X0306 4 2018-03-19 0 0001041024 ROCKWELL MEDICAL, INC. RMTI 0001164287 COOPER JOHN G 4260 ERICA DRIVE DOYLESTOWN PA 18902 1 0 0 0 Stock Option (Right to Buy) 5.75 2018-03-19 4 A 0 39838 0 A 2019-03-19 2028-03-19 Common Stock 39838 39838 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 John G. Cooper 2018-03-21