X0306 4 2018-03-19 0 0001041024 ROCKWELL MEDICAL, INC. RMTI 0001335829 Bagley Patrick J 30142 WIXOM ROAD WIXOM MI 48393 1 0 0 0 Stock Option (Right to Buy) 5.75 2018-03-19 4 A 0 32724 0 A 2019-03-19 2028-03-19 Common Stock 32724 32724 D The grant of these options is contingent upon shareholder approval of the 2018 Rockwell Medical, Inc. Long Term Incentive Plan (the "2018 Plan") at the Company's 2018 Annual Meeting of Shareholders. If the Company's shareholders do not approve the 2018 Plan, these contingent options are deemed null and void and may not be exercised by the reporting person. /s/ Steven R. Barth, Attorney-in-Fact for Patrick J. Bagley 2018-03-21