BUSINESS INSURANCE DIRECTORY OF PRESCRIPTION BENEFIT MANAGERS: R

RESTAT

724 Elm St., West Bend, Wis. 53095; 800-926-5858; fax: 414-338-5767

1997 revenues

PBM gross revenue$6,000,000

PBM clients

Total122

Lives covered

Group Health:

Total1,815,303

Retail network

Pharmacy locations49,000

Mail-order services

Percent of prescription volume4%

Generic usage

Percent of prescription volume49%

Staff

Total65

Professionals58

Includes: 5 registered pharmacists

PBM services since: 1985.

Parent: The F. Dohmen Co.; primary business: prescription benefit management.

Services: Retail pharmacy network, claims processing, online claims processing, concurrent utilization review, retrospective utilization review, benefit design consulting, formulary management/review*, monitoring of physician prescribing practices.

Formularies offered: Open, closed, restricted/customized.

Pharmacies contracted: Independently owned; retail chains, including Osco, Revco and Walgreens.

Reports provided: Physician prescribing patterns, generic vs. name brands dispensed analysis, employee utilization, mail vs. retail detail reports, executive summary, pharmacy billing summary, claim detail.

Service area: Nationwide.

Billing methods: Fee per claim, per member per month.

Officers: Michael W. Clark, president; David Kwasny, vp-sales/marketing; John Bergan, vp-information systems; Ann Larkin, controller.

* Subcontracted.