pharmacy is not in the patient’s insurance network.

 

(10)                           Educate ALL STAFF involved in filling POMALYST®, REVLIMID®, or THALOMID® prescriptions about the dispensing procedures and document as per training requirements listed in Section 3.6.2 above.

 

(11)                           Keep a record of the prescription and POMALYST REMS™ or REVLIMID REMS™ Education and Counseling Checklist with each POMALYST® and REVLIMID® prescription. Alternatively, the checklist and prescription can be linked to each other electronically in Pharmacy’s computer system. If Pharmacy uses electronic Education and Counseling Checklist, it must be identical to the paper version (including all required elements from the paper form) provided by Celgene.

 

(12)                           The FDA approved MEDICATION GUIDE must be included with EACH filled prescription.

 

3.6.4                      Shipping Requirements

 

·                   To avoid delays in the start of therapy, Product must be provided to patients as follows:

 

·                   Females of Reproductive Potential (High Risk) — Product must be shipped the same day the confirmation number is obtained or picked-up within twenty four (24) hours of obtaining the

 

 

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confirmation number.

 

·                   All other risk categories — Product must be shipped within twenty four (24) hours of obtaining the confirmation number or picked-up within twenty four (24) hours of obtaining the confirmation number.

 

·                   Use appropriate packing materials to protect the Product in transit

 

·                   Track each shipment to ensure on-time delivery

 

·                   Ship all packages for all patient risk categories Monday through Friday utilizing next calendar day delivery SIGNATURE REQUIRED.

 

·                   All shipments for FRP are required to ship for next calendar day delivery on the first attempt. For all FRP, all shipments on Fridays must be shipped for Saturday delivery with SIGNATURE REQUIRED.

 

·                   NOTE: Because THALOMID does not have a Risk Category written on the prescription, all THALOMID shipments must be shipped for next calendar day delivery, including Friday for Saturday delivery.

 

·                   For all Male patients and all non-FRP female patients, all shipments on Fridays may be shipped for either Saturday delivery with SIGNATURE REQUIRED or Monday delivery with SIGNATURE REQUIRED.

 

IN ADDITION TO THE FOREGOING, PHARMACY MUST CANCEL THE CONFIRMATION NUMBER IF THE SHIPMENT IS “UNDELIVERABLE.” FOR PURPOSES OF THIS PARAGRAPH “UNDELIVERABLE” SHALL MEAN DELIVERY HAS BEEN ATTEMPTED BY THE CARRIER (UPS, FEDEX, ETC.) AND CARRIER WAS UNABLE TO DELIVER THE SHIPMENT AFTER 3 ATTEMPTS AT DELIVERY. THE SHIPMENT SHALL BE RETURNED TO THE PHARMACY AS “UNDELIVERABLE”. ONCE THE SHIPMENT IS RETURNED TO THE PHARMACY AS “UNDELIVERABLE”, PHARMACY MUST CONTACT CELGENE TO CANCEL THE CONFIRMATION NUMBER.

 

By way of example only: A shipment (for any patient risk category) is shipped to a patent on Friday, May 3, 2013 for Saturday delivery signature required. The patient is not home when the carrier arrives to deliver the package. The carrier’s next attempt to deliver is Monday, May 6, 2013. The patient is not home again to receive the package. The carrier

 

 

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reattempts the delivery on Tuesday May 7, 2013 and the patient is not home once again. The carrier now returns the package to the Pharmacy as undeliverable. At this point, the Pharmacy must call Celgene the day they receive the undeliverable package to cancel the confirmation number. If the package is returned to the pharmacy on a Saturday or Sunday, the Pharmacy must call Celgene Customer Care first thing Monday morning to obtain a cancellation number.

 

·                   As a reminder, each prescription requires a new confirmation number when ready to ship again (after the shipment had been returned due to being undeliverable.). Record the confirmation number and the date that the confirmation number was received from Celgene Customer Care after you have counseled the patient, and prior to shipping product.

 

YOU MUST NOT DISPENSE OR SHIP POMALYST®, REVLIMID®, OR THALOMID® WITHOUT A VALID AND CURRENT CONFIRMATION NUMBER.

 

·                   The Pharmacy shall not ship or dispense POMALYST®, REVLIMID®, or THALOMID® to a patient until:

 

·                   The authorization numbers (and patient risk category for POMALYST® or REVLIMID®) are recorded on the prescription form, or POMALYST® or REVLIMID® Patient Prescription form (Please see: Figure 4), by the Prescriber or designee, or Pharmacy Certified Counselor or designee.

 

·                   The Certified Counselor has counseled the patient.

 

·                   The Pharmacy, through the Certified Counselor confirms by completing the Education and Counseling Checklist, that the patient understands the risks of POMALYST® or REVLIMID® therapy.

 

·                   NOTE: Any patient who has not received POMALYST®, REVLIMID® or THALOMID in the prior twelve (12) months will be considered a “new” patient and will have to be recertified into the POMALYST REMS™, REVLIMID REMS™ or THALOMID REMS Program, as applicable.

 

·                   Celgene Customer Care provides the confirmation number to the Pharmacist or designee when the Pharmacist or designee calls to verify the authorization number. The Pharmacist or designee must write the confirmation number and date on the hard copy of the prescription or document in the Pharmacy’s electronic records

 

 

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linked to that prescription. The confirmation number obtained is valid for twenty four (24) hours. For prescriptions filled for Females of Reproductive Potential (FRP), the Pharmacy must ship the Product the same day that they receive the confirmation number or provide the Product directly to the patient within twenty four (24) hours of receipt of the confirmation number. For prescriptions for all other risk categories, Pharmacy shall ship within twenty-four (24) hours of obtaining the confirmation number.

 

DO NOT DISPENSE OR SHIP POMALYST® OR REVLIMID® IF:

 

(a)                                  THE PATIENT IS PREGNANT;

 

(b)                                  A FEMALE OF REPRODUCTIVE POTENTIAL STATES PREGNANCY TESTS WERE NOT CONDUCTED; OR

 

(c)                                   THE PATIENT STATED THAT THEY DID NOT USE RECOMMENDED EFFECTIVE BIRTH CONTROL (UNLESS PRACTICING CONTINUOUS ABSTINENCE). See section 3.5.1 for required effective birth control.

 

IF A, B, OR C OCCUR, CONTACT THE CERTIFIED PRESCRIBER AND CELGENE AT 1-888-423-5436, TO REPORT INDIVIDUAL INCIDENT(S).

 

3.6.5                      Communication Requirements

 

·                   A Certified Prescriber needs to be notified within twenty four (24) hours of receipt of prescription by the Pharmacy via automated fax back or phone call..

 

·                    Physician and patient are notified of patient’s health benefits, cost sharing amount, and non-profit foundations (if needed) once benefits are determined.

 

·                    For prolonged benefit investigations, prior authorizations, and medical exception cases — physician and patient shall be updated every forty eight (48) hours on status.

 

·                    If patient requires reimbursement support (benefits, appeals, co-pay assistance), Pharmacy shall refer the cases to Celgene Patient Support within 24 hours of status determination.

 

 

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·                    Pharmacy shall refer all cases deemed as “No-Go” status (cannot be filled by the Pharmacy for any and all reasons) to Celgene Patient Support within 24 hours of “No-Go” status determination.

 

·                    Pharmacy shall refer prescription transfers via fax to the assigned or preferred Pharmacy provider within 24 hours of determination of benefits.

 

3.6.6                      Adherence Program

 

·                    Pharmacy will remind patients to adhere to their POMALYST® and/or REVLIMID® treatment. FRPs should be contacted with ample time to schedule their pregnancy test(s) and for the physician to receive results prior to writing a new prescription..

 

3.6.7                      Referrals to Celgene Patient Support ®

 

·                    Certified Pharmacy will apply its standard reimbursement services of benefit verification, alternate funding, prior authorizations, invoicing, billing, and account/receivables management.

 

·                    The following may be reasons to refer a patient to Celgene Patient Support ® :

 

·                   Denial of Prior Authorizations;

 

·                   Inability to meet out of pocket responsibility;

 

·                   Investigation of potential co-pay assistance; or

 

·                   Uninsured or Underinsured patient.

 

3.6.8                      Pharmacy Deviations:

 

·                    The Pharmacy will be required to investigate and correct conditions that lead to deviations from Celgene’s REMS (i.e., POMALYST REMS™ REVLIMID REMS , THALOMID REMS Programs) Celgene is committed to work with the Pharmacy to implement appropriate corrective actions. However, if these efforts are not successful, Celgene has the right in its sole and absolute discretion to deactivate the Pharmacy and additional dispenses will not be authorized.

 

·                    When a Pharmacy is identified as non-compliant with the dispensing requirements under POMALYST REMS™, REVLIMID REMS™, or

 

 

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THALOMID REMS™ for dispense/dispensing to an FRP, a RCS will follow the process below:

 

·                    NOTE: In the event that Celgene deems any other dispensing situation to be High Risk, Celgene shall have the right in its sole discretion to apply this provision and will contact the Pharmacy to advise that the subject dispense is deemed High Risk.

 

·                    For a FIRST OCCURRENCE of Pharmacy non-compliance involving an FRP or other High Risk dispense :

 

·                    The RCS educates the Pharmacy manager or designee about the dispensing requirements of the applicable REMS Program(s). The field representative must perform an in-service within 5 business days.

 

·                   For a SECOND OCCURRENCE of Pharmacy non-compliance involving a FRP :

 

·                    The RCS educates the Pharmacy manager or designee regarding the dispensing requirements of the applicable REMS Program(s).

 

·                    The Manager, Customer Care, Risk and Compliance or designee prepares an evaluation report and sends it to the Senior Director, Risk Management Operations or his designee, who determines next steps. Next steps may include deactivation, implementation of risk mitigation measures, or other actions as deemed suitable by Celgene before the in-service can be performed by the Celgene field representative.

 

·                    The Manager, Customer Care, Risk and Compliance or his designee communicates the outcome of the evaluation report review to the Pharmacy, and the appropriate Celgene Field Representative The Manager, Risk and Compliance or designee documents the outcome of this communication .

 

·                    For any ADDITIONAL OCCURRENCE BEYOND THE SECOND OCCURRENCE of Pharmacy non-compliance involving an FRP or High Risk dispense involving any other patient:

 

·                   Non-Compliant Investigation Form is completed by an RCS, reviewed by Supervisor/Manager, and sent to Celgene’s Chief Medical Officer (“CMO”) for review.

 

 

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·                    The CMO determines the appropriate steps that must be followed, such as deactivation from Celgene REMS Program)s) or any action deemed suitable by Celgene.

 

·                    If the Pharmacy is deactivated, it will be informed of the decision and will not be permitted to order or dispense any Celgene Products.

 

·                    Upon notification from the CMO or his designee, a written notice will be sent to the Pharmacy indicating that the Pharmacy has been placed on “Deactivated” status.

 

·                    When a Pharmacy is identified as non-compliant with dispensing requirements under POMALYST REMS™, REVLIMID REMS™, or THALOMID REMS™ Programs, for dispenses/dispensing to all risk categories, except FRP and High Risk dispenses , a Celgene Risk Compliance Specialist (“RCS”) will follow the process below:

 

·                    An outbound call will be placed to educate the Pharmacy manager or designee regarding the critical elements of the applicable REMS Program(s). The Pharmacy manager or designee is responsible for educating all Pharmacy staff on the dispensing requirements of the applicable REMS Program(s).

 

·                    The Pharmacy Manager will be asked to complete a non-compliant form, which will be supplied at the time that the non-compliance was identified. This can be completed by calling 1-888-423-5436 or by faxing the form to 1-866-284-2188 or by emailing the form to Celgene Risk Compliance at compliance@celgene.com within the requested timeframe and providing the reason for the noncompliant behavior. This includes an action plan to prevent future non-compliance.

 

·                    The RCS will communicate with the field representative (Celgene National Account Manager, Regional Account Manager, or Hematology Oncology Consultant.) regarding the occurrence, requesting that an in-service be performed.

 

·                    If two or more non-compliant dispenses are identified and captured during the same call with the Pharmacy Manager, they shall be considered one occurrence.

 

·                    Removal from Deactivated Status: In the event that a Pharmacy wishes to be removed from “Deactivated” status, the following process must be followed:

 

 

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·                    The Pharmacy must submit a letter of appeal directly to the CMO requesting reinstatement.

 

·                    The letter must document how circumstances have changed to ensure future compliance in the REMS Program(s).

 

1.                The CMO shall evaluate the appeal and determine whether the Pharmacy should be reactivated or remain deactivated.

 

·                    If the request to be removed from “Deactivated” status is accepted: the Pharmacy will receive a reinstatement letter and the RCS reactivates the pharmacy in the PRiME application.

 

·                    If the request to be removed from “Deactivated” status is denied: The Pharmacy will receive a letter from CMO or his designee advising that the request for removal of “Deactivated” status has been denied.

 

3.6.9                      Adverse Drug Experience Reporting

 

·                   All Adverse Drug Experiences suspected to be associated with the use of POMALYST®, REVLIMID®, or THALOMID® and all cases of special situations received by the Pharmacy from Prescribers or patients associated with the dispensing of POMALYST®, REVLIMID®, or THALOMID® must be reported within twenty four (24) hours to Celgene so that Celgene can meet all current health authority regulations and guidelines for reporting of Adverse Drug Experiences relating to POMALYST®, REVLIMID®, or THALOMID®.

 

·                   All reports of suspected pregnancy exposure must be reported immediately.

 

4.                                       AUDIT

 

First audits will occur within 3 months of a Pharmacy’s first dispense of POMALYST® or REVLIMID®, , then an annual audit , and a risk-based approach or every 3 years thereafter.

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 44 of 68


 

FIGURE 1: POMALYST REMS™ AND REVLIMID REMS™ NON-COUNSELOR STAFF TRAINING ACKNOWLEDGMENT

 

 

POMALYST REMS™ AND REVLIMID REMS™ NON COUNSELOR STAFF TRAINING ACKNOWLEDGMENT

 

I intend to assist in the dispensing of Celgene REMS products, and certify that I have read and understand the following REVLIMID REMS™ and POMALYST REMS™ training and Adverse Event Reporting training items.

 

·       POMALYST REMS™ and REVLIMID REMS™ Training

·       REMS ADVERSE DRUG REACTION REPORTING OVERVIEW PRESENTATION

·       REMS ADVERSE DRUG REACTION REPORTING FORM

·       REMS ADVERSE DRUG REACTION REPORTING FORM INSTRUCTIONS

·       REMS ADR REPORTING — IMPORTANT MEDICAL EVENTS LIST

 

I understand that if there are revised training or additional training, based upon enhanced POMALYST REMS™ or REVLIMID REMS™ training requirements or in response to identified regulatory issues, I will be required to be trained to ensure understanding and will sign another training acknowledgment form at that time.

 

 

PRINTED NAME OF PHARMACY STAFF MEMBER

 

 

SIGNATURE OF PHARMACY STAFF MEMBER

 

 

DATE

 

I certify that I have assisted in training above pharmacy staff member the CELGENE REMS requirements.

 

 

PRINTED NAME OF CERTIFIED COUNSELOR/CERTIFIED PHARMACIST WITH CELGENE REMS OR CELGENE STAFF

 

 

SIGNATURE OF CERTIFIED COUNSELOR/CERTIFIED PHARMACIST WITH CELGENE REMS OR CELGENE STAFF

 

 

DATE

 

REVLIMID REMS™ and POMALYST REMS™ are trademarks of Celgene Corporation.

© 2013 Celgene corporation

05/13

REMS-GEN13301

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 45 of 68



 

FIGURE 2: WORKFLOW FOR DISPENSING REVLIMID® OR POMALYST®

 

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 46 of 68



 

FIGURE 3: POMALYST REMS™ EDUCATION AND COUNSELING CHECKLIST

 

Education and counseling checklist for pharmacies

 

POMALYST Risk Evaluation and Mitigation Strategy (REMS)™ program education and prescribing safety

 

 

 

 

 

 

 

 

 

Authorization No:

 

 

Confirmation No.:

 

 

Confirmation Date:

 

Pharmacy Name:

 

 

 

Pharmacy Address:

 

 

 

Counselor Name:

 

 

Work Phone:

 

 

Ext:

 

Patient Name:

 

 

Date of Birth:

 

 

Patient I.D. No.:

 

Risk Category:

 

 

 

 

 

 

 

 

 

 

Checklist for female patients of reproductive potential

 

o        I will make sure that patients are aware that they will receive the Medication Guide along with their prescription

 

I COUNSELED ADULTS AND CHILDREN ON:

 

o        Potential embryo-fetal toxicity

 

o        Not taking POMALYST if pregnant or breastfeeding

 

o        Using at the same time at least 1 highly effective method—tubal ligation, IUD, hormonal (birth control pills, hormonal patches, injections, vaginal rings, or implants), or partner’s vasectomy—and at least 1 additional effective method of birth control—male latex or synthetic condom, diaphragm, or cervical cap— every time they have sex with a male, or abstaining from sex with a male

 

o        Continuing to use at the same time at least 1 highly effective method and at least 1 additional effective method of birth control beginning at least 4 weeks before taking POMALYST, while taking POMALYST, during dose interruptions, and for at least 4 weeks after stopping POMALYST every time they have sex with a male, or abstaining from sex with a male

 

1 of 4

(continued on next page)

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 47 of 68


 

o        Obtaining a pregnancy test—performed by their healthcare provider—weekly during the first 4 weeks of use. Thereafter, pregnancy testing should be repeated every 4 weeks during the rest of their treatment in females with regular menstrual cycles or no cycle at all. If menstrual cycles are irregular, the pregnancy testing should occur every 2 weeks

 

o        The need to stop taking POMALYST™ (pomalidomide) right away in the event of becoming pregnant, or if they think for any reason they may be pregnant, and to call their healthcare provider immediately

 

o        Possible side effects include deep vein thrombosis and pulmonary embolism

 

o        Not sharing POMALYST capsules with anyone—especially with females who can get pregnant

 

o        Not donating blood while taking POMALYST (including dose interruptions) and for 4 weeks after stopping POMALYST

 

o        Not breaking, chewing, or opening POMALYST capsules

 

o        Instructions on POMALYST dose and administration)

 

Milligram (mg) Strength

 

 

Number of Capsules Dispensed

 

 

 

FEMALE CHILDREN (< 18YEARS OF AGE):

 

o        P arent or legal guardian must have read the POMALYST REMS™ education material and agreed to ensure compliance

 

Checklist for female patients not of reproductive potential (natural menopause for at least 24 consecutive months, a hysteractomy, and/or bilatoral oophorectomy)

 

o        I will make sure that patients are aware that they will receive the Medication Guide along with their prescription

 

I COUNSELED ADULTS AND CHILDREN ON:

 

o        Possible side effects include deep vein thrombosis and pulmonary embolism

 

o        Not sharing POMALYST capsules with anyone—especially with females who can get pregnant

 

o        Not donating blood while taking POMALYST (including does interruptions) and for 4 weeks after stopping POMALYST

 

o        Not breaking, chewing, or opening POMALYST capsules

 

o        Instructions on POMALYST dose and administration

 

Milligram (mg) Strength

 

 

Number of Capsules Dispensed

 

 

 

2 of 4

(continued on next page)

 

FEMALE CHILDREN (<18 YEARS OF AGE):

 

o        Parent or legal guardian must have read the POMALYST REMS™ education material and agreed to ensure compliance

 

o        Parent or legal guardian must inform the child’s doctor when the child begins menses

 

Checklist for male patients

 

o        I will make sure that patients are aware that they will receive the Medication Guide along with their prescription

 

I COUNSELED ADULTS AND CHILDREN ON:

 

o        Potential embryo-fetal toxicity and contraception (wearing a latex or synthetic condom every time when engaging in sexual intercourse with a female who can get pregnant)

 

o        Female partners of males taking POMALYST™ (pomaldomide) must call their healthcare provider right away if they get pregnant

 

o        Possible side effects include deep vein thrombosis and pulmonary embolism

 

o        Not sharing POMALYST capsules with anyone—especially with females who can get pregnant

 

o        Not donating blood or sperm while taking POMALYST (including dose interruptions) and for 4 weeks after stopping POMALYST

 

o        Not breaking, Chewing, or opening POMALYST capsules

 

o        Instructions on POMALYST dose and administration

 

Milligram (mg) Strength

 

 

Number of Capsules Dispensed

 

 

 

MALE CHILDREN (<18 YEARS OF AGE):

 

o        Parent of legal guardian must have read the POMALYST REMS™ education material and agreed to ensure compliance

 

3 of 4

(continued on next page)

 

Rules for dispensing and shipping

 

DO NOT DISPENSE OR STOP POMALYST (pomalidomide) TO A PATIENT UNLESS ALL THE FOLLOWING ARE DONE:

 

o        Prescription has an authorization number and patient risk category written on it

 

o        You have counseled the patient

 

o        You have obtained a confirmation number and a confirmation date

 

o        You are shipping the product within 24 hours of obtaining the confirmation number and requesting confirmation of receipt. For females of reproductive potential, the product must be shipped the same day the confirmation number is obtained

 

o        The Medication Guide is included with the prescription

 

o        You confirm the prescription is no more than a 4-week (28-day) supply and there are 7 days or less remaining on the existing POMALYST prescription

 

All boxes and spaces must be marked or filled in during counseling with the patient for every prescription.

 

Counselor Signature:

 

 

Date:

 

 

For more information about POMALYST and the POMALYST REMS™ program, please visit www.CelgeneRiskManagement.com, or call the Celgene Customer Care Center at 1-888-423-5436.

 

Celgene Corporation

86 Morris Ave

Summit, NJ 07901

 

POMALYST is only available under a restricted distribution program, POMALYST REMS™.

 

Please see full Prescribing Information, including Boxed WARNINGS, CONTRAINDICATIONS, WARNINGS AND PRECAUTIONS, and ADVERSE REACTIONS, enclosed.

 

 

Pomalyst is a registered trademark of Celgene Corporation. POMALYST REMS TM  is a trademark of Celgene Corporation.

 

4 of 4

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 48 of 68



 

FIGURE 4: POMALYST® PATIENT PRESCRIPTION FORMS

 

POMALYST ®  (pomalidomide) Patient Prescription Form

 

Today’s Date

 

 

Date Rx Needed

 

Patient Last Name

 

 

Patient First Name

 

Phone Number  (     )

 

 

 

Shipping Address

 

 

 

City

 

 

State

 

 

Zip

 

Date of Birth

 

 

Patient ID#

 

 

Language Preference: o English

o Spanish

o Other

 

 

Best Time to Call Patient: o AM

 

 

o PM

 

 

Patient Diagnosis (ICD-9 Code)

 

 

Patient Allergies

 

 

 

Other Current Medications

 

 

 

 

Prescriber Name

 

 

State License Number

 

 

Prescriber Phone Number  (     )

 

 

Ext.

 

Fax Number  (     )

 

 

Prescriber Address

 

 

 

City

 

 

State

 

 

Zip

 

 

Patient Type From PPAF (Check one)

o Adult Female — NOT of Reproductive Potential

o Adult Female — Reproductive Potential

o Adult Male

o Female Child — Not of Reproductive Potential

o Female Child — Reproductive Potential

o Male Child

 

PRESCRIPTION INSURANCE INFORMATION

(Fill out entirely and fax a copy of patient’s insurance card, both sides)

 

Primary Insurance

 

 

 

 

 

Insured

 

 

 

 

 

Policy #

 

 

 

 

 

Group #

 

 

 

 

 

Phone #

 

 

 

 

 

Rx Drug Card #

 

 

 

 

 

Secondary Insurance

 

 

 

 

 

Insured

 

 

 

 

 

Policy #

 

 

 

 

 

Group #

 

 

 

 

 

Phone #

 

 

 

 

 

Rx Drug Card #

 

 

 

 

 

 

 

TAPE PRESCRIPTION HERE PRIOR TO FAXING

REFERRAL, OR COMPLETE THE FOLLOWING:

 

 

 

 

 

Recommended Starting Dose: See below for dosage

 

Multiple Myeloma: The recommended starting dose of POMALYST is 4 mg/day orally for Days 1 — 21 of repeated 28-day cycles. Dosing is continued or modified based upon clinical and laboratory findings

 

POMALYST

 

 

 

 

 

Dose

 

Quantity

 

Directions

 

 

o 1 mg

 

 

 

 

 

 

o 2mg

 

 

 

 

 

 

o 3mg

 

 

 

 

 

 

o 4 mg

 

 

 

 

 

 

 

 

 

 

 

 

 

o Dispense as Written

 

 

 

o Substitution Permitted

 

 

 

 

 

 

 

 

 

NO REFILLS ALLOWED (Maximum Quantity = 28 days)

 

 

 

 

 

 

 

 

 

Prescriber Signature

 

 

Date

 

 

 

Authorization #

 

 

Date

 

 

 

(To be filled in by healthcare provider)

 

 

 

 

Pharmacy Confirmation #

 

 

Date

 

 

 

(To be filled in by pharmacy)

 

 

 

 

 

 

 

For further information on POMALYST, please refer to the full Prescribing Information

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 49 of 68


 

FIGURE 4 (continued): REVLIMID® PATIENT PRESCRIPTION FORMS

 

REVLIMID ®  (lenalidomide) Patient Prescription Form

 

Today’s Date

 

 

Date Rx Needed

 

Patient Last Name

 

 

Patient First Name

 

Phone Number  (     )

 

 

 

Shipping Address

 

 

 

City

 

 

State

 

 

Zip

 

Date of Birth

 

 

Patient ID#

 

 

Language Preference: o English

o Spanish

o Other

 

 

Best Time to Call Patient: o AM

 

 

o PM

 

 

Patient Diagnosis (ICD-9 Code)

 

 

Patient Allergies

 

 

 

Other Current Medications

 

 

 

 

Prescriber Name

 

 

State License Number

 

 

Prescriber Phone Number  (     )

 

 

Ext.

 

Fax Number  (     )

 

 

Prescriber Address

 

 

 

City

 

 

State

 

 

Zip

 

 

Patient Type From PPAF (Check one)

o Adult Female — NOT of Reproductive Potential

o Adult Female — Reproductive Potential

o Adult Male

o Female Child — Not of Reproductive Potential

o Female Child — Reproductive Potential

o Male Child

 

PRESCRIPTION INSURANCE INFORMATION

(Fill out entirely and fax a copy of patient’s insurance card, both sides)

 

Primary Insurance

 

 

 

 

 

Insured

 

 

 

 

 

 

 

Policy #

 

 

 

 

 

 

 

Group #

 

 

 

 

 

 

 

Phone #

 

 

 

 

 

 

Rx Drug Card #

 

 

 

 

 

 

Secondary Insurance

 

 

 

 

 

Insured

 

 

 

 

 

 

 

Policy #

 

 

 

 

 

 

 

Group #

 

 

 

 

 

 

 

Phone #

 

 

 

 

 

 

Rx Drug Card #

 

 

 

 

TAPE PRESCRIPTION HERE PRIOR TO FAXING

REFERRAL, OR COMPLETE THE FOLLOWING:

 

Recommended Starting Dose: See below for dosage

 

Myelodysplastic Syndromes : The recommended starting dose of REVLIMID is 10 mg/day with water. Dosing is continued or modified based upon clinical and laboratory findings.

 

Multiple Myeloma: The recommended starting dose of REVLIMID is 25 mg/day orally for Days 1 — 21 of repeated 28-day cycles. Dosing is continued or modified based upon clinical and laboratory findings.

 

REVLIMID

 

 

 

 

 

Dose

 

Quantity

 

Directions

o 2.5 mg

 

 

 

 

o 5mg

 

 

 

 

o 10mg

 

 

 

 

o 15 mg

 

 

 

 

o 25 mg

 

 

 

 

 

 

 

 

 

o Dispense as Written

 

 

 

o Substitution Permitted

 

 

 

 

 

NO REFILLS ALLOWED (Maximum Quantity = 28 days)

 

Prescriber Signature

 

 

Date

 

Authorization #

 

 

Date

 

(To be filled in by healthcare provider)

 

 

Pharmacy Confirmation #

 

 

Date

 

(To be filled in by pharmacy)

 

 

 

 

For further information on REVLIMID, please refer to the full Prescribing Information

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 50 of 68



 

How to Fill a REVLIMID ®  (lenalidomide) Prescription

 

1 .

 

Healthcare Provider (HCP) Instructs female patients to complete Initial patient survey

2 .

 

HCP completes survey

3 .

 

HCP completes patient prescription form

4 .

 

HCP obtains REVLIMID REMS™ authorization number

5 .

 

HCP provides authorization number on patient prescription form

6 .

 

HCP faxes form, including prescription, to one of the Celgene Certified Pharmacy Network participants (see below)

7 .

 

HCP advises patient that a representative from the certified pharmacy will contact them

8 .

 

Certified pharmacy conducts patient education

9 .

 

Certified pharmacy obtains confirmation number

10 .

 

Certified pharmacy ships REVLIMID to patient with MEDICATION GUIDE

 

Please see www.Celgene.com/PharmacyNetwork for the list of pharmacy participants

 

Information about REVLIMID and the REVLIMID REMS™ program can be obtained by calling the Celgene Customer Care Center toll-free at 1-888-423-5436, or at www.CelgeneRiskManagement.com.

 

 

REVLIMID ®  is a registered trademark of Celgene Corporation. REVLIMID REMS™ is a trademark of Celgene Corporation.

©2013 Celgene Corporation

1/13

REMS-REV12107

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 51 of 68


 

FIGURE 5: REVLIMID REMS™ EDUCATION AND COUNSELING CHECKLIST

 

 

REVLIMID Risk Evaluation and Mitigation Strategy (REMS)™ program (formerly known as the RevAssist ®  program) education and prescribing safety

 

 

 

 

 

 

 

 

 

 

  Authorization No:

 

 

Confirmation No.:

 

 

Confirmation Date:

 

 

  Pharmacy Name:

 

 

 

 

 

 

  Pharmacy Address:

 

 

 

 

 

 

  Counselor Name:

 

 

Work Phone:

 

 

Ext:

 

 

  Patient Name: 

 

 

Date of Birth:

 

 

Patient I.D. No.:

 

 

  Risk Category:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Checklist for female patients of reproductive potential

 

o        I will make sure that patients are aware that they will receive the Medication Guide along with their prescription

 

I COUNSELED ADULTS AND CHILDREN ON:

 

o        Potential embryo-fetal toxicity

 

o        Not taking REVLIMID if pregnant or breastfeeding

 

o        Using at the same time at least 1 highly effective method—tubal ligation, IUD, hormonal (birth control pills, hormonal patches, injections, vaginal rings, or implants), or partner’s vasectomy—and at least 1 additional effective method of birth control—male latex or synthetic condom, diaphragm, or cervical cap— every time they have sex with a male, or abstaining from sex with a male

 

o        Continuing to use at the same time at least 1 highly effective method and at least 1 additional effective method of birth control beginning at least 4 weeks before taking REVLIMID, while taking REVLIMID, during dose interruptions, and for at least 4 weeks after stopping REVLIMID every time they have sex with a male, or abstaining from sex with a male

 

o        Obtaining a pregnancy test—performed by their healthcare provider—weekly during the first 4 weeks of use. Thereafter, pregnancy testing should be repeated every 4 weeks during the rest of their treatment in females with regular menstrual cycles or no cycle at all. If menstrual cycles are irregular, the pregnancy testing should occur every 2 weeks

 

1 of 4

(continued on next page)

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 52 of 68



 

o        The need to stop taking REVLIMID ®  (lenalidomide) right away in the event of becoming pregnant, or if they think for any reason they may be pregnant, and to call their healthcare provider immediately

 

o        Possible side effects include neutropenia, thrombocytopenia, deep vein thrombosis, and pulmonary embolism

 

o        The need for del 5q MDS patients to schedule a blood test every week for the first 8 weeks and monthly thereafter to monitor blood counts while taking REVLIMID

 

o        Not sharing REVLIMID capsules with anyone—especially with females who can get pregnant

 

o        Not donating blood while taking REVLIMID (including dose interruptions) and for 4 weeks after stopping REVLIMID

 

o        Not breaking, chewing, or opening REVLIMID capsules

 

o        Instructions on REVLIMID dose and administration

 

Milligram (mg) Strength

 

 

Number of Capsules Dispensed

 

 

FEMALE CHILDREN (<18 YEARS OF AGE):

 

o        Parent or legal guardian must have read the REVLIMID REMS™ education material and agreed to ensure compliance

 

Checklist for female patients not of reproductive potential (natural menopause for at least 24 consecutive months, a hysterectomy, and/or bilateral oophorectomy)

 

o        I will make sure that patients are aware that they will receive the Medication Guide along with their prescription

 

I COUNSELED ADULTS AND CHILDREN ON:

 

o        Possible side effects include neutropenia, thrombocytopenia, deep vein thrombosis, and pulmonary embolism

 

o        The need for del 5q MDS patients to schedule a blood test every week for the first 8 weeks and monthly thereafter to monitor blood counts while taking REVLIMID

 

o        Not sharing REVLIMID capsules with anyone—especially with females who can get pregnant

 

o        Not donating blood while taking REVLIMID (including dose interruptions) and for 4 weeks after stopping REVLIMID

 

o        Not breaking, chewing, or opening REVLIMID capsules

 

2 of 4

(continued on next page)

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 53 of 68



 

o        Instructions on REVLIMID ®  (lenalidomide) dose and administration

 

Milligram (mg) Strength

 

 

Number of Capsules Dispensed

 

 

FEMALE CHILDREN (<18 YEARS OF AGE):

 

o        Parent or legal guardian must have read the REVLIMID REMS™ education material and agreed to ensure compliance

 

o        Parent or legal guardian must inform the child’s doctor when the child begins menses

 

Checklist for male patients

 

o        I will make sure that patients are aware that they will receive the Medication Guide along with their prescription

 

I COUNSELED ADULTS AND CHILDREN ON:

 

o        Potential embryo-fetal toxicity and contraception (wearing a latex or synthetic condom every time when engaging in sexual intercourse with a female who can get pregnant)

 

o        Female partners of males taking REVLIMID must call their healthcare provider right away if they get pregnant

 

o        Possible side effects include neutropenia, thrombocytopenia, deep vein thrombosis, and pulmonary embolism

 

o        The need for del 5q MDS patients to schedule a blood test every week for the first 8 weeks and monthly thereafter to monitor blood counts while taking REVLIMID

 

o        Not sharing REVLIMID capsules with anyone—especially with females who can get pregnant

 

o        Not donating blood or sperm while taking REVLIMID (including dose interruptions) and for 4 weeks after stopping REVLIMID

 

o        Not breaking, chewing, or opening REVLIMID capsules

 

o        Instructions on REVLIMID dose and administration

 

Milligram (mg) Strength

 

 

Number of Capsules Dispensed

 

 

MALE CHILDREN (<18 YEARS OF AGE):

 

o        Parent or legal guardian must have read the REVLIMID REMS™ education material and agreed to ensure compliance

 

3 of 4

(continued on next page)

 

 

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Page 54 of 68



 

Rules for dispensing and shipping

 

DO NOT DISPENSE OR SHIP REVLIMID ®  (lenalidomide) TO A PATIENT UNLESS ALL THE FOLLOWING ARE DONE:

 

o        Prescription has an authorization number and patient risk category written on it

 

o        You have counseled the patient

 

o        You have obtained a confirmation number and a confirmation date

 

o        You are shipping the product within 24 hours of obtaining the confirmation number and requesting confirmation of receipt. For females of reproductive potential, the product must be shipped the same day the confirmation number is obtained

 

o        The Medication Guide is included with the prescription

 

o        You confirm the prescription is no more than a 4-week (28-day) supply and there are 7 days or less remaining on the existing REVLIMID prescription

 

All boxes and spaces must be marked or filled in during counseling with the patient for every prescription.

 

Counselor Signature:

 

 

Date:

 

 

For more information about REVLIMID and the REVLIMID REMS™ program, please visit www.CelgeneRiskManagement.com, or call the Celgene Customer Care Center at 1-888-423-5436.

 

Celgene Corporation

86 Morris Ave

Summit, NJ 07901

 

REVLIMID is only available under a restricted distribution program, REVLIMID REMS™.

 

Please see full Prescribing Information, including Boxed WARNINGS, CONTRAINDICATIONS, WARNINGS AND PRECAUTIONS, and ADVERSE REACTIONS, enclosed.

 

 

REVLIMID ®  is a registered trademark of Celgene Corporation. REVLIMID REMS TM  is a trademark of Celgene Corporation.

©2013 Celgene Corporation

1/13

REMS-REV12112

 

4 of 4

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 55 of 68



 

SCHEDULE 2.3

 

SAMPLE INVENTORY REPORT

 

Inventory Reporting Template     For Revlimid & Pomalyst

Date of Count must always be the last day of the 2 nd  month in the calendar quarter — Feb 15, May 15, Aug 15, Nov 15.

A physical inventory count will be conducted by Pharmacy every (6) months.

Physical inventory reports will be sent to Celgene within five (5) days of the Date of Count prior to June 30 and December 31.

Lot Number field is optional.

Revlimid & Pomalyst

 

Pharmacy 
DEA

 

Pharmacy 
NABP

 

Pharmacy 
Name

 

Pharmacy 
Address

 

Pharmacy 
City

 

Pharmacy 
State

 

Pharmacy 
Zip

 

NDC#

 

Lot 
Number

 

Product 
Name

 

Strength

 

Unit of 
Measure

 

Units 
per 
pack

 

Capsules/Vials 
on hand at 
close of 
business

 

Date of 
Count

BD1234567

 

1112223

 

Main Street Phamarcy

 

1 Main St

 

New York

 

NY

 

10001

 

59572-405-00

 

M00122X

 

Revlimid

 

5MG

 

Capsule

 

100

 

106

 

5/31/2011

BD1234567

 

1112223

 

First Avenue Pharmacy

 

1 First Ave

 

Philadelphia

 

PA

 

19113

 

59572-102-01

 

01B725

 

Vidaza

 

100MG

 

Vial

 

1

 

52

 

5/31/2011

 

Celgene contact: Inventory Reporting

 

Sales Operations

Celgene Corporation

300 Connell Drive

Suite 7000, Room #3-7008C

Berkeley Heights, NJ 07922

 

salesoperations@celgene.com

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 56 of 68


 

SCHEDULE 5.1

 

DATA REPORTS

 

The table below outlines the fields, which are required for a report to be considered “complete”.

 

Celgene Sample File Format — Microsoft Excel.

 

Field Name

 

Type

 

Format

Pharmacy site address

 

VARCHAR

 

 

Pharmacy site city

 

ALPHA

 

 

Pharmacy site state

 

ALPHA

 

 

Pharmacy site zip

 

NUMERIC

 

 

Date Dispensed

 

DATE

 

MM/DD/YYYY

Customer ID (specific to this prescriber)

 

VARCHAR

 

 

Prescriber First Name

 

ALPHA

 

 

Prescriber First Name

 

ALPHA

 

 

Prescriber Address ID (if available)

 

VARCHAR

 

 

Prescriber Address

 

VARCHAR

 

 

Prescriber City

 

ALPHA

 

 

Prescriber State

 

ALPHA

 

 

Prescriber Zip

 

NUMERIC

 

 

DEA (prescriber)

 

VARCHAR

 

 

NPI (prescriber)

 

NUMERIC

 

 

NDC

 

NUMERIC

 

XXXXX-XXXX-XX

Product

 

ALPHA

 

 

QTY in vials

 

NUMERIC

 

 

 

Data Reporting Contact:

 

Sales Operations

Celgene Corporation

300 Connell Drive

Suite 7000, Room #3-7007A

Berkeley Heights, NJ 07922

Phone: 908-219-0423

salesoperations@celgene.com

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 57 of 68



 

SCHEDULE 6.1

 

PERFORMANCE METRICS

 

Performance Metrics

 

 

Time to First Dispense

 

Range

 

Payout in

 

in Days

 

$ per Rx

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

 

Time to Repeat Dispense

 

Range

 

Payout in

 

in Days

 

$ per Rx

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

 

 

Subsequent Dispense Count

 

Disp.

 

Payout in

 

Count

 

$ per RK

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 


* Information redacted pursuant to a confidential treatment request by Diplomat Pharmacy, Inc. under 5 U.S.C. §552(b)(4) and Rule 406 under the Securities Act of 1933 and submitted separately with the Securities and Exchange Commission.

 

Page 58 of 68



 

PERFORMANCE METRICS

 

 

Revlimid Specialty Pharmacy Scorecard

 

Time to First Dispense

 

Range

 

Payout in

 

in Days

 

$ per Rx

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

 

Time to Repeat Dispense

 

Range

 

Payout in

 

in Days

 

$ per Rx

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

 

Subsequent Dispense Count

 

Disp.

 

Payout in

 

Count

 

$ per Rx

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

[*]

 

 

[*]

 

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 


* Information redacted pursuant to a confidential treatment request by Diplomat Pharmacy, Inc. under 5 U.S.C. §552(b)(4) and Rule 406 under the Securities Act of 1933 and submitted separately with the Securities and Exchange Commission.

 

Page 59 of 68


 

SCHEDULE 7.1

 

RETURN GOODS POLICY

 

 

 

Return Goods Policy

 

Unless otherwise required by law, return of Celgene products will be handled in accordance with this Return Policy effective July 1, 2013.

 

Return Authorization Requests

 

1.                      ALL returns require prior authorization from Celgene Corporation by calling

 

·                                 1-888-423-5436 for All Celgene products

 

2.                      The customer must provide the following information for the products being returned in order to be considered for authorization:

 

·                                 Contact name

·                                 NABP number or DEA number

·                                 Lot number and quantity of each item to be returned

·                                 Reason for return

·                                 Advise if the product has been previously dispensed to a patient ( for Risk Managed Products )

 

3.                       Celgene Corporation reserves the right to deny credit for product returned without the accompanying return authorization documentation, or any product returned that falls outside of the guidelines stated in this policy

 

4.                       All products should be returned within five (5) business days of receiving authorization from Celgene Corporation

 

Products Eligible for Credit

 

·                        Products returned in ORIGINAL, UNOPENED, INTACT, FULL trade cartons, blister packs, bottles or vials may be returned for credit unless otherwise stated in the “Not Eligible for Credit” section below

 

·                        Products that are recalled or damaged during original shipment from Celgene are eligible for credit only if the customer reports any damages to the product within ten (10) business days of receipt of product shipment

 

·                        Products that are shipped in error by Celgene are eligible for credit only if the customer reports any errors or discrepancies in the order within ten (10) business days of receipt of product shipment

 

·                        All authorized products must be received within 3 months prior to expiration or up to 6 months after expiration date of the product to be eligible for credit

 

·                 Handling fees apply

·                            20% for products returned prior to 3 months expiration date

·                            5% for products returned within 3 months prior expiration date or up to 6 months after expiration date

 

·                        Celgene (NDC # 59572), Pharmion (NDC # 67211) and Gloucester (NDC # 46026) Abraxis (NDC # 68817) trade dress product

 

Products NOT Eligible for Credit

 

·                        Product for professional sample, professional package, free goods, or with similar markings or special label

 

·                        Merchandise obtained other than through a Celgene authorized distributor of record or Celgene Corporation directly.

 

·                        Product that has been used or dispensed to a patient

 

·                        Product obtained illegally or that has been diverted or resold by an account pursuant to a special price

 

·                        Product where the lot number or expiration date is missing, covered or unreadable

 

·                        When the intent of the customer is to temporarily reduce inventory

 

·                        Products involved in a bankruptcy sale or proceeding

 

 

Celgene Corporation 86 Morris Avenue Summit, NJ 07901 phone (888)423-5436 fax (888)432-9325

 

1

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 60 of 68



 

 

·              Product destroyed by the customer or a third party without prior written authorization from Celgene

 

·              Product not manufactured by or on behalf of Celgene for distribution in the United States

 

·              Expired product received by Celgene more than 6 (six) months past its expiration date

 

·              Partial blister packs, bottles or vials

 

·              Opened or unsealed commercial packages

 

Products NOT Eligible for Credit (continued)

 

·              Products damaged by insurable catastrophes such as fire, smoke, acts of terrorism, flood, etc.

 

·              Products sold, purchased or distributed contrary to federal, state or local law

 

·              Product that is sold, purchased or distributed contrary to Celgene’s REMS programs

 

·              BMS/Dupont trade dress product (NDC # 00056)

 

Terms of Return Policy

 

1 .                    Credit for returned product will be determined by the return receipt date and upon review and inspection for compliance with all aspects of Celgene’s Product Return Policy.

 

2.                    A handling fee will be assessed on the original gross purchase price of the product as follows:

 

a)              20% on in-date product returns, prior to 3 months before expiration unless otherwise agreed.

 

b)              5% on product returns up to 3 months before expiration and up to 6 months past expiration

 

*This fee does not apply to any product recalled, shipped damaged or shipped in error by Celgene or that which is ineligible for credit

 

3.                    Returns made in accordance with this policy will be credited, to the direct purchaser from Celgene, for the actual net price paid after any applicable handling fees, discounts, allowances or adjustments (including but not limited to, prompt payment discounts, government discounts, chargebacks or rebates)

 

4.                    Deductions from payables may not be taken until the credit memo is issued by Celgene Corporation. Unauthorized deductions from payables for returns may result in held orders

 

5.                    Credits will be processed through the account directly invoiced by Celgene Corporation. Customers who have been invoiced through a wholesaler or distributor should seek return credit from such wholesaler or distributor

 

6.                    No credit will be given for destroyed merchandise. A Returned Goods Authorization Form must accompany all returned product

 

7.                    Celgene Corporation reserves the right to destroy, without recourse, any returned product not eligible for credit

 

Shipping Information and Return Goods Addresses

 

1.                    All Authorized returns must be sent to:

 

Celgene Product Returns

7339 Industrial Road

Allentown, PA 18106

 

2.                    Shipping charges are the responsibility of the customer, unless the return is of products shipped in error by Celgene Corporation

 

3.                    Shipping labels will be provided when a pharmacy is returning product on behalf of a patient (returned product is ineligible for credit)

 

4.                    The return authorization number must be referenced on the shipping label to be considered as valid proof of delivery

 

Celgene reserves the right to destroy, without notification, credit, exchange or return to the customer, any merchandise that does not conform to the policy.

 

Celgene reserves the right to modify this policy in its discretion without advance notice.

 

 

Celgene Corporation 86 Morris Avenue Summit, NJ 07901 phone (888)423-5436 fax (888)432-9325

 

 

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 61 of 68



 

SCHEDULE 8.1

 

ADVERSE DRUG REACTION REPORTING

 

ADVERSE DRUG EXPERIENCES THAT ARE SUSPECTED TO BE ASSOCIATED WITH THE USE OF POMALYST® OR REVLIMID®, ANY SUSPECTED PREGNANCY OCCURRING DURING THE TREATMENT WITH POMALYST OR REVLIMID®, AND ALL CASES OF SPECIAL SITUATIONS MUST BE REPORTED TO CELGENE WITHIN 24 HOURS. ANY REPORTS OF PREGNANCY EXPOSURE MUST BE REPORTED IMMEDIATELY.

 

Reporting to Celgene

 

Fill out Adverse Drug Reaction (ADR) Report Form as completely as possible (be sure to include reporter’s name on each page), then:

 

·              Fax: 1-908-673-9115

 

·              E-mail: drugsafety@celgene.com

 

·              Toll Free: 1-800-640-7854 (Global Drug Safety & Risk Management) 24 hours a day/7 days a week OR 1-888-423-5436 (Customer Care Center)

 

If the report is of a possible exposure of a PREGNANT WOMAN, CALL Celgene Drug Safety IMMEDIATELY then follow-up with the ADR report form.

 

Reporting Procedures: Essential Information

 

·              Reporter information

 

·              Full Name/Title

 

·              Address & Phone #

 

·              Patient information (Sufficient information to enable Celgene to correspond with the treating physician)

 

·              Initials

 

·              Date of Birth, Age, Gender

 

·              Adverse Drug Reaction (ADR) including causality assessment

 

·              As complete a description as possible –Provide diagnosis and/or symptoms

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 62 of 68



 

·              Key details —date started, date resolved and outcome

 

·              Hospitalization or drug discontinued …. Ask why?

 

·              Drug

 

·              Did patient receive drug?

 

·              If so, dose, frequency, dates of therapy, indication

 

·              Lot # and expiration date

 

·              Physician’s full name, address, phone number

 

Definitions: Cases of Special Situations

 

Market Authorization Holder (MAH) is responsible to report “Cases of Special Situations” which may include, but not be limited to*:

 

·              Outcomes of use of a medicinal product during pregnancy

 

·              Adverse reactions during breastfeeding

 

·              Use of product in pediatric or elderly population

 

·              Reports of lack of efficacy

 

·              Reports in relation to overdose, abuse and misuse; medication errors or occupational exposure

 

·              Examples of Special Situations include but are not limited to:

 

·              ADR in infant following exposure to product from breastfeeding

 

·              Contamination of starting materials, or during product manufacturing

 

·              Promotion of opportunist infections due to contamination

 

·              Drug prescribed to a patient, accidentally taken by their child

 

·              Patient took expired product or incorrect prescription given whether or not an adverse reaction occurred

 


*Guideline on Good Pharmacovigilance Practices (GVP) for the European Union

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 63 of 68


 Page 1 of 2 ADVERSE DRUG REACTION REPORT CASE NO: (For Celgene use only)  For Celgene use only Received by: For Studies Enter: Date of receipt Protocol: (Name and organization – eg CRO, or company Site Number: Day Month Year representative) Patient number: Source Spontaneous Comp. Use Lit  other, Specify SUSPECT DRUG Drug, Formulation, Dose & frequency Lot/Batch no. Therapy start date Therapy Stop date Indication for use of drug Strength, Route  dd.mmm.yy dd.mmm.yy (eg. Capsules, 5mg, oral) ACTION TAKEN, SUSPECT DRUG None Unknown Not applicable Dose decreased, specify: Permanently discontinued Dose increased, specify: Temporarily interrupted PATIENT DATA Initials: Date of Birth: Age: Weight: Height: Gender lbs ft Male: Day Month Year  kg cm Female: ADVERSE EVENT Overall diagnosis of the event Event onset date: Day Month year Event stop date: Day Month year OUTCOME OF ADVERSE EVENT Recovered Recovered with sequelae: Not recovered Unknown Death Date of death: Please provide an assessment of causal relationship of  Day Month Year above reported event and the use of Celgene product: Possible cause(s) of Death: Related to Celgene product Not related to Celgene product If autopsy is performed please forward report. other cause:  Please attach relevant clinical laboratory assessments to confirm the event. SERIOUSNESS OF THE EVENT (tick all that apply) Death Celgene Corporation Life-threatening 300 Connell Drive, Suite 6000 Hospitalization or prolonged hospitalization Berkeley Heights, New Jersey 07922 Persistent or significant disability or incapacity Telephone (908) 673-9667 Congenital anomaly/birth defect Toll Free 1-800-640-7854 Other medically important condition or event Fax: (908) 673-9115 Non-serious Email: drugsafety@celgene.com Version 4.0 Sep 2011 Diplomat Specialty Pharmacy – Celgene Schedules Page 64 of 68

 


Page 2 of 2 CASE NO: MEDICAL HISTORY Current or past relevant medical history (Including concurrent illness, allergy, smoking, alcohol abuse) Yes If Yes, please specify.  None Unknown OTHER MEDICATION (Medication taken during the past 3 months prior to the event) Drug, Formulation, Dose & Frequency Therapy Start date Therapy Start date Causal relationship Indication for use of drug Strength, Route dd.mmm.yy dd.mmm.yy 1= Not related (eg. Capsules 5mg, 2 = Related oral)   PRESCRIBER INFORMATION Name: County:  Fax: Address:  Phone: Email: REPORTER Name: Country:  Fax: Address:  Phone: Email: Pharmacy (If applicable): NOTIFICATION Initial repor t  Follow-up report Final report Name (PRINT): Title: Signature: Date of AE Awareness: Version 4.0 Sep 2011 Diplomat Specialty Pharmacy – Celgene Schedules Page 65 of 68

 

 

 

 

SCHEDULE 8.2

 

COMPLAINT FORM

 

To:

Celgene Customer Care Center

 

Fax:

1-888-432-9325

 

 

 

Specialty Pharmacy Name:

 

 

From:

 

 

 

Phone:

 

Title:

 

 

 

 

 

 

 

Date of Call:

 

 

 

 

 

 

 

Complainant Name:

 

 

 

Address:

 

 

 

 

 

Home Phone:

 

 

 

 

 

 

 

 

Work Phone:

 

 

 

 

 

 

 

Product

 

 

Gender:

 

 

 

 

 

 

Lot Number:

 

 

Language:

 

 

 

 

 

Expiration Date:

 

 

 

 

 

 

 

Best Day to Call:

 

 

Best Time to Call:

 

 

 

 

 

Description of Problem:

 

 

 

 

 

 

 

 

 

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 66 of 68



 

SCHEDULE 10.3

 

MEDICAID PROGRAM LIST BY STATE

 

 

State

 

Medicaid Provider
Yes/No

 

 

Alabama

 

No

 

 

Alaska

 

Yes

 

 

Arizona

 

Yes

 

 

Arkansas

 

No

 

 

California

 

Yes

 

 

Colorado

 

Yes

 

 

Connecticut

 

Yes

 

 

Delaware

 

No

 

 

Florida

 

Yes

 

 

Georgia

 

Yes

 

 

Hawaii

 

Yes

 

 

Idaho

 

Yes

 

 

Illinois

 

Yes

 

 

Indiana

 

Yes

 

 

Iowa

 

Yes

 

 

Kansas

 

Yes

 

 

Kentucky

 

Yes

 

 

Lousiana

 

No

 

 

Maine

 

Yes

 

 

Maryland

 

Yes

 

 

Massachusetts

 

No

 

 

Michigan

 

Yes

 

 

Minnesota

 

Yes

 

 

Mississippi

 

No

 

 

Missouri

 

Yes

 

 

Montana

 

Yes

 

 

Nebraska

 

Yes

 

 

Nevada

 

Yes

 

 

New Hampshire

 

Yes

 

 

New Jersey

 

Yes

 

 

New Mexico

 

Yes

 

 

New York

 

No

 

 

North Carolina

 

No

 

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 67 of 68



 

 

North Dakota

 

No

 

 

Ohio

 

Yes

 

 

Oklahoma

 

Yes

 

 

Oregon

 

Yes

 

 

Pennsylvania

 

Yes

 

 

Rhode Island

 

No

 

 

South Carolina

 

Yes

 

 

South Dakota

 

Yes

 

 

Tennessee

 

Yes

 

 

Texas

 

No

 

 

Utah

 

Yes

 

 

Vermont

 

Yes

 

 

Virginia

 

Yes

 

 

Washington

 

Yes

 

 

Washington DC

 

Yes

 

 

West Virginia

 

No

 

 

Wisconsin

 

Yes

 

 

Wyoming

 

No

 

 

 

Diplomat Specialty Pharmacy — Celgene Schedules

 

Page 68 of 68




Exhibit 10.8.2

 

FIRST AMENDMENT

 

TO

 

PHARMACY DISTRIBUTION AND SERVICES AGREEMENT

 

THIS FIRST AMENDMENT TO PHARMACY DISTRIBUTION AND SERVICES AGREEMENT (“ Amendment ”) is made effective as of the 8 th  day of July, 2013(the “ Effective Date ”) between: Celgene Corporation, 86 Morris Avenue, Summit, New Jersey 07901 (together with its subsidiaries and affiliates hereinafter collectively referred to as “ Celgene ”), and Diplomat Specialty Pharmacy, 4100 South Saginaw Street, Flint, MI 48507 (together with its subsidiaries and affiliates hereinafter collectively referred to as “ Pharmacy ”).

 

WHEREAS, Celgene and Pharmacy are all of the parties to that certain Pharmacy Distribution and Services Agreement made effective as of the 1 st  day of July, 2013 (the “ Agreement ”); and

 

WHEREAS, Celgene and Pharmacy wish to amend the Agreement.

 

NOW, THEREFORE, in consideration of the mutual promises contained herein and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties hereby agree as follows:

 

1.                                       BOUDRY PRODUCT ORDERS & SERVICE FEES.

 

1.1                                Standard Orders/Boudry Orders. In addition to Pharmacy’s ability to order Product from Celgene as set forth and further described in the Agreement (for purposes of this Amendment and convenience of reference, hereinafter “ Standard Orders ”), Pharmacy shall also have the ability to order Product directly from Celgene’s Boudry, Switzerland facilities (for purposes of this Amendment and convenience of reference, hereinafter “ Boudry Orders ”).

 

1.2                                Standard Orders Terms. In the event Pharmacy elects to order Product by way of Standard Orders, all of the terms and conditions, and obligations of the parties towards each other, as set forth in the Agreement will continue to apply.

 

1.3                                Boudry Orders Terms. In the event Pharmacy elects to order Product by way of Boudry Orders, all of the terms and conditions, and obligations of the parties towards each other, as set forth in the Agreement will continue to apply with the exception of:

 

1.3.1                      Placing Orders. For Boudry Orders, Pharmacy shall place such orders by: calling, by emailing or by sending a fax to Celgene’s Supervisor of Order Processing and expressly indicating that they are placing a Boudry Order. Pharmacy may place Boudry Orders twice per week and will receive such orders within three (3) full business days of Celgene receiving such order from Pharmacy.

 

First Amendment to Diplomat PDSA

 


* Information redacted pursuant to a confidential treatment request by Diplomat Pharmacy, Inc. under 5 U.S.C. §552(b)(4) and Rule 406 under the Securities Act of 1933 and submitted separately with the Securities and Exchange Commission.

 

Page 1 of 2



 

1.3.2                      Service Fee. For Boudry Orders only, in addition to fees associated with the Performance Metrics as set forth in Schedule 6.1, Celgene shall pay Pharmacy a service fee for services provided in accordance with Pomalyst Rems  and Revlimid Rems , as further detailed in the Requirements Document, in accordance with the following:

 

·                   Pharmacy shall be entitled to receive a service fee in an amount equal to [*], to be calculated and paid on a quarterly basis, within sixty (60) days after the end of such applicable quarter, provided, that Pharmacy shall purchase a minimum of [*] of Revlimid® and/or Pomalyst® per quarter and up to a maximum of [*] of Revlimid® and/or Pomalyst® per quarter.

 

For greater clarity, the parties acknowledge and agree that except for the process of placing orders for Boudry Orders and the service fees in connection with Boudry Orders, nothing in this Amendment, shall in any way modify or otherwise amend in any way whatsoever any of the terms and conditions, or obligations of the parties towards each other, under the Agreement.

 

2.                                       GENERAL.

 

2.1                             Except as otherwise defined in this Amendment, all capitalized terms used herein shall have the meanings ascribed to them in the Agreement.

 

2.2                                Except as expressly amended by Section 1 of this Amendment above, all other terms and conditions of the Agreement remain unchanged, and the parties do hereby confirm that the Agreement has been, and is, valid and in full force and effect.

 

2.3                                This Amendment together with the Agreement embodies the entire agreement and understanding of the parties hereto and supersedes and replaces any and all prior understandings, arrangements and agreement with respect to the subject matter hereof.

 

IN WITNESS WHEREOF , the parties hereto hereby execute and enter into this Amendment as of the Effective Date first written above.

 

CELGENE CORPORATION

 

DIPLOMAT SPECIALTY PHARMACY

 

 

 

 

 

 

By:

/s/ Kimberly A. Metcalf

 

By:

/s/ Ryan Ruzziconi

Name:

Kimberly A. Metcalf

 

Name:

Ryan Ruzziconi

Title:

US Head National & Regional Accts.

 

Title:

General Counsel, VP

 

 

 

Legal Review:

 

 

 

 

 

RHO

 

 

7/10/2013

 

 

 

 

 

Legal Dept.

 

 

 


* Information redacted pursuant to a confidential treatment request by Diplomat Pharmacy, Inc. under 5 U.S.C. §552(b)(4) and Rule 406 under the Securities Act of 1933 and submitted separately with the Securities and Exchange Commission.

 

Page 2 of 2




Exhibit 10.8.3

 

 

ADOPTION AND AMENDMENT

OF

PHARMACY DISTRIBUTION AND SERVICES AGREEMENT

 

THIS ADOPTION AND AMENDMENT OF PHARMACY DISTRIBUTION AND SERVICES AGREEMENT (“Agreement”) is effective March 21, 2014 (“Effective Date”) by and between Celgene Corporation (together with its subsidiaries and affiliates hereinafter collectively, “Celgene”) and Diplomat Pharmacy, Inc. d/b/a Diplomat Specialty Pharmacy (hereinafter, “Pharmacy”).

 

WITNESSETH:

 

WHEREAS , Celgene and Pharmacy are the parties to that certain Pharmacy Distribution and Services Agreement effective as of the 1st day of July, 2013 (“ PDSA ”); and

 

WHEREAS , Celgene, in anticipation of an approval by the Food and Drug Administration (FDA) to market and sell Otezla® (apremilast) in the United States of America and its territories, desires to appoint certain pharmacy distributors to provide quality services to Customers and to provide data reporting and other services to Celgene related thereto; and

 

WHEREAS , Celgene and Pharmacy wish to enter into this Agreement under which Pharmacy will distribute and sell Otezla® (apremilast) to Customers, provide data reporting and other services to Celgene.

 

NOW, THEREFORE , in consideration of the mutual promises contained in this Agreement and other good and valuable consideration, the receipt and sufficiency of which is acknowledged, the parties hereby agree as follows:

 

ADOPTION AND AMENDMENT . The parties adopt the PDSA and then amend it, as follows:

 

For the purposes of this Agreement, and only as it relates specifically to Pharmacy’s distribution and sale of Otezla, the following terms shall be modified or added to the Agreement.

 

Definitions:

 

1.               The term “ Adverse Drug Experience ” or “ ADE ” shall NOT include any occurrence of an elevated Beta HCG or positive urine pregnancy tests, or a pregnancy or a possible exposure of a pregnant woman.

 

2.               The term “ Certified Counselor ” shall NOT apply.

 

3.               The term “ Certified Prescriber ” shall be changed to “ Prescriber ” which shall mean a licensed healthcare professional who is licensed to prescribe medication.

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

Diplomat Specialty ADOPTION AND AMENDMENT (Otezla) 12.9.13 TLB rao

 


* Information redacted pursuant to a confidential treatment request by Diplomat Pharmacy, Inc. under 5 U.S.C. §552(b)(4) and Rule 406 under the Securities Act of 1933 and submitted separately with the Securities and Exchange Commission.

 

Page 1 of 31



 

 

4.               The term “ Customers ” shall be changed to mean persons who are prescribed Product(s) by a Prescriber.

 

5.               The term “ Dispensing Site ” shall be changed to mean Pharmacy’s facility(ies) that fill and ship prescriptions, listed on Schedule 1.8(a) , attached hereto, as may be amended from time to time upon mutual agreement of the parties. In the case of physician networks who are dispensing, the Dispensing Site shall be responsible for placing and receiving orders of Product(s), administration, and record keeping.

 

6.               The term “ High Risk Deviation ” shall NOT apply.

 

7.               The term Otezla ®  Free Trial Offers shall mean optional titration and bridge product supply from the Celgene designated Otezla ®  Patient Support Pharmacy, at no cost, for eligible patients only, and not contingent on purchase requirements of any kind.

 

8.               The term “ Product ” shall be included to mean Celgene’s Otezla® (apremilast).

 

9.               The terms “ POMALYST REMS™ and REVLIMID REMS™ ” shall NOT apply.

 

10.        The term “Third Party Data Provider” shall mean ZS Associates, Inc., or any other data provider under contract with Celgene to whom Pharmacy will submit various data required under or relating to this Agreement, including de-identified patient information, physician information, prescription information, and any other Data as specified in Appendices A and B. The data will be shared for purposes of compiling and analyzing the Data.

 

11.        Wherever the terms Revlimid® (lenalidomide), Pomalyst® (pomalidomide), and Thalomid® (thalidomide) arise, add the term “Otezla” and wherever the term “Product(s)” arises, include it to also include Otezla.

 

12.        Under Section 2.3, Inventory reports for Otezla shall be sent to Celgene within five (5) days after the Date of Count (the “ Date of Count ” means that day which is always the fifteenth (15 th ) day of the month).

 

13.        Under Section 3.1, subparagraphs (a), (b) and (c) shall NOT apply.

 

14.        The following paragraphs shall be added to Section 3.1 as paragraph (d), (e) and (f) and apply to the distribution and sale of Otezla:

 

(d)                          Pharmacy shall accept the Celgene Patient Start Form (Please see: Figure 3), by the Prescriber or designee.

 

(e)                           Most Prescribers will complete a Pharmacy specific enrollment/intake form at their office. If Pharmacy has a Pharmacy-specific enrollment form that Pharmacy distributes to Prescribers, Pharmacy must use a HIPAA authorization that is the same or consistent with the HIPAA authorization in Figure 3. Pharmacy must also include information

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

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about Celgene Product(s) Free Trial Offers in the Pharmacy specific form. Pharmacy shall also ensure that all required elements from Celgene’s Patient Start Form, regarding treatment, specifically Special instructions, is included in Pharmacy specific form. Other Prescribers may choose to utilize the Celgene specific Patient Start Form at their office. If the Customer’s insurance provider directs that the Customer use a particular pharmacy, or Customer indicates a preferred pharmacy, then Customer information will be forwarded to that pharmacy by Prescriber. If the Customer’s insurance provider permits the Customer to choose among pharmacies, or the Customer does not express a preference, Prescriber shall send the completed Celgene Patient Start Form to Celgene’s contractor, who will contact the Customer to begin the benefit verification process. Celgene’s contractor will use a rotational method to determine to which pharmacy to forward the Customer information for filling the prescription and dispensing the Product. Pharmacy understands and agrees this rotational method will not prefer any pharmacy able to serve the Customer, and that Pharmacy will receive no special treatment under this system. In the cases where Pharmacy is chosen for one of the above reasons for a Customer utilizing the Celgene Patient Start Form, Pharmacy will receive information about Customers from Celgene, and contact Customers to fill their prescriptions and provide any other services required by this Agreement. Pharmacy will not ship the Product(s) to a Customer unless it has received a completed prescription from the Prescriber (by facsimile or otherwise). Pharmacy shall fill valid prescriptions for Product(s) in accordance with all applicable laws and regulations. Pharmacy shall keep a record of the Start Form, if applicable and the prescription with each Product prescription.

 

(f)                            In addition to Pharmacy meeting all of its obligations under this Agreement for “ new Customers ” (for purposes of this Section 3.1(f) and for greater clarity, the term “ new Customers ” shall mean those customers that have not received Product(s) in the prior twelve (12) months and/or those Customers that have not previously been prescribed Product(s)), Pharmacy shall: (A) upon receipt of a prescription for Product(s) immediately time-stamp such prescription; (B) contact Customer to assess if titration sample was provided to them by their Prescriber (refer to Schedule 1.17 for detail); (C) request that Prescriber transfer Product Free Trial Offer prescriptions to Celgene’s designated pharmacy, when applicable, for the designated pharmacy to dispense Free Trial Offer prescriptions to such eligible new Customers, within twenty four (24) hours of receiving the prescription; and (D) in addition to the other reporting obligations under this Agreement, also provide Celgene with a report of the prescriptions for Product received that week which report shall, at minimum, contain: prescription numbers, the date and time which such prescriptions were received from the Prescriber based upon the time-stamp, and dispensed within that week, as well as all other information, as required by Appendix A, and in such form and substance as set forth in Appendix D, and with such Report, as defined below, to be delivered to Celgene no later than five (5) days following the end of that week. Pharmacy shall ensure that the prescription is dispensed intact; as one complete, whole unit: Pharmacy shall not split the prescription for any reason, and capsules cannot be repackaged, unless mandated by a payor split fill program.

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

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15.        Under Section 5, the following terms shall be added and apply to the Otezla Product:

 

5.1                                Data . Pharmacy shall maintain a Celgene-specific data management system (the “ Database ”) from which reports can be generated and provided to Celgene and that contains information as required herein. The parties acknowledge that such Database may be Pharmacy’s general database system. In addition, and subject to Pharmacy obtaining appropriate Customer consent, Pharmacy shall maintain in the Database Customer-specific information as set forth herein. Pharmacy shall regularly update the Database with Product(s) and Customer information set forth in Schedule 5.1(a) , attached hereto. Celgene may amend Schedule 5.1(a), from time to time to add or delete requested information pursuant to a written amendment agreed upon by both parties. Celgene shall be the sole owner of the information compiled therein, provided, however, that Pharmacy shall have full access to the Database in order to fulfill its obligations under this Agreement and to comply with all applicable laws and regulations. Celgene’s authorization is required before Pharmacy may release the data to third parties, including but not limited to, sales data, or prescriptions filled, unless the release is required by applicable law. Furthermore, Celgene reserves the right to share the Data from the reports with other vendors it may contract with to perform data management services on Celgene’s behalf.

 

5.2                                Reports .

Celgene is requesting Pharmacy to provide transaction level data with Physician-Prescription-Patient-Status information in the form of electronic feed (“Report”). The Report will contain the information on patients currently serviced by the Pharmacy for Celgene internal business purposes. The format and frequency of the data is outlined in Schedule 5.1(a)  for Product(s).

 

Reports may be further defined or amended by Schedule 5.1(a) . At Celgene’s request, Pharmacy will deliver the Reports specified under this Section electronically through a secure connection in the format identified in Schedule 5.1(a) . Pharmacy may be requested to provide Reports to a Third Party Data Provider on Celgene’s behalf.

 

5.3                                Materials . Pharmacy shall maintain an inventory of Product(s) and current promotional and/or educational materials developed and provided by Celgene regarding Customer treatment. Pharmacy agrees that it shall not alter materials without Celgene’s prior written review and approval. Pharmacy shall include in shipments of Product(s) any required material supplied and designated by Celgene for inclusion in Product(s) shipments. Celgene reserves the right to include Pharmacy name in materials announcing our contracted network of pharmacies.

 

16.        Under Section 6, PAYMENT , the following Sections 6.1, 6.2 and 6.3 shall apply to Otezla:

 

6.1                                Service Fee . Celgene shall pay Pharmacy a service fee for the performance of the services described in Schedule 6.1 provided in accordance with the detailed Requirements Document, subject to the terms set forth in Schedule 6.1(a)  (“ Service

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

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Fee ”).

 

6.2                                Service Fee Calculation. The Service Fee will be calculated and paid quarterly based on Celgene’s evaluation of Pharmacy’s achievement of performance metrics, as specified above. Pharmacy acknowledges and agrees that the fees provided herein are fair market value for the services described herein. Pharmacy understands and agrees that any prescribing decision will be made solely by the Prescriber. Nothing in this Agreement requires or permits Pharmacy to interfere with a prescribing decision. Pharmacy will not seek to maximize its Service Fees or any other payment by Celgene by interfering with a Prescriber’s clinical judgment or by counseling any Customer to continue to take the Product where the Product’s label calls for the Customer to discontinue the Product in the event Customer experiences a serious adverse reaction. Pharmacy at all times will exercise its independent clinical judgment as a duly licensed Pharmacy.

 

6.3                                Financial Condition . At any time, when in Celgene’s reasonable opinion, the financial condition of Pharmacy or its parent company so warrants, or if Pharmacy consistently fails to make payments when due or otherwise defaults under this Agreement, Celgene may alter terms of payment (including but not limited to requiring full or partial payment in advance of delivery, eliminating the Prompt Pay Discount), suspend credit, delay or cancel shipping, request quarterly financial statements or other financial information on an ongoing basis, terminate this Agreement in accordance with Section 12, or pursue any remedies available at law or under this Agreement.

 

17.        Under Section 9.1, Pharmacy shall suspend distribution of Product(s) if requested by Celgene as the result of a problem with Product(s) quality or a directive from the FDA. The remainder of the terms of Section 9.1 shall NOT apply to the dispense of Otezla.

 

18.        Under Section 10.2, Pharmacy represents and warrants that it shall use a well-trained, knowledgeable team of employees to handle Product(s) and to perform the services to be performed by Pharmacy under this Agreement. The remainder of the terms of Section 10.2 shall NOT apply to the dispense of Otezla.

 

19.        With regards to the Term, set forth in Section 12.1, for the purposes of Otezla, this Addendum shall have an initial term ending on September 30, 2015.

 

20.        Schedule 1.8 of the Agreement is hereby supplemented with a new Schedule 1.8(a) , which is attached hereto and incorporated herein by reference.

 

21.        A new Otezla Requirements Document, attached hereto as Schedule 1.17(a)  and incorporated herein by reference, hereby supplements Schedule 1.17.

 

22.        Schedule 2.3, Sample Inventory Report of the Agreement shall NOT apply.

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

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23.        Schedule 5.1, Data Reports of the Agreement is hereby supplemented with a new Schedule 5.1.(a) , which is attached hereto and incorporated herein by reference.

 

24.        Schedule 6.1, Performance Metrics of the Agreement is hereby supplemented with a new Schedule 6.1(a) and 6.1(b) , which is attached hereto and incorporated herein by reference.

 

25.        A new Appendix A — Detailed Data Elements Requested in Pharmacy Report is hereby added to the Agreement and shall apply to the Otezla Product.

26.        A new Appendix B - Inventory File Layout is hereby added to the Agreement and shall apply to the Otezla Product.

27.        A new Appendix C — Patient Status Types and Associated Description is hereby added to the Agreement and shall apply to the Otezla Product.

28.        A new Appendix D — Data Format and Transfer Protocol is hereby added to the Agreement and shall apply to the Otezla Product.

 

29.     GENERAL . For the avoidance of doubt, the parties confirm: except as amended above, there are no other amendments to this Agreement; the amendments above, are in connection with the terms and conditions of this Agreement; and the amendments above and this Agreement, do not in any way amend or modify the original underlying PDSA.

 

IN WITNESS WHEREOF, the parties have executed and entered into this Agreement as of the Effective Date first above written.

 

CELGENE CORPORATION

 

DIPLOMAT PHARMACY, INC.

 

 

 

/s/ Kimberly Metcalf

 

 

 

 

 

Name:

Kimberly Metcalf

 

Name:

/s/ Gary W. Kadlec

 

 

 

Title:

US Head National &

Regional Accounts

 

Title:

President

 

 

 

 

Date:

3/25/14

 

Date:

3/19/2014

 

 

 

Approved by Legal

RHO

 

 

 

3/25/2014

 

 

Legal Dept.

 

 

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

Diplomat Specialty ADOPTION AND AMENDMENT (Otezla) 12.9.13 TLB rao

 

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SCHEDULE 1.8(a)

 

PHARMACY DISPENSING SITE LIST

 

Pharmacy Sites

 

Address

 

Phone  #

 

Fax #

 

DEA#

 

NABP#

 

Affiliation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4100 S.

 

810-230-
5045

 

 

 

FD0286244

 

2369797

 

 

Great Lakes

 

Saginaw

 

 

810-732-

 

 

 

 

 

 

Distribution Center

 

Street, Flint,

 

 

7021

 

 

 

 

 

 

 

 

MI 48507

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

810-732-
8720

 

 

 

AD6448446

 

2321052

 

 

 

 

G-3320

 

 

810-732-

 

 

 

 

 

 

Flint

 

Beecher

 

 

2580

 

 

 

 

 

 

 

 

Road

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

847-664-
8100

 

 

 

BD9628542

 

1478189

 

 

 

 

1370 Busch

 

 

847-664-

 

 

 

 

 

 

 

 

Pkwy

 

 

8101

 

 

 

 

 

 

Chicago

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

214 E.

 

616-356-
1800

 

616-356-

 

BD9076008

 

2366791

 

 

 

 

Fulton

 

 

6049

 

 

 

 

 

 

Grand Rapids

 

Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

500 SE 15 th

 

954-527-
0440

 

 

 

FD0417825

 

1093929

 

 

 

 

Street, Suite

 

 

954-527-

 

 

 

 

 

 

Florida

 

102

 

 

0940

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1809 Excise

 

909-881-
1728

 

 

 

FD1746835

 

0574764

 

 

 

 

Avenue

 

 

909-882-

 

 

 

 

 

 

 

 

Suite 205-

 

 

3621

 

 

 

 

 

 

California

 

208

 

 

 

 

 

 

 

 

 

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

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SCHEDULE 1.17(a)

 

REQUIREMENTS DOCUMENT

 

1.                                       BACKGROUND

 

1.1.                             OTEZLA ®

 

Upon anticipated approval, by the United States Food and Drug Administration (FDA) Otezla ®  will be for use in patients with active psoriatic arthritis.

 

Psoriatic Arthritis: The recommended starting dose of Otezla ®  is via a 7 day titration starting at l0mg, once daily on Day 1, and increasing by l0mg daily until taking 30mg twice daily thereafter. Treatment is continued or modified based upon clinical and laboratory findings.

 

2.                                       PHARMACY BUSINESS REQUIREMENTS

 

2.1                                Pharmacy Certification

 

Pharmacy must have executed a Pharmacy Distribution and Services Agreement ( “Agreement” ) with Celgene.

 

2.2                                Dispensing Requirements

 

A.                                     Upon receipt of an Otezla ®  prescription for the first time, Pharmacy must confirm the following:

1)              Customer received 14 day titration sample from Prescriber or titration prescription from Celgene designated Otezla ®  Patient Support Pharmacy.

·                   If the Customer did not receive the 14 day titration supply, then Pharmacy shall:

·                   Contact the Prescriber to obtain the following:

i                            14 day Titration prescription

ii.                     14 day Bridge prescription (in anticipation of commercial insurance reimbursement delays) for eligible Customers prescribed Product for an on-label indication (ICD-9 CM 696.0)

iii.                 Full prescription, if not already received

·                   Pharmacy shall then:

i.                         Forward Titration & Bridge Rx, if applicable, to Otezla Patient Support (OPS) Pharmacy within four (4) business hours of receipt from Prescriber

1.                      OPS Pharmacy is the only source for supplying Titration Rx and Bridge Rx, in absence of Prescriber providing Titration Rx

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

Diplomat Specialty ADOPTION AND AMENDMENT (Otezla) 12.9.13 TLB rao

 

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as a sample directly to Customer.

2.                      Bridge Rx is designed to assist Customers prescribed Product for an on-label indication with continuing treatment during commercial insurance delays.

ii.

 

Initiate benefits verification and prior authorization process

iii.

 

Secure Prior-Authorization

iv.

 

Initiate Dispense of Prescription

v.

 

Refer to OPS for Appeal Support

vi.

 

Schedule Delivery

vii.

 

Provide Counsel

viii.

 

Coordinate co-pay assistance through Celgene’s commercial co-pay program

ix.

 

Refer appropriate Customers to 501(c)(3) foundations for co-pay support

x.

 

Collect Payment

xi.

 

Enroll in Pharmacy specific adherence program

 

2)              Pharmacy shall coordinate efforts with OPS Pharmacy to assist Customer in continuing treatment via Bridge supply, where necessary.

 

B.                                     If the Customer did receive the 14 day titration supply from Prescriber, then Pharmacy shall:

1) Determine need and eligibility for Bridge product

·                   Contact the Prescriber to obtain the following:

i.

 

14 day Bridge prescription (in anticipation of commercial insurance reimbursement delays for eligible patients prescribed Product for an on-label indication)

ii.

 

30 day prescription, if not already received

·                   Pharmacy shall then:

i.

 

Initiate benefits verification and prior authorization process

ii.

 

If applicable, forward Bridge prescription to OPS Pharmacy within four (4) business hours of receipt, in anticipation of delays in commercial reimbursement approval

iii.

 

Coordinate efforts with OPS Pharmacy to assist Customer in continuing treatment via Bridge supply, where necessary

iv.

 

Secure Prior-Authorization

v.

 

Initiate Dispense of Prescription

vi.

 

Refer to OPS for Appeal Support

vii.

 

Schedule Delivery

viii.

 

Provide Counsel

ix.

 

Coordinate co-pay assistance through Celgene’s commercial co-pay Program

x.

 

Refer appropriate patients to 501(c)(3) foundations for co-pay support

xi.

 

Collect Payment

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

Diplomat Specialty ADOPTION AND AMENDMENT (Otezla) 12.9.13 TLB rao

 

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xii.

 

Enroll in Pharmacy specific adherence program

 

C.                                     For the avoidance of doubt, Pharmacy: (1) shall perform the Services in this Schedule 1.17 with respect to a Customer only after receiving a prescription for that Customer for Product; and (2) shall contact the Prescriber to obtain a 14 day titration and/or Bridge prescription, as necessary and forward any completed titration and/or Bridge prescription to OPS Pharmacy, only with respect to eligible Customers, as determined based on eligibility rules provided to Pharmacy by Celgene.

 

D.                                     Timeliness of Patient Services:

 

·                                           If Pharmacy cannot verify third party benefits or has determined that the patient is unable to pay for therapy, Pharmacy will refer patient to OPS within twenty four (24) hours from such determination.

 

·                                           If the Pharmacy cannot fill the prescription because it does not have a contract with a MCO (Managed Care Org.) or PBM (Pharmacy Benefit Manager), the Pharmacy will be required to send that prescription, within twenty four (24) hours to another Celgene contracted pharmacy for fulfillment, if known to have payor coverage. The twenty four (24) hour time period is measured from either the referral receipt or the determination that another network pharmacy has capacity to dispense.

 

·                                           Turn-around time from receipt to shipment or close of investigation for patients with no missing information should be no more than ten (10) business days.

 

2.3                                Shipping Requirements

 

To avoid delays in the start of therapy, Product must be provided to patients as follows:

 

·              Product must be shipped within twenty four (24) hours of obtaining insurance approval or picked-up within twenty four (24) hours of obtaining insurance approval. Product will be shipped to patient by their need by date. Ship date and receive date will be mutually agreed upon by patient and Pharmacy.

·              Use appropriate packing materials to protect the Product in transit.

 

·              Track each shipment to ensure on-time delivery.

 

·              Ship all packages Monday through Friday utilizing next calendar day delivery.

 

·              All shipments on Fridays may be shipped for either Saturday delivery or Monday delivery.

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

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2.4                                Communication Requirements

 

·                                           Physician and patient are notified of patient’s health benefits, cost sharing amount, and non-profit foundations (if needed) once benefits are determined.

·                                           For prolonged benefit investigations, prior authorizations, and medical exception cases — physician and patient shall be updated every forty eight (48) hours on status.

 

·                                           If patient requires reimbursement support (benefits, appeals, co-pay assistance), titration supply or bridge supply, Pharmacy shall refer the cases to OPS within twenty four (24) hours of status determination.

 

·                                           If patient cannot afford their out-of-pocket, Pharmacy shall initiate patient enrollment into Celgene’s Commercial Co-Pay program, refer patient to alternative funding sources, or refer to OPS.

 

·                                           Pharmacy shall refer all cases deemed as “No-Go” status (cannot be filled by the Pharmacy for any and all reasons) to OPS within twenty four (24) hours of “No-Go” status determination.

 

·                                           Pharmacy shall refer prescription transfers to the assigned or preferred pharmacy provider within twenty four (24) hours of determination of benefits, based on outcome of benefits verification and consistent with Customer pharmacy preference.

 

2.5                                Referrals to Otezla Patient Support ®

 

·                   Pharmacy will apply its reimbursement services of benefit verification, alternate funding, prior authorizations, invoicing, billing, and account/receivables management.

 

·                   The following may be reasons to refer a patient to Otezla Patient Support ® :

 

·                   Free Trial Offers

 

·                   Denial of Prior Authorizations;

 

·                   Inability to meet out of pocket responsibility;

 

·                   Investigation of potential co-pay assistance; or

 

·                   Uninsured or Underinsured patient.

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

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3.                                       FIGURE 2: WORKFLOW FOR DISPENSING OTEZLA ®

 

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

Diplomat Specialty ADOPTION AND AMENDMENT (Otezla) 12.9.13 TLB rao

 

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FIGURE 3: OTEZLA ®  PATIENT START FORM

 

DRAFT Pending Approval

Instructions for healthcare providers

 

To prescribe Otezla (apremilast tablets), please follow these steps:

 

1                  Have your patient read the Patient Consent Information and request that the patient sign the accompanying areas on the Start Form. Celgene takes your patient’s confidentiality very seriously. While patients are not required to sign the Start Form in order to receive Otezla, the patient must sign the form in order to participate in Celgene support services, such as the Patient Assistance programs and our Free Trial Offers.

 

2                  Complete the rest of the Start Form and copy both sides of the patient’s insurance card and pharmacy benefit card, if available.

 

3                  Once the Start Form is complete, give your patient the Instructions for Patients and Patient Consent Information pages. Then, please fax the Start Form to (855) 850-2955

 

Your patient will be contacted by a pharmacy in the Otezla Pharmacy Network to arrange for delivery of the prescription.

 

Please be sure to fill out all of the sections of the Start Form. Incomplete areas may delay the start of treatment.

 

 

If you have any questions or want to learn more about Otezla, please call 877-CELGENE (877-235-4363) or visit Otezla.com.

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

Diplomat Specialty ADOPTION AND AMENDMENT (Otezla) 12.9.13 TLB rao

 

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Instructions for patients

 

 

What happens now?

 

1                  Read the Patient Consent Information and sign as indicated in the shaded area of the Start Form if you would like to enroll in Celgene support services, such as the Patient Assistance programs and Free Trial Offers.

 

2                  Your doctor fills out the rest of the Start Form and faxes it to us or one of the specialty pharmacies in the Otezla Pharmacy Network.

 

 

What’s next?

 

·                   You’ll be contacted by one of the specialty pharmacies in the Otezla Pharmacy Network within 48 hours to confirm insurance coverage and delivery details

·                   Please note — this call might come from an unfamiliar phone number

·                   Your prescription can be shipped directly to your home

 

 

Help is here if you need it

 

With Otezla (apremilast tablets), you can take advantage of a collection of support services to help you receive Otezla as prescribed by your doctor:

 

·                   Insurance counseling and financial assistance programs. Visit Otezla.com for enrollment details.

·                   Expert guidance and advice from specially trained nurses 24 hours a day.

 

If you have any questions or want to learn more about Otezla, please call 877-CELGENE (877-235-4363) or visit Otezla.com.

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

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PATIENT CONSENT INFORMATION

 

I.                 HIPAA Authorization to Share Health Information

 

By signing this Authorization, I authorize my healthcare providers, my health insurance company, and my pharmacy providers to disclose to Celgene and companies working with Celgene (collectively, “Celgene”) health information relating to my medical condition, treatment, and insurance coverage to (1) provide me with Celgene-sponsored treatment support services, including online support, financial assistance services, co-pay assistance, reimbursement services, nurse services, and compliance and persistency services, as well as any information or materials related to such services or Celgene products, including promotional or educational communications, (2) provide me with information about, or ask me about my experience with or thoughts about, products, services, and programs that Celgene offers or sponsors, including treatment support services, and (3) allow Celgene to analyze the usage patterns and the effectiveness of Celgene products, services, and programs and help develop new products, services, and programs, and for other Celgene general business and administrative purposes.

 

I further authorize my health care providers, including my pharmacy providers, to use my health information to communicate with me by mail, e-mail, phone, fax or otherwise, about drugs that are currently being prescribed for me, including to remind me about refills of such drugs and adherence to my prescribed drug therapy. I understand that my health care providers, including my pharmacy providers, may receive remuneration from Celgene for using my health information to contact me with communications about Celgene products which have been prescribed to me and Celgene-sponsored services.

 

Once my health information has been disclosed to Celgene and/or such other individuals, I understand that federal privacy laws may no longer protect the information. However, I understand that Celgene and other companies authorized to receive my health information pursuant to this Authorization agree to protect my health information by using and disclosing it only for purposes authorized in this Authorization or as required by law or regulations.

 

I understand that I may refuse to sign this Authorization, but that if I do I will

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

Diplomat Specialty ADOPTION AND AMENDMENT (Otezla) 12.9.13 TLB rao

 

Page 15 of 31



 

 

be unable to participate in Celgene support services, such as the Patient Assistance programs (see Otezla.com for eligibility guidelines) and Free Trial Offers.

 

I further understand that my treatment (including with a Celgene product), insurance enrollment, and eligibility for insurance benefits are not conditioned upon my signing this Authorization.

 

I may cancel this Authorization at any time by mailing a letter to Celgene at 9801 Washingtonian Blvd, Gaithersburg, Maryland 20878 or by sending an e-mail to privacy@celgene.com. I understand that if I revoke this authorization, it will not have any effect on the use of my information by the parties referenced herein before Celgene received the revocation. This Authorization expires ten [10] years from the day I sign it as indicated by the date next to my signature unless otherwise earlier canceled as set forth above. I understand that I may receive a copy of this Authorization.

 

I have read and understand the HIPAA Authorization to Share Health Information and agree to the terms.

 

 

 

 

 

Signature of patient or patient representative

 

Date

 

 

If signed by patient representative, please explain authority to act on behalf of patient.

 

 

Please see last page and full Prescribing Information and Patient Information for important safety information. This file is an electronic PDF from Otezla.com.

 

Diplomat Specialty ADOPTION AND AMENDMENT (Otezla) 12.9.13 TLB rao

 

Page 16 of 31


[LOGO] START ORM Phone: 1-877-235-4363 ax: 1-855-850-2955 Patient In ormation  Male  emale Insurance Bene it In ormation Attach copies o both sides o patient’s medical and pharmacy bene it card(s). irst name Last name Primary Insurance Policy # Address Group # Insurance company phone City State Zip Policy holder irst name Policy holder last name Date o birth Email address  Check i patient has no insurance  Pre erred number  Check i patient has secondary insurance Home phone  OK to leave message  Pre erred number  OK to leave message Patient pre erred specialty pharmacy Cell phone/Designee phone Best time to reach me:  Morning  A ternoon  Evening THE OLLOWING IN ORMATION SHOULD BE ILLED OUT BY YOUR HEALTHCARE PROVIDER Prescription or Otezla Statement o medical necessity  Otezla Rx Primary diagnosis: 30mg PO BID x30 days Re ills  ICD-9 CM 696.0 Special instructions: Prior therapy: Date titration sample provided to patient / / Current or most recent therapy Dates / duration  Bridge Rx – 14 days* 30mg PO BID x14 days 28 tablets 4 Re ills  No prior disease modi ying therapies * Bridge Rx is at no cost, or commercially insured patients only, and not contingent on purchase requirements o any kind. Prescriber in ormation Enrollees in Medicare, Medicaid, and other ederal and state programs, as well as Minnesota and Massachusetts residents, are not eligible. Intended to promote patient access to prescribed therapy i there is a delay in determining whether commercial irst name Last name prescription coverage is available.  Titration Rx – 14 days** Address Take as Directed x14 days 27 tablets 0 Re ills “Titration Rx is only or patients who did not receive a sample during their o ice visit, optional, at no cost. I authorize Celgene to orward this prescription to the Celgene City State Zip designated pharmacy in order to dispense Otezla Titration Rx and/or Bridge Rx product ( or eligible patients prescribed Otezla or on-label indications) directly to the above named patient. Otezla Patient Support Services will noti y the patient via telephone prior to each ree O er Phone ax shipment. It is not necessary to check the Otezla Rx box above or patient to receive ree O ers. Please see last page and ull Prescribing In ormation and Patient In ormation or important sa ety in ormation. This ile is an electronic PD rom Otezla.com. Diplomat Specialty ADOPTION AND AMENDMENT (Otezla) 12.9.13 TLB rao

 


[LOGO] Page 17 o 31 OtezlaÒ apremilast tablets NPI # Tax ID # Clinical/Hospital a iliation O ice contact name Best time to contact:  Morning  A ternoon Please see last page and ull Prescribing In ormation and Patient In ormation or important sa ety in ormation. This ile is an electronic PD rom Otezla.com. Diplomat Specialty ADOPTION AND AMENDMENT (Otezla) 12.9.13 TLB rao

 

 

 

Prescriber authorization*

 

I certify that I have prescribed Otezla based on my professional judgment of medical necessity and that I will supervise the patient’s medical treatment. I authorize Celgene as my designated agent and on behalf of my patient to (1) forward the above statement of medical necessity and furnish any information on this form to the insurer of the above-named patient and (2) forward the above prescription, by fax or other mode of delivery, to the pharmacy chosen by the above-named patient.

 

 

 

 

 

Prescriber signature (Dispense as Written)

 

Date

 

 

Signature stamps not acceptable.

 


*lf required by applicable law, please attach copies of all prescriptions on official state prescription forms

 

Page 19 of 31



 

SCHEDULE 5.1(a)

 

DATA REPORTS

 

General:

 

Celgene is requesting Pharmacy to provide transaction level data with Physician-Prescription-Patient-Status information in the form of electronic feed. The data feed will contain the information on patients currently serviced by the Pharmacy for Celgene internal business purposes.

 

Dimension

 

Specification

Data Format

 

ASCII Text File, containing 1 data record per prescription (Rx)/status and each data record containing PIPE Delimited (“|”) data fields/elements

Data Frequency

 

Weekly

Data Granularity

 

Transaction level data with Physician-Prescription-Patient-Status details. If the patient status changes multiple times in a week, all the transactions are recorded in the data feed.

 

Example for one patient —

 

i) Line 1: Jan l, Status — Pending , Physician A, Patient B

 

ii) Line 2: Jan 1, Status — Shipped , Physician A, Patient B

Summary of Data Fields/Elements

 

· Physician profile (Name, address and identifiers DEA/NPI)

 

· Rx number, Rx fill number, product dispensed, dispensed date

 

· Patient status (Pending/ Denied/ Shipped/ Discontinued/Referred)

 

· HIPAA compliant de-identified patient details

 

·                   All Data shall be provided via electronic transmission as Pipe Delimited Text Files. The number of delimiters must be consistent and ordered properly as required by the data specifications, which will be provided by Celgene (the “Data Specifications”), and data fields must be populated in the proper format, as required by the Data Specifications.

 

·                    Each Report shall be delivered within five (5) business days after the end of the applicable reporting period — for example, five (5) business days after the end of the reporting week or month as applicable (the “Due Date”).

 

·                   The “Due Date” for the first Report shall be five (5) business days after the product is launched by Celgene.

 

Page 20 of 31



 

Reports:

 

1.               Report 1: Product Referral Report. This data shall include weekly reporting of data fields listed in Appendix A as “Mandatory” or “Where Available” under the column “ Requirement (Status File)”.

 

2.               Report 2: Product Shipment Report. This data shall include weekly reporting of data fields listed in Appendix A as “Mandatory” or “Where Available” under the column “ Requirement (Shipment File)”.

 

3.               Report 3: Inventory Data Report. This data shall include monthly inventory levels described in Appendix B .

 

Data Format and Transfer Protocol:

 

Refer to Appendix D for the data format and file transfer protocol to be followed for each data delivery.

 

Page 21 of 31



 

SCHEDULE 6.1(a)

 

SERVICE FEES

 

Otezla

 

1.               Initial Dispensing Services Fee: [*] Per Initial Prescription Dispensed

 

·                   Celgene will pay Pharmacy [*] per initial prescription of Product dispensed for performing the services specified in Section 2 of Schedule 1.17, other than those services listed identified for other separate payment under this Schedule 6.1.

·                   The parties agree that all of the services compensated under this Initial Dispensing Services Fees are either: (1) incremental to those normally performed by Pharmacy without compensation; or (2) require Pharmacy to incur incremental costs to perform routine services in an expedited manner.

·                   Payment of the Initial Dispensing Services Fee is payable only once per patient, and only for the first prescription of Product filled for that patient.

·                   Pharmacy agrees to perform these services promptly after receiving the patient’s initial prescription and authorization forms. Accordingly, Pharmacy will not be entitled to the Initial Dispensing Services Fee for any prescription that Pharmacy ships more than ten (10) days after receiving the initial prescription from the Prescriber.

·                   If Pharmacy has not received a signed the HIPAA Authorization to Share Health Information, Pharmacy will attempt to obtain such signed authorization; if Pharmacy cannot obtain such signed authorization, Pharmacy will perform the services described herein to the extent permitted by HIPAA.

 

2.     Titration Rx and Bridge Rx Coordination Fee: [*] Per Unique Patient Serviced

 

·                   Within one (1) business day of Pharmacy’s receipt of a patient’s initial prescription and enrollment form for a patient’s first commercial Rx, make “live” outbound call by Pharmacist or Pharmacy Technician to patient to provide a detailed “Welcome to Therapy” message with clinical discussion regarding what to expect on therapy, including dosing schedule and side effects. Pharmacy will use its clinical judgment in answering patient questions about the medication and side effect management, and will encourage patients to follow up with their Prescribers as appropriate. Pharmacy shall disclose during the Welcome to Therapy call that Celgene has paid for the call and explain optional enrollment into Celgene’s support and concierge services for co-pay assistance, and adherence.

·                   Coordinate Bridge Rx fulfillment with physician to eligible patients prescribed Product for an on-label indication, as needed, consistent with Schedule 1.17, Section 2.2 (Dispensing Requirements).

·                   Coordinate Titration Rx fulfillment with physician, as needed, consistent with Schedule 1.17, Section 2.2 (Dispensing Requirements).

·                   In no event shall Titration Rx and Bridge Rx Coordination services be performed for a patient who has not signed the HIPAA Authorization to Share Health Information, or who has opted out of receiving such services.

·                   Pharmacy will make “Welcome to Therapy” calls only for patients prescribed Product for on-label indications.

 


* Information redacted pursuant to a confidential treatment request by Diplomat Pharmacy, Inc. under 5 U.S.C. §552(b)(4) and Rule 406 under the Securities Act of 1933 and submitted separately with the Securities and Exchange Commission.

 

Page 22 of 31



 

3.               Enhanced Adherence Program Enrollment Fee: [*] Per Unique Patient Per Completed Call

 

·                   LPN shall make “live” outbound check-in calls to patients for all commercial dispenses

·                   Pharmacy shall call at Day 10 post ship date for each commercial dispense. Pharmacy will make no more than two (2) attempts to reach a patient for this call.

·                   Counsel re: disease and treatment, side effect management, assess compliance and provide educational materials (as required)

·                   During each adherence call compensated under this Agreement, Pharmacy shall disclose that Celgene has paid for the call.

·                   In no event shall Enhanced Adherence Program services be performed for a patient who has not signed the HIPAA Authorization to Share Health Information, or who has opted out of receiving such services.

·                   Pharmacy will make check-in calls only for patients prescribed Product for on-label indications.

·                   Pharmacy shall not receive payment for calls in which the patient could not be reached.

 

4.               Data Fee: [*] per quarter

 

·                   Pharmacy will provide the data described in Appendices A and B provided the provision of such data is HIPAA compliant (the “Data”) in the format described in Schedule 5.1 and Appendices C-D. Celgene will pay Pharmacy [*] per quarter for this Data (the “Data Fee”).

·                   Pharmacy agrees to provide complete Data in a timely and accurate manner. Accordingly, Celgene will reduce the Data Fee as set forth in Schedule 6.1(b) for incomplete, inaccurate, or late Data.

·                   In no event shall Pharmacy provide any Data element if the provision of such Data element is prohibited by patient confidentiality or other applicable laws. Pharmacy withholding a Data element for this reason shall not count as a failure to provide timely and complete Data under Schedule 6.1(a).

 

5.               Program Development Fee: [*]

 

·                   Development of data/testing

·                   Staffing and Training

·                   Implementation of Program Rules/Project Plan

·                   Physical Properties

 


* Information redacted pursuant to a confidential treatment request by Diplomat Pharmacy, Inc. under 5 U.S.C. §552(b)(4) and Rule 406 under the Securities Act of 1933 and submitted separately with the Securities and Exchange Commission.

 

Page 23 of 31



 

SCHEDULE 6.1 (b)

COMPLETENESS AND TIMELINESS OF REPORTS

 

Completeness of Reports:

 

·                    One hundred percent (100%) of the Mandatory Data fields (as indicated on Appendix A hereto) must be complete and properly-formatted in order for Pharmacy to be eligible for full payment of the Data Fee set forth above.

 

·                    At least ninety-five percent (95%) of the other (non-Mandatory Data) fields in each Report must be complete and properly-formatted in order for Pharmacy to be eligible for full payment of the Data Fee set forth above.

 

·                    In the event that Pharmacy delivers a Report timely which provides less than one hundred percent (100%) of the Mandatory Data fields and/or less than ninety-five percent (95%) of the non-Mandatory Data fields, then Celgene shall notify Pharmacy of the missing information, after which Pharmacy shall have an additional five (5) business days to provide the missing information and still receive full payment of the Data Fee, as set forth above without the Report being deemed late. If such missing information is not provided within five (5) business days, then the Report(s) will be deemed late and Data Fees due to Pharmacy will be subject to the reductions listed below.

 

Timing of Reports:

 

Pharmacy acknowledges that the timeliness of the Data is of the essence for Celgene and that the value of the data to Celgene is reduced if the Data is late. Accordingly, Data Fee (Reporting) set forth in Schedule 6.1(a)  will be reduced if Data is provided after the Due Date.

 

·                   Data provided 1-10 calendar days late: deduction in Data Fees of twenty percent (20%)

·                   Data provided 11-20 calendar days late: deduction in Data Fees of thirty percent (30%)

·                   Data provided 21-30 calendar days late: deduction in Data Fees of fifty percent (50%)

·                   Data provided more than 31 calendar days late: no Data Fees due and ongoing participation in Otezla ®  distribution network will be at risk.

 

Page 24 of 31


 

Appendix A: Detailed Data Elements Requested in the Pharmacy Report

 

 

 

 

 

 

 

 

 

 

 

 

 

Requirement

 

 

 

 

Element

 

 

 

 

 

Requirement

 

(Shipment

#

 

Category

 

Name

 

Description

 

Data type

 

(Status File)

 

File)

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

Data management

 

Unique record ID

 

Unique transaction ID generated by specialty pharmacy. It will be mandatory while reporting a restatement that the same unique record ID be used as the original record. YYYYMMDD part of the record ID should represent the date when the record was first time created

 

Text (SPNAME_YYYYM MDD_RECORD NUMBER)

 

Mandatory

 

Mandatory

2

 

Data management

 

Restatement flag

 

This field is normally left BLANK. It is only set to Y, if the data record being sent is a restatement of information that was sent in a previous feed

 

Text (Blank of Y)

 

Mandatory

 

Mandatory

3

 

Patient

 

Status type

 

Patient status type (Active/Pending/Discontinued

 

Text

 

Mandatory

 

Not Applicable

4

 

Patient

 

Status reason

 

appendix C for sample status reasons)Active/Pending/ Discontinued

 

Text

 

Mandatory

 

Not Applicable

5

 

Patient

 

SP unique patient ID

 

Unique patient ID at the SP

 

Alphanumeric

 

Mandatory

 

Mandatory

6

 

Patient

 

Patient consent flag

 

Set to Y/N based on the consent obtained from the patient

 

Text

 

Where available

 

Where available

7

 

Patient

 

Birth year

 

Health Insurance Portability and Accountability Act (HIPAA) compliant patient birth year

 

Numeric

 

Mandatory

 

Mandatory

8

 

Patient

 

Gender

 

Patient Gender (F—Female, M—Male, U—Unknown)

 

Text

 

Mandatory

 

Mandatory

9

 

Patient

 

Zip

 

De-identified patient zip (3 digit)

 

Numeric

 

Mandatory

 

Mandatory

10

 

Patient

 

HUB Unique patient ID

 

Unique Patient ID at the HUB (OPS)

 

Alphanumeric

 

Where available

 

Where available

11

 

Physician

 

Physician DEA

 

DEA number for the physician. If multiple DEA’s please provide Primary DEA (Drug Enforcement Administration License number)

 

Alphanumeric

 

Where available

 

Where available

12

 

Physician

 

Physician NPI

 

NPI identifier for the physician

 

Alphanumeric

 

Where Available

 

Where available

13

 

Physician

 

First name

 

Physician first name

 

Text

 

Mandatory

 

Mandatory

14

 

Physician

 

Last name

 

Physician last name

 

Text

 

Mandatory

 

Mandatory

15

 

Physician

 

Address1

 

Physician street address line1

 

Alphanumeric

 

Mandatory

 

Mandatory

 

Page 25 of 31



 

 

 

 

 

 

 

 

 

 

 

 

 

Requirement

 

 

 

 

Element

 

 

 

 

 

Requirement

 

(Shipment

#

 

Category

 

Name

 

Description

 

Data type

 

(Status File)

 

File)

 

 

 

 

 

 

 

 

 

 

 

 

 

16

 

Physician

 

Address2

 

Physician street address line 2

 

Alphanumeric

 

Where available

 

Where available

17

 

Physician

 

City

 

Physician city

 

Text

 

Mandatory

 

Mandatory

18

 

Physician

 

State

 

Physician state (2 letter abbreviation)

 

Text

 

Mandatory

 

Mandatory

19

 

Physician

 

Zip

 

Physician zip (5 digit)

 

Numeric

 

Mandatory

 

Mandatory

20

 

Rx

 

Date Rx received

 

Date the Rx was received by the specialty pharmacy. (Referral date)

 

YYYYMMDD

 

Mandatory

 

Mandatory

21

 

Rx

 

Rx fill/ status update date

 

Date the Rx was filled or status was updated

 

YYYYMMDD

 

Mandatory

 

Mandatory

22

 

Rx

 

Rx Ship date

 

Date the Rx was shipped

 

YYYYMMDD

 

Mandatory

 

Mandatory

23

 

Rx

 

Rx number

 

De-identified Prescription number

 

Numeric

 

Mandatory

 

Mandatory

24

 

Rx

 

Dose prescribed

 

Dosage prescribed by physician

 

Text

 

Mandatory

 

Mandatory

25

 

Rx

 

Dose frequency

 

Number of dosage prescribed per day

 

Text

 

Mandatory

 

Mandatory

26

 

Rx

 

Product item code (NDC code)

 

Identifier to track which item was shipped. Product National Drug Code (NDC) in 11 Digit 5-4-2 format e.g. 99999-9999-99

 

Numeric

 

Mandatory

 

Mandatory

27

 

Rx

 

Rx label information

 

Directions for taking the medication

List of sample values — Direction codes to be provided by Celgene: QD: Every Day, BID: Twice a day, TID: Three times a day, QID: Four times a day and QOD: Every other day

 

Text

 

Mandatory

 

Mandatory

28

 

Rx

 

Days supplied

 

Number of days of medication supplied based on SIG

 

Numeric

 

Not applicable

 

Mandatory

29

 

Rx

 

Quantity shipped

 

Number of units of drug shipped

 

Numeric

 

Not applicable

 

Mandatory

30

 

Rx

 

Refill number

 

Cumulative fill for therapy; 0 indicates first fill, then 1, 2, etc.

 

Numeric

 

Not applicable

 

Mandatory

31

 

Rx

 

ICD-9/10 Codes

 

Indicates primary diagnosis of patient (Disease Classification code)

 

Text

 

Mandatory

 

Mandatory

32

 

Performance Metric 1

 

Welcome to Therapy Call

 

Indicates if the Pharmacy has conducted “live” call with patient within 4 hours of first Rx receipt

 

Text (Y/N)

 

Not applicable

 

Mandatory

33

 

Performance Metric 2

 

Enhanced Adherence Program Enrollment

 

Indicates if the Pharmacy has enrolled patient into program and conducted the “live” call

 

Text (Y/N)

 

Not applicable

 

Mandatory

34

 

Patient support

 

Patient out-of- pocket financial support

 

Indicates if the Pharmacy has secured patient out-of- pocket financial support approval via commercial co- pay program or foundations

 

Text (Y/N)

 

Not applicable

 

Mandatory

 

Page 26 of 31



 

Appendix B: Inventory File Layout

 

#

 

Element Name

 

Description

 

Data type

1

 

Pharmacy name

 

Name of Pharmacy

 

Text

2

 

Pharmacy location name

 

Name of Location of the Pharmacy

 

Text

3

 

Location DEA number

 

DEA # associated with the Pharmacy

 

Text

4

 

Location NPI number

 

NPI # associated with the Pharmacy

 

Text

5

 

Inventory date

 

Inventory date (YYYYMMDD) format

 

Date

6

 

NDC

 

11 Digit 5-4-2 Format e.g. 99999-9999-99

 

Text

7

 

Quantity Received

 

Quantity of Product received in current inventory period (Month)

 

Numeric(1)

8

 

Quantity Returned

 

Quantity of Product returned to Celgene in accordance with Celgene’s Return Goods Policy

 

Numeric(2)

9

 

Quantity dispensed

 

Total quantity dispensed to Customers

 

Numeric

10

 

Quantity on hand

 

Total quantity on hand

 

Numeric

 


(1) To be provided by Pharmacy manually until Pharmacy system has automated the information.

(2) To be provided by Pharmacy manually until Pharmacy system has automated the information.

 

Page 27 of 31



 

Appendix C: Patient Status Types and Associated Description

 

Following is a description of each patient status type and the associated description. The descriptions listed below are a few samples and Pharmacy will need to provide an initial file capturing all the status types and their associated descriptions during the test phase. Subsequent additional descriptions could be shared directly in the weekly files during the operations phase.

 

1.      PENDING — Status assigned to a patient who has been assigned to the Pharmacy but product has not yet been shipped to the patient.

 

2.      ACTIVE— Status assigned to a patient for whom product has been shipped and is actively receiving product.

 

3.      PENDING— Status assigned to a patient whose insurance has denied coverage.

 

4.      DISCONTINUED — Status assigned to a patient with a shipped product from Pharmacy but has since been discontinued.

 

5.      DISCONTINUED— Status assigned to a patient for whom pharmacy was unable to provide assistance and patient was therefore referred to another source for assistance.

 

Pending Descriptions

 

New referral

 

Pending benefits investigation

 

Prior authorization approved

 

Unable to contact patient

 

Pending patient decision

 

Pending physician decision

 

Other

 

 

Page 28 of 31



 

Denied Descriptions

 

Product not covered by insurance plan

 

Other

 

 

Discontinued Descriptions

 

Deceased

 

Patient’s choice, other

 

Physician choice

 

Other

 

 

Shipped Descriptions

 

Shipped

 

 

Referred Descriptions

 

SP unable to service and patient is triaged to another SP

 

SP unable to service and redirected to OPS

 

Patient/Family choice, financial/co-pay too high

 

Unable to contact physician

 

Unable to contact patient

 

No insurance/insurance terminated

 

Other

 

 

Page 29 of 31


 

Appendix D: Data Format and Transfer Protocol

 

Data File Dimensions and Specifications

 

The table below outlines the characteristics of the data specifications (Appendix A and B) from the following context

 

 

Frequency

 

 

Weekly data feed delivered by end of business day Monday every week

 

 

 

Format

 

 

PIPE delimited, with one patient record per row. Data elements in the file should not contain embedded CR or LF fields as this will cause errors in the record layout and processing at the receiving system end.

 

Each record line will end with CR-LF. Empty files (zero byte) will be sent in the event when there is no data to report.

 

Files are expected to contain a HEADER record detailing the data element names in the first row.

 

 

 

Specialty pharmacy identifier

 

 

This is a mandatory data element. It will be in the format ‘SP xx ’.

 

This is the identifier assigned to the Pharmacy by Celgene and is used to uniquely identify the source of the data records. xx is a 2 digit number.

Examples of valid Pharmacy ID are SP01, SP02 etc.

 

 

 

File name convention

 

 

Weekly _ Otezla _SPxx_YYYYMMDDhhmmss . txt

 

Weekly _ lnventory _ Otezla _SPxx_YYYYMMDDhhmmss . txt

 

Note:

YYYYMMDDhhmmss refers to the Year, Month, Date, hour, minutes, seconds timestamp

 

xx is a 2 digit number assigned by Celgene

 

If separate status and shipment files are provided then the following naming convention should be used:

 

Weekly_Status_Otezla SPxx_YYYYMMDDhhmmss .txt Weekly _ Shipment _ Otezla _SPxx_YYYYMMDDhhmmss . txt

 

Example:

 

Page 30 of 31



 

 

 

Weekly_ Otezla _SP01_ 20111122124056.txt

 

 

 

Data file encryption

 

 

Data file transmitted to Third Party Data Provider is already encrypted via Secure FTP. Third Party Data Provider recommends the use of pgp encryption software, for Pharmacy if it requires additional encryption.

 

The encrypted file provided would have an extension of . enc .

 

The Pharmacy will need to provide Third Party Data Provider with their public certificate, in order for Third Party Data Provider to decrypt their data files

 

 

Data Transfer Protocol

 

 

Delivery destination

 

 

Pharmacy will deliver the data feed files to Third Party Data Provider’s FTP server

 

 

 

 

 

Server:

 

 

via HTTPS: https://ftp2.zsassociates.com

 

 

 

 

 

Folder structure

 

 

/inbox Inbox for sending files to Third Party Data Provider

 

 

 

 

Protocol

 

 

Secure FTP (FTP over ssh)

 

 

 

 

 

Note:

 

 

http://en.wikipedia.org/wiki/SSH_file_transfer_protocol

 

Page 31 of 31




Exhibit 10.9.1

 

Acct#

 

 

Region:

 

 

DC(s):

 

 

PRIME VENDOR AGREEMENT

 

This Prime Vendor Agreement (“Agreement”) is made as of January 1, 2012 (“Effective Date”) by AmerisourceBergen Drug Corporation, a Delaware corporation (“ABDC”) on the one hand, and Diplomat Pharmacy, Inc., a Michigan corporation (“ Diplomat ”) for itself and on behalf of the following limited liability companies of which Diplomat is the sole member: Diplomat Specialty Pharmacy of Flint, LLC, Navigator Health Services, LLC, Diplomat Health Services, LLC, Diplomat Specialty Pharmacy of Grand Rapids, LLC, Diplomat Specialty Pharmacy of Chicago, LLC, Diplomat Specialty Pharmacy of Ft. Lauderdale, LLC, Diplomat Specialty Pharmacy of Swartz Creek, LLC and Diplomat Specialty Pharmacy of Southern California, LLC (Diplomat and such limited liability companies being referred to herein collectively as “ Customer ”) on the other hand.

 

A.                                     ABDC is a national distributor of pharmaceutical and other products, including prescription (“Rx”) and over-the-counter (“OTC”) pharmaceuticals, nutritional, health and beauty care (“HBC”) and home health care (“DME”) products (collectively, “Products”), and services (“Services”);

 

B.                                     Customer owns and operates one or more Facilities (as defined in Section 3); and

 

C.                                     The parties agree to the following obligations to each other for an arrangement under which ABDC will provide Products and Services to Customer (“Program”).

 

D.                                     ABDC and Diplomat recognize that they are parties to a certain Prime Vendor Agreement dated November 1, 2006, as amended (“Prior PVA”). Upon execution of this Agreement, the Prior PVA will automatically and concurrently terminate.

 

1.                                       PRICING AND PAYMENT TERMS ABDC will be the Primary Vendor of all requirements of Customer’s Facilities for Products. Customer will pay, within terms, Product costs and Program fees pursuant to payment terms in Exhibit “1” (“Pricing/Payment Terms”). “Primary Vendor” means Customer purchases from ABDC no less than 95% of all brand Rx Products it purchases, as verified quarterly, and meets minimum periodic purchase levels in Pricing/Payment Terms Paragraph 3(A). If Product is not available from ABDC, or if Customer is required contractually to buy direct from manufacturer, Customer may purchase such Product outside of ABDC with such purchases excluded from the 95% requirement. Orders for Products, including controlled substances, will be electronically transmitted (CSOS for Schedule lls; Customer will endeavor to transition remaining low-volume locations to CSOS ordering by December 31, 2012) and will describe Products that ABDC will provide to Customer, the quantity and designated delivery location. Payment must be by automated clearinghouse electronic funds transfer (ACH/EFT) with either ABDC initiating the transaction or Customer initiating the transaction (so long as ABDC receives the amount owed in readily available funds on or before the due date).

 

2.                                       FILL RATES

 

For Rx Products, ABDC will meet an adjusted fill rate service level of 97% each calendar month. Should ABDC fail to meet its adjusted fill rate service level for two (2) consecutive months and such failure to meet the adjusted fill rate service level is not due to Force Majeure events (as defined in Paragraph 9.1 of Exhibit 3), ABDC will credit to Customer the following penalty:

 

 

 

97 - 96%

=

[*]%

 

 

95.9 - 95%

=

[*]%

 

 

< 95%

=

[*]%

 

on the Net Purchases for which the rolling average falls below such level. This credit shall only be available if Customer complies with the payment and other terms of this Agreement and continues to use ABDC as its Primary Vendor. The fill rate will be adjusted to reflect unavailable Product (manufacturer’s backorders or Product otherwise unavailable without fault by ABDC, including common carrier delays), partial ships (50% or more), repeat orders within 72 hours, Products not ordered by Customer during the prior sixty (60) days, if Customer’s usage exceeds its estimates by

 

Diplomat PVA December 2011

 


* Information redacted pursuant to a confidential treatment request by Diplomat Pharmacy, Inc. under 5 U.S.C. §552(b)(4) and Rule 406 under the Securities Act of 1933 and submitted separately with the Securities and Exchange Commission.

 

1



 

more than 120%, and Force Majeure events. ABDC’s computerized reports will be used to determine the actual level achieved. Customer will provide its best usage estimates on Products at least 30 days prior to its first order of a Product (both new Products and Products that have not been ordered during the prior 30 days) so that ABDC can maintain its service level commitment. Products must be purchased once per month to remain on the list of Products for which the service level commitment applies. Any Product not ordered in a given month can be reinstated on such list when Customer notifies ABDC that it is resuming the ordering of such Product on a monthly basis.

 

3.                                       GENERICS PROGRAM PARTICIPATION

 

(A)                                Customer must participate in ABDC’s “PRxO® Generics” preferred generic formulary program pursuant to requirements as amended from time to time by ABDC. Customer authorizes ABDC as its agent solely to develop and implement a generic Rx Product list for the Term. Under the PRxO Generics, ABDC will maintain a PRxO Generics formulary of commonly used Generic Rx, other than generic injectables, which ABDC may amend or supplement from time-to-time. Customer agrees (i) to purchase from ABDC no less than 98% of its purchases of all Generic Rx, other than generic injectables, from the PRxO Generics formulary, and (ii) that the Generic Rx included in the PRxO Generics formulary applicable to Customer shall be primary over Generic Rx of any group purchasing organization, regardless of the availability of equivalent Generic Rx from any group purchasing organization. Calculations are quarterly, with no carryover from one quarter to the next. Customer’s PRxO Generics purchases will be treated as Special Priced Products.

 

(B)                                Customer agrees that all of its Facilities will participate in ABDC’s auto-substitution feature (“ACAP”) pursuant to which purchases will be automatically directed to the single, preferred, competitively-priced generic Rx within the formulary in lieu of other Rx Products.

 

4.                                       CUSTOMER LOCATIONS & DELIVERIES

 

ABDC will deliver Products to each Facilityfive days a week (Monday - Friday), once a day except holidays and warehouse physical inventory days. Additionally, Customer will be entitled to one emergency delivery per calendar quarter at no additional charge. Customer may be charged for each additional emergency order. “Facility” means each of Customer’s pharmacies, together with any other pharmacies Customer acquires, is affiliated with or operates during the Term in the United States. Newly acquired pharmacies with existing agreements with other distributors will become Facilities under this Agreement upon the earlier of expiration of such existing agreement or the date Customer may terminate such agreement, with or without cause, without breaching it or paying a material termination penalty. Service to Facilities outside ABDC’s normal service area may be subject to a delivery surcharge. Customer shall cause each Facility to satisfy each obligation imposed on a Facility hereunder and to refrain from taking any action in contravention of such obligations and Customer shall be liable for any breach of this Agreement by any individual Facility when the context of this Agreement suggests that a particular obligation is Facility specific.

 

5.                                       RETURNED GOODS POLICY

 

In returning Product to ABDC, Customer will comply with ABDC’s standard policy (“Returned Goods Policy”), as amended from time to time by ABDC with the following exceptions: (a) Saleable Product returned within 180 days will be accepted without a fee provided it has 9 months dating remaining, (b) Product returned after 180 days will be subject to a 20% fee if it is salable or 30% if is is unsalable, and (c) Customer must call the servicing distribution center within 30 days of Product receipt in the event Customer wishes to return damaged Product. If Customer returns more than 3% of its Rx Net Purchases (defined as Customer’s total purchases from ABDC less returns, credits, rebates, Price of Goods adjustments, late payment fees and similar items) or 3% of its non-Rx Net Purchases in any month, ABDC may assess Customer an additional restocking fee, adjust its Price of Goods, or both. Customer may only return Product purchased from ABDC and for which Customer provides the invoice number and purchase date. ABDC may reject returns that do not have an invoice number or purchase date or that exceed in amount either 3% return limit or the

 

Diplomat PVA December 2011

 

2



 

amount on the referenced invoice. ABDC may refuse all future returns from Customer if Customer submits any counterfeit Product for return.

 

6.                                       ADDITIONAL SERVICES & PROVISIONS.

 

Services as of the Effective Date are listed in Exhibit “2” . Terms, conditions and other provisions are set forth in Exhibit “3” (“Provisions”).

 

7.                                       TERM OF AGREEMENT

 

Subject to Provisions Paragraph 5, the term will be from the Effective Date until December 31, 2016 (“Initial Term”) and may be extended, upon the mutual written consent of both parties, for two (2) additional (1) year periods (each a “Renewal Term”). Upon the expiration of the Initial Term, if applicable, or Renewal Term, the Agreement will extend on a month-to-month basis until either party gives 90 days’ prior written notice to the other of its intention to have this Agreement terminate.

 

8.                                       RECORDS

 

To the extent required by 42 U.S.C. §1395x(v)(1), until four years after the Term, upon written request ABDC will make available to the U.S. Department of Health & Human Services Secretary, the Comptroller General, or their authorized representatives, a copy of this Agreement and all records required to certify the nature and extent of pricing for Products and Services from ABDC under this Agreement. ABDC will ensure, to the extent it carries out its duties through a subcontract with a value or cost of $10,000 or more in a 12 month period with a related organization, such subcontract will contain similar provisions. Notwithstanding the foregoing, ABDC has no duty to make public attorney-client privileged documents.

 

9.                                       NOTICES

 

Notices must be in writing and sent certified mail, prepaid, return receipt requested, or sent by facsimile to the address or facsimile number below. Parties may change this information by written notice to the other party. Pursuant to the Telephone Consumer Protection Act of 1991, 47 U.S.C. §227, Customer consents to receiving notices, including product updates, recalls, new product launches and programs, advertisements and other marketing materials by telephone facsimile (“fax”) machine from ABDC, its affiliates and their related companies, to its fax numbers.

 

To Customer

Diplomat Pharmacy, Inc.

(for all entities):

4100 S. Saginaw Street

 

Flint, Ml 48507

 

Attn: General Counsel

 

 

With a copy to:

Diplomat Pharmacy, inc.

 

4100 S.Saginaw Street

 

Flint, Michigan 48507

 

Attention: Sean Whelan

 

 

To ABDC:

AmerisourceBergen Drug Corporation

 

1300 Morris Drive

 

Chesterbrook, PA 19087-5594

 

Attn: Senior Vice President, Alternate Care

 

Fax: 610-727-3601

with a copy to:

AmerisourceBergen Corporation

 

1300 Morris Drive

 

Chesterbrook, Pennsylvania 19087-5594

 

Attn: General Counsel

 

Fax: (610) 727-3612

 

Diplomat PVA December 2011

 

3



 

10.                                JOINT AND SEVERAL LIABILITY

 

Each of the entities named as a Customer in this Agreement shall be jointly and severally liable for any obligations (including payment or indemnification obligations), breaches or other liabilities of each of the other Customer entities arising under this Agreement.

 

11.                                EXHIBITS

 

These exhibits are incorporated by this reference.

 

1                                          Pricing/Payment Terms

2                                          Value-Added Services

3                                          Provisions

 

IN WITNESS WHEREOF, the parties have had a duly authorized officer, partner or principal execute this Prime Vendor Agreement as of its Effective Date.

 

ABDC:

AmerisourceBergen Drug Corporation

 

By:

/s/ Brenda Axe

 

Name:

Brenda Axe

 

Title:

VP Strategic Accts

 

 

CUSTOMER:

 

Diplomat Pharmacy, Inc., for itself and on behalf

of the following other entities of which Diplomat

is the sole member:

 

Diplomat Specialty Pharmacy of Flint, LLC

Navigator Health Services, LLC

Diplomat Health Services, LLC Diplomat

Specialty Pharmacy of Grand Rapids, LLC

Diplomat Specialty Pharmacy of Chicago, LLC

Diplomat Specialty Pharmacy of Ft. Lauderdale, LLC

Diplomat Specialty Pharmacy of Swartz Creek, LLC

Diplomat Specialty Pharmacy of Southern California, LLC

 

By:

/s/ Sean Whelan

 

Name:

Sean Whelan

 

Title:

Chief Financial Officer

 

 

Diplomat PVA December 2011

 

4



 

CONFIDENTIAL

Customer will delete this Exhibit “1” (or request confidential treatment)

if it discloses this Agreement for any reason, including in any SEC filing.

 

Diplomat PVA December 2011

 

5


 

EXHIBIT 1 TO

PRIME VENDOR AGREEMENT

PRICING / PAYMENT TERMS

 

In addition to payment for Products, Customer will pay ABDC the following Program and other fees for ABDC’s Product distribution and Services for Customer. Pricing reflects one administrative or other fee to a buying group or group purchasing organization (“GPO”). If Customer contracts with another or an additional GPO, Customer will pay any such fees to the applicable GPO. In any event, ABDC shall not pay a GPO fee until a GPO designation form signed by Customer is filed with ABDC. Customer will pay any increase in GPO administrative fees during the Term.

 

1.                                       PROGRAM FEES

 

A.                                     Price of Goods . Customer will pay the following Price of Goods based upon the definition of “Cost” below, subject to the following adjustments for Total Monthly Net Purchase volume and total monthly PRxO Generics purchases as a percentage of Customer’s total monthly net Rx purchases (“PRxO Compliance Level”), for Products other than those designated as Special Price Products. ABDC will add to the billed amount any applicable sales, use, business and occupation, gross receipts or other tax. Customer will promptly return to ABDC non-disposable equipment and material (e.g., totes, padding, pallets, packs/coolers/insulation, monitors/loggers, etc.) or pay replacement cost of items not returned within five business days. Price of Goods will begin at Cost minus [*] and may be adjusted quarterly based upon Customer’s Total Monthly Net Purchase volume and PRxO Compliance Level over the prior three (3) months.

 

 

 

Branded Price of Goods

 

Average Aggregate Monthly Net Purchase

 

Extended Semi-Monthly (37

 

Volume

 

DSO) EFT

 

[*] & Above

 

Cost [*]

 

Amgen Enbrel

 

Cost [*]

 

OTC

 

Cost [*]

 

Schedule II Brand Products

 

Cost [*]

 

 

“Cost” for any non-contract Product means the price of the Product on a supplier’s price list (also known as Wholesale Acquisition Cost (WAC)) and means the applicable Customer/GPO contract price authorized by a supplier and maintained in an ABDC bid file for any contract Product. Brand Rx contract Products are priced at the applicable cost +/- markup]. In all cases, Cost (or WAC) is determined on the date Product is allocated to Customer by ABDC and is calculated after excluding any discount for prompt payment given to ABDC by its suppliers.

 

Drop Shipments will be based on volume. Drop Shipments will be billed at Cost minus [*], with a quarterly re-calculation based on the incremental dollar volume tiers noted below. The parties acknowledge that after each contract Year, the Drop Shipment volume tiers will increase 15% per year.

 

Quarterly Drop Shipments

 

 

 

Purchase Volume

 

 

 

(YEAR 1)

 

Fee for Service

 

[*]

 

Cost [*]

 

[*]

 

Cost [*]

 

[*]

 

Cost [*]

 

 

CONFIDENTIAL

Customer will delete this Exhibit “1” (or request confidential treatment)

if it discloses this Agreement for any reason, including in any SEC filing.

 

Diplomat PVA December 2011

 


* Information redacted pursuant to a confidential treatment request by Diplomat Pharmacy, Inc. under 5 U.S.C. §552(b)(4) and Rule 406 under the Securities Act of 1933 and submitted separately with the Securities and Exchange Commission.

 

6



 

Quarterly Drop Shipments

 

 

 

Purchase Volume

 

 

 

(YEAR 2)

 

Fee for Service

 

[*]

 

Cost [*]

 

[*]

 

Cost [*]

 

[*]

 

Cost [*]

 

 

 

 

 

Quarterly Drop Shipments

 

 

 

Purchase Volume

 

 

 

(YEAR 3)

 

Fee for Service

 

[*]

 

Cost [*]

 

[*]

 

Cost [*]

 

[*]

 

Cost [*]

 

 

 

 

 

Quarterly Drop Shipments

 

 

 

Purchase Volume

 

 

 

(YEAR 4)

 

Fee for Service

 

[*]

 

Cost [*]

 

[*]

 

Cost [*]

 

[*]

 

Cost [*]

 

 

 

 

 

Quarterly Drop Shipments

 

 

 

Purchase Volume

 

 

 

(YEAR 5)

 

Fee for Service

 

[*]

 

Cost [*]

 

[*]

 

Cost [*]

 

[*]

 

Cost [*]

 

 

ABDC “Special Price Products” including but not limited to [*], will not be priced based upon ABDC’s Cost (as defined above), but will instead be priced on terms set by ABDC from time to time for such Products and Services. Customer may purchase the Special Price Products outside of ABDC, with such purchases excluded from Customer’s Primary Vendor requirement. ABDC Special Price Product purchases count toward total periodic Net Purchases. It is understood that drop shipments will not be Special Price Products, but rather billed in accordance with matrixes above.

 

B.                                     PRxO® Generics . Customer will participate in PRxO® Generics pursuant to requirements as amended from time to time by ABDC and must purchase from ABDC no less than 98% of its purchases of all generic Rx Products, other than generic injectables, from the PRxO® Generics formulary, provided such equivalent generic Rx Product is available from ABDC and is part of the PRxO Generics formulary.

 

C.                                     Additional Value-Added Services . ABDC will provide the additional value-added Services in Exhibit “2” at no additional monthly cost.

 

D.                                     Ordering Hardware/Software . In addition, Customer will pay fees in Exhibit “2” for ordering and reporting software and hardware selected by Customer for each Facility or other location. The parties will coordinate to ensure C-ll controlled substance electronic ordering systems (CSOS) interface correctly.

 

E.                                      Contract Administration . In administering Customer’s GPO/supplier contracts, Customer must (i) provide a copy of new contracts, (ii) comply with supplier’s terms, (iii) use all products for its “own use” (as defined in judicial and legislative interpretations), (iv) notify ABDC at least 45 days before it changes suppliers,

 

CONFIDENTIAL

Customer will delete this Exhibit “1” (or request confidential treatment)

if it discloses this Agreement for any reason, including in any SEC filing.

 

Diplomat PVA December 2011

 


* Information redacted pursuant to a confidential treatment request by Diplomat Pharmacy, Inc. under 5 U.S.C. §552(b)(4) and Rule 406 under the Securities Act of 1933 and submitted separately with the Securities and Exchange Commission.

 

7



 

and (v) upon changing suppliers, assist ABDC in disposing of any excess inventory acquired for Customer. Additionally, Customer will notify ABDC before discontinuing purchases of any special inventory it requested that ABDC stock (whether or not pursuant to a contract) and assist ABDC in disposing of any excess of such inventory. When invoiced, Customer will promptly reimburse ABDC for any unpaid chargebacks that are (x) denied by a GPO or supplier or (y) not paid within 45 days and, in either case, Customer will look solely to such GPO or supplier for redress.

 

F.                                       Market Competitiveness . In addition to regular business reviews, upon the [*], Customer and ABDC shall meet to discuss the Price of Goods, terms and conditions offered by ABDC to Customer pursuant to this Agreement. [*]

 

2.                                       PAYMENT TERMS

 

A.                                     Payments . Customer agrees to Extended Semi-Monthly (37 DSO) EFT. Payment for purchases are due and payable within 30 days from Semi-Monthly statement date by EFT.

 

B.                                     Terms . All payments must be received for deposit to ABDC’s account by the due date by ACH/EFT with either ABDC initiating the transaction or Customer initiating the transaction (so long as ABDC receives the amount owed in readily available funds on or before the due date). Subject to 2.6 and 2.8 of Exhibit 3 or if Customer is in breach of this Agreement, ABDC may change available payment plans from time to time. Payment term changes may affect Price of Goods. Subject to credit approval, Customer may change payment terms upon 30 days written notice prior to the beginning of a calendar month.

 

3.                                       MINIMUM ORDER VOLUME

 

A.                                     Annual Purchases . Customer’s minimum annual Net Purchase volume (total purchases less returns, credits, rebates, late payment fees and similar items) during Year 1 is $525,000,000. Year 1 is from the Effective Date through January 31, 2013. Subsequent contract Years are the following 12-month periods. Customer’s Net Purchases during the Term are projected to increase at a rate of 15.00% per year during each Year. In addition, Customer’s aggregate Net Purchases over the Term will be at least $3,539,750,156. Calculations are quarterly, with no carryover from one period to the next.

 

B.                                     Small Order Char ge. If Customer purchases less than $25,000.00 per month, a delivery charge of $25.00 per delivery will be assessed for each order that is less than $1,250.00. ABDC may adjust the per-delivery charge from time to time to reflect ABDC’s shipping and handling costs.

 

C.                                     Price of Goods Adjustments . Customer acknowledges that Price of Goods and Program fees are based upon Customer’s meeting such minimum annual, aggregate, PRxO® Generics and other Net Purchases and, if Customer fails to do so, in addition to any other remedies, ABDC may reasonably adjust Price of Goods and Program fees on 10 days’ notice to reflect lower than expected Net Purchases.

 

CONFIDENTIAL

Customer will delete this Exhibit “1” (or request confidential treatment)

if it discloses this Agreement for any reason, including in any SEC filing.

 

Diplomat PVA December 2011

 


* Information redacted pursuant to a confidential treatment request by Diplomat Pharmacy, Inc. under 5 U.S.C. §552(b)(4) and Rule 406 under the Securities Act of 1933 and submitted separately with the Securities and Exchange Commission.

 

8



 

EXHIBIT 2 TO

PRIME VENDOR AGREEMENT

ADDITIONAL VALUE-ADDED SERVICES

 

The following Services are offered to Customer by ABDC for monthly fees in Pricing/Payment Terms Paragraph 1(C).

 

·                   Bar-Coded Shelf Labels

·                   DEA Scheduled Rx Products Purchased Report

·                   Monthly Usage and 80/20 Report

·                   Price stickers — Rx and OTC

 

ABDC may discontinue any Services as it deems appropriate, in which case ABDC will make a reasonable proportionate reduction in the monthly fee based upon the value of the discontinued Services. In addition, from time to time ABDC may offer such new Services, at such additional fees as it determines. Customer has no obligations to accept any new Services or additional fees related such new Services.

 

Ordering & Reporting Software and Hardware

 

·                   Custom Reporting software for no additional charge per month per installation.

·                   Internet ordering software (Catalog and Order Entry (COE), iECHO or similar software, as appropriate) for for no additional charge per month per installation.

·                   iScan PPC hardware technology for a monthly lease fee of $100.00 per unit covering hardware, software and maintenance.

·                   UltraPhase/Telxon handheld electronic order entry terminal (two per pharmacy) for no additional charge per month per installation.

 

Customer is responsible for hardware maintenance and repair. ABDC retains title to all ordering and reporting hardware and software and, pursuant to Provisions Paragraph 5.3, Customer must promptly return them at the end of the Term.

 

Computer consulting and related services will be offered at ABDC’s then-current standard charges for such services.

 

Recalls

 

ABDC will notify Customer of all recalls as instructed in the supplier’s notification.

 

Drop Ship Service

 

From time to time upon Customer’s or a supplier’s request, ABDC may provide drop shipment billing service as a convenience where Products are shipped directly to Customer by the supplier and the supplier bills Customer through ABDC. Suppliers must meet ABDC’s liability insurance and other requirements. Customer’s ability to return such Products through ABDC may be subject to different terms or otherwise restricted. Drop shipments may be subject to an additional charge. Other terms, including title, insurance and risk of loss, are set by each supplier and ABDC disclaims all liability in connection with drop shipments.

 

Diplomat PVA December 2011

 

9



 

EXHIBIT 3 TO

PRIME VENDOR AGREEMENT

PROVISIONS

 

1. DUTIES OF ABDC

 

1.1                                Orders . Orders may be subject to minimum order size requirements. Other than supplier back-ordered Products, ABDC will make reasonable efforts to deliver orders placed by ABDC’s normal order cut-off time by the next delivery day. Hawaii, Alaska, U.S. territories and foreign deliveries may be subject to a delivery surcharge.

 

1.2                                Emergency Orders . ABDC will use commercially reasonable efforts to meet a requested delivery time for emergency orders, which may be subject to an additional charge. If ABDC cannot do so, Customer may fill emergency orders outside the Program on such occasions using another provider notwithstanding minimum purchase commitments in this Agreement.

 

1.3                                Records, Audits . ABDC will maintain records of transactions for one year during the Term or after. Customer’s employees may audit such records only pursuant to ABDC’s audit policies, as modified from time to time. Such audits may be conducted only during ordinary business hours and upon reasonable notice and may only cover 90 days prior to the request or any shorter period set by a supplier for chargeback audits. No audit may cover any period previously audited. All costs will be borne by Customer, including costs to produce records. If an audit shows net overcharges or undercharges and ABDC agrees with such findings, ABDC will credit or charge Customer within 30 days of receipt of written notice of the net overcharge (or, if later, within 30 days of receiving an applicable supplier’s credit) or undercharge.

 

2. DUTIES OF CUSTOMER

 

2.1                                Primary Vendor Orders . For Products required by Facilities, Customer will submit an electronic order for all Products. If allowed, non-electronic orders may be subject to additional charges.

 

2.2                                Disclosure . Customer will comply with all laws, including reporting or reflecting discounts, rebates and other price reductions pursuant to 42 U.S.C. §1320a-7b(b)(3)(A) on cost reports or claims submitted to federal or state healthcare programs, retaining invoices and related pricing documentation and making them available on request to healthcare program representatives.

 

2.3                                Notice of Changes . Customer will promptly notify ABDC of changes in ownership, name, business form (e.g., sole proprietorship, partnership or corporation) or state of incorporation or formation, or any intent to sell, close, move or modify its operations.

 

2.4                                No Set-Off . Customer’s obligation to pay for Products will be absolute, unconditional and not subject to reduction, set-off, counterclaim or delay.

 

2.5                                Billing Statements . Billing disputes must be brought promptly to attention of ABDC’s accounts receivable department or Customer will be deemed to accept the accuracy of statements and waive its right to dispute any amounts 12 months after receipt of the first statement containing the disputed amount.

 

2.6                                Late Payment . All payments must be received in ABDC’s account during normal business hours on the date due. Drivers and other ABDC employees cannot accept cash. If payment is not received by the due date, ABDC may withhold any payments to Customer and will assess a per-day late payment fee of the lower of 0.05% (18%/360) or the maximum rate permitted by law on the outstanding balance until paid, beginning on the first business day after such due date. Additionally, ABDC may adjust future Price of Goods to reflect Customer’s payment history. Such rights are in addition to ABDC’s other remedies and will not relieve Customer of its obligation to pay promptly.

 

2.7                                Title And Risk Of Loss . All goods are F.O.B. Customer’s location, with freight prepaid for normal delivery. Expedited delivery is extra. Title and risk of loss pass upon delivery to Customer.

 

2.8                                Extension Of Credit . Payment terms are an extension of credit based upon an evaluation of Customer’s financial condition upon commencement of this Agreement as reflected in written information from Customer. Customer will abide by ABDC’s standard credit terms as amended from time to time by ABDC. Customer will promptly notify ABDC in writing of any Claim that, with an unfavorable result, would have a material adverse effect on Customer’s financial condition or operation. Upon request, Customer will furnish ABDC financial statements and other evidence of its financial condition necessary to establish, in ABDC’s opinion, Customer’s ability to perform its obligations. If ABDC reasonably believes Customer’s ability to make payments is impaired or its financial condition has materially deteriorated, ABDC may from time to time amend Customer’s payment terms, require past due amounts to be paid and/or require posting of adequate security or such other documents as ABDC may require. Pending receipt of requested items, ABDC may withhold delivery of Products and providing Services; place Customer on a C.O.D. basis if ABDC has not received payment when due after giving notice by 10:00 a.m. and giving Customer until 2:00 p.m. the same day for ABDC to receive payment; and/or require Customer to pay part or all of any past due amount as a condition to continued service.

 

3. NO WARRANTIES

 

Customer acknowledges that ABDC is not the manufacturer of any Products and ABDC DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING THOSE OF MERCHANTABILITY, NON-INFRINGEMENT AND FITNESS FOR A PARTICULAR PURPOSE, FOR PRODUCTS AND SERVICES. No oral or written information provided by ABDC, its employees or other representatives will create any such warranty. In no event will ABDC be liable for any special, incidental or consequential damages in connection with or related to Products, hardware, Software, including ordering software, or Services.

 

4. CONFIDENTIALITY

 

Each party and its employees or representatives (“Receiving Party”) will protect all proprietary and confidential information (“Confidential Information”) disclosed by the other (“Disclosing Party”) and not use or disclose it except in connection with the Program or as otherwise agreed. Confidential Information does not include information (i) available on a non-confidential basis, (ii) known or able to be formulated by Receiving Party, or (iii) required to be disclosed by law. Pricing and payment terms are confidential and may not be shared with any third party. Customer will remove Exhibit “1” (or request confidential treatment) if it discloses this Agreement for any reason, including in a Securities and Exchange Commission filing.

 

5. TERMINATION OF AGREEMENT

 

5.1                                Default . In addition to other available remedies, either party may immediately terminate this Agreement for cause upon written notice to the other party upon the other party’s:

 

(a)                                  (i) Filing an application for or consenting to appointment of a trustee, receiver or custodian of its assets; (ii) having an order for relief entered in Bankruptcy Code proceedings; (iii) making a general assignment for the benefit of creditors; (iv) having a trustee, receiver or custodian of its assets appointed unless proceedings and the person appointed are dismissed within 30 days; (v) insolvency within the meaning of UCC Section 1-201 or failing generally to pay its debts as they become due within the meaning of Bankruptcy Code Sec. 303(h)(1) (11 USC Sec. 303(h)(1)), as amended; or (vi) certification in writing of its inability to pay its debts as they become due (and either party may periodically require the other to certify its ability to pay its debts as they become due) (collectively, “Bankruptcy”);

 

(b)                                  Failure to pay any amount due and such failure continues five days after written notice; or

 

(c)                                   Failure to perform any other material obligation of this Agreement or any other agreement now or hereafter entered into between the parties and such failure continues for 30 days after it receives notice of such breach from the non-breaching party; provided, however, if the other party has commenced to cure such breach within such 30 days, but such cure is not completed within such 30 days, it will have a reasonable time to complete its cure if it diligently pursues the cure until completion; and further provided that if such breach occurs more than three times during any 12-month period, the non-breaching party may terminate this Agreement upon 30 days’ written notice. “For cause” does not include Customer’s receiving a more favorable offer from an ABDC competitor.

 

Diplomat PVA December 2011

 

10



 

5.2                                Change in Control. Either party may terminate this Agreement upon the sale or transfer of the business of the other party, in whole or in part, or a change in control in the other party. As used in this Agreement, “change in control” means, if applicable, sale or other transfer of 25% or more of (i) a party’s assets, or (ii) the voting equity or other voting interest a party.

 

5.3                                Survival Upon Termination . Within five days of expiration or earlier termination of this Agreement for any reason, all amounts owed by Customer will be immediately due and payable and Customer will (i) pay ABDC any amount owed and (ii) return to ABDC all hardware, Software and other equipment, including ordering devices and totes, or pay to ABDC the replacement cost of any such items not returned. Obligations in Paragraphs 4, 5.2, 6 and 9 of this Exhibit 3.

 

6. INDEMNIFICATION

 

Each party (“Indemnifying Party”) will indemnify and defend the other, its employees and representatives (“Indemnified Party”) against all claims and damages (including expenses and attorneys’ fees) (“Claim”) to the extent arising out of Indemnifying Party’s obligations under this Agreement. Failure to give prompt written notice of a Claim will not relieve Indemnifying Party of liability except to the extent caused by such failure. Indemnifying Party will defend a Claim with counsel reasonably satisfactory to Indemnified Party and Indemnified Party will cooperate fully in such defense.

 

7. CUSTOMER’S INSURANCE

 

Customer will maintain sufficient insurance to cover all unpaid inventory in its possession, naming ABDC on such policies as an additional insured, and will maintain professional liability insurance with limits of no less than $10,000,000 per incident.

 

8. SOFTWARE LICENSE

 

8.1                                License . ABDC grants Customer a non-exclusive, nontransferable and revocable license to use software and related documentation ABDC provides for use in the Program (“Software”). Customer may not make, or allow others to make, copies except one backup copy. Customer must include all proprietary notices in permitted copies. Customer may not modify Software or create derivative works and may not translate, reverse engineer, disassemble or decompile Software.

 

8.2                                Limited Warranty . ABDC warrants that, for 90 days from the Effective Date, (i) Software will perform substantially in accordance with its documentation if operated as directed and (ii) hardware provided by ABDC and media on which Software is provided will be free from defects under normal use. ABDC DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING THOSE OF MERCHANTABILITY, NON-INFRINGEMENT AND FITNESS FOR A PARTICULAR PURPOSE, FOR HARDWARE AND SOFTWARE, AND ACCURACY OF ANY DATA. ALL DATA IS PROVIDED “AS IS.” DUE TO THE NATURE OF SOFTWARE, HARDWARD AND DATA, ERRORS AND INTERRUPTIONS MAY OCCUR AND CUSTOMER HAS ALL RISKS FOR QUALITY AND PERFORMANCE. No oral or written information provided by ABDC, its employees or other representatives will create any warranty.

 

8.3                                Remedy . ABDC’s liability and Customer’s exclusive remedy for breach of warranties in Paragraph 8.2 will be, at ABDC’s option, to (i) repair or replace Software or hardware so it performs substantially in accordance with its documentation; (ii) advise Customer how to achieve substantially the same functionality using different procedures, or (iii) replace defective media returned within 90 days of the Effective Date. Such replacement will not extend such 90-day period.

 

9. MISCELLANEOUS

 

9.1                                Force Majeure . If ABDC’s performance is prevented, delayed or otherwise affected by any cause beyond its control, including labor disputes, fire, terrorism, acts of God, unavailability of Product, transportation, materials or fuel, delays by suppliers, loss of facilities or internet, telecommunication or electrical systems, voluntary foregoing a right in order to comply with or accommodate government orders or requests, compliance with any law or otherwise (“Force Majeure”), ABDC may reduce or eliminate Products without liability or obligation during the Force Majeure period.

 

9.2                                Security Interest . In addition to any security interest provided previously or later by Customer to ABDC, to secure all of Customer’s existing and future liabilities to ABDC, Customer now grants to ABDC a lien and security interest, which may be a purchase money security interest, in all of Customer’s Inventory, related Accounts and Proceeds and products thereto and thereof, now owned or hereafter acquired or arising. All capitalized terms used herein and not defined have the meaning in the Uniform Commercial Code as in effect in any jurisdiction in which any of the Collateral may at the time be located (“UCC”). ABDC may do such things as are necessary to achieve the purposes of this Paragraph.

 

9.3                                Assignment . This Agreement inures to the benefit of and is binding upon the heirs, successors and assigns of each party; provided, however that Customer may only assign its rights or delegate its duties under this Agreement, including by merger, change of control, asset sale, operation of law or otherwise, with ABDC’s written consent. In no event will an agreement between a successor to or permitted assign of Customer and any third party negate or diminish in any way such successor’s or assign’s obligations under this Agreement. Notwithstanding anything to the contrary in this Agreement, in the event of such an assignment, delegation or Change-in-Control of Customer, or a sale or transfer of ownership or control of any Facility, Customer shall provide ABDC with prior written notice and shall cause the surviving entity, successor-in-interest or transferee, as the case may be (the “Assignee”), to either (1) agree to be bound by the terms of this Agreement from and after the date of such event or (2) enter into a replacement agreement to this Agreement with ABDC on such terms as are reasonably acceptable to ABDC and the Assignee. Customer consents to ABDC’s assigning part or all of its obligations to any affiliate and to assigning or granting a security interest in this Agreement in connection with any financing or securitization by ABDC or any affiliate.

 

9.4                                EEO Requirements . ABDC warrants it does not and will not discriminate against any employee or applicant for employment because of race, creed, color, national origin, religion, gender, sexual preference, veteran status, handicap or as otherwise prohibited by law and will meet affirmative action obligations as are imposed by law.

 

9.5                                Miscellaneous . The successful party in any legal action, including in a Bankruptcy proceeding, may recover all costs, including reasonable attorneys’ fees. Pennsylvania law will govern this Agreement without reference to conflict of laws provisions. Any waiver or delay in enforcing this Agreement will not deprive a party of the right to act at another time or due to another breach. All provisions are severable. This Agreement supersedes prior oral or written agreements by the parties that relate to its subject matter other than the security interest, which is in addition to and not in lieu of any security interest created in other agreements. Captions are intended for convenience of reference only. The parties may not modify this Agreement other than by a subsequent writing signed by each party. This Agreement will be interpreted as if written jointly by the parties. The parties are independent contractors.

 

Diplomat PVA December 2011

 

11




Exhibit 10.9.2

 

First Amendment to
Prime Vendor Agreement

 

This First Amendment (“ Amendment ”) is entered into as of July 20, 2012 (“ Effective Date ”) by AmerisourceBergen Drug Corporation, a Delaware corporation (“ ABDC ”) on the one hand, and Diplomat Pharmacy, Inc., a Michigan corporation (“ Diplomat ”) for itself and on behalf of the following limited liability companies of which Diplomat is the sole member: Diplomat Specialty Pharmacy of Flint, LLC, Navigator Health Services, LLC, Diplomat Health Services, LLC, Diplomat Specialty Pharmacy of Grand Rapids, LLC, Diplomat Specialty Pharmacy of Chicago, LLC, Diplomat Specialty Pharmacy of Ft, Lauderdale, LLC, Diplomat Specialty Pharmacy of Swartz Creek, LLC and Diplomat Specialty Pharmacy of Southern California, LLC (Diplomat and such limited liability companies being referred to herein collectively as “ Customer ”) on the other hand. This Amendment amends the parties Prime Vendor Agreement dated January 1, 2012 (“ PVA ”). Capitalized terms not defined in this Amendment have the meaning set forth in the PVA.

 

For good and valuable consideration, ABDC and Customer agree to amend the PVA as follows:

 

1.               Navigator Pharmacy Service, LLC (“ Navigator ”) is an affiliate of Customer and desires to receive pharmaceutical products pursuant to the PVA. Navigator agrees that it hereby (i) adopts the PVA and agrees to be bound by its terms, conditions and covenants (including executing such instruments, or documents that ABDC may reasonably require to effectuate the intent of this provision) and (ii) agrees to be jointly and severally liable for any payment or indemnification obligation of any other Account under the PVA.

 

2.               Diplomat Specialty Pharmacy of Swartz Creek, LLC has changed its corporate name to Diplomat Specialty Pharmacy Great Lakes Distribution Center, LLC, a Michigan limited liability company.

 

3.               Customer has requested that ABDC enter into an Intercreditor Agreement with General Electric Capital Corporation (“ GECC ”), a Delaware corporation, pursuant to a financing transaction between GECC and Customer on or about the date hereof. In consideration of ABDC agreeing to the terms of the Intercreditor Agreement, Section 2A of Exhibit 1 (Payment Terms) is amended and restated in its entirety as follows:

 

A.                                     Payments . Customer agrees to Extended Semi-Monthly (34 DSO) EFT. Payment for purchases are due and payable within 27 days from Semi-Monthly statement date by EFT.

 

4.               The Price of Goods matrix in Section 1A of Exhibit 1 is amended to delete “Extended Semi-Monthly (37 DSO) EFT” and replace it with “Extended Semi-Monthly (34 DSO) EFT”.

 

This Amendment constitutes the sole and complete understanding of the parties with respect to its subject matter, and supersedes all prior and contemporaneous communications between the parties concerning such subject matter. Following the Effective Date, the PVA remains in full force and effect. The parties have executed this Amendment as of the Effective Date.

 

[Signatures on the following Page]

 

1 st  Amendment Diplomat PVA July 2012

 



 

ABDC:

 

AmerisourceBergen Drug Corporation

 

 

 

 

 

By:

/s/ Brenda Axe

 

Name:

Brenda Axe

 

Title:

VP Strategic Accts

 

 

 

 

 

CUSTOMER:

 

 

 

Diplomat Pharmacy, Inc., for itself and on behalf of the following other entities of which Diplomat is the sole member:

 

 

 

Diplomat Specialty Pharmacy of Flint, LLC

 

Navigator Health Services, LLC

 

Diplomat Health Services, LLC

 

Diplomat Specialty Pharmacy of Grand Rapids, LLC

 

Diplomat Specialty Pharmacy of Chicago, LLC

 

Diplomat Specialty Pharmacy of Ft. Lauderdale, LLC

 

Diplomat Specialty Pharmacy Great Lakes Distribution Center, LLC

 

Diplomat Specialty Pharmacy of Southern California, LLC

 

 

 

 

 

By:

/s/ Sean Whelan

 

Name:

Sean Whelan

 

Title:

Chief Financial Officer

 

 

 

 

 

AGREED AND ACKNOWLEDGED:

 

 

 

Navigator Pharmacy Service, LLC

 

 

 

By:

/s/ Sean Whelan

 

Name:

Sean Whelan

 

Title:

Chief Financial Officer

 

 

1 st  Amendment Diplomat PVA July 2012

 


 



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Exhibit 23.1

Consent of Independent Registered Public Accounting Firm

Diplomat Pharmacy, Inc.
Flint, Michigan

We hereby consent to the use in the Prospectus constituting a part of this Registration Statement of our report dated June 27, 2014, relating to the consolidated financial statements of Diplomat Pharmacy, Inc. which is contained in that Prospectus.

We also hereby consent to the use in the Prospectus constituting a part of this Registration Statement of our report dated August 18, 2014, relating to the consolidated financial statements of MedPro Rx, Inc. which is contained in that Prospectus.

We also consent to the reference to us under the caption "Experts" in the Prospectus.

/s/ BDO USA, LLP
Troy, Michigan

August 18, 2014




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Consent of Independent Registered Public Accounting Firm

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Exhibit 23.2

CONSENT OF INDEPENDENT AUDITORS

We hereby consent to the use in this Registration Statement on Form S-1 of our report dated June 24, 2014 relating to the consolidated financial statements of American Homecare Federation, Inc. and Affiliate as of and for the nine month period ended September 30, 2013 which appear in such Registration Statement. We also consent to the reference to us under the heading "Experts" in such Registration Statement.

  /s/ Plante & Moran, PLLC

Flint, Michigan
August 18, 2014




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CONSENT OF INDEPENDENT AUDITORS