BUSINESS INSURANCE DIRECTORY OF PRESCRIPTION BENEFIT MANAGERS: E
Posted On: Aug. 2, 1998 12:00 AM CSTEckerd Health Services
620 Epsilon Drive, Pittsburgh, Pa. 15238; 412-967-2300; fax: 412-967-2335
1997 revenues
Total gross revenues$790,000,000
PBM gross revenues$20,000,000
PBM clients
Total320
Employer/group plans with direct service292
Retail network
Pharmacy locations49,000
Staff
Total1,600
Professionals162
Includes: 140 registered pharmacists
Parent: Eckerd Corp.; primary business: retail pharmacy chain.
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, therapeutic alternative intervention program.
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, ad hoc reporting, drug utilization review, disease state management.
Service area: Nationwide.
Billing methods: Capitated rate, fee per claim. Volume discounts to employers.
Officers: Fran Marasco, president; George Watt, vp-business development; Lloyd McDonald, vp-marketing/client service; Jim Smith, vp-managed care operations.
Contact: George Watt, 412-967-2323.
Express Scripts/Value Rx
1400 Riverport Drive, Maryland Heights, Mo. 63043; 314-770-1666; fax: 314-770-2367
www.express-scripts.com
www.valuerx.com
1997 revenues
Total gross revenues$2,884,000,000
PBM gross revenues$2,884,000,000
PBM unbundled revenue$1,384,000,000
PBM clients
Total8,568
Employer/group plans with direct service7,000
Lives covered
Group Health:
Total22,000,000
Workers Compensation:
Active enrollees440,000
Retail network
Pharmacy locations52,700
Staff
Total3,400
Includes: 270 registered pharmacists
PBM services since: 1986.
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, informed decision counseling, combined med/Rx data analysis.
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, therapy class analysis, detailed cost analysis.
Service area: United States, Canada.
Billing methods: Fee per claim. Volume discounts to employers.
Officers: Howard L. Waltman, chairman; Barrett A. Toan, president & CEO; Stuart Bascomb, executive vp; Thomas Boudreau, secretary/general counsel; George Paz, senior vp/CEO.
Contact: Thor Anderson, vp-marketing, 314-770-1666 ext. 7736.