Confidential and Proprietary Information © 2010 Express Scripts, Inc. All Rights Reserved 1 Express Scripts Overview A national presence Patient Care Contact Centers  Arizona  Colorado  Florida  Georgia  Indiana  Minnesota  Ohio  Pennsylvania  Texas Prescription Processing  Arizona  Indiana  Missouri  New Mexico  New York  Ohio  Pennsylvania  Texas Home Delivery Pharmacies  Arizona  Delaware*  Florida*  Indiana*  Missouri  Pennsylvania * indicates Specialty Drug facility Corporate Headquarters: St. Louis, Missouri

Confidential and Proprietary Information © 2010 Express Scripts, Inc. All Rights Reserved 2 Express Scripts Overview  Pharmacy benefit manager covering more than 66 million members  Respected and recognized  Scientific research to develop meaningful prescription-drug solutions  Key corporate facts  More than 14,000 employees  60,000+ participating pharmacies nationwide  41.8 million Home Delivery and specialty prescriptions  70.2% of all prescriptions dispensed are generic drugs At Express Scripts, we work to make the use of prescription drugs safer and more affordable

Confidential and Proprietary Information © 2010 Express Scripts, Inc. All Rights Reserved 3 Resource Commitment to Medicare Across entire Express Scripts organization Several hundred Express Scripts employees with Medicare expertise  Dedicated subject matter expertise  Account management  Fraud, waste, abuse  Formulary development  Cross-functional integration  Claims operations  Clinical programs  Finance  Information technology  Legal  Medicare compliance  Home Delivery  Implementation, eligibility  Medicare call center  Network/provider support  Product development  Pharma & Retail Relations  PharmacoAnalytics  Specialty  Trend management

Confidential and Proprietary Information © 2010 Express Scripts, Inc. All Rights Reserved 4 Specialized Medicare Patient Contact Center Team Medicare patient experience significantly different Supporting County of Fresno’s culture and benefits with superior service Dedicated Patient-Service Team Comprehensive Training and Development Patient Care Advocate Characteristics  Team leaders  Quality coaches  Training facilitators  Patient care advocates  Senior sensitivity and advocacy training  Collaboration  Facilitation  Mentoring and coaching  On-the-job training and nesting  Able to understand and to explain complex benefit issues  Compassionate  Empathetic  Adaptable to change  Solution-driven Advocates hired and developed to appreciate and respond to diverse needs of your members

Confidential and Proprietary Information © 2010 Express Scripts, Inc. All Rights Reserved 5 Prescription Drug Program Features Prescription Drug ID Card will show the 12 closest pharmacies for each retiree Low Income Members additional assistance Express Scripts contracts with CMS and manages compliance

Confidential and Proprietary Information © 2010 Express Scripts, Inc. All Rights Reserved 6 County of Fresno Prescription Drug Benefit Preferred Generic Non- Preferred Generic Preferred Brand Non- preferred BrandSpecialty DeductibleNone Member Co-Pays at Retail Pharmacy $0$10$20$30$20 Express Scripts Home Delivery (up to 3-month supply) $0$20$50$75N/A Coverage from January 1, 2011 through December 31, 2011