Featured in Health Business Daily, July 6, 2011

Chart: Mail-Order Utilization Rebounds From Year-Ago Low Point

Reprinted from DRUG BENEFIT NEWS, biweekly news, proven cost management strategies and unique data for health plans, PBMs, pharma companies and employers.

June 24, 2011Volume 12Issue 13

Total adjusted annual mail-order volume as of first-quarter 2011 was 776 million, a 16% increase over the prior-year figure of 668 million. However, the increase in mail volume lags behind a 20% increase in total volume. Data from AIS’s quarterly survey of PBMs indicate that mail-order growth began declining in 2009 and reached its lowest point since 2005 in 2010 (DBN 4/30/10, p. 5). Mail-order penetration — the percentage of total scripts filled via mail — remained fairly stable throughout the recession. It is currently 21.98% among companies with mail capability, and 16.32% industrywide (including companies that don’t offer mail).

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Selected PBMs by Mail-Order Volume, With Penetration and Market Share, As of 1Q2011

Company

Rx Via Mail Order

Rx Via Mail Order (Adjusted)*

Mail Penetration

Mail-Order Market Share

Medco Health Solutions, Inc.

109,800,000

309,000,000

32.90%

39.83%

CVS/Caremark

64,200,000

192,600,000

27.01%

24.17%

Express Scripts, Inc.

54,100,000

162,300,000

21.24%

20.37%

Aetna Pharmacy Management

8,294,537

24,883,611

18.97%

3.12%

CIGNA Pharmacy Management

5,400,000

16,200,000

26.17%

2.03%

Catalyst Rx

3,097,158

9,291,474

11.21%

1.17%

Prime Therapeutics LLC

2,609,440

7,828,320

8.58%

0.98%

HealthTrans

1,950,000

5,850,000

5.23%

0.73%

National Pharmaceutical Services

1,095,000

3,285,000

25.68%

0.41%

SXC Health Solutions, Inc./informedRx

911,721

2,735,163

10.20%

0.34%

SOURCE/METHODOLOGY: AIS’s quarterly survey of PBMs and related companies, conducted for DBN.

*Mail-order prescriptions are multiplied by three to adjust for the fact that they are typically filled in a three-month quantity vs. a one-month quantity for retail scripts. Adjusted mail-order figures were used for calculating penetration and market share in this analysis. Prescription volume figures represent the latest available 12-month count at the time of the survey. Market share refers to the percentage of total mail-order scripts reported on this survey.

AIS’s Pharmacy Benefit Survey Results can be purchased at http://aishealth.com/marketplace/aiss-quarterly-pharmacy-benefit-survey-.... 1Q2011 results are now available.

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