Printed from BusinessInsurance.com

OMMISSION

Posted On: Aug. 10, 1997 12:00 AM CST

The following was omitted from the Aug. 4 Directory of Prescription Benefit Managers:

PCS Health Systems Inc.

9501 E. Shea Blvd., Scottsdale, Ariz. 85260-6719; 602-391-4600; 602-314-8110

1996 revenues

PBM gross revenues$1,600,000,000*

PBM clients

Total198,142

Employer/group plans with direct service24,330

Lives covered

Group health:

Total56,000,000

Active enrollees24,600,000

Through employers26%

Through third-party vendors74%

Retail network

Pharmacy locations54,000

Generic usage

Percent of prescription volume40%

Staff

Total1,779

PBM services since: 1969.

Parent: Eli Lilly & Co.; 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, claims history, drug utilization review, network performance, ad hoc.

Service area: United States: nationwide; Puerto Rico.

Billing methods: Capitated rate, fee per claim. Volume discounts to employers.

Officers: Jean-Pierre Million, president/CEO; Thomas Garrity, executive vp/CFO; John Voris, executive vp-strategic alliances; Elizabeth Dichter, executive vp-strategic marketing; Robert Ashworth, executive vp-advanced technology solutions.

**BI estimate.