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Member, Beacon International Group, Ltd.
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.