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ANNUAL DIRECTORY OF PRESCRIPTION BENEFIT MANAGERS

Reprints

A

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.