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BUSINESS INSURANCE DIRECTORY OF PRESCRIPTION BENEFIT MANAGERS: E

Reprints

Eckerd 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.