ANNUAL DIRECTORY OF PRESCRIPTION BENEFIT MANAGERSPosted On: Aug. 3, 1997 12:00 AM CST
4700 Nathan Lane N., Plymouth, Minn. 55442; 800-440-1486 or 612-509-2835; fax: 612-509-2841
PBM gross revenues$1,589,599,783
Employer/group plans with direct service2,818
through third-party vendors33%
Percentage of prescription volume72%
Includes: 94 registered pharmacists
PBM services since: 1985.
Parent: ValueHealth Inc.
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, physician/patient education, auditing services.
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, ad hoc.
Service area: Nationwide.
Billing methods: Capitated rate, fee per claim.
Officers: Kevin Roberg, president/CEO; Joseph Schiesl, president-PBM services division; Michael Flagstad, senior vp/CCO; Steve Michurski, president-pharmaceutical trades; Gary Blackford, executive vp/COO.