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ANNUAL DIRECTORY OF PRESCRIPTION BENEFIT MANAGERS

Reprints

F

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.