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"explanations": { "scqa_arc": "The narrative approximates Situation-Complication-Answer with market context on slides 6-14, barriers on slide 15, and a contract-option answer on slide 23, but the core question is implied rather than explicitly framed and the back half becomes an analytical deep dive.", "action_titles": "Most substantive pages use insight-bearing titles, for example slide 23, \"When we evaluate the three options against key criteria, we see the MME and Event-Based as more attractive options,\" though some pages remain labels such as slide 20, \"Purdue's Morphine Milligram Equivalent (MME) contract offering.\"", "mece_structure": "The deck has a recognizable section logic from landscape to options to baselining, but the sections overlap around payor appetite, MME/CVS economics, and event-based baselining while PMPM receives less complete follow-through.", "closing_strength": "The consulting sequence ends on slide 44 with exposure quantification rather than a final 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Payors/ PBMS think about this arrangement in terms of type of risk (e.g., budgetary, off-label use, dosage, etc). Not all payors/PBMs have same appetite. Cigna and Harvard Pilgrim have been most public about use; of the PBMs, CVS most open; CMS increasingly interested to pursue. 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We see 3 main objectives for Purdue in completing an innovative contract: (1) maintain formulary position/ avoid exclusion, (2) align incentives with payors to address the opioid crisis, and (3) demonstrate publicly its strong commitment. As we consider what type of innovative contract may make sense, it’s also important to consider which type of account would make a good partner for this type of contract", "attrs": null, "canon": { "kind": { "name": "List", "slug": "list", "status": "active", "canonId": "019de52c-f94b-779b-a53b-fd4904a5f4d2", "version": 1, "description": "Bullet or numbered list." }, "tool": null, "subkind": { "name": "Bullet list", "slug": "bullet", "status": "active", "canonId": "019de52c-fc98-7169-a083-5cab805076ca", "version": 1, "description": null }, "framework": null }, "subkind": "bullet", "groupRole": null, "confidence": null, "extraction": { "at": "2026-05-02 19:15:16.21+00", "model": "google/gemini-3.1-flash-lite-preview-20260303", "runId": null, "seconds": null, "promptVersion": null }, "componentId": "bc17fc81-bc55-49cc-9a9d-c3e6d7a54284", "parentComponentId": null }, { "bbox": { "h": 0.15, "w": 0.78, "x": 0.12, "y": 0.375 }, "kind": "list", "text": "How are other pharmacos approaching this? 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Ch. 93A § 6(6)", "attrs": null, "canon": { "kind": { "name": "Disclaimer", "slug": "disclaimer", "status": "active", "canonId": "91173477-d91f-4024-bbaf-d4f93e3f82dc", "version": 1, "description": "Legal/cautionary text that occupies most of the body of its slide." }, "tool": null, "subkind": null, "framework": null }, "subkind": null, "groupRole": null, "confidence": null, "extraction": { "at": "2026-05-02 19:15:21.019+00", "model": "google/gemini-3.1-flash-lite-preview-20260303", "runId": null, "seconds": null, "promptVersion": null }, "componentId": "7bac38d3-da49-42c8-b8b2-95b0686cc27d", "parentComponentId": null }, { "bbox": { "h": 0.05, "w": 0.65, "x": 0.068, "y": 0.35 }, "kind": "disclaimer", "text": "This email is confidential and may be privileged. If you have received it in error, please notify us immediately and then delete it. Please do not copy it, disclose its contents or use it for any purpose.", "attrs": null, "canon": { "kind": { "name": "Disclaimer", "slug": "disclaimer", "status": "active", "canonId": "91173477-d91f-4024-bbaf-d4f93e3f82dc", "version": 1, "description": "Legal/cautionary text that occupies most of the body of its slide." }, "tool": null, "subkind": null, "framework": null }, "subkind": null, "groupRole": null, "confidence": null, "extraction": { "at": "2026-05-02 19:15:21.019+00", "model": "google/gemini-3.1-flash-lite-preview-20260303", "runId": null, "seconds": null, "promptVersion": null }, "componentId": "c10676f0-b80e-4e1d-b373-d7ed1ebb13f4", "parentComponentId": null }, { "bbox": { "h": 0.06, "w": 0.85, "x": 0.068, "y": 0.088 }, "kind": "paragraph", "text": "From: Martin Elling... Sent: 7/4/2018... To: A G... Subject: Re: [EXT]Re: Howdy", "attrs": null, "canon": { "kind": { "name": "Paragraph", "slug": "paragraph", "status": "active", "canonId": "5f2affc0-941d-4d07-959d-4bfc1930cea4", "version": 1, "description": "Single prose block in the body of a slide." }, "tool": null, "subkind": { "name": "Paragraph", "slug": "paragraph", "status": "active", "canonId": "019de52c-fb80-75af-aa5c-a7a4bfac2433", "version": 1, "description": null }, "framework": null }, "subkind": "paragraph", "groupRole": null, "confidence": null, "extraction": { "at": "2026-05-02 19:15:21.019+00", "model": "google/gemini-3.1-flash-lite-preview-20260303", "runId": null, "seconds": null, "promptVersion": null }, "componentId": "1c648875-a3e7-48f2-a4d7-096fa1eed381", "parentComponentId": null }, { "bbox": { "h": 0.25, "w": 0.85, "x": 0.068, "y": 0.198 }, "kind": "paragraph", "text": "Have a great fourth. M > On Jul 4, 2018, at 2:01 PM, A G wrote: > Thanks for the heads up. will do. > > On Jul 4, 2018, at 7:57 AM, Martin Elling wrote: > > Just saw in the FT that Judy Lewent is being sued by states attorneys general for her role on the Purdue Board. It probably makes sense to have a quick conversation with the risk committee to see if we should be doing anything other that eliminating all our documents and emails. Suspect not but as things get tougher there someone might turn to us. 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