MEDCO

www.medco.com Medco es una marca registrada y At the heart of health es una marca registrada de Medco Health Solutions, Inc. © 2007 Medco Health Solutions, Inc. Todos los derechos reservados. PT909695

Tome su medicina

Ahorre dinero

Puede confiar en que los medicamentos genéricos aprobados por la FDA1

(Administración de Drogas y Alimentos) son tan seguros y efectivos como sus

equivalentes de marca. Y los medicamentosgenéricos pueden ayudarle a ahorrar hasta el 60 por ciento de sus gastos en efectivo.2

Actualmente se encuentran disponiblesmedicamentos genéricos de menor costo para el tratamiento de:

Presión sanguínea elevadaColesterol altoAcidez gástrica y úlceras estomacalesInsomnioAlergiasArtritisY muchas otras condiciones

Pregunte a su médico si un medicamento genérico sería lo indicado para usted.

4

1. Administración de Drogas y Alimentos de los EE. UU. 2. Basado en el libro de análisis comercial de Medco para reclamos procesados entre abril y junio de 2007. 3. New York Times, 21 de septiembre de 2007,“Helped by Generics, Inflation of Drug Costs Slows” (“Con la ayuda de los genéricos, la inflación de los costos de los medicamentos disminuye”).

Más del 60 por ciento de todas las recetas suministradas son para medicamentos genéricos.3

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S_KeepMoney_poster_v4 1/31/08 11:32 AM Page 1

Se sentirá mejor

Y a la vez,pagará menos

Los medicamentos genéricos aprobados por la FDA1 contienen los mismos ingredientes

activos, calidad, resistencia y pureza que susequivalentes de marca. Y los medicamentosgenéricos pueden ayudarle a ahorrar hasta el 60 por ciento de sus gastos en efectivo.2

Más del 60 por ciento de todas las recetasextendidas son para medicamentos genéricos,3 inclusive los utilizados para el tratamiento de:

Presión sanguínea elevadaColesterol altoAcidez gástrica y úlceras estomacalesInsomnioAlergiasArtritisY muchas otras condiciones

4

Pregunte a su médico si un medicamento genérico sería lo indicado para usted.

www.medco.com Medco es una marca registrada y At the heart of health es una marca registrada de Medco Health Solutions, Inc. © 2007 Medco Health Solutions, Inc. Todos los derechos reservados. PT909748

1. Administración de Drogas y Alimentos de los EE. UU. 2. Basado en el libro de análisis comercial de Medco para reclamos procesados entre abril y junio de 2007. 3. New York Times, 21 de septiembre de 2007,“Helped by Generics, Inflation of Drug Costs Slows” (“Con la ayuda de los genéricos, la inflación de los costos de los medicamentos disminuye”).

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The Medco mail-order pharmacydelivers savings and convenience.

A convenient 90-day supply*of more than400 generic drugsfor just $10 or less.†

Call 1 877 RxSaveNow (1 877 797-2836)to get started.

* The $10 price applies to a 90-day supply of each generic drug in thecommonly prescribed dosages shown on the program drug list. If yourprescription is written for a different days’ supply or quantity, your costmay vary.Themedications and pricing on the program drug list are subjectto change without notice, so visitwww.medco.com/lowcostgenerics for thelatest information.

† If your mail-order co-payment or coinsurance for generics is less than $10,you’ll pay the lower amount.The coverage and pricing of certain medicationsare also subject to the specific terms of your plan.

Medco has advanced the practice ofpharmacy to help improve health and lowerthe total cost of care for our members.Providing you with lower-cost options todiscuss with your doctor is just one wayMedco helps you save.

www.medco.com

Medco andAt the heart of health are registered trademarks ofMedcoHealth Solutions, Inc.© 2009MedcoHealth Solutions, Inc.All rights reserved.BR952974

Noneed to shop aroundfor low-cost generics.

or lessfor90daysof 400+generics*

TheMedcomail-orderpharmacydelivers low-cost genericsandmore!

Call 1 877 RxSaveNow (1 877 797-2836)toget started.

$10

Medco deliverslow-cost generics. Pay less.Getmore. Whywait? Sign up

and start saving.

To fill your prescriptions through theMedcomail-order pharmacy simply call 1 877 RxSaveNow(1 877 797-2836), anytime day or night,‡ andwe’llcontact your doctor for you. It’s that easy!

ORIf you already have a 90-day prescription fromyour doctor:

� Log on towww.medco.com.

� Go to“Forms& cards”page to download amail-order form.

� Complete the form andmail toMedcowith yourprescription.

OnceMedco receives your order, prescriptions willbe delivered to youwithin 10 days§. And as always,free standard shipping is included.

‡Member Services is available 24 hours a day, 7 days a week, exceptThanksgiving and Christmas.Member Services is available in Englishand other languages.TTY/TDD users should call 1 800 716-3231.

§ Call 1 877 RxSaveNow (1 877 797-2836) for estimated delivery time.

Low-cost generics are available throughmany retailers,but with your prescription drug andMedco benefit youhave unique access to low-cost generics andmore.

Access to private counselingMedco pharmacists are on call to offer advice andanswer questions regarding your benefit and yourmedications. Call us when it’s convenient for you.

Specialist pharmacistsMedco specialist pharmacists are specially trained inthemedications prescribed for chronic conditions.Theyare available for a privatemedication checkup, offeringguidance on administering yourmedication,managingside effects, andmore.

Comprehensive safety checksMedco conducts safety checks based on all of yourmedication records on file. Our safety system can checkyour prescription for potential drug interactions andother possible medication problems.

Security and convenienceBy visitingwww.medco.com or callingMemberServices, you can quickly and securely request timelyrefill reminders, order prescription refills, check yourorder status, and somuchmore!

Counseling and support, refill reminders, quickturnaround, free delivery— that’s Medco.

For all of your long-termmedications, theMedcomail-order pharmacy is your best source for savingsand convenience.More than 400 generic medicationsin a wide range of therapeutic categories are availablefor $10 or less for a 90-day supply.

� Arthritis/Pain

� Asthma/Respiratory

� Blood Pressure/Heart Health

� Cholesterol-Lowering

� Diabetes

� Cold and Allergy Therapy

� Heartburn/Ulcers

� Mental Health

� Skin Conditions

� Vitamins and Electrolytes

� Women’s Health

� AndMore

To see if your generic medications are available for$10 or less, visitwww.medco.com/lowcostgenericsor call 1 877 RxSaveNow (1 877 797-2836) and speakwithMember Services today!

Using the MedcoGenerics Strategy Guide and

Generics Awareness Campaign

Frequently Asked Questions

Promote the

Generic

OpportunityScore(GOS)

MED686_StrategyGuide_FAQs_v13:Layout 1 7/16/08 11:58 AM Page 1

Using the Medco Generics Strategy Guide

TABLE OF CONTENTS

Generics Strategy Guide ........................................................................................................2

|1| What is the Generics Strategy Guide? ........................................................................................................2

|2| Why was the Generics Strategy Guide developed? ..................................................................................2

|3| What is the Generic Opportunity Score (GOS) and how does it work with the GenericsStrategy Guide?................................................................................................................................................2

|4| How do I use the Generics Strategy Guide? ................................................................................................3

|5| How is the Generics Strategy Guide organized? ........................................................................................3

|6| What is the difference between the standard version of the Generics Strategy Guideand the condensed version?Why are there two versions? ....................................................................4

|7| How do I order copies of the Generics Strategy Guide? Is there a charge? ..........................................4

|8| When I receive a Generics Strategy Guide for my client, will it contain theclient-specific GOS report? Can I send it directly to my client without further preparation? ..........4

|9| Where do I obtain pertinent client information to prepare the Generics Strategy Guide?................5

|10| After I receive my client’s Generics Performance Assessment, what are my next steps? ..................5

|11| Where can I find more information about the Generics Strategy Guide? ............................................6

|12| May I expect follow-up or more generics sales materials in the future? ..............................................6

The Generics Awareness Campaign ......................................................................................7

|1| What is the Generics Awareness Campaign?..............................................................................................7

|2| How should my clients use these materials? ............................................................................................8

|3| How may I order Generics Awareness Campaign materials for my clients? ........................................8

|4| Can the Generics Awareness Campaign materials be co-branded?........................................................8

|5| Is there a charge for Generics Awareness Campaign materials? ............................................................8


GENERICS STRATEGY GUIDE:

|1|What is the Generics Strategy Guide?

> The Generics Strategy Guide (GSG) is the cornerstone of Medco’s B2B Generics Marketing Strategy.The guide is a visible demonstration of Medco’s commitment to helping its clients drive cost-effective and clinically appropriate generics utilization. It is also a useful tool and reference toeducate clients about how to improve their own generic strategies.

> The GSG also highlights the Generic Opportunity Score,Medco’s patent pending metric that identifiesa client’s unique generic opportunities.

> The GSG is intended to be presented by account teams to their clients and to help account teamspresent recommendations to clients for improving their generics utilization and performance.

> As a reference tool for clients, the GSG contains valuable information and insights about creating aneffective generics strategy.

|2|Why was the Generics Strategy Guide developed?

> The GSG was created to make it easier for account teams to discuss generic strategies with theirclients and to promote plan designs and programs that will increase cost-effective genericsutilization.

|3|What is the Generic Opportunity Score (GOS) and how does it work with the Generics StrategyGuide?

> The Generic Opportunity Score (GOS) is a new generics performance metric developed by Medcoto reveal to plans their total opportunity for using generics, both generic equivalents andgenerics alternatives.

> GOS allows:

� A personalized assessment of a plan’s current generics performance and potential generic utilization

� Performance and opportunity to tie to total potential savings

� Prioritization of high-value opportunities by therapeutic class

� Tailored plan design solutions based on value assessment

> GOS is presented in Section 1 of the GSG as the centerpiece of assessing a plan’s current performance,leading into the account team’s assessment of and recommendations for changes to a plan’sgenerics strategy.


| 2 |


|4| How do I use the Generics Strategy Guide?

> The GSG should be used by account teams to:1) present a client’s current generic performance and opportunities, and then,2)assist the client in understanding various plan design and program options that may beused to achieve the client’s strategy goals.

> Prior to scheduling a meeting with a client, gather all the pertinent information about your client’scurrent generics performance, particularly with regard to its plan design, program enrollment, andperformance metrics.

> Have your Financial Analyst run a Generics Performance Assessment. Then use the resultinginformation to develop recommendations, and complete the guide before presenting it to your client.

Learn more about presenting the Generics Strategy Guide through the elearning module available onASPEN/LMS.

|5| How is the Generics Strategy Guide organized?

The GSG is divided into three sections:

Section 1:Shape Your Customized Generics Strategy provides materials that you can use to create customizedgenerics strategies with your clients. It includes a section for the insertion of a Generics PerformanceAssessment, containing key performance metrics such as Generic Opportunity Score (GOS), GenericDispensing Rate (GDR), and Generic Substitution Rate (GSR). It also includes items that account teamsshould complete before presenting the guide to their clients, including a Plan Design Checklist andPrograms and Communications Checklist. It also provides samples of many of the communicationmaterials included in Generics Advantage.

Section 2:Fundamentals for Building an Effective Generics Strategy is a generics strategy primer that will helpfill in any gaps in your client’s knowledge about generics. It includes sections on Key Definitions,Assessing the Opportunity (i.e., generics metrics, utilization, pipeline, life cycle), Plan Design andPrograms, and Communications. Depending upon the level of your client’s knowledge of generics,you can use this section in its entirety, choose specific topics to address, or leave the GSG for the clientas a background reference.

Section 3:Supplemental Resources and Case Studies provides additional resources and case studies that promote“best practices” in generic strategies. It also includes Generics Awareness Campaign materials, a set ofready-made communication materials for educating members about the safety, efficacy, and cost-effectiveness of generics—including posters, tent cards, pamphlets, newsletter and email content, andweb banners. More information on the Generics Awareness Campaign is on pages 7-8.

| 3 |



|6|What is the difference between the standard version of the Generics Strategy Guide and thecondensed version?Why are there two versions?

> The two versions of the GSG provide account teams with greater flexibility in how they presentgeneric strategies to clients.

> The standard version is the large binder version with the three major sections. Comprehensive, it isintended to be presented to a client after certain client-specific information has been included (seequestions 7-8).

> The condensed version has excerpts of the major sections found in the standard version. It does notnecessarily have to be customized before presenting or sending it to a client.

More detail on the two versions is available in eCatalogue or the online elearning module on ASPEN/LMS.Both versions may be ordered at http://medco.genericsaware.com.

|7| How do I order copies of the Generics Strategy Guide? Is there a charge?

To order additional copies in preparation for clientmeetings,please log on to http://medco.generics aware.com.There is no charge to account teams for Generics Strategy Guides.

|8|When I receive a Generics Strategy Guide for my client, will it contain the client-specific GOS report?Can I send it directly to my client without further preparation?

No, the Generics Strategy Guide does not come customized for your client. You need to prepare it bydoing the following before giving it to your client:

> Create a customized Generics Strategy Guide cover page (available on the Internal Client Support andTraining Materials CD or OnMessage).

> Obtain a Generics Performance Assessment for your client with the client’s Generic OpportunityScore (available from the account’s financial analyst—see the next question) and include as part ofthe Assess Your Performance tab in Section 1 of the Guide.

> Complete the Plan Design Checklist and Programs & Communications Checklist in Section 1. Theseare the client-specific recommendations for improving generics strategy.

| 4 |



| 5 |


|9|Where do I obtain pertinent client information to prepare the Generics Strategy Guide?

> For a client’s Generics Performance Assessment, contact the financial analyst (FA) assigned to youraccount. This report will provide you with your client’s GOS, GDR, and GSR and with charts showinggenerics-saving opportunities.

> If you have questions about which programs your client is enrolled in, contact individual programowners. For Generics Advantage enrollment information, emailMedco Generics Programs.

|10|After I receive my client’s Generics Performance Assessment, what are my next steps?

> Based on the results of the Generics Performance Assessment (including GOS) and other particularsknown about the client (e.g., plan design, program enrollment, tolerance for member disruption),account teams should develop recommendations for how clients can improve their generics strategy.

> Complete the Plan Design Checklist in Section 1.

> Complete the Programs and Communications Checklist in Section 1.

> Review Sections 2 and 3. They are filled with useful background information and case studies but arenot customized. You may use these sections as necessary.

> Review the Generics Awareness Campaign in Section 3, a ready-made set of materials clients can useto promote the safety, effectiveness, and savings associated with using generics. Sample materialsare contained in a pocket in Section 3.


| 6 |


|11| Where can I find more information about the Generics Strategy Guide?

> An elearning module on the Generics Strategy Guide is available through LMS.

> In addition, more information on the guide and how it can be used can be found by visiting theGenerics Strategy and Programs section on OnMessage and in eCatalogue. There are many resourcesto support your generics strategy discussion with clients, including a link to the Generics Strategywebcast of March 5, 2008.

> Other resources to help you present the GSG are included on the Generic Strategy Guide InternalClient Support and Training Materials CD provided with the initial distribution of the Guide, and arealso available on OnMessage. These resources include the following:

� Client contact letters and emails

� Generics Strategy Guide client presentation

� Customized Generics Strategy Guide client cover

If you have additional questions, please emailMedco Generics Programs.

|12|May I expect follow-up or more generics sales materials in the future?

Yes.We will update and expand the Generics Strategy Guide as necessary to provide additionalinformation regarding generics programs, additional case studies, pipeline information, etc. Please referto eCatalogue and On Message for the latest materials.

> We look forward to receiving your feedback about the GSG so that we can continue to improvethe materials.

> If you have ideas for additional materials or want to provide feedback, please emailMedco Generics Programs.


THE GENERICS AWARENESS CAMPAIGN:

|1|What is the Generics Awareness Campaign?

The Generics Awareness Campaign is an integrated set of ready-made materials designed to help yourclients communicate the advantages of generics to their members. The campaign includes:

� Posters

� Payroll stuffer

� Tent card

� Pamphlets

� Generics request card

� Newsletter article content

� Internet campaign (e-mail and banner ads)

Materials are available in both English and Spanish, and can be co-branded.

| 7 |



www.medco.com

Medco is a registered trademark and At the heart of health is a trademark on Medco Health Solutions, Inc.© 2008 Medco Health Solutions, Inc. All rights reserved.

| 8 |

|2| How should my clients use these materials?

These materials may be used in a variety of ways, including at health fairs and benefit fairs, as HRresources, as postings in gathering places, etc. Although each piece can be effective on its own, thevarious pieces might have a bigger impact if used in an organized campaign. A suggestedimplementation calendar is included in the Generics Awareness Campaign section of the GenericsStrategy Guide.

|3| Howmay I order Generics Awareness Campaign materials for my clients?

> The Generics Strategy Guide (both standard and condensed versions) includes a Generics AwarenessCampaign CD that contains PDF samples of the campaign elements, along with word files fornewsletter and e-mail article content. Section III of the standard version also includes samples ofGenerics Awareness Campaign materials. All other materials must be ordered through the clients’account team.

> To order Generics Awareness Campaign materials for a client, visit http://medco.genericsaware.com.

|4| Can the Generics Awareness Campaign materials be co-branded?

Yes.Thesematerials can be customized to include a client’s logo.Visit http://medco.genericsaware.com toco-brandmaterials.

|5| Is there a charge for Generics Awareness Campaign materials?

Yes. Costs for materials (including shipping and handling) will be charged to the account team’s businessunit number specified when registering on the website. Account teams should check client contractsas to whether such charges may be offset by a client’s communications allowance. Alternatively, accountteamsmay bill the client for the cost of Generics Awareness Campaign materials. Co-branded andSpanish materials are more expensive than standard English versions. Costs are available athttp://medco.genericsaware.com.



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Summer 2008

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Pharmacy5 Easy Ways to Lower Your Prescription Drug Costs

Wise2008

Consider Using Generic Drugs

Generic drugs approved by the U.S.Food and Drug Administration(FDA) are equivalent to their brand-name counterparts in quality,strength, purity and dosage. FDA-approved generic drugs can beexpected to work as well as brand-name drugs because they containthe same active ingredients. Theycan also provide significant costsavings. Talk to your doctor aboutgeneric drugs that are appropriatefor you.

Choose Over-the-CounterMedications

Some conditions can be treatedwith less-expensive over-the-counter (OTC) medications. Manyprescription drugs have a similarOTC version. For example, an OTCallergy medication, such asClaritin®, Alavert®, Zyrtec® OTC orloratadine, may be just as effectivefor your condition as an expensiveprescription drug. Also, through aspecial State Health Plan program,

you can receive Prilosec OTC ®,which helps control heartburn andother symptoms, for a $5 copay.To receive Prilosec OTC for a $5 copay, you must have aprescription from your provider.Talk to your doctor about OTCdrugs that are appropriate for you

Understand Your Coverage

You may find ways to save moneyby simply increasing yourunderstanding of how your healthplan works. Visit My Rx Choices®

online at www.shpnc.org/pharmacy-savings.html.My Rx Choices gives you apersonalized and confidentialcomparison of the cost ofmedications you take on anongoing basis. You may also call Medco Member Services at 1-800-336-5933.

Begin With Lifestyle Changes

Whether you have heartburn, highblood pressure, high cholesterol oranother condition, ask your doctorabout lifestyle changes that youcan make to reduce yoursymptoms and improve youroverall health. If your primaryinsurance is through the StateHealth Plan, you may call an NC HealthSmart * Health Coach at 1-800-817-7044.

Communicate With Your Doctor

Take your pocket-size PreferredDrug List with you to your doctorvisits to discuss the mostappropriate medication at thelowest possible cost.

You may also speak to a pharmacistby calling Medco Member Servicesat 1-800-336-5933.* NC HealthSmart services are available to members

whose primary health insurance is through the NorthCarolina State Health Plan and who are not on COBRA.

“I was taking Coreg® for myheart, which cost me $40 permonth. After reviewing genericalternatives on My Rx Choices, I worked with my doctor to try ageneric medicine. It workedgreat, and I am now paying only$10 a month and saving $360 a year!”

– State Health Plan Member

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MED371_NCState_NL_8.5x11_v17 12/5/07 12:59 PM Page 1

The Learning Zone: Help From Medco Member Services

Have you ever gone to the pharmacy to fill a prescription, only to hear:“Your insurance does not cover your medication?”

This happened to Mary one morning when her local pharmacist said that herprescription was rejected in the system.

While waiting in the pharmacy for a resolution, Mary called MedcoMember Services at 1-800-336-5933 for help. Thomas, a Medco MemberServices representative, checked Mary’s account and discovered that thepharmacist had accidentally entered the wrong date of birth into thesystem. Thomas advised Mary to let him speak with the pharmacist to givethe correct date of birth. Her local pharmacist was able to run theprescription through the system successfully. Mary was delighted to gether prescription that morning!

If you have a similar experience or for assistance on a wide range ofconcerns, call Medco Member Services while at the pharmacy.

Medco Member Services will give you all the information you needto fill your prescription.

Want to Quit Smoking?

Did you know that within 20minutes of smoking your lastcigarette, your heart rate dropsand your body begins a seriesof other beneficial changes thatcontinue for years?

If you’re ready to quit usingtobacco, the State Health Plancan help you right now. ReceiveOTC nicotine patches free! Findout how online atwww.shpnc.org/wellness.htmlor call 1-800-QUIT NOW andsay you’re a State HealthPlan member.

Members eligible for NC HealthSmart services are members whose primary health insurance is through the North Carolina State Health Plan and who are not on COBRA. Federal law prohibits the North Carolina State HealthPlan from using your personal health information to discriminate against you in any way or from giving this information to your employing agency/school or other unauthorized third party, unless required by law.

PharmacyWise

SpecialtyPharmacy ServicesDo you have a chronic condition —such as rheumatoid arthritis, multiplesclerosis or hepatitis — that requiresyou to take an expensive injectiblemedication on a regular basis?

If so, Medco’s specialty pharmacy,Accredo Health Group, can provideyou with a variety of services thatmakes obtaining and using yourmedications more convenient.

For example, Accredo provides:

• Access to nurses who are trainedin specialty medications

• A pharmacist available 24 hours a day, 7 days a week to answerquestions about your medications

• Free expedited shipping

• Free supplies that you need to takeyour medication (needles, syringes)

• Refill reminders

To learn more about the specialtypharmacy services, call MedcoMember Services at 1-800-803-2523.A list of available medications canbe found online at www.shpnc.org/specialty-care.html.

Accredo Health Group, Inc., is a subsidiary of MedcoHealth Solutions, Inc.

NC HealthSmart

You can call an NC HealthSmartHealth Coach for no cost at 1-800-817-7044, 24 hours a day, 7 days a week. These speciallytrained health care professionalsare available to speak to youabout a variety of conditions.Find more information atwww.shpnc.org/nc-healthsmart.html. The PersonalHealth Portal, powered byWebMD, offers ConditionCenters, a Symptom Checkerand a Health Risk Assessment.All are important tools that canhelp you manage your health.

“Accredo has helped metremendously since I wasdiagnosed with MS. My patient-care representative is veryhelpful and makes sure I haveall of the drug information andsupplies I need.”

MED371_NCState_NL_8.5x11_v17 12/5/07 12:59 PM Page 2

© 2007 The Solutions Group, Inc.The information contained in this document is confidential and proprietary to The Solutions Group and Medco Health Solutions, Inc.© 2007 The Solutions Group, Inc.The information contained in this document is confidential and proprietary to The Solutions Group and Medco Health Solutions, Inc.

GOS Message Platform

November 28, 2007

Prepared By:

The Solutions Group Inc. for Medco Health Solutions, Inc.

Message Plank Message Support Points

PositioningStatement

Medco’s Generic Opportunity Score (GOS)is an innovative and proprietary diagnostictool that provides the most actionablemeasure of a client’s total generics conversion opportunity.

• Medco has developed a systematicapproach to identify viable options forincreased generic equivalents and alternatives.

• GOS takes into account the clinical appropriateness of generics interchange as well as financial performance.

• GOS enables clients to make informeddecisions regarding plan design changes,formulary strategies and generic educationprograms.

Value Proposition

Talking Points

Medco’s GOS is a proprietary diagnostic toolthat gives its clients a more comprehensiveview into their total generics conversionopportunity than is possible today using onlyGDR and GSR.

“Essentially, GOS reflects how much of theopportunity to use generics is actually beingachieved within a client’s member base.”

“GOS provides clients with a measure that is focused on 1) how well they are usinggenerics relative to their total generics opportunity, and 2) the remainingopportunity within their member base toincrease appropriate generic utilizationthrough conversions from brandmedications to generics.”

“Medco will provide clients with their ownGOS score, peer group GOS comparisonsand develop customized GOS reports thatwill show clients how well they havecaptured their generics opportunity to date,and what remaining opportunity existsbased on their prescription claimsexperience and offer an estimate ofpotential savings associated with programs.”

• Medco analysis of client prescriptiondatabases captures current performance ofgenerics utilization for both equivalents &clinically appropriate alternatives.

• Medco account teams show clients theircurrent generics performance, theircurrent GOS score, and approaches toimproving GOS scores and potentialsavings through plan design, formulary andgeneric education programs.

• While GDR and GSR provide a “basic”level of generics performance, they do notoffer insight into any remainingopportunities to convert qualified brandclaims to generics.

General Overview/Facts

© 2007 The Solutions Group, Inc.The information contained in this document is confidential and proprietary to The Solutions Group and Medco Health Solutions, Inc. 2© 2007 The Solutions Group, Inc.The information contained in this document is confidential and proprietary to The Solutions Group and Medco Health Solutions, Inc.


Definition of GOS

GOS is defined as the success rate of genericdispensing when a clinically-appropriategeneric equivalent or alternative is available.

The GOS formula is expressed as:

Number of Generics Claims Dispensed

Total number of generic claims + brandclaims with a generic equivalent or genericalternative

• GOS is an objective measure that iscalculated by using clinically-based criteriaand current client data from Medco clients.

What it is GOS is a new generics performance metric,based on proprietary clinically-basedmodeling created by Medco HealthSolutions, Inc.

Total generic conversion opportunity fallsinto two categories: generic equivalents andgeneric alternatives.

Conversion to a generic alternative requiresthat a doctor evaluate the appropriatenessof the generic therapy and write a newprescription for the patient.

• Generic conversion opportunities areclearly defined to include equivalentsand/or alternatives

• And excludes prescription volume thatdoes not have a clinically appropriategeneric conversion opportunity.

• FDA-approved generic equivalents havethe same active ingredients in the samestrength, purity and dosage form of theirbrand name counter parts. In most casesthere does not need to be a newprescription to substitute the generic.

• A generic alternative contains differentactive ingredients but usually provides asimilar effect when given in place of abrand-name medication within the sametherapeutic class.

General Overview/Factscontinued

3© 2007 The Solutions Group, Inc.The information contained in this document is confidential and proprietary to The Solutions Group and Medco Health Solutions, Inc.© 2007 The Solutions Group, Inc.The information contained in this document is confidential and proprietary to The Solutions Group and Medco Health Solutions, Inc.


Why GOS isimportant anddifferent

GOS goes beyond the industry’s currentperformance metrics of generics(GDR/GSR) and shows Medco’s clientswhat remaining opportunity exists withinbrand claims to convert those claims togenerics.

“With GOS, Medco clients now have amore comprehensive view of their genericsperformance than what was previouslypossible with GDR and GSR. Our clients,armed with the knowledge and insight ofthe opportunities to convert brand claims togenerics, now can enhance their genericstrategies to improve their total genericsconversion opportunity.”

• While GDR and GSR provide a “basic”level of generics performance, they do notoffer insight into any remainingopportunities to convert qualified brandclaims to generics.

GDR

• GDR measures generic dispensing as aproportion of total prescription dispensing.

• GDR does not clearly indicate how highGDR could go with greater use of genericequivalents and alternatives because thereis always a certain proportion of Rx’sdispensed as single-source brands for whichno generic would be an appropriatealternative therapy.

• GOS overcomes this shortcoming bymeasuring generic dispensing in a giventime period relative only to total dispensingthat has a generic equivalent or alternativeconversion option available.

GSR

• GSR measures generic dispensing as aproportion of all multi-source brands plusgenerics).

• GSR rates have reached significantsaturation levels (typically in the 90-95%range with mail order programs). Thisleaves minimal additional genericsubstitution opportunities for clientsrelative to that universe.

• GOS overcomes these limitations byincluding generic alternatives as well as equivalents.




SystematicApproach toCalculate GOSScores

Step 1 – Identify Criteria and Process

To determine a GOS score, Rx claims data issummarized for a given period of time and thenclassified according to four distinct categories:

1. Generic claims2. Multi-source brand claims3. Single-source brand claims that have a

generic alternative4. Single-source brand claims without a

generic alternative

A Generics Alternative Database was createdto establish which single-source brand claimshad a generic alternative or not (categories 3and 4). It is a comprehensive listing ofidentified generically-available therapeuticalternatives for commonly prescribed brand-name drugs.

Step 2 – Build-out of the GenericsAlternative Database

Define the term “generically availablealternative”

1. A defined population of single-source brandname drugs with clinically appropriategeneric therapeutic alternatives.

2. A definition of qualifying genericalternatives comprised of:a. Generic drugs within the same or

closely related pharmacologic and/orchemical category as the index drug.

b. Generic drugs in differentpharmacologic or chemical classes thatshared the same or similar labeledindications, dosage forms, safety andefficacy and relative potency based onavailable evidence

c. Generic drugs that could serve asalternatives to brand name drugs withrespect to the drug formularies thathave been developed over the pastseveral years.

• Categories 1 and 2 are counted according tostandard claim coding practices.

• The Generics Alternative Database:Defines:

Which single-source brand claims haveclinically-appropriate generic conversionopportunities, andFor those opportunities, an expected rate ofconversion to the generic, based on certainclinical and financial considerations. Thesewere based on a mutual agreement of themember and physician making the choice.

Composition:600 single-source brand name drugsApproximately 1,400 available dosagestrengths and dosage forms.Represents 95-98% of all branded Rxdrug claims volume.

• Medco’s independent Pharmacy &Therapeutics Committee (P&T)recommendations were incorporated intoall criteria and decisions.

• The database is the outcome of a thoroughassessment process that resulted in anallocation list of the entire 1,400 drugs anddosage strengths for either “no genericalternatives” or the “alternatives identifiedat the dosage strength and dosage formlevel.”




SystematicApproach toCalculate GOSScores

Step 3 – Definition of brand-generic pairs

Step 3.1: Identification of drugs withoutgenerically available alternatives.

1. Protein-based biologics – the FDA doesnot yet have a process for approvinggeneric equivalents

2. Non-protein based drugs that belong tounique pharmacologic and chemicalclasses.

Step 3.2: Assignment of the genericallyavailable drug(s)

1. If more than one drug is available, thedrug with the greater market share orprevalence of use is selected.

2. Dosage strength of the genericalternative are based on a range ofapproved daily dosages for the indexdrug and its generic alternative withinterpolation where needed.

3. Assignments are made mostly for costingpurposes.

4. The process is continued until all drugsare assigned as alternatives or noalternative.

Step 4: Determination of expectedconversion rates to the alternatives.

The likelihood of a true clinical need for thebrand drug is the principle determinant forthe estimates of conversion rates instead of apatient’s personal preference for the brand.

We use a weighted sliding scale for projectingconversion rates. For illustrative purposes, anapproximate conversion table could look like:

1. 90-95%: brands and A-rated generics2. 80-90%: generic alternative is in the same

pharmacologic class of drugs as the brand3. 50-60%: similar pharmacologic classes4. 20-25%: condition requires the use of

several drugs at once

• We control for personal preference byusing a scenario of the patient having topay for the entire cost of the brand drugor choosing the generic alternative.



Generics Strategy GuideShape your strategy, improve your performance

Generics Strategy G

uide

™

Your Generic

Opportunity

Score*

Enclosed!

*U.S. Patent pending.

www.medco.com

Medco is a registered trademark and At the heart of health is a trademark of Medco Health Solutions, Inc.© 2007 Medco Health Solutions, Inc. All rights reserved.OT932364-10/07

Generics Advantage ProgramA suite of essential generics communications that will save you money

n the next five years, over $63 billionin brand-name medications will comeoff patent. To benefit from this greatsavings opportunity, plan sponsorswill need a communications programthat encourages members and theirphysicians to use clinicallyappropriate generic medications.While plan design plays a key role in influencing members to choosegenerics, additional education,information, and incentive programsare needed to help membersunderstand their opportunities andachieve optimal savings. That is whyMedco offers the Generics AdvantageProgram, a coordinated and targetedset of communications that helpmembers understand their genericopportunities and potential savings.

The Generics Advantage Programpromotes generic equivalents andgeneric alternatives Generics Advantage is designed toencourage the appropriate use ofgeneric medications and, therefore,increase savings through highergenerics utilization. GenericsAdvantage communications addressboth types of generic utilizationopportunities—generic equivalentsand generic alternatives. Genericequivalents are FDA-approvedmedications that contain the sameactive ingredients as the originalbrand-name medication and areidentical in strength and dosage form.Generic alternatives contain differentactive ingredients but usually providea similar effect when given in place ofa brand-name medication from thesame therapeutic class. Once a

generic equivalent is in wide use,most of a plan sponsor’s savingsopportunity comes from increaseduse of generic alternatives.Different types of communications areneeded to address generic-equivalentand generic-alternative opportunities.Notifying members of the availabilityof a generic equivalent can helpspeed up the transition to using thegeneric, particularly for members withprescriptions that can be filled onlywith the brand-name medication.Switching to a generic alternative,however, requires a new prescriptionand calls for greater engagementand more proactive effort on the partof the member and physician. Thisrequires special communicationswith more in-depth information anda more educational tone.Medco’s Generics Advantage Programprovides a full suite of targetedcommunications to encourage theuse of both generic equivalents andgeneric alternatives at virtually everyappropriate opportunity.

Generics Advantage offers education and incentives toencourage members to use genericsTo substantially increase genericsubstitution rates, targeted membercommunications must educatemembers about the safety andefficacy of generic medications, aswell as inform them about theirspecific savings opportunities. Strongfinancial incentives to choosegenerics often boost the impact ofthese programs.

The following table provides anoverview of the Generic AdvantageProgram’s suite of communications.These materials are developed towork together to get the most out ofevery generic opportunity—before,during, and after a brand-namemedication comes off patent. Theco-payment waiver communicationsprovide additional incentives formembers to choose generics, butmay not be available for some clients.Please speak to your account teamabout these communications andyour specific savings opportunities.

Generics Advantage Program is a key component of broaderengagement strategies Generics Advantage is an idealcomplement to other Medco memberand physician engagement programsthat also encourage the use ofgeneric medications. These include:

• My Rx Choices™: Shows membersall of the savings opportunitiesavailable to them by choosinggenerics, preferred brands, and themail-order channel, Medco By Mail.Members can request that a Medcopharmacist contact their physicianfor any needed prescriptions.

• Clinical programs: Programs suchas step therapy allow clients topinpoint areas of great savingspotential and institute strongmeasures to encourage use of themore cost-effective medication.

• Preferred channel communications:Medco By Mail mail-orderpharmacies consistently achievefaster and greater generic

I

Fact sheet

www.medco.com

Medco is a registered trademark and My Rx Choices is a trademark of Medco Health Solutions, Inc.© 2007 Medco Health Solutions, Inc. All rights reserved.XXXXXXXXx-X <Month> 2007

Fact sheet

Generics Advantage Program: Suite of communicationsEducational communications

Communication Description Timing 2008 Calendar1. Generics launch notification Notifies members who have a

savings opportunity created by a new generic equivalent for aspecific brand-name medication.Patients are contacted via mailingsand Web messaging. Topprescribing physicians are alsonotified via fax.

One-time mailing targeted within 2 weeks of generic availability

2008 Target off-patent drugs:• Fosamax® (February)• Risperdal® (July)• Depakote® (September)• Paxil CR® (October)

2. Multisource brand notification Mailings to members on multisourcebrands informing them that they can save money by switching toavailable generic medications.

Quarterly mailings (maximum of 2 letters per patient in a calendar year)

3. Therapy-specific genericseducation

Mailings to all members takingbrand-name medications in atherapeutic class where genericsare available. Informs them aboutgeneric options and includesrecommendations from ConsumerReports Best Buy Drugs.

4 to 6 mailings (one time each)based on therapeutic chapters

2008 Therapy chapters mayinclude: calcium channel blockers,high cholesterol therapy (HMGs),overactive bladder, osteoporosistherapy, prostate therapy, and sleep aids.

4. Preferred Drug Management Communicates to all memberstaking nonpreferred medications ina therapeutic class, to let them knowthe available preferred medicationoptions, including generics.

4 to 6 mailings (one time each)based on therapeutic chapters

The chapters targeted in 2008could include: proton pumpinhibitors (PPIs), osteoporosistherapy, sleep aids, hypertension,erectile dysfunction, and depressiontherapies.

Incentive communications5. Off-patent migration

co-payment waiversOffers co-payment waivers (up to a defined dollar amount) to members taking medicationsthat are expected to go off patentwithin 6 months or are recentfirst-time generics. Medco-fundedwaivers are available for memberswho move their prescriptions toMedco By Mail.

Quarterly mailings (maximum of 2 letters per patient in a calendar year)

6. Brand-to-generic co-payment waivers

Targets members who haveopportunities to convert their brand-name prescriptions to generic prescriptions and/or toobtain generics from mail order or retail. (Funding depends onwaiver targets.)

Depends on timing of client-specific waiver offering

Note: Each mailing is targeted and there is coordination between mailings to prevent overlap and mailings to the same member. Additionally,individual initiatives are subject to change based on how they fit in the overall generics strategy.Consumer Reports Best Buy DrugsTM is a public education project of Consumers Union. Consumers Union and Medco have a non exclusive arrangementthat allows Medco to provide this independently produced information.

substitution rates than retailpharmacies, particularly whenmajor brand-name medicationscome off patent. Encouraging useof the mail channel provides apotential boost to genericutilization rates.

• Physician education: Medco helpsphysicians stay current on generic

availability by providing updates onnew generics and reports ongeneric availability in specifictherapeutic classes. Physicians arealso informed about specificopportunities to help their patientssave by considering the financial aswell as clinical implications of theirprescribing decisions.

Contact your account team to discusshow the Generics Advantage Programor any of Medco’s member andphysician engagement programs canhelp you expand your efforts to takeadvantage of your potential genericssavings opportunities.

www.medco.com

Medco is a registered trademark and At the Heart of Health is atrademark of Medco Health Solutions, Inc.© 2007. Medco Health Solutions, Inc. All rights reserved.

BR939088

About Medco

Career opportunities

Integrated benefitplan

Our locations

Working for Medco, the leading pharmacybenefit manager

Visit the company websitewww.medco.com

™

™

About MedcoOne of the nation’s leading prescription drug benefitmanagers (PBM), Medco manages and administersprescription drug programs for both private- and public-sector clients. We service approximately 60 million patients from our corporate headquarters,call centers, and pharmacy sites.

Both a pioneer and leader in healthcare services, Medco:

• Owns and operates 14 state-of-the-art Medco By Mailpharmacies (including call center pharmacies)

• Employs more than 15,000 people nationwide

• Services one third of the Fortune 500 companies

• Trades on the NYSE under the symbol MHS

Career opportunitiesIf you're seeking an environment that encourages growthand utilizes your training, education, and experience,consider Medco. We’re seeking talented and creativeindividuals to contribute at all levels of the organization.

A dynamic, fast-paced organization, Medco is looking fortalented individuals to implement its vision of controllinghealthcare costs while maintaining quality patient care. Ifyou share this vision, Medco may be the right place for you.

Integrated benefit planWorking for a large corporation means access to enhancedquality-of-life benefits, including:

• Competitive salary

• Comprehensive benefits including; health,dental, prescription, and vision plans

• Broad-based eligibility for an annual bonus and long-term incentive awards

• Employee stock purchase plan (ESPP)

• Tuition reimbursement

• Cash balance pension plan

• Flexible spending accounts

• Life and Accident Insurance

• Additional special offers and services

As a concerned member ofthe business community,Medco strives to:

• Provide a work environment that attracts the bestpeople to our organization

• Provide our employees with an atmosphere thatencourages development and advancement

• Recognize that long-term growth and operatingefficiency depends on the skills and talents of its employees.

• Fulfill our social responsibility to provide equalemployment opportunities to all qualified applicants

• Ensure company compliance with federal, state,and local laws

Cincinnati, OH Pittsburgh, PAColumbus, OH Spokane,WADublin, OH Tampa, FL (2)Las Vegas, NV (2) Willingboro, NJIrving/Fort Worth, TX (2) Richmond, VA

Franklin Lakes, NJ (corporate headquarters)

Our locations

For more information and access to all our open positions, visit ourwebsite at www.medco.com.

™

Take Your Medicine | Keep Your Money

Lower-cost generic medications are now available to treat:

Arthritis, InsomniaHigh blood pressureAllergiesHigh cholesterolStomach ulcersAnd many other conditions

Ask your doctor if a generic drug would work for you.You could save up to 60% of your out-of-pocket costs.

4

™

The U.S. Food and DrugAdministration has approvedgenerics to be the same as brand-name drugs in quality,strength andpurity. Yet, genericscould save you up to 60% of your out-of-pocket costs.

Ask your doctor if a generic drug would work for you.

• Arthritis • High blood pressure• High cholesterol • Sleeplessness• Allergies • Stomach Ulcers• And many other Conditions

Generic medications are safe and effective treatment for:

You’ll feel betterabout paying less.

Save Time

Save Money

24/7 Pharmacy

<Code><Member Name><Address 1><Address 2><City>, <State> <Zip><Bar Code>

Dear <Member Name>:

Medco administers your Medicare prescription drug benefit both at retailand through mail order on behalf of Educators Mutual Insurance Association.We are providing you with this important money-saving information tomake sure you get the most from your coverage.

Savings on your prescriptionsYour personal savings analysis below indicates that you may save <$ 00.00>* for a 3-month supply of your prescriptions through Medco By Mail, your 24/7 mail-order pharmacy. Simply ask yourdoctor to write a prescription for a 3-month supply, with refills up to1 year, as appropriate, instead of a 30-day supply. You can save with ourservice because you pay less for the medications you refill on a regularbasis (those you will take for at least 3 months) over the course of a year.Of course if you’re only going to be taking a medication for a short time,such as 1 month, mail order may not be right for you, as you may pay lessat a retail network pharmacy.

Prescription savings for <Member Name>:

< $00.00>* in the <Member Medicare Plan Stage> stage of your Medicare Part D benefit

Medication 3-Month Retail 3-Month Medco YOU SAVE*Pharmacy Cost By Mail Cost

<Medication 1> <$00.00> <$00.00> <$00.00><Medication 2> <$00.00> <$00.00> <$00.00><Medication 3> <$00.00> <$00.00> <$00.00><Medication 4> <$00.00> <$00.00> <$00.00><Medication 5> <$00.00> <$00.00> <$00.00><Medication 6> <$00.00> <$00.00> <$00.00><Medication 7> <$00.00> <$00.00> <$00.00>

TOTAL POTENTIAL SAVINGS FOR A 3-MONTH SUPPLY <$00.00>

Reply Today and Save on Your Next Prescription!

You could save <$00.00>*

A serviceprovided by

Some medications you take on a regular basis may not appear above. Feel free to call us to discuss yourpotential savings on those medications.

REF: <0000000000>LT999552

<CMS Material ID>

Convenience—FREE delivery to your doorMail order is a service that is included as a part of your benefit plan at no extra cost. You save time by havingyour medications delivered right to you. What’s more, there’s no extra charge for standard shipping. We evenmake getting started easy. Just ask your doctor’s office to complete the enclosed forms. Please be sure you haveenough medication until your first order arrives—usually within 3 to 5 days after we receive the form.

Around-the-clock pharmacist accessYou can speak to our licensed pharmacists 24 hours a day, 7 days a week, and get answers to all your prescription questions by calling our toll-free number. You also have the peace of mind of knowing that yourmedications will be checked for potential drug interactions anytime you use your prescription drug ID card,no matter where you have your prescriptions filled or how you order them.

It's easy to get startedBring the enclosed forms to your doctor's office today and start saving on your medications.Please be sure to ask your doctor for a 3-month supply of medications (typically a 90-day supply), as a lowerdays’ supply may not result in savings. Or you can call toll-free 1-800-841-3351 and we'll contact your doctoron your behalf. (TTY/TDD users should call 1-800-716-3231.) Customer Service is available in English andother languages, Monday through Friday, 8:00 a.m. to 8:00 p.m., and Saturday, 9:00 a.m. to 6:00 p.m., easterntime (except Thanksgiving and Christmas).

Sincerely,

Tracy L. Furgiuele, R.Ph.Vice President of Pharmacy PracticeMedco

P.S. To start saving, simply ask your doctor’s office to complete the enclosed forms or call us today.

*Savings estimates are based on your total cost using the maximum days’ supply at mail order (usually 3 months) and a 3-month supply at a retail pharmacy after you have reached your deductible. Subject to statelaw, a generic equivalent of brand-name medications may be dispensed. Savings amount is estimated and actualsavings may vary. Savings projections are based upon your Medicare benefit stage and formulary in effect atthe time your analysis was prepared. Your potential savings will vary per benefit stage and by medication.Please contact Medco for details. To confirm your savings and learn how you can continue to save in eachbenefit stage using Medco By Mail, call 1-800-841-3351 (TTY/TDD users should call 1-800-716-3231),Monday through Friday, 8:00 a.m. to 8:00 p.m., and Saturday, 9:00 a.m. to 6:00 p.m., eastern time (except forThanksgiving and Christmas). Customer Service is available in English and other languages.

Important information about generic drugs

• How generics compare to brand-name drugsFDA1-approved generic versions of brand-name medications can beexpected to have the same active ingredients, the same quality,and the same strength as their brand-name counterparts.

• Why generics cost so much lessIt’s expensive to create a new drug and market it to the public.Generic drug manufacturers do not have those expenses, so the medications they produce can cost significantly less for the exactsame ingredients, strengths, and doses.

• What doctors think about genericsLast year, more than 60 percent of all prescriptions were for generic drugs, so they are widely accepted.2 Want to save on your medications?

Ask your doctor if generic drugs are right for you.

FDA-approved generic drugs are safe and as effective as their brand-name counterparts, and they typically cost much less.

1. U.S. Food and Drug Administration.2. New York Times, September 21, 2007, “Helped by Generics, Inflation of Drug Costs Slows.”

Are your medicationsavailable as generics?Lower-cost generic medicationsare now available to treat:

High blood pressure

High cholesterol

Heartburn and stomach ulcers

Insomnia

Allergies

Arthritis

And many other conditions

Ask your doctor if a genericmedication would work for you.

How much could you save with generics?To find out if a generic drug isavailable for your medication:

Visit www.medco.com/choices.You’ll learn how you can orderyour medications at the lowestpossible cost.

My Rx Choices® lets you:

• Discover lower-costmedication options for youand your family

• Compare out-of-pocketcosts for all your medicationchoices

• Order the lower-cost option,or print your results so you can discuss these choiceswith your doctor

www.medco.com

Medco and My Rx Choices are registered trademarks and At the heart of health is a trademark ofMedco Health Solutions, Inc.© 2007 Medco Health Solutions, Inc. All rights reserved.TC904484-10/07

Take Your Medicine | Keep Your Money

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Compared to their equivalent brand-name drugs, FDA1-approved generics:

• Contain the same active ingredients

• Have the same strength and purity

• Meet the same FDA manufacturing standards

• Could save you as much as 60 percentof your out-of-pocket costs2

Pay less for your medications—use safe, effective generics.

Take Your Medicine

Keep Your Money

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Over 60 percent of all prescriptionsdispensed are generics,3 includingthose used to treat:

High blood pressureHigh cholesterolHeartburn and stomach ulcersInsomniaAllergiesArthritisAnd many other conditions

Ask your doctor if a generic medication would work for you.

To see how much you could save onyour medications, visit My Rx Choices®at www.medco.com/choices.

www.medco.com

Medco and My Rx Choices are registered trademarks and At theheart of health is a trademark of Medco Health Solutions, Inc.© 2007 Medco Health Solutions, Inc. All rights reserved.OT933954-10/07

1. U.S. Food and Drug Administration.2.Based on Medco book of business analysis for claims

processed April–June 2007.3.New York Times, September 21, 2007, “Helped by Generics,

Inflation of Drug Costs Slows.”

Your doctor can help you save.All you need to do is ask. How to talk to your

doctor about saving with generic drugs

Medco has advanced the practice of pharmacy to improve health

and lower the total cost of care for our members. Providing you

with lower cost options to discuss with your doctor is just one way

Medco helps you save.

www.medco.com

Medco is a registered trademark and At the heart of healthis a trademark of Medco Health Solutions, Inc.© 2007 Medco Health Solutions, Inc.All rights reserved.BR940413

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If you need additional information:n Visit us online at www.medco.com.n Call the Member Services toll-free number

shown on your prescription drug ID card.

Most doctors want to help keep theirpatients’ healthcare costs affordable.However, some doctors may not know when genericdrugs become available and that they typically cost50 percent to 70 percent less than brand-name drugs.

We encourage you to talk to your doctor about genericdrugs and how you could reduce your prescription costs.

Here are three questions you can ask whenever your doctor prescribes a brand-name drug (and why itis okay to ask).

1. Is there a generic drug that I can takeinstead of the brand-name drug you’veprescribed?Doctors often have several medication options they can prescribe for your condition. Generic drugsaccount for more than half of all prescriptions. If your brand-name drug does not have an equivalentgeneric drug, there may be another generic availableto treat your condition.

2.Will a generic drug provide effective treatment for me?The FDA has indicated that generic drugs can be expect-ed to work as well as the original brand-name drugs,because generic drugs have the same active ingredients.FDA-approved generic drugs also have the same qualityand strength as brand-name drugs.You and your doctorcan determine if generic drugs are right for you.

3.Would a 90-day supply of medication be appropriate for me?If you use a medication on a long-term basis, youcould save the most money by ordering a 90-daysupply of a generic drug through Medco By Mail,your plan’s convenient mail-order pharmacy.

To get started with mail order, call us toll-free at1 800 MEDCO-MAIL (1 800 633-2662). We will helpyou get started.

n Generic drugs have the same active ingredients as the original brand-name drugs.

n Generic drugs have the same quality and strength as brand-name drugs.

n Generic drugs must meet the same strict FDA manufacturing standards as brand-name drugs.

n Generic drugs cost up to 70 percent less than brand-name drugs.*

*Centers for Medicare & Medicaid Services.Testimony of Mark McClellan, M.D., Ph.D.,Administrator, Centers for Medicare & Medicaid Services, on Medicare PrescriptionDrug Discount Program before the Senate Finance Committee [press release].Available at: http://www.cms.hhs.gov/apps/media/press/testimony.asp?Counter=1091.Accessed August 9, 2006.

Source: U.S. Food and Drug Administration Center for Drug Evaluation and Research.

Fast facts aboutFDA-approvedgeneric drugs

Why pay more thanyou need to for yourmedications?

Take a few minutes today

to speak to your doctor

about lower-cost

generic drugs.

www.medco.com Medco is a registered trademark and At the heart of health is a trademark of Medco Health Solutions, Inc. © 2007 Medco Health Solutions, Inc. All rights reserved. PT909112-10/07

Take Your Medicine

Keep Your Money

FDA1-approved generic medications canbe expected to be safe and as effective

as their brand-name counterparts.And generics could save you up to

60 percent of your out-of-pocket costs.2

Lower-cost generic medications are now available to treat:



4

1. U.S. Food and Drug Administration. 2. Based on Medco book of business analysis for claims processed April–June 2007. 3. New York Times, September 21, 2007, “Helped by Generics, Inflation of Drug Costs Slows.”

Over 60 percent of all prescriptions dispensed are generics.3

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www.medco.com Medco is a registered trademark and At the heart of health is a trademark of Medco Health Solutions, Inc. © 2007 Medco Health Solutions, Inc. All rights reserved. PT909165-10/07

You’ll Feel Better

While Paying Less

FDA1-approved generic medications have the same active ingredients,

quality, strength, and purity as theirbrand-name counterparts. And generics

could save you up to 60 percent of your out-of-pocket costs.2

Over 60 percent of all prescriptionsdispensed are for generic medications,3

including those that treat:



4

1. U.S. Food and Drug Administration. 2. Based on Medco book of business analysis for claims processed April–June 2007. 3. New York Times, September 21, 2007, “Helped by Generics, Inflation of Drug Costs Slows.”

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Documents

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