ANNUAL DIRECTORY OF PRESCRIPTION BENEFIT MANAGERS
Posted On: Aug. 3, 1997 12:00 AM CSTA
ABC Healthcare Solutions
250 Parkcenter Blvd., Boise, Idaho 83706; 208-395-5920;
fax: 208-395-6103
1996 revenues
Total gross revenues$152,000
PBM gross revenues$152,000
PBM unbundled revenues$152,000
PBM Clients
Total5
Employer/group plans with direct service5
Lives Covered
Group Health:
Total80,000
through employers100%
Retail Network
Pharmacy locations45,000
Mail-order services
Percentage of prescription volume2%
Generic usage
Percentage of prescription volume45%
Staff
Total8
Professionals2
PBM services since: 1994.
Parent: Albertson's Food & Drug; primary business: retail food and pharmacy.
Services: Retail pharmacy network, mail-order distribution, claims processing, online claims processing*, concurrent utilization review*, disease management, benefit design consulting, formulary management/review*, monitoring of physician prescribing practices*, patient education.
Formularies offered: Open.
Pharmacies contracted: Independently owned, retail chains.
Reports provided: Generic vs. name brands dispensed analysis, employee utilization, utilization by age group.
Service area: Mountain, Northwest and Southwest regions; Florida, Kansas, Louisiana, Mississippi, Nebraska, Oklahoma, Texas.
Billing methods: Fee per claim. Volume discounts to employers.
Officers: Gary Michael, CEO; Dick King, president; Craig Olson, CFO; Carl Pennington, senior vp-operations; Mark Shadle, vp-pharmacy.
**Subcontracted.
APB America
P.O. Box 27000, Jackson, Wyo. 83001; 800-733-2722;
fax: 307-733-4211
1996 revenues
PBM gross revenues$5,300,000
PBM Clients
Total1,632
Lives Covered
Group Health:
Total120,000
through employers80%
through third-party vendors20%
Retail Network
Pharmacy locations45,000
Mail-order services
Percentage of prescription volume75%
Staff
Total25
Professionals20
Includes: 1 registered pharmacist
PBM services since: 1994.
Services: Retail pharmacy network, mail-order distribution, claims processing, online claims processing*, concurrent utilization review, retrospective utilization review, benefit design consulting, formulary management/review, monitoring of physician prescribing practices, patient education.
Formularies offered: Open, closed.
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: Chris Osmers, president/CEO; Don Beste, George Merchant, senior vps; Tony Cerdan, director-marketing; Michael Pruett, director-national operations; Jennifer Lenz, director-client services.
Contact: Tony Cerdan.
**Subcontracted.
American Associated Druggists Inc. dba United Drugs
7227 N. 16 St., Suite 160, Phoenix, Ariz. 85020-5256; 602-678-1179;
fax: 602-678-0772
1996 revenues
Total gross revenues$500,000,000
PBM gross revenues$22,700,000
PBM unbundled revenues$1,400,000
PBM Clients
Total30
Employer/group plans with direct service16
Lives Covered
Group Health:
Total260,000
through employers25%
through Medicare/Medicaid75%
Retail Network
Pharmacy locations15,000
Mail-order services
Percentage of prescription volume10%
Generic usage
Percentage of prescription volume55%
Staff
Total40
Professionals8
Includes: 3 registered pharmacists
PBM services since: 1989.
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, including Albertsons, Kmart, Kroger, Safeway and Wal-Mart.
Reports provided: Physician prescribing patterns, generic vs. name brands dispensed analysis, employee utilization, pharmacy provider, member utilizations, drug utilization.
Service area: Western states.
Billing methods: Fee per claim. Volume discounts to employers.
Officers: Bob Coulter, president; Greg Mitchell, president elect; John Saliba, treasurer; James Hills, secretary; Michael Huston, CEO.
Contact: Bruce A. Semingson, national sales manager-managed care.
**Subcontracted.