X0306 4 2018-03-19 0 0001041024 ROCKWELL MEDICAL, INC. RMTI 0001365035 Smith Robin L C/O MYND ANALYTICS, INC. 26522 LA ALAMEDA, SUITE 290 MISSION VIEJO CA 92691 1 0 0 0 Stock Option (Right to Buy) 5.75 2018-03-19 4 A 0 38985 0 A 2019-03-19 2028-03-19 Common Stock 38985 38985 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 Robin L. Smith 2018-03-21