INNOVATIVE PRACTICE FORM

Name: John B. Rhodes

Address: 800 Fulton St., Logansport, IN

Phone #: 219-722-5600

FAX #: 219-722-6055

Briefly describe innovation

We have a contract with an industry as an "exclusive" provider for the Rx program and there workman compensation prescriptions. We feel this has been very beneficial to our business. This contract is worth approximately $6000 Gross per month. They were using PCS, and now the Rx program (very similar to PCS) is run by the industry-saving premium dollars. This arrangement allows the industry to taylor its program how they see fit.

Method of Reimbursement

Payor(s): Industry itself

Reimbursement rate: Average wholesale - 10 plus 3.50 fee per prescription

Is documentation required? Yes

Specialized training required? No

Software/instrumentation required? No Within our QS system