Smartphone users Point your camera here and  vote without entering a  control number For complete information and to vote, visit www.ProxyVote.com  Control # V39030-P04380 Your Vote Counts! ORASURE TECHNOLOGIES, INC. 220 EAST FIRST STREET BETHLEHEM, PA 18015 ORASURE TECHNOLOGIES, INC. 2024 Annual Meeting Vote by May 13, 2024 11:59 PM ET You invested in ORASURE TECHNOLOGIES, INC. and it’s time to vote! You have the right to vote on proposals being presented at the Annual Meeting. This is an important notice regarding the  availability of proxy material for the stockholder meeting to be held on May 14, 2024. Vote Virtually at the Meeting* May 14, 2024 10:00 AM ET Virtually at: www.virtualshareholdermeeting.com/OSUR2024 *Please check the meeting materials for any special requirements for meeting attendance. Get informed before you vote View the Notice and Proxy Statement and 2023 Annual Report to Stockholders online OR you can receive a free paper or email copy of  the material(s) by requesting prior to April 30, 2024. If you would like to request a copy of the material(s) for this and/or future stockholder  meetings, you may (1) visit www.ProxyVote.com, (2) call 1-800-579-1639 or (3) send an email to sendmaterial@proxyvote.com. If sending  an email, please include your control number (indicated below) in the subject line. Unless requested, you will not otherwise receive a paper  or email copy. 
 
 
THIS IS NOT A VOTABLE BALLOT This is an overview of the proposals being presented at the  upcoming stockholder meeting. Please follow the instructions on  the reverse side to vote these important matters. Vote at www.ProxyVote.com Prefer to receive an email instead? While voting on www.ProxyVote.com, be sure to click “Delivery Settings”. Voting Items Board  Recommends V39031-P04380 1. ELECTION OF DIRECTORS  Class III (Expiring 2027)  Nominees: 1a. Nancy J. Gagliano, M.D. For 1b. Lelio Marmora For 2. Ratification of Appointment of Grant Thornton LLP as the Company’s Independent Registered Public Accounting Firm  for Fiscal Year 2024. For 3. Advisory (Non-Binding) Vote to Approve Executive Compensation. For 4. Approval of an Amendment to the Company’s Certificate of Incorporation. For 5. Approval of Amendment and Restatement of the Company’s Stock Award Plan to Increase the Shares Authorized for  Issuance Thereunder. For 6. Approval to Adjourn Annual Meeting to a Later Date or Dates, if Necessary, or Appropriate, to Permit Further  Solicitation and Vote of Proxies in the Event that there are Insufficient Votes for, or Otherwise, in Connection with the  Approval of the Foregoing Proposals. For