M
Managed Pharmacy
Benefits Inc.
1100 N. Lindbergh Blvd., St. Louis, Mo. 63132; 314-585-5051;
fax: 314-872-5500
1996 revenues
Total gross revenues$500,000
PBM gross revenues$500,000
PBM Clients
Total362
Employer/group plans with direct service36
Lives Covered
Group Health:
Total1,700,000
Active enrollees1,300,000
through employers20%
through third-party vendors80%
Workers Compensation:
Active enrollees1,000
through employers10%
Retail Network
Pharmacy locations45,000
Mail-order services
Percentage of prescription volume7%
Generic usage
Percentage of prescription volume49%
Staff
Total35
Professionals20
Includes: 7 registered pharmacists
PBM services since: 1989.
Parent: Cardinal Health Inc.; primary business: prescription drug distribution.
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, City Market, King Sooper, Kmart, Medicine Shoppe, Leader Drug Stores, Payless United Drug, Revco, Thrift and Wal-Mart.
Reports provided: Physician prescribing patterns, generic vs. name brands dispensed analysis, employee utilization, ad hoc.
Service area: United States, nationwide; Puerto Rico.
Billing methods: Fee per claim. Volume discounts to employers.
Officers: Kent Friedman, vp/general manager; Dan Schneider, Hugh Mugfor, Rod McCann, managers-regional sales/marketing; Janet Rodgers, manager-administrative services; Dean Nicholson, controller.
**Subcontracted.
Merck-Medco Managed Care L.L.C.
100 Summit Ave., Montvale, N.J. 07645; 201-358-5400; fax: 201-358-5783
1996 revenues
PBM gross revenue$8,100,000,000
PBM Clients
Total2,000
Lives Covered
Group Health:
Total49,200,000
Pharmacy locations55,000
Staff
Total11,000
Includes: 1,200 registered pharmacists
PBM services since: 1983.
Parent: Merck & Co. Inc.; primary business: drug manufacturer.
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, ad hoc.
Service area: United States, nationwide; Puerto Rico.
Billing methods: Capitated rate, fee per claim. Volume discounts to employers.
Officers: Per Lofberg, president.