ANNUAL DIRECTORY OF PRESCRIPTION BENEFIT MANAGERS

V

ValueRx

4700 Nathan Lane N., Plymouth, Minn. 55442; 800-440-1486 or 612-509-2835; fax: 612-509-2841

1996 revenues

PBM gross revenues$1,589,599,783

PBM Clients

Total3,000

Employer/group plans with direct service2,818

Lives Covered

Group Health:

Total27,000,000

through employers67%

through third-party vendors33%

Retail Network

Pharmacy locations48,341

Generic usage

Percentage of prescription volume72%

Staff

Total1,300

Professionals1,023

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.