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Diplomat.is/more
I’m Jay.
I have chronic lymphocytic leukemia.
I’m a retired submarine commander,
a father, a husband, an avid woodcarver.
I bike 20 miles a day.
I know the Diplomat Difference.
Copyright Š 2015 by Diplomat Pharmacy Inc. Diplomat is a registered
trademark of Diplomat Pharmacy Inc. All rights reserved.
J.P. Morgan Healthcare Conference
January 2016
Confidential
1
This presentation may contain “forward-looking” statements that involve risks, uncertainties and assumptions. If the risks or uncertainties
ever materialize or the assumptions prove incorrect, our results may differ materially from those expressed or implied by such forward-
looking statements. All statements other than statements of historical fact could be deemed forward-looking, including, but not limited to,
any projections of financial information; any statements about historical results that may suggest trends for our business and results of
operations; any statements of the plans, strategies and objectives of management for future operations; any statements of expectation or
belief regarding future events, health care developments, or specialty pharmaceutical industry market sizes, shares, trends or growth; and
any statements of assumptions underlying any of the foregoing.
Any forward-looking statements contained in this presentation 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 but not limited to
the following risks related to our business: 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; our limited history with
integrating acquisitions; and the effects of competition. These and other risks and uncertainties associated with our business are described
in the prospectus for our proposed follow-on offering, including under the heading “Risk Factors.” We assume no obligation and do not
intend to update these forward-looking statements.
In addition to U.S. GAAP financials, this presentation includes certain non-GAAP financial measures. These historical and forward-looking
non-GAAP measures are in addition to, not a substitute for or superior to, measures of financial performance prepared in accordance with
GAAP. A reconciliation between GAAP and non-GAAP measures is included in the appendix to this presentation.
Diplomat is a registered trademark of Diplomat Pharmacy, Inc. This presentation also contains additional trademarks and service marks of
ours and of other companies. We do not intend our use or display of other companies’ trademarks or service marks to imply a relationship
with, or endorsement or sponsorship of us by, these other companies.
Important note
Confidential
Investment Highlights
• Specialty Pharmacy industry is a high growth market (~20%)
• Drug development pipeline remains robust
• Limited distribution growing in importance
• Diplomat is unique within the specialty pharmacy industry
• Taking market share as the largest independent specialty
pharmacy
• Access to broad range of limited distribution drugs
• Strong financial performance
• Five-year revenue CAGR of 42% & EBITDA CAGR of 65%
• Diversified revenue and profitability streams
• Modest balance sheet leverage – ample dry powder
• Experienced senior management team
• CEO founded Diplomat 40+ years ago
• Leadership team has broad ranging experience across the industry
2
Confidential
$27 $58
$167 $271 $377
$578
$772
$1,127
$1,515
$2,215
$3,325
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015E
3
Diplomat at a glance
 Founded: 1975; Headquarters: Flint, MI
 Employees: ~1,700
 2015E revenue: ~$3.3 billion
 Diversified base of marquee partners
Corporate Overview
CVS Health/
Omnicare
33%
Express Scripts
25%
Walgreens
10%
3%
OptumRx/
Catamaran
8%
Avella 1%
Others
20%
2014 Market share ($78 billion total market size) (1)
Exceptional above market revenue growth
Scaled business: National footprint
($ in millions)
(1) Source: 2014 – 2015 Economic Report on Retail, Mail and Specialty Pharmacies, Drug
Channel Institute and Morgan Stanley Research
(2) Based on mid-point of management’s estimate range for FY 2015
(2)
Pharmacy Locations
Arizona
California
Connecticut
Florida
Illinois
Iowa
Massachusetts
Michigan
Minnesota
North Carolina
Ohio
Pennsylvania
Confidential
4
Diversified revenue and profit streams
Complementary Opportunities Minimize Payer/PBM Risk,
AND Mitigate any risk of Inflation abatement
Other Services
 Retail Specialty Network
 Hospital Specialty Network
 HUB (Envoy Health)
 340(b)
 PAP
 All services enhance DPLO’s
relevance in healthcare
Specialty Infusion
 Subset of specialty pharmacy
 Many similar characteristics
(chronic, high cost, etc.)
 Few differentiators (nursing
component, more medical billing)
 Higher margin business
 Unique/separate payer networks
 Payer-driven site of care transition
opportunities
Core Specialty Pharmacy
(orals and self-injectables)
 Oncology dominance
 Limited distribution expertise
 Outpacing industry revenue growth
organically
 Mix shift driving revenue and profit growth
 Price inflation a very small component of
revenue
 Serving open, preferred, narrow, and
exclusive payer networks
Pharmaceutical Manufacturer Services
 Discounts, rebates, performance, services, data fees
 High margin
 Not dependent on payers or price inflation
 Making progress, but significant upside opportunity remains
Revenue Source:
Payers
Revenue Source:
Pharma & Others
Financial Impact:
Higher Revenue,
Lower Margin
Financial Impact:
Lower Revenue,
Higher Margin
Confidential
Diplomat controls the journey of a specialty patient
5
Patient
Physician
Payor
Patient
Patient visits
physician
Payor approves script
Diplomat monitors adherence and
collects data for manufacturers
Diplomat
dispenses drug
Diplomat provides:
Benefit verification
Prior authorization
Clinical intervention
Physician
writes script
Patient
receives
drugs
Confidential
6
Specialty spend under pharmacy benefit to more than
double(2)
Specialty pharmacy industry continues to show
exceptional growth
Specialty share of spend growing dramatically(1)
Specialty continues to dominate top 10 drug spend(3)
Source:
(1) Specialty Drug Trend Across the Pharmacy and Medical Benefit – Artemetrx 2013.
(2) 2013-2014 Economic Report on Retail, Mail and Specialty Pharmacies.
(3) Pembroke Consulting analysis of World Preview 2015, Outlook to 2020, EvaluatePharma.
 7 out of top 10  9 out of top 10
2014A 2020E
70%
30%
42%58% 50%50% Traditional
58%
Diplomat 2%
$51 million
$118 billion
2012A 2018E
Traditional
2012A 2015E 2018E
$51 billion
Specialty
Confidential
Limited distribution a central and growing theme in specialty
7
Benefits to DiplomatBenefits to biotech / pharma
 Completely eliminate or reduce
reliance on wholesaler
 Real-time clinical data
 Commercialization assistance
 Improves appropriate utilization
 Barrier to entry
 Deeper, and earlier, partnerships with
pharma / biotech
 Increased value proposition to payors
 Market share opportunity
Portfolio of over 90 limited distribution drugs, comprising approximately
40% of revenue in 2014, and well positioned for disproportionate growth
from future drug approvals
Recent unique limited panels…Diplomat exclusive or semi-exclusive
What is limited distribution?
 Targeted channel strategy
 Provides certain specialty pharmacies
with exclusive or preferred
dispensing rights to certain drugs
 Fast-growing trend
(2013) (2015)(2012) (2014)
Traditional:
Limited:
Manufacturer Multiple Wholesalers 65,000 Pharmacies Patient
Manufacturer One/few pharmacies Patient
DPLO EXCLUSIVE DPLO LARGEST OF 4 DPLO LARGEST OF 4 DPLO EXCLUSIVEDPLO LARGEST OF 3
(2015)
Confidential
8
Unique competitive position
LARGE PBM / RETAIL
PHARMACY
SMALLER SPECIALTY
PHARMACIES
 Diversification
distracts from
specialty pharmacy
 Less flexible / less
nimble
 Limited scale
 Most focused on one
or a few disease
states
 Fragmented market
 Consolidation
opportunity for
Diplomat
 Singularly focused
on specialty
 High-touch model
 Flexible and nimble
 Entrepreneurial
culture
 National reach
 Scalable
infrastructure
Confidential
9
Base business continues to gain momentum
 Specialty pharmacy market grew 24%
from $63bn in 2013 to $78bn in 2014
 3,000+ oncology and immunology drugs
in global drug development
 Increased prevalence of limited
distribution panels
 Biosimilars launching in U.S.
 2015 record year for drug approvals
Improving trends across specialty
pharmacy…
…driving key milestones and
achievements at Diplomat
 Diplomat grew revenues by 59% from
3Q’14 to 3Q’15
 Recent new drug contracts
 The majority of which are
limited distribution drugs
Oncology
Hepatitis C
Cystic Fibrosis
Other
• 51 total approvals:
- 45 NMEs and 6 biologics
• 21 of 45 NMEs were Orphan designation
• 16 of 45 NMEs were “First in Class”
• 69% of all approvals were specialty
Confidential
Accomplishments since the IPO
10
o Announced
access to ~20 LD
drugs
o Continued
oncology
dominance
o Growing theme of
excluding large
PBM-owned SPs
o Added key
industry
veterans; direct,
and via acquired
entities’
management
teams
o Added four
independent
board members;
now majority
independent
board
o Accelerated
higher margin
business
o Grew revenue by
~120%1
o Increased
EBITDA by
nearly 400%2
o Created a
nationwide
specialty infusion
platform with 3
strategic
acquisitions
o Broadened Hep-C
and technology
offerings through
Burman’s
acquisition
Expanded
Access to
Limited
Distribution
Drugs
Strengthened
Leadership
Team
Delivered Strong
Financial
Performance
Completed
Strategic
Acquisitions
(1) 2015E $3,325 vs. 2013 $1,515
(2) 2015E midpoint $94 versus 2013 $19
Confidential
11
Acquisitions create incremental revenue opportunities
Recent acquisitions of Burman’s Specialty Pharmacy and BioRX have created
significant revenue synergies
BioRX
Acquired by Diplomat on April 1, 2015
Burman’s Specialty Pharmacy
Acquired by Diplomat on June 19, 2015
• Strengthens Diplomat’s relationships with
Neurologists
• Provides BioRX sales force a broader portfolio
of drugs including Multiple Sclerosis services
• Cross selling infusion services to existing
managed market clients
Synergies
• Roll out software technology across our national
platform to drive patient adherence and
physician transparency
• Increased access to Gastroenterology thought
leaders
• Provides Burman’s sales force Diplomat’s full
therapeutic mix (incl. Crohn’s disease)
Synergies
Confidential
12
Future M&A criteria
When considering acquisitions, we look for targets that will potentially benefit
Diplomat in one or more of the following ways:
 Accelerate our higher margin business opportunities
 Expand into new therapeutic areas and/or geographic regions
 Enhance clinical capabilities to improve competitive advantage
 Access to Limited Distribution drugs
 Bring new services and technologies under our umbrella
 Makes DPLO better, not just bigger
Confidential
13
Outstanding financial profile
Confidential
Traditional Drug Specialty Drug A Specialty Drug B Specialty Drug C Specialty Drug B
(10% price incr.)
Revenue $100 $3,700 $10,000 $27,000 $11,000
Gross Profit ($) $10 $185 $400 $810 $440
Gross Margin (%) 10% 5% 4% 3% 4%
14
Revenue
Payors
Distributors /
pharmaceutical
manufacturers
Patient
Diplomat
COGS
Physical drug movement
$ flows
How we make money and grow profitability(Illustrative example)
How we make money
Drug mix and positive pricing trends are tremendous profit tailwinds for Diplomat
Inflation
Impact
Diplomat mix shift movement over time
Our core
focus
$301
Diplomat’s 3Q’15 Average
(AWP – Y%)
(WAC – X%)
Note AWP = WAC x 1.20
(1)
(1)
Example:
AWP $12,000 - 15% = $10,200 Revenue
WAC $10,000 - 3% = $9,700 Cost
$500 Gross Profit
4.9% Gross Margin
Confidential
$185
$301
3Q14A 3Q15A
$10.6
$33.0
3Q14A 3Q15A
$596
$947
3Q14A 3Q15A
15
Recent quarterly highlights
(1) Based on dispensed scripts only.
(2) Gross profit / net sales (i.e., based on dispensed and serviced scripts).
Revenue
EBITDA
margin
1.8%
Adjusted EBITDAGross Profit /Script
($ in millions) ($ in millions)
3.5%8.0%6.7%
(1)
Gross
margin
(2)
130 bps expansion 170 bps expansion
Confidential
$25
$67
First Nine Months
of 2014
First Nine Months
of 2015
$1,603
$2,380
First Nine Months
of 2014
First Nine Months
of 2015
$8
$15
$11
$19
$35
96% (28%) 75% 86%
1.3% 2.0% 1.0% 1.3%
2010A 2011A 2012A 2013A 2014A
16
Strong long-term financial performance…
Adjusted EBITDA
2010 –
First Nine Months of 2015
Total Revenue
2010 –
First Nine Months of 2015
% margin
% growth
($ in millions)
$578
$772
$1,127
$1,515
$2,215
34% 46% 34% 46%
2010A 2011A 2012A 2013A 2014A
% growth
($ in millions)
1.5% 2.8%
Infrastructure investments including IT,
facilities and personnel
 Volume, price and mix all driving superior revenue growth
 Natural operating leverage and acquisitions driving EBITDA growth and
margin expansion
53%
27%
Note: Historical financials are not pro forma for any acquisitions.
1.6%
Confidential
$161
$269
First Nine Months
of 2014
First Nine Months
of 2015
17
… with continued growth in profitability
Gross Profit / Script (1)
2010 –
First Nine Months of 2015
Note: Financials are not pro forma for BioRx acquisition.
(1) Based on dispensed scripts only.
(2) Gross profit / net sales (i.e., based on dispensed and serviced scripts).
$71
$93 $97
$116
$167
2010A 2011A 2012A 2013A 2014A
% growth 12% 20%31% 4%
% margin 7.1% 5.9%7.3% 6.2%
Several factors drive growth in our Gross Profit / Script(1):
 Continued mix shift towards higher price, higher profit drugs (including acquisitions)
 Favorable pricing trends
(2)
Gross margin expansion opportunities:
 Recent acquisitions with higher gross margins (%)
 Fee-for-service/rebate opportunities with pharmaceutical manufacturers
 Specialty generics and biosimilars (longer term)
44%
6.3% 6.2% 7.8%
Confidential
18
Multiple Components to Revenue Growth
 Price inflation has comprised only
5-8% of revenue over the last 5
quarters
 Political pressure on price
inflation, if successful, will have
limited impact on Diplomat
 Value added services to pharma
manufacturers are an
opportunity to offset
 Chronic disease expertise
provides a stable and growing
annuity-like revenue base
 Limited distribution leadership
and rich drug pipeline driving
considerable revenue growth
from new drugs
 Diplomat remains an organic
growth story
 Strategic M&A has
complemented growth
49% YOY
Growth
(42% organic)
49% YOY
Growth
(41% organic)
34% YOY
Growth
(29% organic)
QuarterlyRevenue
Inflation
Impact
Confidential
19
Balance Sheet summary (as of September 30, 2015)
(1) Includes $6mm in cash-based contingent consideration
($ in millions) Actual
Cash $16
Total Debt $147
Shareholders’ equity $502
Net Debt/Pro Forma EBITDA ~1.1x
 Modest leverage
 Ample dry powder for the right opportunities
(1)
Confidential
20
Appendix
Confidential
21
Diversified therapeutic mix
(FY 2014A)
Revenue mix by therapeutic category
Oncology
48%
Immunology
20%
Multiple
Sclerosis
10%
Other
22%
Confidential
Recent Acquisitions
22
Acquired Company Consideration Rationale Other
June 19, 2015
• $87M gross purchase price*
• $77M cash*, $10M stock
• ~4.2x CY 2014 EBITDA
• Hep C dominance in Mid Atlantic
• Hep C is a fast growing and highly profitable disease state
• Proprietary technology (HealthTrac) with applicability across Diplomat’s
Hep C platform
• Proven management team
• 50 year old company, run by 2nd generation pharmacist
• No marketed sales process – Diplomat had a one-off look
• Lack of
auction/marketed
process
• Founder/owner led
• Management all on
board at DPLO
April 1, 2015
• $272M adjusted purchase price*
(~$50M tax benefit)
• $217M cash*, $105M stock
• ~11.8x CY 2014 EBITDA
• One year earnout of 1.35M shares
(all stock)
• Adds significant scale to specialty infusion business
• Provides ability to compete for national contracts
• Increases exposure to higher margin businesses
• Addition of new disease states, therapeutic categories & 5 new LD’s
• Lack of
auction/marketed
process
• Founder/owner led
• Management all on
board at DPLO
June 27, 2014
• $68.5 million gross purchase price*
• $52M cash upfront, $12M stock
• ~8x CY 2013 EBITDA
• Two year earnout max. $11.5M (all
cash)
• Strong management team
• Strong therapy mix: IVIG and Hemophilia
• Favorable geographic footprint
• Lack of
auction/marketed
process
• Founder/owner led
• Management all on
board at DPLO
December 16, 2013
• $13.4 million gross purchase price*
• $12M cash upfront
• ~6x CY 2013 EBITDA
• Two year earnout max. $2M (all
cash)
• First DPLO acquisition
• More than doubled hemophilia/specialty infusion business
• High margins
• Lack of
auction/marketed
process
• Management all on
board at DPLO
* Value includes closing working capital adjustments
Confidential
Calendar year ending December 31,
($ in millions) 3Q'15 3Q'14 2014A 2013A 2012A 2011A 2010A
Net income (loss) attributable to Diplomat $16.0 $4.5 $4.8 ($26.1) ($2.6) $9.2 ($7.8)
Depreciation & Amortization $9.9 $2.8 $8.1 $3.9 $3.8 $3.1 $2.2
Interest Expense $1.5 $0.7 $2.5 $2.0 $1.1 $0.6 $0.5
Income tax expense $9.8 $2.4 $4.7 - - - -
EBITDA $37.2 $10.5 $20.1 ($20.2) $2.3 $12.8 ($5.2)
Share-based compensations expense $1.3 $0.7 $2.9 $0.9 $0.9 $1.4 $0.8
Change in fair value of redeemable common shares $(6.9) ($9.1) $34.3 $6.6 $10.7
Termination of existing stock redemption agreement $4.8 $4.8
Employer payroll taxes - option repurchases - -
Restructuring and impairment charges - - - $1.0 $0.4 $0.4 $1.5
Equity loss of non-consolidated entity - $0.4 $6.2 $1.1 $0.3 $0.1 -
Severance and related fees $0.1 $0.1 $0.4 $0.2 $0.4 $0.7 -
Merger and acquisition related expenses ($6.3) $0.6 $7.2 $0.7 - - -
Private company expenses - - $0.2 $0.2
Tax credits and other - - $1.0 - ($0.1) ($0.6) -
Other items $0.7 $0.4 $1.4 $0.7 $0.1 $0.2 ($0.0)
Adjusted EBITDA $33.0 $10.6 $35.2 $19.0 $10.9 $15.1 $7.7
Reconciliation of Net income (loss) and Adjusted EBITDA
23
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
Note: Financials are not pro forma for acquisitions.
Detailed footnotes on the following page.
Confidential
Reconciliation of Net income (loss) and Adjusted EBITDA
24
1) Share-based compensation expense relates to director and employee share-based awards.
(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) During the fourth quarter of 2014, we reassessed the recoverability of our investment in our non-consolidated entity, Ageology. Based upon this
assessment, we determined that a full impairment of $4,869 was warranted, primarily due to updated projections of continuing losses into the
foreseeable future. The remaining amounts in 2014, 2013 and 2012 represents our share of losses recognized by 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, and the impact of changes in the fair value of related contingent
consideration liabilities.
(6) Primarily includes philanthropic activities performed at the direction of our majority shareholder.
(7) Represents (a) various tax credits received from the state of Michigan for facility improvement and employee hiring initiatives, (b) the one-time
costs associated with converting from an S-Corporation to a C-Corporation, and (c) a 2014 charge of $1,825 related to non-income tax obligations.
(8) Includes other expenses, predominantly option redemption payroll taxes and IT operating leases. 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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Dsp Investor deck jan 2016 JP Morgan final

  • 1. Diplomat.is/more I’m Jay. I have chronic lymphocytic leukemia. I’m a retired submarine commander, a father, a husband, an avid woodcarver. I bike 20 miles a day. I know the Diplomat Difference. Copyright Š 2015 by Diplomat Pharmacy Inc. Diplomat is a registered trademark of Diplomat Pharmacy Inc. All rights reserved. J.P. Morgan Healthcare Conference January 2016
  • 2. Confidential 1 This presentation may contain “forward-looking” statements that involve risks, uncertainties and assumptions. If the risks or uncertainties ever materialize or the assumptions prove incorrect, our results may differ materially from those expressed or implied by such forward- looking statements. All statements other than statements of historical fact could be deemed forward-looking, including, but not limited to, any projections of financial information; any statements about historical results that may suggest trends for our business and results of operations; any statements of the plans, strategies and objectives of management for future operations; any statements of expectation or belief regarding future events, health care developments, or specialty pharmaceutical industry market sizes, shares, trends or growth; and any statements of assumptions underlying any of the foregoing. Any forward-looking statements contained in this presentation 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 but not limited to the following risks related to our business: 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; our limited history with integrating acquisitions; and the effects of competition. These and other risks and uncertainties associated with our business are described in the prospectus for our proposed follow-on offering, including under the heading “Risk Factors.” We assume no obligation and do not intend to update these forward-looking statements. In addition to U.S. GAAP financials, this presentation includes certain non-GAAP financial measures. These historical and forward-looking non-GAAP measures are in addition to, not a substitute for or superior to, measures of financial performance prepared in accordance with GAAP. A reconciliation between GAAP and non-GAAP measures is included in the appendix to this presentation. Diplomat is a registered trademark of Diplomat Pharmacy, Inc. This presentation also contains additional trademarks and service marks of ours and of other companies. We do not intend our use or display of other companies’ trademarks or service marks to imply a relationship with, or endorsement or sponsorship of us by, these other companies. Important note
  • 3. Confidential Investment Highlights • Specialty Pharmacy industry is a high growth market (~20%) • Drug development pipeline remains robust • Limited distribution growing in importance • Diplomat is unique within the specialty pharmacy industry • Taking market share as the largest independent specialty pharmacy • Access to broad range of limited distribution drugs • Strong financial performance • Five-year revenue CAGR of 42% & EBITDA CAGR of 65% • Diversified revenue and profitability streams • Modest balance sheet leverage – ample dry powder • Experienced senior management team • CEO founded Diplomat 40+ years ago • Leadership team has broad ranging experience across the industry 2
  • 4. Confidential $27 $58 $167 $271 $377 $578 $772 $1,127 $1,515 $2,215 $3,325 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015E 3 Diplomat at a glance  Founded: 1975; Headquarters: Flint, MI  Employees: ~1,700  2015E revenue: ~$3.3 billion  Diversified base of marquee partners Corporate Overview CVS Health/ Omnicare 33% Express Scripts 25% Walgreens 10% 3% OptumRx/ Catamaran 8% Avella 1% Others 20% 2014 Market share ($78 billion total market size) (1) Exceptional above market revenue growth Scaled business: National footprint ($ in millions) (1) Source: 2014 – 2015 Economic Report on Retail, Mail and Specialty Pharmacies, Drug Channel Institute and Morgan Stanley Research (2) Based on mid-point of management’s estimate range for FY 2015 (2) Pharmacy Locations Arizona California Connecticut Florida Illinois Iowa Massachusetts Michigan Minnesota North Carolina Ohio Pennsylvania
  • 5. Confidential 4 Diversified revenue and profit streams Complementary Opportunities Minimize Payer/PBM Risk, AND Mitigate any risk of Inflation abatement Other Services  Retail Specialty Network  Hospital Specialty Network  HUB (Envoy Health)  340(b)  PAP  All services enhance DPLO’s relevance in healthcare Specialty Infusion  Subset of specialty pharmacy  Many similar characteristics (chronic, high cost, etc.)  Few differentiators (nursing component, more medical billing)  Higher margin business  Unique/separate payer networks  Payer-driven site of care transition opportunities Core Specialty Pharmacy (orals and self-injectables)  Oncology dominance  Limited distribution expertise  Outpacing industry revenue growth organically  Mix shift driving revenue and profit growth  Price inflation a very small component of revenue  Serving open, preferred, narrow, and exclusive payer networks Pharmaceutical Manufacturer Services  Discounts, rebates, performance, services, data fees  High margin  Not dependent on payers or price inflation  Making progress, but significant upside opportunity remains Revenue Source: Payers Revenue Source: Pharma & Others Financial Impact: Higher Revenue, Lower Margin Financial Impact: Lower Revenue, Higher Margin
  • 6. Confidential Diplomat controls the journey of a specialty patient 5 Patient Physician Payor Patient Patient visits physician Payor approves script Diplomat monitors adherence and collects data for manufacturers Diplomat dispenses drug Diplomat provides: Benefit verification Prior authorization Clinical intervention Physician writes script Patient receives drugs
  • 7. Confidential 6 Specialty spend under pharmacy benefit to more than double(2) Specialty pharmacy industry continues to show exceptional growth Specialty share of spend growing dramatically(1) Specialty continues to dominate top 10 drug spend(3) Source: (1) Specialty Drug Trend Across the Pharmacy and Medical Benefit – Artemetrx 2013. (2) 2013-2014 Economic Report on Retail, Mail and Specialty Pharmacies. (3) Pembroke Consulting analysis of World Preview 2015, Outlook to 2020, EvaluatePharma.  7 out of top 10  9 out of top 10 2014A 2020E 70% 30% 42%58% 50%50% Traditional 58% Diplomat 2% $51 million $118 billion 2012A 2018E Traditional 2012A 2015E 2018E $51 billion Specialty
  • 8. Confidential Limited distribution a central and growing theme in specialty 7 Benefits to DiplomatBenefits to biotech / pharma  Completely eliminate or reduce reliance on wholesaler  Real-time clinical data  Commercialization assistance  Improves appropriate utilization  Barrier to entry  Deeper, and earlier, partnerships with pharma / biotech  Increased value proposition to payors  Market share opportunity Portfolio of over 90 limited distribution drugs, comprising approximately 40% of revenue in 2014, and well positioned for disproportionate growth from future drug approvals Recent unique limited panels…Diplomat exclusive or semi-exclusive What is limited distribution?  Targeted channel strategy  Provides certain specialty pharmacies with exclusive or preferred dispensing rights to certain drugs  Fast-growing trend (2013) (2015)(2012) (2014) Traditional: Limited: Manufacturer Multiple Wholesalers 65,000 Pharmacies Patient Manufacturer One/few pharmacies Patient DPLO EXCLUSIVE DPLO LARGEST OF 4 DPLO LARGEST OF 4 DPLO EXCLUSIVEDPLO LARGEST OF 3 (2015)
  • 9. Confidential 8 Unique competitive position LARGE PBM / RETAIL PHARMACY SMALLER SPECIALTY PHARMACIES  Diversification distracts from specialty pharmacy  Less flexible / less nimble  Limited scale  Most focused on one or a few disease states  Fragmented market  Consolidation opportunity for Diplomat  Singularly focused on specialty  High-touch model  Flexible and nimble  Entrepreneurial culture  National reach  Scalable infrastructure
  • 10. Confidential 9 Base business continues to gain momentum  Specialty pharmacy market grew 24% from $63bn in 2013 to $78bn in 2014  3,000+ oncology and immunology drugs in global drug development  Increased prevalence of limited distribution panels  Biosimilars launching in U.S.  2015 record year for drug approvals Improving trends across specialty pharmacy… …driving key milestones and achievements at Diplomat  Diplomat grew revenues by 59% from 3Q’14 to 3Q’15  Recent new drug contracts  The majority of which are limited distribution drugs Oncology Hepatitis C Cystic Fibrosis Other • 51 total approvals: - 45 NMEs and 6 biologics • 21 of 45 NMEs were Orphan designation • 16 of 45 NMEs were “First in Class” • 69% of all approvals were specialty
  • 11. Confidential Accomplishments since the IPO 10 o Announced access to ~20 LD drugs o Continued oncology dominance o Growing theme of excluding large PBM-owned SPs o Added key industry veterans; direct, and via acquired entities’ management teams o Added four independent board members; now majority independent board o Accelerated higher margin business o Grew revenue by ~120%1 o Increased EBITDA by nearly 400%2 o Created a nationwide specialty infusion platform with 3 strategic acquisitions o Broadened Hep-C and technology offerings through Burman’s acquisition Expanded Access to Limited Distribution Drugs Strengthened Leadership Team Delivered Strong Financial Performance Completed Strategic Acquisitions (1) 2015E $3,325 vs. 2013 $1,515 (2) 2015E midpoint $94 versus 2013 $19
  • 12. Confidential 11 Acquisitions create incremental revenue opportunities Recent acquisitions of Burman’s Specialty Pharmacy and BioRX have created significant revenue synergies BioRX Acquired by Diplomat on April 1, 2015 Burman’s Specialty Pharmacy Acquired by Diplomat on June 19, 2015 • Strengthens Diplomat’s relationships with Neurologists • Provides BioRX sales force a broader portfolio of drugs including Multiple Sclerosis services • Cross selling infusion services to existing managed market clients Synergies • Roll out software technology across our national platform to drive patient adherence and physician transparency • Increased access to Gastroenterology thought leaders • Provides Burman’s sales force Diplomat’s full therapeutic mix (incl. Crohn’s disease) Synergies
  • 13. Confidential 12 Future M&A criteria When considering acquisitions, we look for targets that will potentially benefit Diplomat in one or more of the following ways:  Accelerate our higher margin business opportunities  Expand into new therapeutic areas and/or geographic regions  Enhance clinical capabilities to improve competitive advantage  Access to Limited Distribution drugs  Bring new services and technologies under our umbrella  Makes DPLO better, not just bigger
  • 15. Confidential Traditional Drug Specialty Drug A Specialty Drug B Specialty Drug C Specialty Drug B (10% price incr.) Revenue $100 $3,700 $10,000 $27,000 $11,000 Gross Profit ($) $10 $185 $400 $810 $440 Gross Margin (%) 10% 5% 4% 3% 4% 14 Revenue Payors Distributors / pharmaceutical manufacturers Patient Diplomat COGS Physical drug movement $ flows How we make money and grow profitability(Illustrative example) How we make money Drug mix and positive pricing trends are tremendous profit tailwinds for Diplomat Inflation Impact Diplomat mix shift movement over time Our core focus $301 Diplomat’s 3Q’15 Average (AWP – Y%) (WAC – X%) Note AWP = WAC x 1.20 (1) (1) Example: AWP $12,000 - 15% = $10,200 Revenue WAC $10,000 - 3% = $9,700 Cost $500 Gross Profit 4.9% Gross Margin
  • 16. Confidential $185 $301 3Q14A 3Q15A $10.6 $33.0 3Q14A 3Q15A $596 $947 3Q14A 3Q15A 15 Recent quarterly highlights (1) Based on dispensed scripts only. (2) Gross profit / net sales (i.e., based on dispensed and serviced scripts). Revenue EBITDA margin 1.8% Adjusted EBITDAGross Profit /Script ($ in millions) ($ in millions) 3.5%8.0%6.7% (1) Gross margin (2) 130 bps expansion 170 bps expansion
  • 17. Confidential $25 $67 First Nine Months of 2014 First Nine Months of 2015 $1,603 $2,380 First Nine Months of 2014 First Nine Months of 2015 $8 $15 $11 $19 $35 96% (28%) 75% 86% 1.3% 2.0% 1.0% 1.3% 2010A 2011A 2012A 2013A 2014A 16 Strong long-term financial performance… Adjusted EBITDA 2010 – First Nine Months of 2015 Total Revenue 2010 – First Nine Months of 2015 % margin % growth ($ in millions) $578 $772 $1,127 $1,515 $2,215 34% 46% 34% 46% 2010A 2011A 2012A 2013A 2014A % growth ($ in millions) 1.5% 2.8% Infrastructure investments including IT, facilities and personnel  Volume, price and mix all driving superior revenue growth  Natural operating leverage and acquisitions driving EBITDA growth and margin expansion 53% 27% Note: Historical financials are not pro forma for any acquisitions. 1.6%
  • 18. Confidential $161 $269 First Nine Months of 2014 First Nine Months of 2015 17 … with continued growth in profitability Gross Profit / Script (1) 2010 – First Nine Months of 2015 Note: Financials are not pro forma for BioRx acquisition. (1) Based on dispensed scripts only. (2) Gross profit / net sales (i.e., based on dispensed and serviced scripts). $71 $93 $97 $116 $167 2010A 2011A 2012A 2013A 2014A % growth 12% 20%31% 4% % margin 7.1% 5.9%7.3% 6.2% Several factors drive growth in our Gross Profit / Script(1):  Continued mix shift towards higher price, higher profit drugs (including acquisitions)  Favorable pricing trends (2) Gross margin expansion opportunities:  Recent acquisitions with higher gross margins (%)  Fee-for-service/rebate opportunities with pharmaceutical manufacturers  Specialty generics and biosimilars (longer term) 44% 6.3% 6.2% 7.8%
  • 19. Confidential 18 Multiple Components to Revenue Growth  Price inflation has comprised only 5-8% of revenue over the last 5 quarters  Political pressure on price inflation, if successful, will have limited impact on Diplomat  Value added services to pharma manufacturers are an opportunity to offset  Chronic disease expertise provides a stable and growing annuity-like revenue base  Limited distribution leadership and rich drug pipeline driving considerable revenue growth from new drugs  Diplomat remains an organic growth story  Strategic M&A has complemented growth 49% YOY Growth (42% organic) 49% YOY Growth (41% organic) 34% YOY Growth (29% organic) QuarterlyRevenue Inflation Impact
  • 20. Confidential 19 Balance Sheet summary (as of September 30, 2015) (1) Includes $6mm in cash-based contingent consideration ($ in millions) Actual Cash $16 Total Debt $147 Shareholders’ equity $502 Net Debt/Pro Forma EBITDA ~1.1x  Modest leverage  Ample dry powder for the right opportunities (1)
  • 22. Confidential 21 Diversified therapeutic mix (FY 2014A) Revenue mix by therapeutic category Oncology 48% Immunology 20% Multiple Sclerosis 10% Other 22%
  • 23. Confidential Recent Acquisitions 22 Acquired Company Consideration Rationale Other June 19, 2015 • $87M gross purchase price* • $77M cash*, $10M stock • ~4.2x CY 2014 EBITDA • Hep C dominance in Mid Atlantic • Hep C is a fast growing and highly profitable disease state • Proprietary technology (HealthTrac) with applicability across Diplomat’s Hep C platform • Proven management team • 50 year old company, run by 2nd generation pharmacist • No marketed sales process – Diplomat had a one-off look • Lack of auction/marketed process • Founder/owner led • Management all on board at DPLO April 1, 2015 • $272M adjusted purchase price* (~$50M tax benefit) • $217M cash*, $105M stock • ~11.8x CY 2014 EBITDA • One year earnout of 1.35M shares (all stock) • Adds significant scale to specialty infusion business • Provides ability to compete for national contracts • Increases exposure to higher margin businesses • Addition of new disease states, therapeutic categories & 5 new LD’s • Lack of auction/marketed process • Founder/owner led • Management all on board at DPLO June 27, 2014 • $68.5 million gross purchase price* • $52M cash upfront, $12M stock • ~8x CY 2013 EBITDA • Two year earnout max. $11.5M (all cash) • Strong management team • Strong therapy mix: IVIG and Hemophilia • Favorable geographic footprint • Lack of auction/marketed process • Founder/owner led • Management all on board at DPLO December 16, 2013 • $13.4 million gross purchase price* • $12M cash upfront • ~6x CY 2013 EBITDA • Two year earnout max. $2M (all cash) • First DPLO acquisition • More than doubled hemophilia/specialty infusion business • High margins • Lack of auction/marketed process • Management all on board at DPLO * Value includes closing working capital adjustments
  • 24. Confidential Calendar year ending December 31, ($ in millions) 3Q'15 3Q'14 2014A 2013A 2012A 2011A 2010A Net income (loss) attributable to Diplomat $16.0 $4.5 $4.8 ($26.1) ($2.6) $9.2 ($7.8) Depreciation & Amortization $9.9 $2.8 $8.1 $3.9 $3.8 $3.1 $2.2 Interest Expense $1.5 $0.7 $2.5 $2.0 $1.1 $0.6 $0.5 Income tax expense $9.8 $2.4 $4.7 - - - - EBITDA $37.2 $10.5 $20.1 ($20.2) $2.3 $12.8 ($5.2) Share-based compensations expense $1.3 $0.7 $2.9 $0.9 $0.9 $1.4 $0.8 Change in fair value of redeemable common shares $(6.9) ($9.1) $34.3 $6.6 $10.7 Termination of existing stock redemption agreement $4.8 $4.8 Employer payroll taxes - option repurchases - - Restructuring and impairment charges - - - $1.0 $0.4 $0.4 $1.5 Equity loss of non-consolidated entity - $0.4 $6.2 $1.1 $0.3 $0.1 - Severance and related fees $0.1 $0.1 $0.4 $0.2 $0.4 $0.7 - Merger and acquisition related expenses ($6.3) $0.6 $7.2 $0.7 - - - Private company expenses - - $0.2 $0.2 Tax credits and other - - $1.0 - ($0.1) ($0.6) - Other items $0.7 $0.4 $1.4 $0.7 $0.1 $0.2 ($0.0) Adjusted EBITDA $33.0 $10.6 $35.2 $19.0 $10.9 $15.1 $7.7 Reconciliation of Net income (loss) and Adjusted EBITDA 23 (1) (2) (3) (4) (5) (6) (7) (8) Note: Financials are not pro forma for acquisitions. Detailed footnotes on the following page.
  • 25. Confidential Reconciliation of Net income (loss) and Adjusted EBITDA 24 1) Share-based compensation expense relates to director and employee share-based awards. (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) During the fourth quarter of 2014, we reassessed the recoverability of our investment in our non-consolidated entity, Ageology. Based upon this assessment, we determined that a full impairment of $4,869 was warranted, primarily due to updated projections of continuing losses into the foreseeable future. The remaining amounts in 2014, 2013 and 2012 represents our share of losses recognized by 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, and the impact of changes in the fair value of related contingent consideration liabilities. (6) Primarily includes philanthropic activities performed at the direction of our majority shareholder. (7) Represents (a) various tax credits received from the state of Michigan for facility improvement and employee hiring initiatives, (b) the one-time costs associated with converting from an S-Corporation to a C-Corporation, and (c) a 2014 charge of $1,825 related to non-income tax obligations. (8) Includes other expenses, predominantly option redemption payroll taxes and IT operating leases. 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.