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Exhibit No | ||
99.1
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Express Scripts Press Release, dated March 16, 2007 |
Investor Contacts:
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Media Contacts: | |
Edward Stiften, Chief Financial Officer
David Myers, Vice President, Investor Relations
(314) 702-7173
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Steve Littlejohn, Vice President, Public Affairs (314) 702-7556 |
| Developing sophisticated trend management tools, including generic, specialty drug and home delivery programs; |
| Engaging patients as active health care consumers to choose more cost effective generics, lower cost brands and home delivery; | ||
| Working with Congress to create a biogenerics pathway, which could unlock approximately $70 billion of savings for our nation over the next decade; and | ||
| Using our independence to drive down costs via competition among all players in the supply chain, including retail pharmacies and drug manufacturers. |
| 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 | ||
| costs and uncertainties of adverse results in litigation, including a number of pending class action cases that challenge certain of our business practices | ||
| 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 | ||
| 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 | ||
| 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 | ||
| uncertainties associated with U.S. Centers for Medicare & Medicaids (CMS) implementation of the Medicare Part B Competitive Acquisition Program (CAP), including the potential loss of clients/revenues to providers choosing to participate in the CAP | ||
| our ability to maintain growth rates, or to control operating or capital costs |
| 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 | ||
| 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 | ||
| 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 | ||
| increased compliance relating to our contracts with the DoD TRICARE Management Activity and various state governments and agencies | ||
| 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 | ||
| the possible loss, or adverse modification of the terms, of contracts with pharmaciesin our retail pharmacy network | ||
| the use and protection of the intellectual property we use in our business | ||
| our leverage and debt service obligations, including the effect of certain covenants in our borrowing agreements | ||
| our ability to continue to develop new products, services and delivery channels | ||
| 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 | ||
| increase in credit risk relative to our clients due to adverse economic trends | ||
| our ability to attract and retain qualified personnel | ||
| other risks described from time to time in our filings with the SEC |