<table><tr><th>From:</th><th>jeffrey E. &lt;jeevacation@gmail.com&gt;</th></tr><tr><td>Sent:</td><td>Wednesday, January 17, 2018 3:16 AM</td></tr><tr><td>To:</td><td>jeffrey epstein</td></tr><tr><td>Subject:</td><td>Fwd: Kristin Kaw from Dr. Rony Shimony re Repatha</td></tr></table>

Forwarded messag=
From: Lesley Groff
Date: Tue, Jan 16, 2018 at 7:39 AM

To: Jefffrey =pstein <jeev=cation@gmail.com <mailto:jeevacation@gmail.com>>

Still awaiting answe= for jeffrey! Hope to be in touch today.

Sent from my i=hone

On Jan 12, 2018, at 6:47 AM, Lesley Groff gt; wrote:

-Looking a labs sent from early this month, Lipids done was cal=ulated as opposed to direct LDL. Insurance companies look for the direct LDL when approving medications because this is a more accurate count, =herefore, representing a more accurate cardiovascular risk equivalent. =AO When the triglycerides is high, such as in the case of Mr. Epstein, the=lab cannot provide an accurate 101count. As you can see there was n= LDL value given

=lf you want to proceed with insurance approval, he will need to re-take la=s with direct LDL. He cannot start Repatha prior to rechecking labs =ecause it will not be an accurate reflection of his baseline without medic=tions.

-If he wan=s to self pay, Century Specialty Pharmacy (800-521-3949 <tel:(800)%20521-3949> ) is willing to =ive him a 10% discount if he purchases minimum of 6 months. They wil= ship the medication over as soon as it's ordered and have it virt=ally the next day.

-Here is the breakdown of cost:

For the once a month injection $1,250/month (with 1=% discount if he buys minimum of 6 months) <=iv style="margin:0in 0in 0.0001pt;font-size:12ptfont-family:ITimes =ew Roman',serif">For the twice a month injection $1,150/month=C2 (with 10% discount if he buys minimum of 6 months)</=>

Hope that answers all your questions. I will be =vailable tomorrow if you have any questions. Please let me know what=his decision is prescription to the pharmacy is pending his ok. Than=s KK =/div>

please note<=r>

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