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Confidential and Proprietary Information© 2010 Express Scripts, Inc. All Rights Reserved 1
Express Scripts Overview A national presence
Patient Care Contact Centers Arizona Colorado Florida
Georgia Indiana Minnesota
Ohio Pennsylvani
a Texas
Prescription Processing Arizona Indiana Missouri
New Mexico
New York Ohio
Pennsylvania
Texas
Home Delivery Pharmacies Arizona Delaware
*
Florida* Indiana*
Missouri Pennsylvani
a
* indicates Specialty Drug facility
Corporate Headquarters:
St. Louis, Missouri
Confidential and Proprietary Information© 2010 Express Scripts, Inc. All Rights Reserved 2
Express Scripts Overview
Pharmacy benefit manager covering more than 66 million members
Respected and recognized Scientific research to develop
meaningful prescription-drug solutions
Key corporate facts More than 14,000 employees
60,000+ participating pharmacies nationwide
41.8 million Home Delivery and specialty prescriptions
70.2% of all prescriptions dispensed are generic drugs
At Express Scripts, we work to make the use of
prescription drugs safer and more affordable
Confidential and Proprietary Information© 2010 Express Scripts, Inc. All Rights Reserved 3
Resource Commitment to Medicare Across entire Express Scripts organization
Several hundred Express Scripts employees with Medicare expertise
Dedicated subject matter expertise Account management Fraud, waste, abuse Formulary development
Cross-functional integration Claims operations Clinical programs Finance
Information technology
Legal Medicare
compliance
Home Delivery Implementation,
eligibility
Medicare call center Network/provider
support Product development
Pharma & Retail Relations
PharmacoAnalytics Specialty Trend management
Confidential and Proprietary Information© 2010 Express Scripts, Inc. All Rights Reserved 4
Specialized Medicare Patient Contact Center Team Medicare patient experience significantly differentSupporting County of Fresno’s culture and benefits with superior
service
Dedicated Patient-Service Team
Comprehensive Training and Development
Patient Care Advocate Characteristics
Team leaders Quality coaches Training facilitators Patient care
advocates
Senior sensitivity and advocacy training
Collaboration Facilitation Mentoring and
coaching On-the-job training
and nesting
Able to understand and to explain complex benefit issues
Compassionate Empathetic Adaptable to change Solution-driven
Advocates hired and developed to appreciate and respond to diverse needs of your members
Confidential and Proprietary Information© 2010 Express Scripts, Inc. All Rights Reserved 5
Prescription Drug Program
Features
Prescription Drug ID Card will show the 12 closest pharmacies for each retiree
Low Income Members additional assistance
Express Scripts contracts with CMS and manages compliance
Confidential and Proprietary Information© 2010 Express Scripts, Inc. All Rights Reserved 6
County of Fresno Prescription Drug Benefit
Preferred Generic
Non-Preferred Generic
Preferred Brand
Non-preferred Brand Specialty
Deductible None
Member Co-Pays at Retail Pharmacy
$0 $10 $20 $30 $20
Express Scripts Home Delivery (up to 3-month supply)
$0 $20 $50 $75 N/A
Coverage from January 1, 2011 through December 31, 2011