ANNUAL DIRECTORY OF PRESCRIPTION BENEFIT MANAGERS
Posted On: Aug. 3, 1997 12:00 AM CSTF
FFI Health Services
8536 Crow Drive, Macedonia, Ohio 44056; 216-467-9898;
fax: 216-468-3847
1996 revenues
Total gross revenues$15,000,000
PBM gross revenues$15,000,000
PBM unbundled revenues$15,000,000
PBM Clients
Total2,000
Lives Covered
Group Health:
Total600,000
Active enrollees400,000*
through employers90%
through third-party vendors10%
Retail Network
Pharmacy locations28,000
Mail-order services
Percentage of prescription volume2%
Staff
Total40
Professionals5
Includes: 3 registered pharmacists
PBM services since: 1993.
Parent: First Florida Int'l Holdings INc.; primary business: TPA
Services: Retail pharmacy network, claims processing, online claims processing, concurrent utilization review, benefit design consulting, formulary management/review.
Formularies offered: Open, restricted/customized.
Pharmacies contracted: Independently owned, retail chains.
Reports provided: Physician prescribing patterns, generic vs. name brands dispensed analysis, employee utilization.
Service area: Nationwide.
Billing methods: Capitated rate, fee per claim. Volume discounts to employers.
Officers: Paul Wutz, president; John Puls, senior vp; James J. Mindala, executive vp.
Contact: Jim Mindala.
**Esitmate.
First Health Services Corp.
4300 Cox Road, Glen Allen,
Va. 23060; 800-884-2822;
fax: 804-527-6849
1996 revenues
Total gross revenues$248,000,000
PBM gross revenues$40,000,000
PBM unbundled revenues$15,000,000
PBM Clients
Total900
Employer/group plans with direct service850
Lives Covered
Group Health:
Total8,000,000
Active enrollees7,000,000
through employers 25%
through third-party vendors45%
through Medicare/Medicaid30%
Retail Network
Pharmacy locations46,000
Mail-order services
Percentage of prescription volume10%
Generic usage
Percentage of prescription volume45%
Staff
Total350
Professionals110
Includes: 35 registered pharmacists
PBM services since: 1972.
Parent: HealthCare COMPARE Corp.; primary business: HMO/PPO.
Services: Retail pharmacy network, mail-order distribution*, claims processing, online claims processing, concurrent utilization review, disease management, retrospective utilization review, benefit design consulting, formulary management/review*, monitoring of physician prescribing practices, patient education.
Formularies offered: Open, closed, restricted/customized.
Pharmacies contracted: Independently owned, retail chains.
Reports provided: Physician prescribing patterns, generic vs. name brands dispensed analysis, employee utilization.
Service area: Nationwide.
Billing methods: Capitated rate, fee per claim, risk sharing. Volume discounts to employers.
Officers: Teresa R. DiMarco, president; James G. Council, vp/corporate counsel; David W. Norton, senior vp-pharmacy operation.
Contact: Thomas Fagan, director-marketing support.
**Subcontracted.