Who We Are
Medco is a leading pharmacy benefit manager (PBM) with the nation's largest mail order pharmacy operations. Medco assists its customers to moderate the cost and enhance the quality of prescription drug benefits provided to members nationwide. Ensuring that millions of Americans have access to affordable, high quality prescription healthcare is more than our business - it's our calling. Every day, our employees dedicate themselves to bringing:

Better Value
We are our customers' champion and actively pursue initiatives to reduce the rate of increase in drug expenditures (drug trend), while striving to improve on the services we provide both our clients and their members. We do this by:

• Expanding our pre-eminent mail order business, which helps to reduce drug costs for our clients, while providing greater safety and convenience to their members.


• Encouraging the prescribing of drugs on a plan's approved list of drugs, or "formulary," and the use of clinically-appropriate generic drugs through our generic education and substitution programs.


• Capitalizing on Medco's scale and negotiating power.

Better CareThe quest for lower costs should not come at the expense of your members' health. At Medco, we make every investment and take every measure to help ensure that everything we do is clinically sound - without compromise, without exception.

• Our health educational programs and sophisticated information systems provide patients, pharmacists, and physicians with information that helps to ensure the most appropriate use of prescription drugs based upon the individual's health profile, best clinical practices, and plan coverage.


• Our drug utilization reviews and innovative pediatric and senior drug review programs help assure member safety.


• Through our proprietary methods and advanced robotics, we provide the safest, fastest and most cost-effective way to fill a prescription through mail order.


• Medco is proud to adopt the American Pharmacists Association's (APhA's) code of ethics and to use the APhA's principles of practice as a framework for the evolution of Medco's business model. The American Pharmacists Association is the nation's largest society of pharmacy researchers, scholars and professionals and a leader in educating pharmacists and advancing public health through the provision of pharmaceutical care. Additionally, a copy of the Attorney General/Department of Justice consent agreement, which provides detail regarding business practice changes Medco has adopted as a result of the agreement, which have made Medco the "gold standard" of its industry, is also available for review.

Benefit Design and Management
Our clients have a broad range of benefit design and management needs, but a common goal is offering prescription plans that serve the needs of their beneficiaries, affordably. We offer a wide spectrum of benefit design options for appropriately sharing costs between your plan and enrollees, and providing proper incentives for encouraging preferential use of more cost-effective treatments (e.g. OTC and generics) and pharmacies (e.g. in-network retail, home delivery and special care). Medco's benefit modeling and recommendations support your benefit design process, helping you understand how benefit decisions may affect your membership and your finances. Whether you require a special consumer-driven benefit design, or have more traditional needs, we will tailor the solution to your situation.

• For four years in a row, Medco's drug trend has been significantly lower than the national trend.


• More than 50% of Medco clients representing $29 billion in drug spending saw trend below 10% in 2004.

Pharmacy Network Management
Our unique approach to creating and managing integrated pharmacy networks lowers your costs, while delivering quality care and high member satisfaction. Through network options that integrate retail pharmacies, home delivery pharmacies for maintenance medications by mail, and specialty pharmacies for biotech injectables, we leverage our buying power to offer you superior cost management and flexibility while providing your members high quality choices to meet their needs.

• Rated #1 home delivery pharmacy and #1 PBM for the past 3 years by Wilson Health, a leading pharmacy satisfaction research firm.


• All our home delivery pharmacies exceed Six Sigma levels for accuracy (99.9997%).


• We processed more home delivery prescriptions in 2003 than our top 2 competitors combined.

Clinical Management
At Medco, our clients want clinically-based solutions for addressing over use, misuse and under use of prescription drugs, and the consequences of such inappropriate utilization on healthcare costs. No other company does as much to ensure that your members get the right drug, in the right dosage, at the right time while reducing harmful and wasteful use of prescription drugs. Through clinical management, Medco Health engages members, their physicians and pharmacists, in making better, more cost-effective use of prescription drugs. As a result, your members are safer, and their care more effective and affordable.

Specialty Pharmacy Services
Learn how Medco can help you manage the challenge of Specialty Pharmacy.

Client Services
At Medco, we take a novel approach to client services. We begin with the client. In order to meet the unique needs of our clients, we have created dedicated teams that serve the specific needs of our key client groups: