1. 11 Express Scripts Dan Winkler & Stephanie Zimmermann October 6, 2014 Group 10

2. 2 About Express Scripts Headquartered in Saint Louis, Missouri Leading Pharmacy Benefit Manager in the United States ESRX Fortune 100 Company – 20th $75/share Market Cap $55.61 billion 2013 revenues $104 billion 30,000 employees Strong Saint Louis presence Charitable giving Express Scripts Foundation Diversity in the workplace

3. 3 Express Scripts Timeline 19861992199820102012 Express Scripts, Inc. is founded Express Scripts goes public (ESRX) Acquisition of ValueRX $10 million tax incentive to stay in Missouri Acquisition of MedCo. ESI is now the largest Pharmacy Benefit Manager (PBM) in the United States

4. 4 44 Technical Situation

5. 5 Home page express-scripts.com

6. 6 Easy access to patient log in Access to ESI Corporate site Homepage

7. 7 express-scripts.com Patient Home Screen

8. 8 express-scripts.com Tabular segregation of important functions Explicit order status and prescription information Patient Home Screen Easy access to patient log in Access to ESI Corporate site Homepage

9. 9 express-scripts.com Manage scripts

10. 10 express-scripts.com Tabular segregation of important functions Explicit order status and prescription information Patient Home Screen More detailed information about patient’s prescriptions Ability to manage all aspects of individual prescriptions Manage Prescriptions Easy access to patient log in Access to ESI Corporate site Homepage

11. 11 express-scripts.com Manage scripts Health & Benefit Info

12. 12 express-scripts.com Tabular segregation of important functions Explicit order status and prescription information Patient Home Screen More detailed information about patient’s prescriptions Ability to manage all aspects of individual medications Manage Prescriptions Easy access to patient log in Access to ESI Corporate site Homepage Insurance details Additional resources for improved wellness Health & Benefit Information

13. 13 Communication Model – Transformational Vertical Virtual Horizontal Multiunit

14. 14 Attrition

15. 15 PROBLEM > SOLUTION Problem – Attrition M&A 1.Identify communication plan 2.Invest in parent and subsidiary’s employees 3.Encourage feedback OPPORTUNITIES Job security Organization direction Increased workload Lack of leadership, communication Resistance to change Resentment or betrayal

16. 16 PROBLEM > SOLUTION Solution – Attrition Develop a communication strategy 1 Offer trainings and leadership programs 2 Give employees a voice – engagement surveys 3 Financial remuneration 4 Employees seek a sense of belonging and investment from employer – “more than just a number”

17. 17 $ 300 B ANNUALLY 44.8 M AMERICANS 17 Adherence

18. 18 PROBLEM > SOLUTION Problem – Adherence $300 B wasted annually 1.Improve adherence, quality of life 2.Reduce wasteful spending, make better decisions 3.Increase drug cost savings OPPORTUNITIES Forget to take Forget to refill Feel better, stop medicating Feel worse, stop medicating Cannot afford Have questions, need more info

19. 19 PROBLEM > SOLUTION Solution – Adherence Express Scripts’ Health Decision Science Better decisions lead to healthier outcomes Home delivery, generic drugs, payment assistance programs Accounts for 16% of non-adherence Financial Prescription education, advice and therapeutic resources Responsible for 15% of non-adherence Clinical Refill reminders: audible, pill boxes and bottle caps, auto-refills Solves 69% of non-adherence issues Behavioral

20. 20 To Conclude... 20 America's largest, most innovative PBM Still faces challenges Attrition Adherence Moving forward to provide better prescription situations for millions of Americans Aim to improve health outcomes for all

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