MERCK & CO INC
SC 14D1/A, 1996-07-15
PHARMACEUTICAL PREPARATIONS
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               SECURITIES AND EXCHANGE COMMISSION
                     Washington, D.C. 20549
                         ---------------
                         AMENDMENT NO. 3
                        (FINAL AMENDMENT)
                               TO
                         SCHEDULE 14D-1
       Tender Offer Statement Pursuant to Section 14(d)(1)
             of the Securities Exchange Act of 1934
                         ---------------
                         Systemed, Inc.
                    (Name of Subject Company)
                       S Acquisition Corp.
                  a wholly owned subsidiary of
                 Merck-Medco Managed Care, Inc.
           and an indirect wholly owned subsidiary of
                        Merck & Co., Inc.
                            (Bidders)
                 Common Stock, $0.001 Par Value
                 (Title of Class of Securities)
                            871 8531
              (CUSIP Number of Class of Securities)
                      Bert Weinstein, Esq.
                        100 Summit Avenue
                   Montvale, New Jersey 07645
                         (201) 358-5400
                                
                         ---------------
   (Name, address and telephone number of person authorized to
    receive notices and communications on behalf of bidders)
                           Copies to:
                     Gary Cooperstein, Esq.
            Fried, Frank, Harris, Shriver & Jacobson
                       One New York Plaza
                New York, New York  10004 - 1980
                         (212) 859-8128
                                
                                
                                
  The  Schedule  14D-1 filed by S Acquisition Corp.,  a  Delaware
corporation  (the  "Offeror"), and a wholly owned  subsidiary  of
Merck-Medco  Managed Care, Inc., a Delaware corporation,  and  an
indirect  wholly  owned subsidiary of Merck & Co.,  Inc.,  a  New
Jersey  corporation, in connection with its pending tender  offer
for  all outstanding shares of common stock, par value $0.001 per
share  (the  "Shares"), of Systemed, Inc., a Delaware corporation
(the  "Company"),  as heretofore amended, is  hereby  amended  as
follows:

    Item 6.    Interest in Securities of the Subject Company.
                                
  Items 6(a) and 6(b) are hereby amended and supplemented as
follows:

  The Offer terminated at 12:00 midnight, New York City time, on
Friday, July 12, 1996.  The Parent issued a press release on July
15, 1996, in which it disclosed that 19,364,496 Shares (including
Shares tendered pursuant to notices of guaranteed delivery),
representing approximately 86.7% of the outstanding Shares, were
validly tendered and accepted for payment, .  A copy of such
press release is attached hereto as Exhibit (a)12 and
incorporated herein by reference.

          Item 11.   Material to be Filed as Exhibits.
                                
  (a)(12) Press Release, dated July 15, 1996.

                            SIGNATURE
                                
  After  due inquiry and to the best of its knowledge and belief,
each  of the undersigned certifies that the information set forth
in this statement is true, complete and correct.

Dated:  July 15, 1996
                                S ACQUISITION CORP.
                                
                                
                                By: /s/  Bert I. Weinstein
                                    ---------------------------
                                    Name:  Bert I. Weinstein
                                    Title: Vice President
                                
                                MERCK-MEDCO MANAGED CARE, INC.
                                
                                By: /s/  Bert I. Weinstein
                                    ---------------------------
                                    Name:  Bert I. Weinstein
                                    Title:  Senior Vice
                                            President and
                                            Co-General Counsel
                                
                                Merck & Co., Inc.
                                
                                By: /s/  Mary M. McDonald
                                    ---------------------------
                                    Name:  Mary M. McDonald
                                    Title:  Senior Vice
                                            President and
                                            General Counsel
                                
                                
                                








         MERCK-MEDCO COMPLETES TENDER OFFER FOR SYSTEMED



Montvale, NJ, July 15, 1996 - Merck-Medco Managed Care, Inc.,

announced today that it has successfully completed, through S

Acquisition Corp., a wholly-owned subsidiary, its $3.00 per

share, all cash tender offer for the outstanding shares of

Systemed Inc. (NASDAQ: SYSM).



Merck-Medco announced that preliminary figures indicate a total

of approximately 19,364,496 shares, including shares tendered by

guaranteed delivery, representing approximately 86.7% of the

outstanding common shares, were tendered and accepted for payment

subject to the conditions set forth in the offer.  The offer and

withdrawal rights expired at midnight, Eastern Daylight Time, on

Friday, July 12, 1996.



The shares of Systemed not tendered will be converted into the

right to receive $3.00 cash net per share pursuant to a merger

between S Acquisition Corp. and Systemed Inc.



Merck-Medco Managed Care, Inc., a subsidiary of Merck & Co.,

Inc., (NYSE: MRK) is the nation's leading pharmacy benefit

management company, serving benefit plans of employers, unions,

Blue Cross groups, health maintenance organizations and insurance

companies that provide benefits to more than 47 million

Americans.




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