DFAN14A
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
SCHEDULE 14A
PROXY STATEMENT PURSUANT TO SECTION 14(a)
OF THE SECURITIES EXCHANGE ACT OF 1934
Filed by the Registrant o
Filed by a Party other than the Registrant þ
Check the appropriate box:
o Preliminary Proxy Statement
o Confidential, For Use of the Commission Only (as permitted by Rule 14a-6(e)(2))
o Definitive Proxy Statement
þ Definitive Additional Materials
o Soliciting Materials Pursuant to Section 240.14a-12
CAREMARK RX, INC.
(Name of Registrant as Specified in its Charter)
EXPRESS SCRIPTS, INC.
KEW CORP.
(Name of Person(s) Filing Proxy Statement, if other than the Registrant)
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EXHIBIT INDEX
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Exhibit No |
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99.1
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Express Scripts Press Release,
dated March 7, 2007 |
99.2
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Conference Call Transcript, dated
March 7, 2007 |
99.3
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Express Scripts Investor
Presentation, dated March 2007 |
FOR IMMEDIATE RELEASE
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Investor Contacts:
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Media Contacts: |
Edward Stiften, Chief Financial Officer
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Steve Littlejohn, VP, Public Affairs |
David Myers, Vice President, Investor Relations
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(314) 702-7556 |
(314) 702-7173 |
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Laurie Connell
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Joele Frank / Jamie Moser |
MacKenzie Partners, Inc.
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Joele Frank, Wilkinson Brimmer Katcher |
(212) 929-5500
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(212) 355-4449 |
Express Scripts Improves Offer to Acquire Caremark
Raises 2007 Earnings Per Share Guidance Reflecting 26% to 29% Growth
St. Louis, March 7, 2007 Express Scripts, Inc. (Nasdaq: ESRX) today announced an enhancement of
its offer to acquire Caremark Rx, Inc (NYSE: CMX). The Express Scripts offer is to acquire all
outstanding shares of Caremark for $29.25 in cash and 0.426 shares of Express Scripts stock for
each share of Caremark stock. The Company will now pay additional cash consideration of
approximately 6 percent per annum on the $29.25 cash portion of Express Scripts offer.
This increased consideration of $0.00481 of cash per share per day will accrue commencing on
April 1, 2007, through the closing date of Express Scripts acquisition of Caremark, or 45 days
after the Company receives Federal Trade Commission (FTC) approval of the transaction, whichever
comes first. This additional cash consideration will be paid to Caremark stockholders upon the
acquisition of Caremark. Express Scripts indicated that it expects to receive a second request
from the FTC and believes its acquisition of Caremark will close no later than the third quarter of
2007.
This enhanced offer demonstrates our commitment to this transaction and confidence in our
ability to consummate it in a timely manner, added George Paz, president, chief executive officer
and chairman. The pharmacy benefit management marketplace is highly competitive and will remain
so after the combination of Express Scripts and Caremark . For example, more than 30 different
companies provide prescription drug program management services to the Fortune 500. As a result,
we believe that we can successfully complete the regulatory review process in a timely manner.
Due to strong underlying trends, including greater success with mid-year renewals, higher
growth in the middle market, and lower drug purchasing costs, the Company is increasing its
previous 2007 earnings guidance. Express Scripts is increasing its previous 2007 diluted earnings
per share guidance from a range of $4.08 to $4.20 to a range of $4.14 to $4.26. This
increased guidance is based on Express Scripts stand alone performance, and specifically excludes
the financial impact of either a completed acquisition or an unsuccessful effort to be the acquirer
of Caremark.
Express Scripts increased 2007 diluted earnings per share guidance reflects growth of 26 to
29 percent over 2006. However, Express Scripts stock currently trades at a P/E multiple of 17.8
times, which is a significant discount to its historical P/E multiple, which has averaged 20 to 22
times. Based on the current P/E level and Express Scripts strong outlook for the future, the
Company believes there is significant upside to its stock price in the short-term as well as in the
long-term.
Caremark stockholders would own a high growth Express Scripts stock, and in the CVS proposal,
Caremarks stockholders are being offered currency in a lower growth stock. Express Scripts has
significantly outperformed CVS over the last 10 years, with total stockholder returns of 1531% to
315%, respectively. The Express Scripts proposal also offers greater certainty of value provided
by the greater cash portion of its offer.
In a letter today to Caremarks Board of Directors, Express Scripts once again called upon the
Board to discuss Express Scripts superior offer to acquire Caremark. Following is a copy of the
letter that Express Scripts sent to the Caremark Board:
March 7, 2007
Board of Directors
Caremark Rx, Inc.
211 Commerce Street, Suite 800
Nashville, Tennessee 37201
Ladies and Gentlemen:
We remain committed to effecting a combination of our respective businesses, and we remain
steadfast that we can close the transaction no later than the third quarter of 2007. In
this regard, our board of directors has authorized an increase to the cash portion of our
offer of an additional $0.00481 in cash per day. This represents an increase to our offer
of approximately 6% per annum on the $29.25 cash portion of our offer. This increased cash
consideration will accrue commencing on April 1, 2007 through the closing of the acquisition
of Caremark by Express Scripts, or 45 days after Express Scripts receives Federal Trade
Commission approval of the transaction, whichever comes first. This additional cash
consideration will be paid to Caremark stockholders upon the acquisition of Caremark.
In light of the observations made by the Delaware Court of Chancery regarding Caremarks
process, we continue to believe that it is time, for the sake of your stockholders, that we
sit down and talk. It is time that you acknowledge the undeniable merits of a horizontal
PBM transaction. This course is in the best interests of your
stockholders. We also firmly believe that our respective stockholders, the market and plan
sponsors and patients want to see us talking and moving forward as a combined stand-alone
PBM.
As I have said before, we and our advisors are ready to meet with you and your advisors to
discuss our offer and to begin confirmatory due diligence immediately, a process that, with
your cooperation, we should be able to complete very quickly. In this regard, we remain
willing to sign a confidentiality agreement and, concurrently with the due diligence
process, negotiate a merger agreement with you. I also want to be clear that if we were
able to identify additional value during due diligence, including if we determine that there
are greater net synergies beyond what we have reflected in our analysis thus far, it could
result in an increase to our offer price.
It has been and remains an unwavering truth that the Express Scripts offer is in the best
interests of Caremark stockholders it offers them better value and is predicated on a
model with proven strategic rationale. We have repeatedly cited stockholder affirmation of
our position, and indeed, the market has consistently valued our offer higher than the CVS
offer.
The future of our combined companies would be bright and our respective stockholders, plan
sponsors and patients would thank us for the value we would create and the benefits we would
offer.
Sincerely,
/s/ George Paz
George Paz
President, Chief Executive Officer
and Chairman of the Board
The Company urges Caremark stockholders to vote the GOLD proxy card AGAINST the proposed CVS
transaction to protect the value of their investment.
Skadden, Arps, Slate, Meagher & Flom LLP, Arnold & Porter LLP, and Young Conaway Stargatt &
Taylor, LLP are acting as legal counsel to Express Scripts, and Citigroup Corporate and Investment
Banking and Credit Suisse are acting as financial advisors. MacKenzie Partners, Inc. is acting as
proxy advisor to Express Scripts.
Analyst/Investor Conference Call/Webcast
Express Scripts will be hosting a conference call with analysts and investors at 6 p.m. ET
today. The conference call can be accessed by dialing (866) 406-5369 (U.S. dial-in) or (973)
582-2847 (international dial-in), conference code 8545913. The Company will webcast the call to
all interested parties through the investor relations section of its website:
www.express-scripts.com. Please see the website for details on how to access the webcast.
A replay of the conference call will be available through March 14, 2007 and can be accessed
by dialing (877) 519-4471, conference code 8545913. International callers can access the replay by
dialing (973) 341-3080, conference code 8545913. The replay will also be available at the Express
Scripts website, www.express-scripts.com.
About Express Scripts
Express Scripts, Inc. is one of the largest PBM companies in North America, providing PBM
services to over 50 million members. Express Scripts serves thousands of client groups, including
managed-care organizations, insurance carriers, employers, third-party administrators, public
sector, and union-sponsored benefit plans.
Express Scripts provides integrated PBM services, including network-pharmacy claims
processing, home delivery services, benefit-design consultation, drug-utilization review, formulary
management, disease management, and medical- and drug-data analysis services. The Company also
distributes a full range of injectable and infusion biopharmaceutical products directly to patients
or their physicians, and provides extensive cost-management and patient-care services.
Express Scripts is headquartered in St. Louis, Missouri. More information can be found at
www.express-scripts.com, which includes expanded investor information and resources.
Safe Harbor Statement
This press release contains forward-looking statements, including, but not limited to, statements
related to the Companys plans, objectives, expectations (financial and otherwise) or intentions.
Actual results may differ significantly from those projected or suggested in any forward-looking
statements. Factors that may impact these forward-looking statements include but are not limited
to:
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uncertainties associated with our acquisitions, which include integration risks and
costs, uncertainties associated with client retention and repricing of client
contracts, and uncertainties associated with the operations of acquired businesses |
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costs and uncertainties of adverse results in litigation, including a number of
pending class action cases that challenge certain of our business practices |
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investigations of certain PBM practices and pharmaceutical pricing, marketing and
distribution practices currently being conducted by the U.S. Attorney offices in
Philadelphia and Boston, and by other regulatory agencies including the Department of
Labor, and various state attorneys general |
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changes in average wholesale prices (AWP), which could reduce prices and margins,
including the impact of a proposed settlement in a class action case involving First
DataBank, an AWP reporting service |
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uncertainties regarding the implementation of the Medicare Part D prescription drug
benefit, including the financial impact to us to the extent that we participate in the
program on a risk-bearing basis, uncertainties of client or member losses to other
providers under Medicare Part D, and increased regulatory risk |
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uncertainties associated with U.S. Centers for Medicare & Medicaids (CMS)
implementation of the Medicare Part B Competitive Acquisition Program (CAP), |
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including the potential loss of clients/revenues to providers choosing to participate in
the CAP |
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our ability to maintain growth rates, or to control operating or capital costs |
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continued pressure on margins resulting from client demands for lower prices,
enhanced service offerings and/or higher service levels, and the possible termination
of, or unfavorable modification to, contracts with key clients or providers |
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competition in the PBM and specialty pharmacy industries, and our ability to
consummate contract negotiations with prospective clients, as well as competition from
new competitors offering services that may in whole or in part replace services that we
now provide to our customers |
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results in regulatory matters, the adoption of new legislation or regulations
(including increased costs associated with compliance with new laws and regulations),
more aggressive enforcement of existing legislation or regulations, or a change in the
interpretation of existing legislation or regulations |
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increased compliance relating to our contracts with the DoD TRICARE Management
Activity and various state governments and agencies |
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the possible loss, or adverse modification of the terms, of relationships with
pharmaceutical manufacturers, or changes in pricing, discount or other practices of
pharmaceutical manufacturers or interruption of the supply of any pharmaceutical
products |
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the possible loss, or adverse modification of the terms, of contracts with
pharmacies in our retail pharmacy network |
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the use and protection of the intellectual property we use in our business |
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our leverage and debt service obligations, including the effect of certain covenants
in our borrowing agreements |
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our ability to continue to develop new products, services and delivery channels |
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general developments in the health care industry, including the impact of increases
in health care costs, changes in drug utilization and cost patterns and introductions
of new drugs |
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increase in credit risk relative to our clients due to adverse economic trends |
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our ability to attract and retain qualified personnel |
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other risks described from time to time in our filings with the SEC |
Risks and uncertainties relating to the proposed transaction that may impact forward-looking
statements include but are not limited to:
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Express Scripts and Caremark may not enter into any definitive agreement with
respect to the proposed transaction |
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required regulatory approvals may not be obtained in a timely manner, if at all |
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the proposed transaction may not be consummated |
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the anticipated benefits of the proposed transaction may not be realized |
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the integration of Caremarks operations with Express Scripts may be materially
delayed or may be more costly or difficult than expected |
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the proposed transaction would materially increase leverage and debt service
obligations, including the effect of certain covenants in any new borrowing agreements. |
We do not undertake any obligation to release publicly any revisions to such forward-looking
statements to reflect events or circumstances after the date hereof or to reflect the occurrence of
unanticipated events.
Important Information
Express Scripts has filed a proxy statement in connection with Caremarks special meeting of
stockholders at which the Caremark stockholders will consider the CVS Merger Agreement and matters
in connection therewith. Express Scripts stockholders are strongly advised to read that proxy
statement and the accompanying form of GOLD proxy card, as they contain important information.
Express Scripts also intends to file a proxy statement in connection with Caremarks annual meeting
of stockholders at which the Caremark stockholders will vote on the election of directors to the
board of directors of Caremark. Express Scripts stockholders are strongly advised to read this
proxy statement and the accompanying proxy card when they become available, as each will contain
important information. Stockholders may obtain each proxy statement, proxy card and any amendments
or supplements thereto which are or will be filed with the Securities and Exchange Commission
(SEC) free of charge at the SECs website (www.sec.gov) or by directing a request to MacKenzie
Partners, Inc., at 800-322-2885 or by email at expressscripts@mackenziepartners.com.
In addition, this material is not a substitute for the prospectus/offer to exchange and
registration statement that Express Scripts has filed with the SEC regarding its exchange offer for
all of the outstanding shares of common stock of Caremark. Investors and security holders are urged
to read these documents, all other applicable documents, and any amendments or supplements thereto
when they become available, because each contains or will contain important information. Such
documents are or will be available free of charge at the SECs website (www.sec.gov) or by
directing a request to MacKenzie Partners, Inc., at 800-322-2885 or by email at
expressscripts@mackenziepartners.com.
Express Scripts and its directors, executive officers and other employees may be deemed to be
participants in any solicitation of Express Scripts or Caremark shareholders in connection with the
proposed transaction. Information about Express Scripts directors and executive officers is
available in Express Scripts proxy statement, dated April 18, 2006, filed in connection with its
2006 annual meeting of stockholders. Additional information about the interests of potential
participants is included in the proxy statement filed in connection with Caremarks special meeting
to approve the proposed merger with CVS and will be included in any proxy statement regarding the
proposed transaction. We have also filed additional information regarding our solicitation of
stockholders with respect to Caremarks annual meeting on a Schedule 14A pursuant to Rule 14a-12 on
January 9, 2007.
###
Express Scripts
Moderator: David Myers
March 7, 2007
6:00 p.m. EST
OPERATOR: Good evening everyone, my name is Jeanie (ph) and I will be your conference
operator tonight. At this time, I would like to welcome everyone to the Express Scripts conference
call. All lines have been placed on mute to prevent any background noise. After the speakers
remarks there will be a question-and-answer session. If you would like to pose a question during
this time, please press star then the number one on your telephone keypad. If you would like to
withdraw your question, press the pound key, thank you.
At this time, I would like to turn the call over to Mr. David Myers, sir, you may begin your
conference.
DAVID MYERS, VICE PRESIDENT, INVESTOR RELATIONS, EXPRESS SCRIPTS: Thank you, Operator. And good
afternoon everyone. Im David Myers, Vice President of Investor Relations at Express Scripts.
With me this afternoon are George Paz, our CEO and Ed Stiften, our Chief Financial Officer, as well
as Tom Boudreau, our General Counsel.
Before we begin, I need to read the following. Statements or comments made on this conference call
may be forward-looking statements, and may include but are not necessarily limited to financial
projections or other statements of the companys plans, objective, expectations or intentions.
These matters involve certain risks and uncertainties. The companys actual results may differ
significantly from those projected or suggested in any forward-looking statements, due to a variety
of factors which are discussed in detail in our SEC filings.
Express Scripts has filed a proxy statement in connection with Caremark special meeting of
stockholders in which Caremark stockholders will consider the CVS merger agreement and matters and
connection therewith. Express Script stockholders are strongly advised to read the proxy
statement, and accompanying form of gold proxy card, as they contain important information.
Express Scripts also intends to file a proxy statement in connection with Caremarks annual meeting
of stockholders at which the Caremark stockholders will vote on the election of directors to the
Board of Directors of Caremark.
Express Scripts stockholders are strongly advised to read this proxy statement and accompanying
proxy card, when they become available, as each will contain important information. Stockholders
may obtain each proxy statement, proxy card and any amendments or supplements thereto, which are or
will be filed with the SEC free of charge at the SECs Web site, SEC.gov or by directing a request
to McKinsey Partners Inc at 800-322-2885, or by e-mail at ExpressScripts@McKinseyPartners.com.
In addition, this material is not a substitute for the prospectus offer to exchange and
registration statement that Express Scripts has filed with the SEC, regarding its exchange offer
for all of the out standing shares of common stock of Caremark. Investors and security holders are
urged to read these documents, all other applicable documents, and any amendments or supplements
thereto, when they become available, because each contains or will contain important information.
Such documents are and will be available free of charge at the SECs Web site, or by directing a
request to McKinsey Partners.
Express Scripts and its directors, executive officers and other employees may be deemed to be
participants in any solicitation Express Scripts or Caremark stockholders in connection with the
proposed transaction. Information about Express Scripts directors and executive officer is
available in Express Scripts proxy statement, dated April 18, 2006 filed in connection with its
2006 annual meeting of stockholders. Additional information about the interest of potential
participants is included in the proxy statement, filed in connection with Caremark special meeting
to approved the proposed merger with CVS and will be included in any proxy statement regarding the
proposed transaction. We have also filed additional information regarding our solicitation of
stockholders with respect to Caremarks annual meeting on a schedule 14A pursuant to rule 14A-12 on
January 9, 2007.
With that, Ill now turn the call over to George Paz, and who will discuss this afternoons
announcement.
1
GEORGE PAZ, CEO: Thank you, David. Good afternoon everyone and thank you all for joining us on
such short notice. Today, we announced that we are enhancing our offer to acquire Caremark. As
you know, our offer is to acquire all outstanding shares of Caremark for $29.25 in cash, and 0.426
shares of Express Scripts stock for each share of Caremark stock. We will now pay additional cash
consideration of approximately six percent per annum on the $29.25 cash portion of our offer.
This increased consideration a ticking fee of $0.00481 of cash per share per day will accrue
commencing April 1, 2007, through the closing date of Express Scripts acquisition of Caremark or 45
days after the company receives FTC approval of the transaction, whichever come first. This
additional cash consideration we pay to Caremark stockholders upon the acquisition of Caremark.
As you know, the waiting period under the current HSR filing expires on March 8, 2007. It has
become apparent that the FTC will require additional time to review our transaction with Caremark
and we expect to receive a second request. The PBM industry is highly competitive, and will remain
so after the combination of Express Scripts and Caremark. For example, more than 30 different
companies provide prescription drug management services to the Fortune 500. We believe given the
level of competition, we will successfully complete the regulatory review process in a timely
manner.
Our enhanced offer demonstrates our commitment to this transaction and our confidence and our
ability to close this transaction, no later than the third quarter of 2007. We have been seeing
strong underlying trends in our business, including greater success with the mid market mid year
renewals, higher membership growth in the middle market and lower drug purchasing costs.
Accordingly, we are again, increasing our previous 2007 earnings guidance from a range of 408 to
420 to a range of $4.14 to $4.26. This increased guidance is based on Express Scripts standalone
performance, and specifically excludes the financial impact of either a completed acquisition or an
unsuccessful effort to be the acquirer of Caremark.
We have not yet adjusted the allowance for the potential impact of the AWP settlement in our
increased guidance, but well continue to monitor this situation throughout the year to see if a
reduction in this allowance is warranted.
Express Scripts increased 2007 guidance represents growth of 26 to 29 percent over 2006. However,
Express Scripts stock currently trades at a PE multiple of 17.8 times. This is also a significant
discount to our historical PE multiple which has averaged 20 to 22 times. Based on the current PE
level and our strong outlook for the future, we believe there is significant up side to our stock
price in the short and long term. It is time that Caremark acknowledges the undeniable merits of a
horizontal premium transaction. We also firmly believe that our respective stockholders, the
market, and planned sponsors and patients, wants to see us talking and moving forward, as a
combined standalone PBM.
It is unfortunate that Caremark has refused to allow us to conduct confirmatory due diligence. As
I have said before, we and our advisors are ready to meet with Caremark and its advisor to discuss
our offer and to begin confirmatory due diligence immediately. Confirmatory due diligence is a
process we should be able to complete quickly. In this regard, we remain willing to sign a
confidentiality agreement, and concurrently with the due diligence process negotiate a merger
agreement with Caremark. I want to be clear that if we were able to identify additional value
during confirmatory due diligence, including if we determine that there are great net synergies
beyond what we have reflected in our analysis thus far, it could result in an increase to our offer
price.
Caremark stockholders should recognize the tremendous opportunity to share in the upside potential
of an Express Scripts stock. Caremark stockholders would own a high growth Express Scripts stocks,
while in the CVS proposal Caremark stockholders are being offered currency in a lower growth stock.
Express Scripts has significantly outperformed CVS over the last 10 years with total stockholder
returns of 1531 percent, compared to 315 percent respectively. Also, our proposal offers greater
certainty of value provided by its greater cash value. Thus, our offer, including the additional
consideration announced today remains superior. It offers Caremark stockholders, both short and
long term advantages over the proposed acquisition by CVS.
We are well positioned to consummate our transaction with Caremark, and have taken a number of
tangible, important steps to do so. We have committed financing. We commenced an exchange offer
to take our offer directly to Caremarks stockholders. We nominated a slate of four independent
directors to Caremarks board. And
2
we have added the additional consideration in the form of a ticking (ph) fee. At every step of the
way, we have kept the door open for Caremarks board and management to speak to us about the
superior value of our combining our companies. We are asking Caremark stockholders to send a
strong message to Caremarks board and management team to conduct a fair process, to protect the
value of their investment. We urge Caremark stockholders to vote today the gold card against the
proposed CVS transaction.
That concludes our prepared remarks, and at this time, we would be happy to answer any questions.
Operator.
OPERATOR: Thank you. At this time, I would like to remind everyone if you would like to pose a
question to please press star then the number one on your telephone keypad. Well pause for just a
brief moment to compile the Q&A roster.
The first question is coming from Tom Gallucci of Merrill Lynch, please go ahead.
JOHN GREEN (ph), MERRILL LYNCH: Thanks, its John Green (ph) on for Tom. Im just wondering
whether youre able to give us any sense of what the FTC is looking for in terms of the scope of
what theyre looking for, or any particular issues at this point?
GEORGE PAZ: Sure, I think what Ill do is have Tom Boudreau, our General Counsel answer that
question. Thank you.
TOM BOUDREAU, GENERAL COUNSEL: Yes. We prefer not to talk about the specifics, but I can tell you
that weve had a number of discussions. Were in regular contact with the FTC. And as we sit here
today we feel the same level of confidence now, the ultimate approval of this transaction in that
process that we felt when we announced our proposal on December 18.
So it will be an extended process that we described to you when we announced the proposal, but
where our confidence level and the ultimate approval of this is still high.
JOHN GREEN (ph): OK. I mean any sense you can give us at all, of whats taking the extra time?
TOM BOUDREAU: Again, were not Im not going to talk about the specific issues, but there are
theres information that the FTC cannot obtain from us, has to obtain from third parties, and
this is the process by which they do that.
JOHN GREEN (ph): OK, fair enough, thanks.
OPERATOR: Thank you. Your next question is coming from Andy Speller of A.G. Edwards, please go
ahead.
ANDY SPELLER, A.G. EDWARDS: Hi, good afternoon guys. A couple of things. George, could you, I
guess, a sense for in terms of breaking down the reason I mean in the buckets, like you kind of
did before, when you raised your guidance, or Ed, I guess, in terms of where its coming from. I
mean is it just higher claim growth, profit growth, kind of break it down that way?
GEORGE PAZ: Sure, Ill take a stab at this. And then Ill also ask Ed to chime in. But first,
let me start our by discussing the fundamentals of our business. You know, today more than ever,
the larger employer, the small employer, every employer in country thats offering healthcare
benefits needs help, and theres really not a better avenue to get help than what the PBMs are able
to deliver. And it speaks miles for the opportunities in our space. With the work we did last
year in taking our you know, against the cholesterol lowering products, and driving generic pill
rates to an all time high, I think, just speaks to the value that PBMs bring to the marketplace.
And working with the plan sponsors, working with the members and continuing to drive value and its
resonating throughout our industry.
When we started this process I knew that Tom, myself, Ed Stiften and a select few others in our
company would need to be focused on this transaction. Because of that, I brought our management
team together and asked told them that what they can do to help us succeed in this endeavor
would be for them to remain totally focused on our
3
underlying business, to make sure that service reached all time levels. That we stayed as every
bit engaged with our clients, and delivering the values that we can deliver, than weve ever done
in our past. And I will tell you that has resonated. Our workforce is engaged. Our workforce is
delivering. Our sales people are working at the highest levels of productivity for which theyve
ever achieved. And Ill tell you I am extremely proud of the work that our team is doing. And
those things combined have allowed us to renew have got off to the fastest pace or start that
weve experienced since Ive been with this company. And Ill tell you its remarkable to see.
And so our renewal rates are at all time high. Our new sales opportunities are off to a very
strong start. Our service levels have never been higher. And I think were hitting on all
cylinders. Ed, I dont know if theres anything youd like to add?
ED STIFTEN, CFO: Yes, just a little bit. Andy, every year when we put a budget together, we make
judgments and assumptions about what we expect to see in terms of script growth and growth in the
middle market membership. And we make estimates of what we expect for mid year renewals in terms
of what percent of our clients we expect to retain and what kind of rates, et cetera. We also make
judgments month by month, about what we expect to happen in drug purchasing costs. Were
constantly in negotiations with generic manufacturers, et cetera, and we monitor those things as we
go.
And what we have found is in those three areas, the middle market membership, the mid year renewals
and the drug purchasing costs, that all three are trending ahead of budget, and are trending better
than what we saw when we put out guidance in the first part of February. So we basically, the only
changes we made to this guidance are those business changes that have occurred since the guidance
in the first week of February.
ANDY SPELLER: OK, can you give us more of a sense in terms of dollars, or are you still going to
be down in terms of script growth, adjusted claim you know script volume for the year? I mean
can you just help us out a little bit framing it.
ED STIFTEN: Yes, this would take script growth up or script actually the decline of scripts
up of an improvement a little bit over what we saw earlier, but its a fraction of a percent in
terms of script change. And so its a little bit of script change, a little bit of margin
improvement and most of the script change come for the mid year renewals, obviously that would just
effect the second half of the year, and then the middle market lives, that appears to be an ongoing
trend.
GEORGE PAZ: You know, Andy, I think that its you know, we know that this vote is coming and we
felt we owed it to our shareholders and the Caremark shareholders to make their vote on the best
decisions available at this time.
Once we release our third quarter actually first quarter earnings of, you know, in April, we
will give you a whole lot more color around this, and where we expect the year to ultimately
unfold.
ED STIFTEN: And Andy, you know, since were talking about a six cents a share in total none of
these items is more than one or two cents each.
ANDY SPELLER: OK. Great. One other question, if I could, for Tom, can you talk about the court
ruling today out of Delaware and the impact of that?
TOM BOUDREAU: Well, you know, I think the point here is that we believe that our offer is still a
superior offer. And we think that the Caremark shareholders are going to be able to see that. So
we would focus on the offer thats on the table. We think its superior, and thats it.
ANDY SPELLER: Do you anticipate the Delaware Supreme Court taking up the case?
TOM BOUDREAU: I dont have a prediction on that.
ANDY SPELLER: OK. Thank you.
4
OPERATOR: Thank you. Your next question is coming from Robert Willoughby of Bank of America
Securities.
ROBERT WILLOUGHBY, BANK OF AMERICA SECURITIES: Hi, George or Ed, the incremental tick (ph) fee
there 0.00481, I think you said, that, I assume is per business day, correct? Or is that Saturdays
Sundays as well?
GEORGE PAZ: Thats calendar day.
ROBERT WILLOUGHBY: OK. And is I think you said it, but no incremental share repurchase
assumption in that guidance that you just gave?
GEORGE PAZ: Thats a great point. I dont know that we provided that level of detail but this
does not include that. Good catch.
ROBERT WILLOUGHBY: OK, thank you.
OPERATOR: Thank you. Once again, if you would like to pose a question, please press star then one
on your touch-tone phone at this time. Thank you. Your next question is coming from Kemp Doliver
of Cowen and Company, please go ahead.
KEMP DOLIVER, COWEN AND COMPANY: Im covered for now. Thank you.
OPERATOR: Thank you. Your next question is coming from Art Henderson of Jefferies and Company,
please go ahead.
ART HENDERSON, JEFFERIES AND COMPANY: A follow up question on the FTC issue, there wasnt anything
that the FTC has come back to you on that surprised you that you dont feel is manageable, do you?
TOM BOUDREAU: Well as I indicated this is Tom Boudreau again as I indicated earlier, our
level of confidence in obtaining ultimate approval for this transaction remains quite high, and
its as high as its ever been as weve gone through this transaction.
ART HENDERSON: OK. Thanks very much.
OPERATOR: Thank you. Your next question is coming from Steve Halper of Thomas Weisel Partners,
please go ahead.
STEVE HALPER, THOMAS WEISEL PARTNERS: Hi. If you look at the growth prospects of the business, on
a standalone basis, theyre clearly accelerating. The company is doing everything right. Why do
you need Caremark to enhance that growth even more because on a standalone basis youre doing a
phenomenal job? So try to explain that to me, now in light of this, obviously improved operating
environment that youre seeing why do you really need Caremark?
GEORGE PAZ: Well, you know, I think we dont need Caremark, quite honestly. But Ill tell you
what, if you look at the value we bring to our clients, and what we can do to drive down trend,
its significant.
STEVE HALPER: Right, but youre doing that anyway.
GEORGE PAZ: I understand that. But when we put our two companies together, I believe that quite
frankly theyre better at selling mail (ph) than we are. Were better at selling generics than
they are. I think you put these two companies together, we actually take this to a whole new
level. And I think it could even increase the values even more. You know, because the
opportunities in front of us look great, significant, that doesnt mean they cant even be better.
And I think, when we put these two companies together, the outlook can even be greater.
STEVE HALPER: Its hard to- you know, at least from my perspective its hard to see how you can
top the recent performance in your own business with a this kind of transaction but thats
Ill leave it to that.
5
GEORGE PAZ: You know, Id also like to say that, you know, you make a very good point, as well, in
that Ill tell you, you know, we are going to stay disciplined in this process. We are going to
actively try to get Caremarks management to allow us to do due diligence so that we can truly
determine the value of their organization. As Ive said many times in the past, if theyve
uncovered $500 million of synergies by putting a very small and a large PBM together, how many
synergies could there be in putting our two companies together? And were willing to share those
opportunities, you know, provided theyre there. And so I think that thats great.
But the other side to this coin is whether we end up with this property or not. Express Scripts is
a great bet. Trading at a 0.64 peg ratio. Theres tremendous room to run in our company and it
gives the Caremark shareholders a tremendous upside if we put this deal and it give the existing
Express Scripts shareholders tremendous opportunity, whether or not we put this deal together. So
Im excited about this industry and where were headed.
STEVE HALPER: Thanks.
GEORGE PAZ: One more question, please.
OPERATOR: OK. Your next question is coming from Jennifer Hills of Goldman Sachs, please go ahead.
JENNIFER HILLS, GOLDMAN SACHS: Good evening. One of your competitors recently commented in a
conference call that theyre not seeing smaller PBMs, investment files for new business. Can you
comment on what youre seeing in the competitive environment?
GEORGE PAZ: Sure, absolutely. You know, I think that theres no question that a couple of our PBM
competitors would prefer that this deal didnt go through, and I think that, you know, those calls
are being logged in all over the place. I would tell you that the competition is as big as ever.
You know, we did a lot of analysis for the FTC looking at the current marketplace. And Ill tell
you, many, many large employers user more than one PBM. And that PBM may take several forms. For
example, if a pro if a company has a diverse workforce spread across the country, they may use
United in one section of the country, using Uniteds PBM which may or may not be Pacific Care or
Medco. And another area of the country that same employer may be using Aetna and their PBM or
Cigna and their PBM, and overall all of their indemnity lives may be with Express Scripts.
If you look inside of, you know, these arent simple, heres my only choice, heres who Im with.
Many employers provide HMO, PPO and indemnity programs for their employees and they could have
different service offerings. So I think that theres tremendous amount of competition out there,
and we see some of the big opportunities last year went to some of the small competitors for which
Caremark, Medco, and Express Scripts were all trying to compete for the business, and unfortunately
all three of us lost. So I think this is a very dynamic and competitive marketplace.
JENNIFER HILLS: Thank you.
OPERATOR: Thank you. And now at this time, I would like to turn the floor back to Mr. Paz for any
closing comments, please go ahead, sir.
GEORGE PAZ: Well again, I thank you all very much, again for joining us on short notice. We are
extremely excited about this transaction. And we look forward to meeting with Caremark management
to work with them in order to put a deal together, so thank you very much.
OPERATOR: Thank you. This concludes todays Express Scripts conference call. You may now
disconnect your lines at this time and have a wonderful evening.
END
6
ESRX: Innovation and Execution
Building on a Proven Record for a
Powerful Future
March 2007
|
Express Scripts Offers Superior Value for Stockholders
We believe we will clear anti-trust in a timely manner - additional consideration to compensate for timing
of regulatory approval
CVS acquisition of Caremark presents significant long-term risks
Vertical integrations of PBMs have destroyed value
CVS/CMX synergies don't add up
CVS materially underperforms relative to Express Scripts in down markets
ESRX offers more certainty of value and better currency
ESRX has a strong record of innovation and execution
ESRX profit generators have room to run
ESRX confirms bullish outlook by increasing 2007 EPS guidance
ESRX offers significant upside with or without Caremark
Express Scripts has put forth a compelling proposal and has taken
the necessary steps to complete this transaction
|
We Believe We Will Clear Anti-Trust in a Timely Manner
Number of Fortune 500 Clients, by Service Provider
At least 36 unique providers of
pharmacy benefits services
Notes:
Source: Express Scripts Survey of Fortune 500
companies, Mar 2007
"Unknown" reflects 28 companies that
did not respond to repeated inquiries (N = 23),
received services from an unspecified
"carved in" provider (N = 2),
declined to provide information (N = 2), or
were unavailable (N = 1)
Express Scripts has identified these parties
serving Fortune 500 companies. Many individual
companies may be served by multiple providers
of pharmacy benefits services. In such cases, we
assigned the company to a single provider based
on data available to us (e.g. number of lives
served, carve-in versus carve-out).
Consequently, the actual number of clients per
provider may exceed that shown.
Given the level of competition, we believe that we can successfully
complete the regulatory review process in a timely manner
|
Vertical Integrations Destroy Value;
Horizontal Integrations Create Value
Our combination of ESRX and CMX is based on a proven and powerful model that has
been repeatedly validated by the market
AVG LOSS
IN VALUE
- 36%
DPS to ESRX
Medco Spin-off
PCS to Advance
Independent PBMs
Advance + PCS
2000
AdvancePCS
2003
ESRX + DPS
1999
ESRX
2002
Medco Spin-off
2003
Medco (4)
2006
124%
26%
117%
$2.2B
$5.0B (3)
$3.9B
$4.9B (3)
$7.9B
$17.0B (3)
Acquiror
Enterprise
Value (2)
+ 89%
AVG INCREASE
IN VALUE
(1) Transaction Value for target at closing. (2) Combined Enterprise Value of acquiror and target at closing. (3) Enterprise Value of acquiror three years after closing. (4) Excludes the Transaction
Value at closing of $2.5 billion for Accredo acquired by Medco in 2005.
VERTICAL
HORIZONTAL
Lilly
1994
Rite Aid
1999
Advance
2000
SmithKline
1994
ESRX
1999
Merck
1993
Spin-off
2003
$4.1B
$1.5B
$1.0B
$2.3B
$0.7B
$6.5B
$7.9B
Transaction
Value (1)
Acquiror
PCS Sale
DPS Sale
Medco Spin-off
Change in Value
- 63%
- 34%
- 70%
21% (2% APR)
Vertical Integrations
|
CVS/CMX Synergies Don't Add Up
Adding PharmaCare's business to CMX's business unlikely to result in $500 million in
PBM-specific synergies - translating to an unrealistic $7.00 per Rx
CVS/CMX
Drugs under management
Manufacturer discounts
Retail network contracting
Direct processing costs/SGA
Only partially managed
Rebates generated on formulary
management, not retail purchases
Other retailers may refuse to offer
competitive pricing to competitor-
owned CMX
Combining a small PBM with CMX
results in few cost savings
opportunities
Fully managed
Best practices will generate higher
rebates; greater client savings
Duplication from combining two
large PBMs offer significantly more
cost reduction opportunities
ESRX/CMX
Best practices will generate lower
network rates; greater client savings
|
CVS Materially Underperforms Relative to Express Scripts in a
Down Market
Note: The graph above illustrates stock prices during the time period that corresponds to the S&P 500's peak to trough in the last cycle, which is March 24, 2000 through October 9, 2002.
+142%
(28%)
(49%)
Percent Return
In a down market, Express Scripts stock should outperform CVS stock
|
Express Scripts vs. CVS Total Shareholder Returns - Since 1997
Growth that CMX stockholders enjoyed as independent PBM may disappear
with a CVS combination
Note: Includes dividend reinvestment. Stock Prices through December 15, 2006.
$315
$1531
$193
Ending Value
$100
Investment
|
Ongoing innovation and execution in a dynamic environment help fuel ESRX's growth
1990 '91 '92 '93 '94 '95 '96 '97 '98 '99 2000 '01 '02 '03 '04 '05 '06
East 3 6 7.4 21.9 31.1 49.1 66.2 84.9 135.4 243.1 288.5 357.4 439.6 479.4 517.5 563.3
West 30.6 38.6 34.6 31.6
North 45.9 46.9 45 43.9
Retail networks
3-tier
benefit
Preferred
Savings
Grid
Step
therapy
Generics
Today
Pharma rebates
High
Performance
Formulary
Continuous development of products and services that meet and lead market needs
Rx Volume (millions)
Rx count = retail + (3 x mail) + specialty; counts for 1999/2000 exclude UHC
Biogenerics
Execution = achieving financial
goals while enhancing client and
member satisfaction
ESRX Growth Powered by Innovation and Execution
|
ESRX Profit Generators Have Room to Run
The fundamental business model is strong and proven
Ongoing innovation and execution
ESRX's fundamental business model continues to produce outstanding results for
stockholders, plan sponsors and patients
Generics Mail Specialty
Today 5 5 5
Potential 55 55 55
60%
80%
Generics Mail Specialty
Today 5 5 5
Potential 55 55 55
25%
60%
49%
Generics
Home Delivery
Specialty
Generic fill rate
Mail penetration
Specialty penetration
70%
|
ESRX Confirms Bullish Outlook by Increasing 2007
Earnings Guidance
Increased EPS range from $4.08 to $4.20 to a range of $4.14 to $4.26
Midpoint reflects growth of 28% over 2006
Original 2007 guidance provided in Nov. 2006 was $3.90 to $4.02
Increase guidance due to
Greater success with mid year client renewals
Higher growth in middle market lives
Lower drug purchasing costs
Original 2007 guidance in Nov. 2006 increased due to:
Higher generic utilization
Stronger than expected claims volume
Lower retail and home delivery drug purchasing costs
We are off to a fast start in 2007
|
ESRX Offers Significant Upside With or Without CMX
ESRX stock price offers significant upside if
P/E multiples return to historical averages.
ESRX PE Multiple
5-Year Avg 3-Year Avg 1-Year Avg Current*
ESRX 19.5 20.3 21.8 17.8
West 30.6 38.6 34.6
Baseline
Lower PBM and specialty pharmacy costs
Better manufacturer discounts
Lower SG&A and direct purchasing costs
Additional potential
ESRX generic fill rate applied to CMX
CMX mail pull thru applied to ESRX
Greater costs savings for plan sponsors,
higher margins for ESRX/CMX
Significant and Realistic Synergies
ESRX synergies are sound and based on
PROVEN opportunities
Based on $74.56 closing price on March 6, 2007 and the midpoint
of our increased guidance range of $4.14 to $4.26 per diluted share.
|
ESRX and CMX
The power of independence and proven value generation
Powerful strategic rationale
Identifiable and achievable synergies
Strong free cash flow allowing for rapid debt reduction and share repurchase
Superior currency and certainty of value
Management team with history of earnings growth, superior stockholder
returns, and successful acquisitions and integrations
Combination of ESRX and CMX offers a proven and innovative strategic rationale
|
This presentation contains "forward-looking statements," including, among other statements, statements regarding the proposed business combination between
Express Scripts and Caremark, and the anticipated consequences and benefits of such transaction. Statements made in the future tense, and words such as
"anticipate", "expect", "project", "believe", "plan", "estimate", "intend", "will", "may" and similar expressions are intended to identify forward looking statements. These
statements are based on current expectations, but are subject to certain risks and uncertainties, many of which are difficult to predict and are beyond the control of
Express Scripts. Relevant risks and uncertainties include those referenced in Express Scripts' filings with the Securities and Exchange Commission ("SEC") (which
can be obtained as described in "Important Information" below), and include: general industry conditions and competition; economic conditions, such as interest rate
and currency exchange rate fluctuations; technological advances and patents attained by competitors; challenges inherent in new product development, including
obtaining regulatory approvals; domestic and foreign health care reforms and governmental laws and regulations; and trends toward health care cost containment.
Risks and uncertainties relating to the proposed transaction include: Express Scripts and Caremark will not enter into any definitive agreement with respect to the
proposed transaction; required regulatory approvals will not be obtained in a timely manner, if at all; the proposed transaction will not be consummated; the
anticipated benefits of the proposed transaction will not be realized; and the integration of Caremark's operations with Express Scripts will be materially delayed or
will be more costly or difficult than expected. These risks and uncertainties could cause actual results to differ materially from those expressed in or implied by the
forward-looking statements, and therefore should be carefully considered. Express Scripts assumes no obligation to update any forward-looking statements as a
result of new information or future events or developments.
Safe Harbor: Forward Looking Statements
|
Safe Harbor: Forward Looking Statements
IMPORTANT INFORMATION
Express Scripts has filed a proxy statement in connection with Caremark's special meeting of stockholders at which the Caremark stockholders will
consider the CVS Merger Agreement and matters in connection therewith. Express Scripts stockholders are strongly advised to read that proxy statement
and the accompanying form of GOLD proxy card, as they contain important information. Express Scripts also intends to file a proxy statement in
connection with Caremark's annual meeting of stockholders at which the Caremark stockholders will vote on the election of directors to the board of
directors of Caremark. Express Scripts stockholders are strongly advised to read this proxy statement and the accompanying proxy card when they
become available, as each will contain important information. Stockholders may obtain each proxy statement, proxy card and any amendments or
supplements thereto which are or will be filed with the Securities and Exchange Commission ("SEC") free of charge at the SEC's website (www.sec.gov)
or by directing a request to MacKenzie Partners, Inc., at 800-322-2885 or by email at expressscripts@mackenziepartners.com.
In addition, this material is not a substitute for the prospectus/offer to exchange and registration statement that Express Scripts has filed with the SEC
regarding its exchange offer for all of the outstanding shares of common stock of Caremark. Investors and security holders are urged to read these
documents, all other applicable documents, and any amendments or supplements thereto when they become available, because each contains or will
contain important information. Such documents are or will be available free of charge at the SEC's website (www.sec.gov) or by directing a request to
MacKenzie Partners, Inc., at 800-322-2885 or by email at expressscripts@mackenziepartners.com.
Express Scripts and its directors, executive officers and other employees may be deemed to be participants in any solicitation of Express Scripts or
Caremark shareholders in connection with the proposed transaction. Information about Express Scripts' directors and executive officers is available in
Express Scripts' proxy statement, dated April 18, 2006, filed in connection with its 2006 annual meeting of stockholders. Additional information about the
interests of potential participants is included in the proxy statement filed in connection with the Caremark's special meeting to approve the proposed
merger with CVS and will be included in any proxy statement regarding the proposed transaction. We have also filed additional information regarding our
solicitation of stockholders with respect to Caremark's annual meeting on a Schedule 14A pursuant to Rule 14a-12 on January 9, 2007.
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