UNITED HEALTHCARE SERVICES, INC.
UNITEDHEALTH NETWORKS, INC.
PHARMACY BENEFIT MANAGEMENT AGREEMENT
This Amendment is made to the agreement ("Agreement") between United HealthCare Services, Inc. and
UnitedHealth Networks, Inc., collectively referred to as "United", and the entity named below ("MMMC"). The
Agreement currently sets forth the terms and conditions under which MMMC or an affiliate shall provide or
arrange for the provision of health care services to individuals covered by a United's affiliated Health Plan
pursuant to its Medicare contract with the Health Care Financing Administration ("HCFA"). The parties
understand and agree that the Balanced Budget Act of 1997 ("BBA") established a new program known as
Medicare+Choice, which replaced Health Plan's existing Medicare risk program. The purpose of this
Amendment is to incorporate all provisions necessary to meet the HCFA requirements for Medicare+Choice.
This Amendment is effective on August 1, 1999.
1. The Agreement shall be amended by the addition of the attached Health Plan Medicare+Choice Requirements
2. All other provisions of the Agreement shall remain in full force and effect.
MEDICARE+CHOICE REQUIREMENTS ADDENDUM
In addition to PBM's obligations under the Agreement, PBM agrees, and shall require PBM Contracting
Providers to agree, as participating providers under a United affiliated Health Plan's contract with HCFA to be a
Medicare+Choice managed care organization (hereafter the "M divided by C Contract"), to abide by all
applicable provisions of the M+C Contract and to fulfill PBM's and PBM Contracting Provider's obligations
under the Agreement in a manner consistent with a United affiliated Health Plan's (hereafter the "Health Plan")
obligations under the M divided by C Contract. For purposes of this Addendum, "Medicare Member" means a
Health Plan's Member who is enrolled in a Medicare+Choice plan through Health Plan. PBM and PBM
UNITED HEALTHCARE SERVI