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 Pennsylvani

a Texas

Prescription Processing Arizona Indiana Missouri

New Mexico

New York Ohio

Pennsylvania

Texas

Home Delivery Pharmacies Arizona Delaware

*

Florida* Indiana*

Missouri Pennsylvani

a

* 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

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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

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Specialized Medicare Patient Contact Center Team Medicare patient experience significantly differentSupporting 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

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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

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County of Fresno Prescription Drug Benefit

Preferred Generic

Non-Preferred Generic

Preferred Brand

Non-preferred Brand Specialty

Deductible None

Member Co-Pays at Retail Pharmacy

$0 $10 $20 $30 $20

Express Scripts Home Delivery (up to 3-month supply)

$0 $20 $50 $75 N/A

Coverage from January 1, 2011 through December 31, 2011