C

Caremark Prescription Services

2211 Sanders Road, Northbrook, Ill. 60062; 847-559-4700;

fax: 847-559-5256

1996 revenues

Total gross revenues$888,000,000

PBM gross revenues$888,000,000

PBM Clients

Total1,300

Employer/group plans with direct service663

Lives Covered

Group Health:

Total15,000,000

through employers75%

through third-party vendors15%

through Medicare/Medicaid10%

Retail Network

Pharmacy locations51,000

Mail-order services

Percentage of prescription volume96%

Generic usage

Percentage of prescription volume45%

Staff

Total6,000

Professionals4,000

Includes: 300 registered pharmacists

PBM services since: 1984.

Parent: MedPartners; primary business: physician practice management.

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, case management.

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. Volume discounts to employers via rebates.

Officers: Michael Cannizzaro, president; Todd Martin, senior vp-field management; Richard Scardina, senior vp-operations management; Jay Messeroff, senior vp-clinical services/trade relations; Mark Thierer, vp-marketing/field operations; John Moss, vp-quality assurance/regulatory affairs; Cliff Berman, vp-legal.

Contact: Todd Martin.

CLAIMSPRO Health Claims Services Inc.

24370 Northwestern Highway, Suite 200, Southfield, Mich. 48075; 248-352-2852; fax: 248-352-3714

1996 revenues

Total gross revenues$5,092,008

PBM gross revenues$4,837,407

PBM unbundled revenues$3,309,805

PBM Clients

Total7,000

Employer/group plans with direct service800

Lives Covered

Group Health:

Total900,000

through employers75%

through third-party vendors23%

through Medicare/Medicaid2%

Retail Network

Pharmacy locations40,000

Mail-order services

Percentage of prescription volume3%

Generic usage

Percentage of prescription volume40.5%

Staff

Total35

Professionals18

Includes: 1 registered pharmacist

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.

Pharmacies contracted: Independently owned; retail chains, including Arbor Drugs, Eckerd, Kmart, Kroger, Meijer, Revco, Rite-Aid, Walgreens and Wal-Mart.

Reports provided: Physician prescribing patterns, generic vs. name brands dispensed analysis, employee utilization, high potential medical claim triggers.

Service area: United States, nationwide; Puerto Rico; Virgin Islands.

Billing methods: Capitated rate, fee per claim.

Officers: Ron Klein, executive vp; Bruce Liebowitz, president; Jeff Pultorak, vp-information systems.

Contact: Ron Klein.

**Subcontracted.