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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 © 2015 by Diplomat Pharmacy Inc. Diplomat is a registered
trademark of Diplomat Pharmacy Inc. All rights reserved.
Investor Presentation
March 2017
Confidential
1
This presentation contains forward-looking statements made pursuant to the safe harbor provisions of the Private Securities Litigation
Reform Act of 1995. Forward-looking statements give current expectations or forecasts of future events or our future financial or operating
performance, and include Diplomat’s expectations regarding revenues, Adjusted EBITDA, cost-saving efforts, and expectations regarding
acquisitions. The 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 risks and uncertainties, many of which are beyond
our control, that could cause our actual results to differ materially from those forecasted or indicated by such forward-looking
statements. These risks and uncertainties include: 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; our ability to estimate the impact of DIR
fees amid considerable uncertainty due to current regulatory efforts and current and future payor disputes; limited experience with
acquisitions and our ability to recognize the expected benefits therefrom on a timely basis or at all; and the additional factors set forth in
"Risk Factors" in Diplomat’s Annual Report on Form 10-K for the year ended December 31, 2015 and in subsequent reports filed with or
furnished to the Securities and Exchange Commission. Except as may be required by any applicable laws, Diplomat assumes no obligation
to publicly update such forward-looking statements, which are made as of the date hereof or the earlier date specified herein, whether as a
result of new information, future developments or otherwise.
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 growth market
• Drug development pipeline remains robust
− Oncology is the largest and fastest growing segment of the Diplomat portfolio
• Limited distribution model growing in importance
• Diplomat is unique within the specialty pharmacy industry
• Taking market share as the largest independent specialty pharmacy
• Access to ~100 limited distribution drugs
• Multiple growth opportunities
• Organic
• Strategic complimentary acquisitions
• Strong financial performance
• Five-year revenue CAGR of 42% & EBITDA CAGR of 48%
• 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
(1) CAGR based on 2011-2016 results
(1)
Confidential
Others 29%
CVS Health /
Omnicare 28%
Express Scripts
19%
Walgreens 10%
OptumRX 7%
4%
Prime
Therapeutics 3%
$58 $167 $271 $377
$578
$772
$1,127
$1,515
$2,215
$3,367
$4,410 $4,500
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017E
3
Diplomat at a glance
 Founded: 1975; Headquarters: Flint, MI
 Employees: ~1,800
 2017E revenue: ~$4.5 billion
 Diversified base of marquee partners
Corporate Overview
2016 Market share ($115 billion total market size) (1)
Exceptional above market revenue growth
Scaled business: National footprint
($ in millions)
Source:
(1) 2017 Economic Report on U.S. Pharmacies and Pharmacy Benefit Managers
(2) Based on mid-point of management’s estimate range for FY 2017
(2)
Pharmacy Locations
Arizona
California
Connecticut
Florida
Illinois
Iowa
Kansas
Maryland
Massachusetts
Michigan
Minnesota
Nebraska
New York
North Carolina
Ohio
Pennsylvania
Texas
Wisconsin
(2)
Confidential
4
Diplomat’s revenue and profits come from multiple industry sectors
DIR fees primarily affect core specialty pharmacy sector only
Complementary Opportunities Minimize Payor/PBM Risk,
AND Mitigate Risk of Inflation Abatement
Other Services
 EnvoyHealth
o HUB
o Noncommercial Pharmacy
o Hospital Specialty Network
o 340B Contract Pharmacy
o Formulary and Rebate Management
o Clinical Research
Specialty Infusion
 Subset of specialty pharmacy
o Many similar characteristics (chronic,
high cost, etc.)
o Few differentiators (nursing
component, more medical billing)
 Higher margin business
 Unique/separate payor networks
 Payor-driven site of care transition
opportunities
Core Specialty Pharmacy
(orals and self-injectables)
 Oncology dominance
 Limited distribution expertise
 Outpacing industry revenue growth organically
o Mix shift driving revenue and profit growth
o Price inflation a very small component of revenue
 Serving open, preferred, narrow, and exclusive
payor networks
 Increase focus on direct contracts with payors
Pharmaceutical Manufacturer Services
 Discounts, rebates, 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
Growing list of services across the specialty pharmacy eco-system
5
The continued growth and expansion of small biotech
companies creates a dramatic and growing marketplace
Product Access and
Commercialization
Customer
Relationship
Management
Clinical Care
Management
Reimbursement
Management
Financial Solutions Pharmacovigilance
Channel Management Noncommercial
Pharmacy
Clinical Trials Education Clinical Research Marketing Solutions
Dispensing Support
Services
340B Contact
Pharmacy
Delegated Prior
Authorization
Formulary and
Rebate
Management
Medical
Management
Call Center
Services
PayorsPartners
ENVOYHEALTH
SERVICES
Confidential
Diplomat controls the journey of a specialty patient
6
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
7
Specialty spend under pharmacy benefit to grow ~5x(1)
Specialty pharmacy industry continues to show
exceptional growth
Specialty share of spend growing dramatically(1)
Specialty continues to dominate top 10 drug spend(1)
Source:
(1) The 2017 Economic Report on Retail, Mail, and Specialty Pharmacies – February 2017
 7 out of top 10  9 out of top 10
2014A 2020E
83%
17%
28%
72%
42%
58%
Diplomat 2%
$50 billion $240 billion
2011A 2021E
Traditional
2011A 2016A 2021E
Specialty
Confidential
Limited distribution a central and growing theme in specialty
8
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 ~100 limited distribution drugs, comprising approximately 45%
of revenue in 2015, 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)(2012) (2015)
Traditional:
Limited:
Manufacturer Multiple Wholesalers 65,000 Pharmacies Patient
Manufacturer One/few pharmacies Patient
DPLO EXCLUSIVE DPLO LARGEST OF 4 DPLO 1 of 4
(2016)
DPLO 1 of 4
Confidential
9
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
Acquired
Feb 2016
Acquired
2013-2017
Acquired
Sept 2016
Confidential
Legal and Regulatory Strategies for combating DIR fees
• Proposed legislation – already in House and Senate to prevent
DIR Fees being implemented in current fashion
• Multiple industry stakeholders reviewing other legislative options
• Direct discussion with CMS to control PBM interpretations of
DIR language
• Legal challenges being reviewed by multiple SP groups and
stakeholders
10
Confidential
Growth Strategy
• Grow our oncology and infusion businesses with increased
access to drugs and broader geographic reach
• Enhance our pharma service offering and HUB services
• Expansion of direct contracts with payors
• Contract with manufacturer partners to insure the highest
service levels for patients, physicians, and health plans
• Continue to selectively pursue strategic M&A opportunities
11
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:
 Expand into new therapeutic areas and/or geographic regions
 Enhance clinical capabilities to improve competitive advantage
 Access to Limited Distribution drugs
 Access to new/expanded specialty prescriber base
 Accelerate our higher margin business opportunities
 Bring new services and technologies under our umbrella
 Makes DPLO better, not just bigger
Confidential
13
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
$342
Diplomat’s 4Q’16 Average*
(AWP – Y%)
(WAC – X%)
Note AWP = WAC x 1.20
(1)
(1)
Example:
AWP $11,905 - 16% = $10,000 Revenue
WAC $9,921 - 3% = $9,600 COGS
$400 Gross Profit
4% Gross Margin
Confidential
$987
$1,145
4Q15A 4Q16A
15
Normalized Fourth Quarter 2016 Results
(1) Based on dispensed scripts only.
(2) Gross profit / net sales (i.e., based on dispensed and serviced scripts).
(3) 4Q16 includes a $4.7 million impairment expense to write down related to Physician Resource Management
Revenue
Adjusted
EBITDA
margin 2.8%
Adjusted EBITDA
Gross Profit /Script
($ in millions)
($ in millions)
2.3%
7.3%7.8%
(1)
Gross
margin
(2)
(3)
$312
$342
4Q15A 4Q16A
$3.6
-$1.1
4Q15A 4Q16A
Net Income (Loss)
($ in millions)
$28.1
$26.1
4Q15A 4Q16A
Confidential
$8
$15 $11
$19
$35
$95
$107
2010A 2011A 2012A 2013A 2014A 2015A 2016A
Strong long-term financial performance…
Adjusted EBITDA
2010 – 2016
Total Revenue
2010 – 2016
% margin
% growth
($ in millions)
% growth
($ in millions)
Pre-IPO infrastructure investments
 Volume, price and mix all driving superior revenue growth
 Natural operating leverage and acquisitions driving EBITDA growth
53%
27%
Note: Historical financials are not pro forma for any acquisitions.
$578 $772
$1,127
$1,515
$2,215
$3,367
$4,410
2010A 2011A 2012A 2013A 2014A 2015A 2016A
34% 46% 34% 46% 52% 31%
96% (28%) 75% 85% 170% 13%
1.3% 2.0% 1.0% 1.3% 1.6% 2.8% 2.4%
16
Confidential
17
… with continued growth in profitability
Gross Profit / Script (1)
2010 – 2016
Note: Financials are not pro forma for acquisitions.
(1) Based on dispensed scripts only.
(2) Gross profit / net sales (i.e., based on dispensed and serviced scripts).
% 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 (%)
 Pharma services opportunities
 Specialty generics and biosimilars (longer term)
44%
6.3%
68%
7.8%
16%
7.4%
$71
$93 $97
$116
$167
$280
$325
2010A 2011A 2012A 2013A 2014A 2015A 2016A
Confidential
18
Components of Quarterly Revenue Growth
($ in millions)
QuarterlyRevenue
• Price inflation comprised
4% of revenue in 4Q16
after four straight quarters
of contributing 6%
 Diplomat’s 2017 outlook
assumes inflation will
moderate in 2017
• Chronic disease expertise
provides an annuity-like
revenue base
 Limited distribution
leadership and rich drug
pipeline driving revenue
growth from new drugs
Confidential
19
Annual Revenue by Drug Year Launch
$1.5B
$2.2B
$3.3B
5%
18%
3%
16%
95%
$1.4B
77%
$1.7B
63%
$2.1B
21%
2%
$4.4B
19%
13%
8%
4%
61%
$2.7B
• Drugs across all launch years
continue to grow over time
• 2012 and prior drugs have
grown 93% from 2013 to 2016
• Pipeline remains an important
element of near-term and long-
term growth; existing drugs will
also contribute meaningfully
Confidential
20
Balance Sheet / Cash Flow snapshot
($ in millions)
(1) Includes $6mm in cash-based contingent consideration
(2) ProForma to include 12 months of TNH
2016 2015
Cash $8 $28
Total Debt $150 $119
(1)
Shareholders’ equity $614 $516
Net Debt/ProForma TTM EBITDA(2) ~1.0x ~.8x
Cash Flow From Operations (period ended) $31 $29
December 31,December 31,
Confidential
21
Appendix
Confidential
22
Revenue by Therapeutic Class
($ in millions)
2015
% of
Total 2014 2013
Oncology 1,432,091$ 43% 1,068,751$ 736,987$
Hepatitis 520,771 15% <10% <10%
Immunology 510,708 15% 438,145 378,685
Infusion 374,884 11% <10% <10%
Multiple Sclerosis <10% N/A 226,805 169,470
Other (none greater than 10% in the period) 528,177 16% 481,255 229,997
3,366,631$ 2,214,956$ 1,515,139$
Limited distribution drug % of total 45% 44% 40%
Confidential
Acquired Company Consideration Rationale
February 1, 2017
• $20M gross purchase price
• $16M cash, $4M earn-out
• ~6.7x CY 2016 EBITDA
• Hemophilia focused specialty pharmacy and infusion services company
• Strengthens Diplomat’s footprint in key geographic markets (New York and Houston)
• Revenue synergy opportunities
June 1, 2016
• $75M gross purchase price
• $65M cash, $10M stock
• ~8.0x CY 2015 EBITDA
• Oncology focused specialty pharmacy; 22 LDs
• Strengthens Diplomat’s footprint in key geographic markets (California and Texas)
• Revenue synergy opportunities
• Promising proprietary technology; some components of TNH’s portal can be
leveraged across Diplomat’s platform
June 19, 2015
• $87M gross purchase price*
• $77M cash*, $10M stock
• ~4.2x CY 2014 EBITDA
• Hep C dominance in Mid Atlantic
• 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
April 1, 2015
• $272M adjusted purchase price* (~$50M
tax benefit)
• $217M cash*, $105M stock
• ~11.8x CY 2014 EBITDA
• One year earnout of 1.35M shares (all
stock)
• Adds significant scale to specialty infusion business
• Provides ability to compete for national contracts
• Increases exposure to higher margin businesses
• Addition of new disease states, therapeutic categories & 5 new LD’s
Recent Acquisitions
23
* Value includes closing working capital adjustments
Confidential
Calendar year ending December 31,
($ in millions) 4Q'16A 4Q'15A 2016A 2015A 2014A 2013A 2012A 2011A 2010A
Net income (loss) attributable to Diplomat ($1.1) $3.6 $28.3 $25.8 $4.8 ($26.1) ($2.6) $9.2 ($7.8)
Depreciation & Amortization $14.0 $10.0 $50.0 $30.8 $8.1 $3.9 $3.8 $3.1 $2.2
Interest Expense $1.8 $1.5 $6.6 $5.2 $2.5 $2.0 $1.1 $0.6 $0.5
Income tax expense $1.8 $2.3 $11.2 $16.2 $4.7 - - - -
EBITDA $16.4 $17.3 $96.1 $78.1 $20.1 ($20.2) $2.3 $12.8 ($5.2)
Share-based compensations expense $0.9 $1.4 $5.4 $4.0 $2.9 $0.9 $0.9 $1.4 $0.8
Change in fair value of redeemable common shares - - - - ($9.1) $34.3 $6.6 - $10.7
Termination of existing stock redemption agreement - - $0.2 - $4.8 - - - -
Employer payroll taxes - option repurchases $0.0 $0.1 - $1.6 - - - - -
Restructuring and impairment charges $4.7 - $7.1 $0.2 - $1.0 $0.4 $0.4 $1.5
Equity loss of non-consolidated entity - - - - $6.2 $1.1 $0.3 $0.1 -
Severance and related fees $1.0 $0.1 $1.1 $0.5 $0.4 $0.2 $0.4 $0.7 -
Merger and acquisition related expenses $0.3 $8.8 ($6.6) $9.2 $7.2 $0.7 - - -
Private company expenses - - - - $0.2 $0.2 - - -
Tax credits and other - - - - $1.0 - ($0.1) ($0.6) -
Other items $2.8 $0.4 $4.0 $1.5 $1.4 $0.7 $0.1 $0.2 ($0.0)
Adjusted EBITDA $26.1 $28.1 $107.4 $95.0 $35.2 $19.0 $10.9 $15.1 $7.7
Reconciliation of Net income (loss) and Adjusted EBITDA
24
(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
25
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. Q4 2016 charge primarily related to an impairment to write down our cost method investment in Physician Resource Management, LLC
(“PRM”). The full year 2016 includes both the impairment of PRM and the Q3 2016 full impairment of the definite-lived intangible assets associated
with Primrose Healthcare LLC. 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. Q4 2016
includes $2.4 million of inventory loss due to a cooler failure.

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Raymond James 38 th Annual Institutional Investors Conference

  • 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 © 2015 by Diplomat Pharmacy Inc. Diplomat is a registered trademark of Diplomat Pharmacy Inc. All rights reserved. Investor Presentation March 2017
  • 2. Confidential 1 This presentation contains forward-looking statements made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements give current expectations or forecasts of future events or our future financial or operating performance, and include Diplomat’s expectations regarding revenues, Adjusted EBITDA, cost-saving efforts, and expectations regarding acquisitions. The 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 risks and uncertainties, many of which are beyond our control, that could cause our actual results to differ materially from those forecasted or indicated by such forward-looking statements. These risks and uncertainties include: 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; our ability to estimate the impact of DIR fees amid considerable uncertainty due to current regulatory efforts and current and future payor disputes; limited experience with acquisitions and our ability to recognize the expected benefits therefrom on a timely basis or at all; and the additional factors set forth in "Risk Factors" in Diplomat’s Annual Report on Form 10-K for the year ended December 31, 2015 and in subsequent reports filed with or furnished to the Securities and Exchange Commission. Except as may be required by any applicable laws, Diplomat assumes no obligation to publicly update such forward-looking statements, which are made as of the date hereof or the earlier date specified herein, whether as a result of new information, future developments or otherwise. 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 growth market • Drug development pipeline remains robust − Oncology is the largest and fastest growing segment of the Diplomat portfolio • Limited distribution model growing in importance • Diplomat is unique within the specialty pharmacy industry • Taking market share as the largest independent specialty pharmacy • Access to ~100 limited distribution drugs • Multiple growth opportunities • Organic • Strategic complimentary acquisitions • Strong financial performance • Five-year revenue CAGR of 42% & EBITDA CAGR of 48% • 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 (1) CAGR based on 2011-2016 results (1)
  • 4. Confidential Others 29% CVS Health / Omnicare 28% Express Scripts 19% Walgreens 10% OptumRX 7% 4% Prime Therapeutics 3% $58 $167 $271 $377 $578 $772 $1,127 $1,515 $2,215 $3,367 $4,410 $4,500 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017E 3 Diplomat at a glance  Founded: 1975; Headquarters: Flint, MI  Employees: ~1,800  2017E revenue: ~$4.5 billion  Diversified base of marquee partners Corporate Overview 2016 Market share ($115 billion total market size) (1) Exceptional above market revenue growth Scaled business: National footprint ($ in millions) Source: (1) 2017 Economic Report on U.S. Pharmacies and Pharmacy Benefit Managers (2) Based on mid-point of management’s estimate range for FY 2017 (2) Pharmacy Locations Arizona California Connecticut Florida Illinois Iowa Kansas Maryland Massachusetts Michigan Minnesota Nebraska New York North Carolina Ohio Pennsylvania Texas Wisconsin (2)
  • 5. Confidential 4 Diplomat’s revenue and profits come from multiple industry sectors DIR fees primarily affect core specialty pharmacy sector only Complementary Opportunities Minimize Payor/PBM Risk, AND Mitigate Risk of Inflation Abatement Other Services  EnvoyHealth o HUB o Noncommercial Pharmacy o Hospital Specialty Network o 340B Contract Pharmacy o Formulary and Rebate Management o Clinical Research Specialty Infusion  Subset of specialty pharmacy o Many similar characteristics (chronic, high cost, etc.) o Few differentiators (nursing component, more medical billing)  Higher margin business  Unique/separate payor networks  Payor-driven site of care transition opportunities Core Specialty Pharmacy (orals and self-injectables)  Oncology dominance  Limited distribution expertise  Outpacing industry revenue growth organically o Mix shift driving revenue and profit growth o Price inflation a very small component of revenue  Serving open, preferred, narrow, and exclusive payor networks  Increase focus on direct contracts with payors Pharmaceutical Manufacturer Services  Discounts, rebates, 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 Growing list of services across the specialty pharmacy eco-system 5 The continued growth and expansion of small biotech companies creates a dramatic and growing marketplace Product Access and Commercialization Customer Relationship Management Clinical Care Management Reimbursement Management Financial Solutions Pharmacovigilance Channel Management Noncommercial Pharmacy Clinical Trials Education Clinical Research Marketing Solutions Dispensing Support Services 340B Contact Pharmacy Delegated Prior Authorization Formulary and Rebate Management Medical Management Call Center Services PayorsPartners ENVOYHEALTH SERVICES
  • 7. Confidential Diplomat controls the journey of a specialty patient 6 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
  • 8. Confidential 7 Specialty spend under pharmacy benefit to grow ~5x(1) Specialty pharmacy industry continues to show exceptional growth Specialty share of spend growing dramatically(1) Specialty continues to dominate top 10 drug spend(1) Source: (1) The 2017 Economic Report on Retail, Mail, and Specialty Pharmacies – February 2017  7 out of top 10  9 out of top 10 2014A 2020E 83% 17% 28% 72% 42% 58% Diplomat 2% $50 billion $240 billion 2011A 2021E Traditional 2011A 2016A 2021E Specialty
  • 9. Confidential Limited distribution a central and growing theme in specialty 8 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 ~100 limited distribution drugs, comprising approximately 45% of revenue in 2015, 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)(2012) (2015) Traditional: Limited: Manufacturer Multiple Wholesalers 65,000 Pharmacies Patient Manufacturer One/few pharmacies Patient DPLO EXCLUSIVE DPLO LARGEST OF 4 DPLO 1 of 4 (2016) DPLO 1 of 4
  • 10. Confidential 9 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 Acquired Feb 2016 Acquired 2013-2017 Acquired Sept 2016
  • 11. Confidential Legal and Regulatory Strategies for combating DIR fees • Proposed legislation – already in House and Senate to prevent DIR Fees being implemented in current fashion • Multiple industry stakeholders reviewing other legislative options • Direct discussion with CMS to control PBM interpretations of DIR language • Legal challenges being reviewed by multiple SP groups and stakeholders 10
  • 12. Confidential Growth Strategy • Grow our oncology and infusion businesses with increased access to drugs and broader geographic reach • Enhance our pharma service offering and HUB services • Expansion of direct contracts with payors • Contract with manufacturer partners to insure the highest service levels for patients, physicians, and health plans • Continue to selectively pursue strategic M&A opportunities 11
  • 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:  Expand into new therapeutic areas and/or geographic regions  Enhance clinical capabilities to improve competitive advantage  Access to Limited Distribution drugs  Access to new/expanded specialty prescriber base  Accelerate our higher margin business opportunities  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 $342 Diplomat’s 4Q’16 Average* (AWP – Y%) (WAC – X%) Note AWP = WAC x 1.20 (1) (1) Example: AWP $11,905 - 16% = $10,000 Revenue WAC $9,921 - 3% = $9,600 COGS $400 Gross Profit 4% Gross Margin
  • 16. Confidential $987 $1,145 4Q15A 4Q16A 15 Normalized Fourth Quarter 2016 Results (1) Based on dispensed scripts only. (2) Gross profit / net sales (i.e., based on dispensed and serviced scripts). (3) 4Q16 includes a $4.7 million impairment expense to write down related to Physician Resource Management Revenue Adjusted EBITDA margin 2.8% Adjusted EBITDA Gross Profit /Script ($ in millions) ($ in millions) 2.3% 7.3%7.8% (1) Gross margin (2) (3) $312 $342 4Q15A 4Q16A $3.6 -$1.1 4Q15A 4Q16A Net Income (Loss) ($ in millions) $28.1 $26.1 4Q15A 4Q16A
  • 17. Confidential $8 $15 $11 $19 $35 $95 $107 2010A 2011A 2012A 2013A 2014A 2015A 2016A Strong long-term financial performance… Adjusted EBITDA 2010 – 2016 Total Revenue 2010 – 2016 % margin % growth ($ in millions) % growth ($ in millions) Pre-IPO infrastructure investments  Volume, price and mix all driving superior revenue growth  Natural operating leverage and acquisitions driving EBITDA growth 53% 27% Note: Historical financials are not pro forma for any acquisitions. $578 $772 $1,127 $1,515 $2,215 $3,367 $4,410 2010A 2011A 2012A 2013A 2014A 2015A 2016A 34% 46% 34% 46% 52% 31% 96% (28%) 75% 85% 170% 13% 1.3% 2.0% 1.0% 1.3% 1.6% 2.8% 2.4% 16
  • 18. Confidential 17 … with continued growth in profitability Gross Profit / Script (1) 2010 – 2016 Note: Financials are not pro forma for acquisitions. (1) Based on dispensed scripts only. (2) Gross profit / net sales (i.e., based on dispensed and serviced scripts). % 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 (%)  Pharma services opportunities  Specialty generics and biosimilars (longer term) 44% 6.3% 68% 7.8% 16% 7.4% $71 $93 $97 $116 $167 $280 $325 2010A 2011A 2012A 2013A 2014A 2015A 2016A
  • 19. Confidential 18 Components of Quarterly Revenue Growth ($ in millions) QuarterlyRevenue • Price inflation comprised 4% of revenue in 4Q16 after four straight quarters of contributing 6%  Diplomat’s 2017 outlook assumes inflation will moderate in 2017 • Chronic disease expertise provides an annuity-like revenue base  Limited distribution leadership and rich drug pipeline driving revenue growth from new drugs
  • 20. Confidential 19 Annual Revenue by Drug Year Launch $1.5B $2.2B $3.3B 5% 18% 3% 16% 95% $1.4B 77% $1.7B 63% $2.1B 21% 2% $4.4B 19% 13% 8% 4% 61% $2.7B • Drugs across all launch years continue to grow over time • 2012 and prior drugs have grown 93% from 2013 to 2016 • Pipeline remains an important element of near-term and long- term growth; existing drugs will also contribute meaningfully
  • 21. Confidential 20 Balance Sheet / Cash Flow snapshot ($ in millions) (1) Includes $6mm in cash-based contingent consideration (2) ProForma to include 12 months of TNH 2016 2015 Cash $8 $28 Total Debt $150 $119 (1) Shareholders’ equity $614 $516 Net Debt/ProForma TTM EBITDA(2) ~1.0x ~.8x Cash Flow From Operations (period ended) $31 $29 December 31,December 31,
  • 23. Confidential 22 Revenue by Therapeutic Class ($ in millions) 2015 % of Total 2014 2013 Oncology 1,432,091$ 43% 1,068,751$ 736,987$ Hepatitis 520,771 15% <10% <10% Immunology 510,708 15% 438,145 378,685 Infusion 374,884 11% <10% <10% Multiple Sclerosis <10% N/A 226,805 169,470 Other (none greater than 10% in the period) 528,177 16% 481,255 229,997 3,366,631$ 2,214,956$ 1,515,139$ Limited distribution drug % of total 45% 44% 40%
  • 24. Confidential Acquired Company Consideration Rationale February 1, 2017 • $20M gross purchase price • $16M cash, $4M earn-out • ~6.7x CY 2016 EBITDA • Hemophilia focused specialty pharmacy and infusion services company • Strengthens Diplomat’s footprint in key geographic markets (New York and Houston) • Revenue synergy opportunities June 1, 2016 • $75M gross purchase price • $65M cash, $10M stock • ~8.0x CY 2015 EBITDA • Oncology focused specialty pharmacy; 22 LDs • Strengthens Diplomat’s footprint in key geographic markets (California and Texas) • Revenue synergy opportunities • Promising proprietary technology; some components of TNH’s portal can be leveraged across Diplomat’s platform June 19, 2015 • $87M gross purchase price* • $77M cash*, $10M stock • ~4.2x CY 2014 EBITDA • Hep C dominance in Mid Atlantic • 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 April 1, 2015 • $272M adjusted purchase price* (~$50M tax benefit) • $217M cash*, $105M stock • ~11.8x CY 2014 EBITDA • One year earnout of 1.35M shares (all stock) • Adds significant scale to specialty infusion business • Provides ability to compete for national contracts • Increases exposure to higher margin businesses • Addition of new disease states, therapeutic categories & 5 new LD’s Recent Acquisitions 23 * Value includes closing working capital adjustments
  • 25. Confidential Calendar year ending December 31, ($ in millions) 4Q'16A 4Q'15A 2016A 2015A 2014A 2013A 2012A 2011A 2010A Net income (loss) attributable to Diplomat ($1.1) $3.6 $28.3 $25.8 $4.8 ($26.1) ($2.6) $9.2 ($7.8) Depreciation & Amortization $14.0 $10.0 $50.0 $30.8 $8.1 $3.9 $3.8 $3.1 $2.2 Interest Expense $1.8 $1.5 $6.6 $5.2 $2.5 $2.0 $1.1 $0.6 $0.5 Income tax expense $1.8 $2.3 $11.2 $16.2 $4.7 - - - - EBITDA $16.4 $17.3 $96.1 $78.1 $20.1 ($20.2) $2.3 $12.8 ($5.2) Share-based compensations expense $0.9 $1.4 $5.4 $4.0 $2.9 $0.9 $0.9 $1.4 $0.8 Change in fair value of redeemable common shares - - - - ($9.1) $34.3 $6.6 - $10.7 Termination of existing stock redemption agreement - - $0.2 - $4.8 - - - - Employer payroll taxes - option repurchases $0.0 $0.1 - $1.6 - - - - - Restructuring and impairment charges $4.7 - $7.1 $0.2 - $1.0 $0.4 $0.4 $1.5 Equity loss of non-consolidated entity - - - - $6.2 $1.1 $0.3 $0.1 - Severance and related fees $1.0 $0.1 $1.1 $0.5 $0.4 $0.2 $0.4 $0.7 - Merger and acquisition related expenses $0.3 $8.8 ($6.6) $9.2 $7.2 $0.7 - - - Private company expenses - - - - $0.2 $0.2 - - - Tax credits and other - - - - $1.0 - ($0.1) ($0.6) - Other items $2.8 $0.4 $4.0 $1.5 $1.4 $0.7 $0.1 $0.2 ($0.0) Adjusted EBITDA $26.1 $28.1 $107.4 $95.0 $35.2 $19.0 $10.9 $15.1 $7.7 Reconciliation of Net income (loss) and Adjusted EBITDA 24 (1) (2) (3) (4) (5) (6) (7) (8) Note: Financials are not pro forma for acquisitions. Detailed footnotes on the following page.
  • 26. Confidential Reconciliation of Net income (loss) and Adjusted EBITDA 25 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. Q4 2016 charge primarily related to an impairment to write down our cost method investment in Physician Resource Management, LLC (“PRM”). The full year 2016 includes both the impairment of PRM and the Q3 2016 full impairment of the definite-lived intangible assets associated with Primrose Healthcare LLC. 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. Q4 2016 includes $2.4 million of inventory loss due to a cooler failure.