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BUSINESS INSURANCE DIRECTORY OF PRESCRIPTION BENEFIT MANAGERS: M, N

Reprints

M

Merck-Medco Managed Care L.L.C.

100 Summit Ave., Montvale, N.J. 07645; 201-358-5400; fax: 201-358-5783

www.merck-medco.com

1997 revenues

PBM gross revenues$12,000,000,000

PBM clients

Total1,300

Lives covered

Group Health:

Total51,000,000

Retail network

Pharmacy locations55,000

Staff

Total11,000

Includes: 1,500 registered pharmacists

PBM services since: 1983.

Parent: Merck & Co. Inc.; 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, demand management.

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, custom reports.

Service area: Nationwide; also serves Puerto Rico and certaininternational regions.

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

Officers: Per Lofberg, president.

MIM Health Plans Inc.

1 Blue Hill Plaza, 15th Floor, Pearl River, N.Y. 10965; 888-818-3939; fax: 914-627-6614

www.mimcorp.net

1997 revenues

PBM gross revenues$75,000,000

PBM clients

Total59

Employer/group plans with direct service18

Lives covered

Group Health:

Total1,700,000

Active enrollees1,200,000

Workers Compensation:

Active enrollees50

Through employers100%

Retail network

Pharmacy locations39,000

Mail-order services

Percent of prescription volume1%

Generic usage

Percent of prescription volume66%

Staff

Total185

Professionals170

Includes: 29 registered pharmacists

PBM services since: 1993.

Parent: MIM Corp.; primary business: pharmacy management.

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, pharmacy auditing.

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.

Service area: Nationwide.

Billing methods: Capitated rate, fee per claim, shared savings.

Officers: Richard H. Friedman, CEO; Scott Yablon, president/COO; Rick Pellokat, vp-sales/marketing; Barry Posner, executive vp/general counsel.

Contact: Joe DeMarte, vp-marketing/sales operations.

N

National Pharmaceutical Services

14748 W. Center Road, Omaha, Neb. 68144; 800-546-5677; fax: 800-458-1646

1997 revenues

Total gross revenues$28,000,000

PBM gross revenues$5,000,000

PBM unbundled revenues$5,000,000

PBM clients

Total700

Employer/group plans with direct service700

Lives covered

Group Health:

Total300,000

Active enrollees110,000

Through employers100%

Workers Compensation:

Active enrollees30,000

Through employers100%

Retail network

Pharmacy locations45,000

Mail-order services

Percent of prescription volume10%

Generic usage

Percent of prescription volume83%

Staff

Total20

Professionals13

Includes: 7 registered pharmacists

PBM services since: 1992.

Parent: Pharmaceutical Technologies Inc.; primary business: software.

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, demographic trends for group analysis.

Formularies offered: Open, closed, restricted/customized.

Pharmacies contracted: Independently owned; retail chains, including Albertsons, Kmart, Med Man, Rite Aid, Walgreens and Wal-Mart.

Reports provided: Physician prescribing patterns, generic vs. name brands dispensed analysis, employee utilization, explanation of benefits.

Service area: Nationwide, principally western and southwestern states.

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

Officers: Douglas M. Pick, CEO/president; Angela Pieper, CFO; Cindy Waterman, network director; Mike Heskin, vp-mail order; Dan Cutler, information director.