EXPRESS SCRIPTS INC
10-Q, 1997-08-13
SPECIALTY OUTPATIENT FACILITIES, NEC
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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                    FORM 10-Q

     X    QUARTERLY  REPORT  PURSUANT TO SECTION 13 OR 15(d)OF THE SECURITIES
          EXCHANGE ACT OF 1934 For the quarterly period ended June 30, 1997

          TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
          EXCHANGE ACT OF 1934 For the transition period from ____________ to
          _____________.



                         Commission File Number: 0-20199


                              EXPRESS SCRIPTS, INC.
             (Exact name of registrant as specified in its charter)


       DELAWARE                                            43-1420563
(State of Incorporation)                   (I.R.S. employer identification no.)

14000 RIVERPORT DR., MARYLAND HEIGHTS, MISSOURI                 63043
   (Address of principal executive offices)                  (Zip Code)


       Registrant's telephone number, including area code: (314) 770-1666


     Indicate  by check mark  whether the  registrant  (1) has filed all reports
required to be filed by Section 13 or 15(d) of the  Securities  Exchange  Act of
1934  during  the  preceding  12 months  (or for such  shorter  period  that the
registrant was required to file such reports),  and (2) has been subject to such
filing requirements for the past 90 days. Yes X No ___

Common stock outstanding as of July 31, 1997:     9,016,895  Shares Class A
                                                  7,510,000  Shares Class B


                                       1
<PAGE>
                              EXPRESS SCRIPTS, INC.
                                      INDEX
                                                                    PAGE NUMBER

Part I        Financial Information                                        3

              Item 1       Financial Statements

                           a)  Consolidated Balance Sheet                  3

                           b)  Consolidated Statement of Operations        4

                           c)  Consolidated Statement of Changes           5
                               in Stockholders' Equity

                           d)  Consolidated Statement of Cash Flows        6

                           e)  Notes to Consolidated Financial Statements  7

              Item 2       Management's Discussion and Analysis of
                           Financial Condition and Results of Operations   8

              Item 3       Quantitative and Qualitative Disclosures
                           About Market Risks - (Not Applicable)

Part II       Other Information                                           15

              Item 1       Legal Proceedings - (Not Applicable)

              Item 2       Changes in Securities - (Not Applicable)

              Item 3       Defaults Upon Senior Securities - 
                           (Not Applicable)

              Item 4       Submission of Matters to a Vote of Security    15
                           Holders  

              Item 5       Other Information - (Not Applicable)

              Item 6       Exhibits and Reports on Form 8-K               15

Signatures                                                                16

Index to Exhibits                                                         17

                                       2
<PAGE>

                          PART I. FINANCIAL INFORMATION

Item 1.           Financial Statements

                              EXPRESS SCRIPTS, INC.
                           Consolidated Balance Sheet
                                   (Unaudited)
<TABLE>
<CAPTION>

                                                                               June 30   December 31
                                                                                 1997       1996
<S>                                                                            <C>          <C>    
                                                                            -----------  -----------
(IN THOUSANDS, EXCEPT SHARE DATA)
Assets
Current assets:
   Cash and cash equivalents                                                   $27,128      $25,211
   Short term investments                                                       56,581       54,388
   Receivables, less allowance for doubtful
      accounts of $2,604 and $2,335 respectively
         Unrelated Parties                                                     168,803      144,963
         Related Parties                                                        15,762       18,842
   Inventories                                                                  26,332       17,491
   Deferred taxes and prepaid expenses                                           3,499        2,254
                                                                            -----------   ----------
      Total current assets                                                     298,105      263,149
Property and equipment, less accumulated depreciation and amortization          26,717       21,447
Other assets                                                                    12,560       15,829
                                                                            -----------   ----------

      Total assets                                                            $337,382     $300,425
                                                                            ===========   ==========


Liabilities and Stockholders' Equity Current liabilities:
   Claims payable                                                             $120,669      $98,865
   Accounts payable                                                             18,137       16,347
   Accrued expenses                                                             18,161       19,678
                                                                            -----------   ----------
      Total current liabilities                                                156,967      134,890
                                                                            -----------   ----------
Deferred rents and taxes                                                         1,572        1,445
                                                                            -----------   ----------

Stockholders' equity:
   Preferred stock, $.01 par value, 5,000,000 shares authorized, and
      no shares issued and outstanding
   Class A Common Stock, $.01 par value, 30,000,000 shares authorized,
      8,999,000 and 8,974,000 shares issued and outstanding, respectively           90           90
   Class B Common Stock, $.01 par value, 22,000,000 shares authorized,
      7,510,000 and 7,510,000 shares issued and outstanding, respectively           75           75
   Additional paid-in capital                                                   99,681       98,958
   Foreign currency translation adjustments                                        (5)          (2)
   Retained earnings                                                            85,991       70,219
                                                                            -----------   ----------
                                                                               185,832      169,340

   Class A Common Stock in treasury at cost,
      237,500 and 182,500 shares respectively                                  (6,989)      (5,250)
                                                                            -----------   ----------
      Total stockholders' equity                                               178,843      164,090
                                                                            ===========   ==========
      Total liabilities and stockholders' equity                              $337,382     $300,425
                                                                            ===========   ==========
</TABLE>

          See accompanying notes to consolidated financial statements.

                                       3
<PAGE>

                              EXPRESS SCRIPTS, INC.
                      Consolidated Statement of Operations
                                   (Unaudited)

<TABLE>
<CAPTION>

                                                 Three Months Ended           Six Months Ended
                                                      June 30                     June 30
                                             --------------------------------------------------
                                                 1997        1996          1997         1996
<S>                                            <C>         <C>           <C>          <C>     
                                             -----------   ---------    ----------    ---------
(IN THOUSANDS, EXCEPT PER SHARE DATA)

Net revenues                                   $300,515    $184,724      $562,505     $353,113
                                              ----------   ---------    ----------    ---------
Cost and expenses:
   Cost of revenues                             274,906     162,797       512,204      311,782
   Selling, general & administrative             13,733      12,255        27,031       22,642
                                              ----------   ---------     ---------    ---------
                                                288,639     175,052       539,235      334,424
                                              ----------   ---------    ----------    ---------
Operating income                                 11,876       9,672        23,270       18,689
                                              ----------   ---------    ----------    ---------
Other income (expense):
   Interest income                                1,303         905         2,562        1,140
   Interest expense                                (18)        (13)          (36)         (26)
                                              ----------   ---------    ----------    ---------
                                                  1,285         892         2,526        1,114
                                              ----------   ---------    ----------    ---------
Income before income taxes                       13,161      10,564        25,796       19,803
Provision for income taxes                        5,030       4,161        10,024        7,820
                                              ----------   ---------    ----------    ---------
Net income                                       $8,131      $6,403       $15,772      $11,983
                                              ==========   =========    ==========    =========

Primary earnings per share                        $0.50       $0.39         $0.96        $0.75
                                              ==========   =========    ==========    =========
Weighted average number of common
   shares outstanding during the period          16,476      16,569        16,456       16,026
                                              ==========   =========    ==========    =========
</TABLE>

          See accompanying notes to consolidated financial statements.

                                       4
<PAGE>

                              EXPRESS SCRIPTS, INC.
            Consolidated Statement of Changes in Stockholders' Equity
                                   (Unaudited)
<TABLE>
<CAPTION>

                         Numbers of Shares                                            Amount
                      -------------------------------------------------------------------------------------------------------------
                                                                                    Foreign
                       Class A      Class B     Class A      Class B    Additional  currency
                       Common        Common     Common        Common    paid-in     translation    Retained   Treasury
                        Stock        Stock       Stock        Stock     capital     adjustments    Earnings   Stock
<S>                        <C>        <C>           <C>          <C>     <C>            <C>         <C>        <C>     
                      ----------   ---------  ----------    ---------   ----------  -----------    --------   ----------

(IN THOUSANDS)                                                                       

Balance at                 8,974      7,510         $90          $75     $98,958       ($2)        $70,219    ($5,250)
December 31, 1996

Net income for six         ----       ----        ----         ----        ----        ----         15,772
months ended June
30, 1997

Foreign currency           ----       ----        ----         ----        ----         (3)         ----        ----
translation
adjustments

Purchase of                ----       ----        ----         ----        ----        ----         ----       (1,739)
treasury stock

Tax benefit                ----       ----        ----         ----         211        ----         ----        ----
relating to
employee stock
options

Exercise of stock
options                      25       ----        ----         ----         512        ----         ----        ----
                      ----------  ---------  ----------    ---------  ----------    --------    -----------    ---------
Balance at June 30,
1997                      8,999      7,510         $90          $75     $99,681        ($5)        $85,991     ($6,989)
                      ==========  =========  ==========    =========  ==========    ========    ===========    ==========

</TABLE>

                  See accompanying notes to consolidated financial statements.

                                       5
<PAGE>

                              EXPRESS SCRIPTS, INC.
                      Consolidated Statement of Cash Flows
                                   (Unaudited)

<TABLE>
<CAPTION>
                                                                                  Six Months Ended
                                                                                       June 30
                                                                             --------------------------
                                                                                 1997           1996
<S>                                                                              <C>           <C>    
                                                                             ------------    ----------
(IN THOUSANDS)
Cash flows from operating activities:
   Net income                                                                    $15,772       $11,983

   Adjustments to reconcile net income to net cash provided by (used in)
      operating activities:
         Depreciation and amortization                                             4,496         2,974
         Tax benefit relating to employee stock options                              211           496
         Changes in operating assets and liabilities:
            Receivables                                                         (20,760)      (24,658)
            Inventories                                                          (8,841)       (5,628)
            Prepaid expenses and other assets                                      1,174         (344)
            Claims payable                                                        21,804        14,416
            Accounts payable and accrued expenses                                    400         3,781
                                                                             ------------    ----------
Net cash provided by operating activities                                         14,256         3,020
                                                                             ------------    ----------

Cash flows from investing activities:
   Purchases of property and equipment                                           (8,916)       (5,287)
   Short term investments                                                        (2,193)      (53,441)
                                                                             ------------    ----------
Net cash (used in) investing activities                                         (11,109)      (58,728)
                                                                             ------------    ----------

Cash flows from financing activities:
   Acquisition of treasury stock                                                 (1,739)
   Proceeds from stock offerings                                                                52,595
   Exercise of stock options                                                         512         1,129
                                                                             ------------    ----------
Net cash provided by (used in) financing activities                              (1,227)        53,724
                                                                             ------------    ----------

Effect of foreign currency translation adjustments                                   (3)          (32)
                                                                             ------------    ----------

Net increase (decrease) in cash and cash equivalents                               1,917       (2,016)

Cash and cash equivalents at beginning of period                                  25,211        11,506
                                                                             ------------    ----------

Cash and cash equivalents at end of period                                       $27,128        $9,490
                                                                             ============    ==========
</TABLE>

          See accompanying notes to consolidated financial statements.

                                       6
<PAGE>

EXPRESS SCRIPTS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

NOTE 1 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

     Financial  statement  note  disclosures,  normally  included  in  financial
statements prepared in conformity with generally accepted accounting principles,
have been omitted in this Form 10-Q pursuant to the Rules and Regulations of the
Securities and Exchange Commission.  However, in the opinion of the Company, the
disclosures  contained  in this Form 10-Q are  adequate to make the  information
presented not misleading when read in conjunction with the notes to consolidated
financial statements as included in the Company's Annual Report on Form 10-K for
the Year Ended  December 31,  1996,  as filed with the  Securities  and Exchange
Commission on March 26, 1997.

     In the opinion of the  Company,  the  accompanying  unaudited  consolidated
financial  statements  reflect  all  adjustments   (consisting  of  only  normal
recurring  adjustments)  necessary to present  fairly the  Consolidated  Balance
Sheet at June 30, 1997, the  Consolidated  Statement of Operations for the three
months  ended June 30,  1997,  and 1996,  and for the six months  ended June 30,
1997, and 1996, the Consolidated  Statement of Changes in  Stockholders'  Equity
for the six months ended June 30, 1997, and the  Consolidated  Statement of Cash
Flows for the six months ended June 30, 1997, and 1996.

NOTE 2 - PRIMARY EARNINGS PER SHARE

     Primary  earnings  per share are  computed  by  dividing  net income by the
weighted  average number of shares of common stock  outstanding and common stock
equivalents.  Common stock equivalents  include shares issuable upon the assumed
exercise of all stock  options  having an  exercise  price less than the average
market price of the common stock using the treasury stock method.

NOTE 3 - ADOPTION OF FINANCIAL ACCOUNTING STANDARDS NO.128 "EARNINGS PER SHARE"

     In February 1997, the Financial Accounting Standards Board issued Statement
128 "Earnings  Per Share" (FAS 128).  The terms of FAS 128 are effective for all
earnings per share disclosures  subsequent to December 15, 1997 and requires all
prior period earnings per share disclosures be restated to conform with FAS 128.
FAS 128 requires a presentation of both "Basic" earnings per share and "Diluted"
earnings per share. "Basic" earnings per share computes per share earnings using
the weighted  average  number of common  shares  outstanding  during the period,
while  "Diluted"  earnings  per share  computes  per share  earnings in the same
manner as "Basic" earnings per share plus the number of additional common shares
that would have been outstanding for the period if the dilutive potential common
shares had been issued.  Because early  adoption of FAS 128 is not allowed,  the
Company expects to adopt the  requirements of FAS 128 subsequent to the December
15, 1997 effective date. However,  had the Company adopted the provisions of FAS
128 at January  1, 1997,  "Basic"  earnings  per share  would have been $.50 and
$.40,  respectively  for the three month period ended June 30, 1997 and June 30,
1996, and $.97 and $.77, respectively for the six months ended June 30, 1997 and
June 30,  1996.  "Diluted"  earnings  per share  would  have been $.50 and $.39,
respectively  for the three month  period ended June 30, 1997 and June 30, 1996,
and $.96 and $.75,  respectively for the six months ended June 30, 1997 and June
30, 1996.

                                       7
<PAGE>

ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
         RESULTS OF OPERATIONS

     INFORMATION INCLUDED IN THIS QUARTERLY REPORT ON FORM 10-Q, AND INFORMATION
THAT MAY BE CONTAINED IN OTHER  FILINGS BY THE COMPANY WITH THE  SECURITIES  AND
EXCHANGE COMMISSION (THE "COMMISSION") AND RELEASES ISSUED OR STATEMENTS MADE BY
THE COMPANY,  CONTAIN OR MAY CONTAIN FORWARD-LOOKING  STATEMENTS,  INCLUDING BUT
NOT LIMITED TO STATEMENTS OF THE COMPANY'S  PLANS,  OBJECTIVES,  EXPECTATIONS OR
INTENTIONS.  SUCH  FORWARD-LOOKING  STATEMENTS  NECESSARILY  INVOLVE  RISKS  AND
UNCERTAINTIES.  THE COMPANY'S ACTUAL RESULTS MAY DIFFER SIGNIFICANTLY FROM THOSE
PROJECTED  OR SUGGESTED IN ANY  FORWARD-LOOKING  STATEMENTS.  FACTORS THAT MIGHT
CAUSE SUCH A DIFFERENCE  TO OCCUR  INCLUDE,  BUT ARE NOT LIMITED TO:  HEIGHTENED
COMPETITION,  INCLUDING  INCREASED  PRICE  COMPETITION  IN THE PHARMACY  BENEFIT
MANAGEMENT  MARKET;  THE POSSIBLE  TERMINATION  OF THE COMPANY'S  CONTRACTS WITH
CERTAIN KEY CLIENTS;  CHANGES IN PRICING OR DISCOUNT PRACTICES OF PHARMACEUTICAL
MANUFACTURERS;  THE ABILITY OF THE COMPANY TO CONSUMMATE  CONTRACT  NEGOTIATIONS
WITH  PROSPECTIVE  CLIENTS;  COMPETITION  IN THE BIDDING AND  PROPOSAL  PROCESS;
ADVERSE RESULTS IN CERTAIN  LITIGATION AND REGULATORY  MATTERS;  THE ADOPTION OF
ADVERSE LEGISLATION OR REGULATIONS OR A CHANGE IN THE INTERPRETATION OF EXISTING
LEGISLATION OR  REGULATIONS;  AND OTHER RISKS DESCRIBED FROM TIME TO TIME IN THE
COMPANY'S FILINGS WITH THE COMMISSION.

COMPANY OVERVIEW

     The  Company  primarily  derives  its  revenues  from the sale of  pharmacy
benefit  management  services in the United States and Canada. The Company's net
revenues include the ingredient cost of pharmaceuticals  dispensed to members of
health  benefit  plans   sponsored  by  the  Company's   clients  by  pharmacies
participating  in one of the  networks of retail  pharmacies  maintained  by the
Company or by one of the Company's mail service pharmacies, unless the Company's
mail  service  pharmacies  dispense  pharmaceuticals  supplied by the  Company's
clients.  Where the Company only  administers the contracts  between its clients
and  their  own  retail  pharmacy  networks,  or  where  the  Company  dispenses
pharmaceuticals from its mail service pharmacies that are supplied by one of the
Company's clients, the Company records as net revenue only the administrative or
dispensing  fees it  receives  from its  activities.  The Company  also  derives
revenue from (i) the sale of  pharmaceuticals  for and the provision of infusion
therapy services through its IVTx division ("IVTx"), (ii) the sale of eyeglasses
and contact lenses and related  administrative  fees through its Express Scripts
Vision Corporation and PhyNet, Inc. subsidiaries  (collectively,  "ESVC"), (iii)
the sale of informed  decision  counseling  services  through its Express Health
LineSM division,  and (iv) the sale of medical information  management services,
which  include  provider  profiling,  disease  management  support  services and
outcomes  assessments,  through its  Practice  Patterns  Science,  Inc.  ("PPS")
subsidiary.

RESULTS OF OPERATIONS

     The following  table sets forth certain  financial  data of the Company for
the periods  presented as a percentage of net revenues and the percentage change
in the dollar amounts of such financial data for the three months ended June 30,
1997 compared to 1996, and the six months ended June 30, 1997 compared to 1996.

                                       8
<PAGE>

<TABLE>
<CAPTION>

                                             Percentage of Net Revenues                                   Percentage Increase

                                      Three Months Ended         Six Months Ended     Three Months    Six Months
                                           June 30                    June 30        June 30, 1997  June 30, 1997
                                                                                       OVER 1996      OVER 1996
                                     -----------------------   --------------------
                                       1997          1996        1997        1996
<S>                                     <C>           <C>        <C>         <C>          <C>          <C>  
                                     ---------     ---------   --------    --------
Net revenues:
  Unrelated clients                     83.7%         80.0%      83.2%       80.1%        70.3%        65.6%
  Related clients                       16.3%         20.0%      16.8%       19.9%        32.3%        34.1%
                                     ---------     ---------   --------    --------
  Total net revenues                   100.0%        100.0%     100.0%      100.0%        62.7%        59.3%
                                     =========     =========   ========    ========

Cost and expenses:
  Cost of revenues                      91.4%         88.1%      91.1%       88.3%        68.9%        64.3%
  Selling, general & administrative      4.6%          6.6%       4.8%        6.4%        12.1%        19.4%
                                      --------     ---------   --------     -------
                                        96.0%         94.7%      95.9%       94.7%        64.9%        61.2%
                                     ---------     ---------   --------    --------

Operating income                         4.0%          5.3%       4.1%        5.3%        22.8%        24.5%

Other income (net)                       0.4%          0.5%       0.5%        0.3%        44.1%       126.8%

Income before income taxes               4.4%          5.8%       4.6%        5.6%        24.6%        30.3%
Provision for income taxes               1.7%          2.3%       1.8%        2.2%        20.9%        28.2%
                                     ---------     ---------   --------    --------
Net income                               2.7%          3.5%       2.8%        3.4%        27.0%        31.6%
                                     =========     =========   ========    ========

</TABLE>

                                       9
<PAGE>

SECOND QUARTER ENDED JUNE 30, 1997, COMPARED TO 1996

     NET  REVENUES.  Net  revenues  for the  second  quarter  of 1997  increased
$115,791,000, or 62.7% compared to the second quarter of 1996. Net revenues from
the Company's claims  processing  services and mail pharmacy  services  business
segments  increased  by 63.4% this  quarter,  compared to the second  quarter of
1996.  The primary  reason for this increase was a $79,464,000 or 64.7% increase
in revenues  from  pharmacy  claims  processed  reflecting  a 26.1%  increase in
membership  (from  approximately  9.2  million  members  at  June  30,  1996  to
approximately 11.6 million members at June 30, 1997).  Pharmacy claims processed
increased by 27.2%,  and average revenue per claim increased by 29.5%,  compared
to 1996. Revenue from the Company's mail pharmacy services increased $32,494,000
or 60.4%, reflecting the effect of the increased membership noted above, a 43.1%
increase in the number of prescriptions  dispensed,  and a 12.1% increase in the
average revenue per prescription dispensed.  The increase in average revenue per
pharmacy claim processed is due to both a shift in the mix of customers  towards
utilizing  pharmacy  networks  established  by the  Company  (for which the drug
ingredient  costs,  dispensing  fee and  administrative  fees  are  included  as
revenues),  rather than networks  arranged by its clients (for which the Company
records only its administrative fee as net revenue),  and higher drug ingredient
costs resulting from changes in therapeutic mix and dosage, new drugs introduced
into the marketplace, and increased pricing. The increase in average revenue per
prescription dispensed by the mail service pharmacies is primarily the result of
the higher drug  ingredient  costs  attributable to the foregoing  factors.  The
percentage  increase  in claims  processing  revenues  continues  to exceed  the
percentage  increase in mail service  revenues,  due mainly to the shift towards
utilization of the Company's retail pharmacy  networks,  a trend that management
believes  will  continue in 1997.  Increases in revenues  from the factors cited
herein were partially offset by lower pricing offered by the Company in response
to continued competitive pressures.

     During the quarter,  two of the  Company's  larger  clients  switched  from
programs  wherein they would provide drug inventory to replace drugs used by the
Company to fill mail order  prescriptions  (for which the Company only  includes
its dispensing fee as net revenue) to the Company's  standard program whereby it
purchases the inventory used to fill the prescriptions  (and therefore  includes
the ingredient  cost as well as the dispensing fee in net revenue).  This switch
had the effect of increasing both the mail pharmacy services revenue and cost of
revenue in the quarter  compared to the second  quarter of 1996, but the overall
effect on the Company's reported net income was not material.

     Net revenues from the Company's  vision and infusion  therapy  services and
integrated medical and drug data analysis services increased 38.2%,  compared to
1996,  primarily as a result of the growth in both the number of and utilization
by members who receive  vision and  infusion  services  and a greater  number of
clients under contract with PPS.

     COST OF REVENUES. Cost of revenues for the second quarter of 1997 increased
$112,109,000,  or 68.9%,  compared to the second quarter of 1996. The percentage
increase in cost of revenues was 6.2 percentage points greater than the increase
in  revenues,  resulting  in a  decrease  in gross  profit  margins.  For claims
processing  services,  the  cost of  revenue  as a  percentage  of net  revenues
increased by 2.9 percentage  points due to both the increase in the  utilization
of the Company's networks,  as opposed to those arranged by its clients,  and to
lower prices  offered in response to competitive  pressures in the  marketplace.
The lower  mail  pharmacy  gross  margin is the  result of the switch by certain
clients away from the  replenishment  program  described  above and lower prices
being  offered by the  Company in  response  to  competitive  conditions  in the
pharmacy benefit  management  business.  The Company also experienced an overall
reduction  as a  percentage  of net  revenues  in the fees  received  from  drug
manufacturers  in connection  with the Company's  drug  purchasing and formulary
management  programs.  The cost of  revenue  for  vision  and  infusion  therapy
services  increased  41.6%,  principally  due to costs  related to the continued
expansion of vision and infusion therapy service operations.

                                       10
<PAGE>

     SELLING,  GENERAL AND ADMINISTRATIVE.  Selling,  general and administrative
expenses,  measured as a percentage of net revenues,  decreased from 6.6% in the
second  quarter  of 1996 to 4.6% for the  second  quarter  of  1997,  reflecting
overall  economies of scale and expense  control  measures in these areas of the
Company's operations, as well as the effects of the increased utilization of the
Company's  pharmacy  networks,  rather than  networks  arranged by its  clients.
Selling, general and administrative expenses did, however,  increase in absolute
terms by $1,478,000,  or 12.1%,  compared to 1996,  which reflects the Company's
continuing  commitment to enhance its ability to manage the pharmacy  benefit by
investing in information  systems,  additional clinical programs and operational
and administrative support functions.

     OTHER INCOME,  NET. Other income, net was $1,285,000 for the second quarter
of 1997 compared to $892,000 for 1996,  primarily as a result of the  investment
of the  proceeds  from the sale of  1,150,000  shares of the  Company's  Class A
Common Stock in April 1996 for the entire second  quarter of 1997 as compared to
only a  portion  of the  second  quarter  of  1996,  increased  cash  flow  from
operations and higher interest rates on invested cash balances.

     PROVISION FOR INCOME TAXES.  The provision for income taxes for the quarter
ended June 30, 1997,  was  $5,030,000  compared to $4,161,000 in the prior year.
The effective tax rate was 38.2% in 1997 compared to 39.4% for 1996.

     NET INCOME. As a result of the foregoing,  net income for the quarter ended
June 30, 1997, increased $1,728,000 or 27.0% compared to 1996.

     EARNINGS PER SHARE.  The Company  reported  earnings per share of $.50,  up
28.2% from the second quarter of 1996,  for which the Company  reported $.39 per
share.  The  weighted  average  number of shares  used in the  calculations  was
16,476,000 in 1997 and 16,569,000 in 1996. The decrease was primarily due to the
acquisition  of  237,500  shares of  Treasury  Stock by the  Company,  which was
partially offset by the effect of stock options included in the weighted average
number of shares outstanding.

                                       11

<PAGE>

SIX MONTHS ENDED JUNE 30, 1997, COMPARED TO 1996

     NET REVENUES.  Net revenues increased  $209,392,000,  or 59.3%, for the six
months ended June 30, 1997 compared to the prior  period.  Net revenues from the
Company's claims processing  services and mail pharmacy services increased 60.0%
in  1997,  compared  to  1996.  The  primary  reason  for  this  increase  was a
$148,285,000,  or 63.7%,  increase in revenues from pharmacy  claims  processed,
reflecting the membership  gains previously  discussed,  a 24.8% increase in the
number of claims  processed,  and a 31.1% increase in average revenue per claim,
compared to 1996.  Revenue from the Company's mail pharmacy  services  increased
$54,362,000,  or 51.7%, reflecting the membership gains, a 39.3% increase in the
number of prescriptions  dispensed,  and an 8.9% increase in the average revenue
per  prescription  dispensed.  The  increase  in  average  revenue  per claim is
primarily due to the increased  utilization of the Company's  pharmacy  networks
and increases in drug ingredient costs (resulting from the factors cited above),
and the  increase in average  revenue per  prescription  dispensed is due to the
increased  ingredient costs, both of which were partially offset by lower prices
offered in response to competitive  pressures in the  marketplace.  Net revenues
from the Company's vision and infusion  therapy services and integrated  medical
and drug data analysis services increased 37.4%,  compared to 1996, primarily as
a result of the growth in the number of members who receive  vision and infusion
services and a greater number of clients under contract with PPS.

     COST OF  REVENUES.  For the six  months  ended June 30,  1997,  the cost of
revenues  increased  $200,422,000  or 64.3%,  compared to the prior period.  The
percentage  increase in cost of revenues was 5.0 percentage  points greater than
the increase in net revenues,  resulting in a decrease in gross profit  margins.
As with the second quarter of 1997, the main reasons for the percentage increase
in the  year to date  cost of  revenues  were the  shift in the mix of  business
towards the Company's retail pharmacy  networks and away from networks  arranged
by its clients, and lower pricing offered as a result of competitive  pressures.
Fees  received from drug  manufactures  in  connection  with the Company's  drug
purchasing and formulary  management  programs  decreased as a percentage of net
revenues  for the period,  compared to 1996.  The cost of revenue for vision and
infusion therapy services  increased 35.2%,  principally due to costs related to
the continued expansion of vision and infusion therapy service operations.

     SELLING,  GENERAL AND ADMINISTRATIVE.  Selling,  general and administrative
expenses, measured as a percentage of net revenues,  decreased from 6.4% for the
first six months of 1996 to 4.8% for the comparable  period of 1997,  reflecting
overall  economies of scale and expense control  measures in these areas as well
as the effect of the increased  utilization of the Company's  pharmacy networks.
Selling, general and administrative expenses did, however,  increase in absolute
terms by  $4,389,000,  or 19.4%,  for the first six months of 1997  compared  to
1996, primarily due to additional  expenditures incurred to market the Company's
products and services, together with increased expenses for information systems,
additional  clinical programs and added costs for operational and administrative
support functions to enhance  management of the pharmacy  benefit,  all of which
reflect the Company's commitment to continue to expand its capability to provide
for future growth and enhance the level of service for its members.

                                       12

<PAGE>

     OTHER INCOME,  NET.  Other  income,  net was  $2,526,000  for the first six
months of 1997 compared to $1,114,000 for 1996, partially due to higher interest
rates but primarily due to higher invested cash balances in 1997, resulting from
the proceeds of the stock  offering  completed in April 1996, and increased cash
flow from operations.

     PROVISION  FOR INCOME  TAXES.  The  provision  for income taxes for the six
months ended June 30, 1997, was $10,024,000  compared to $7,820,000 in the prior
year. The effective tax rate was 38.9% in 1997 compared to 39.5% for 1996.

     NET  INCOME.  As a result of the  foregoing,  net income for the six months
ended June 30, 1997, increased $3,789,000, or 31.6%, compared to 1996.

     EARNINGS PER SHARE. The Company reported earnings per share of $.96 for the
first six months of 1997 compared to $.75 for the  comparable  period of 1996, a
28.0% increase.  The weighted  average number of shares used in the calculations
were 16,456,000 and 16,026,000, respectively. The increase was due to the shares
from the April  1996 stock  offering  being  outstanding  for the full six month
period in 1997 compared to only a portion of the comparable six month period for
1996. The additional shares issued in the 1996 offering were partially offset by
treasury  stock  acquired in late 1996 and early 1997  pursuant to the Company's
stock repurchase program.

     LIQUIDITY  AND CAPITAL  RESOURCES.  The  Company  added  approximately  1.7
million  lives  during  the  first  six  months  of  1997,  reaching  a total of
approximately  11.6 million members utilizing the Company's services at June 30,
1997, and subsequently added approximately 400,000 additional members on July 1,
1997,  bringing the total  membership to approximately  12.0 million.  As in the
past, the sizable growth in new members served and related  revenues  during the
first six months resulted in a growth in receivables. In the first six months of
1997,  receivables  increased  $20,760,000.  This  increase  was  financed by an
increase in current  liabilities of $22,077,000.  Management expects to continue
to fund a substantial portion of its future anticipated capital expenditures and
net  increases  in non-cash  working  capital with  operating  cash flow and, if
necessary,  the short-term investments resulting from the proceeds of the public
offering.

     The Company maintains a $25 million line of credit with the Mercantile Bank
National Association,  which was renewed for one year on May 29, 1997, and a $25
million  line of credit  with the First  National  Bank of  Chicago,  which will
expire on October 30, 1997. Both credit  facilities have  substantially the same
terms and conditions.  At June 30, 1997, there were no borrowings outstanding on
either of these lines of credit.

     As of June 30, 1997, the Company had  repurchased a total of 237,500 shares
of its Class A Common  Stock  under the  open-market  stock  repurchase  program
announced by the Company on October 25, 1996.  The Company's  Board of Directors
approved  the  repurchase  of up to 850,000  shares,  and placed no limit on the
duration of the program.  Purchases will be in such amounts and at such times as
the  Company  deems  appropriate  based  upon  prevailing  market  and  business
conditions.  Management  believes the Company's capital resources are sufficient
to fund this program.

                                       13

<PAGE>

     The  Company  has  reviewed  and  currently  intends  to  review  potential
acquisitions and affiliation opportunities.  The Company believes that available
cash  resources  including the proceeds of the offering of the Company's  common
stock referred to above,  bank financings and the issuance of additional  common
stock would be used to finance such  acquisitions or affiliations.  There can be
no assurance the Company will make an acquisition or affiliation in 1997.

     OTHER MATTERS. In February 1997, the Financial  Accounting  Standards Board
issued  Statement 128,  "Earnings Per Share" (FAS 128). The terms of FAS 128 are
effective for all earnings per share disclosures subsequent to December 15, 1997
and  requires all prior period  earnings  per share  disclosures  be restated to
conform with FAS 128. FAS 128 requires a presentation  of both "Basic"  earnings
per share and "Diluted" earnings per share.  "Basic" earnings per share computes
per  share  earnings  using  the  weighted   average  number  of  common  shares
outstanding  during the period,  while "Diluted" earnings per share computes per
share earnings in the same manner as "Basic"  earnings per share plus the number
of additional  common shares that would have been  outstanding for the period if
the dilutive potential common shares had been issued.  Because early adoption of
FAS 128 is not allowed, the Company expects to adopt the requirements of FAS 128
subsequent to the December 15, 1997  effective  date.  However,  had the company
adopted the provision of FAS 128 at January 1, 1997,  "Basic" earnings per share
would have been $.50 and $.40,  respectively  for the three month  period  ended
June 30, 1997 and June 30,  1996,  and $.97 and $.77,  respectively  for the six
months ended June 30, 1997 and June 30, 1996. "Diluted" earnings per share would
have been $.50 and $.39,  respectively for the three month period ended June 30,
1997 and June 30, 1996, and $.96 and $.75, respectively for the six months ended
June 30, 1997 and June 30, 1996.

     On March 13, 1997,  the Company  announced that it had reached an agreement
with RightCHOICE Managed Care, Inc. ("RightCHOICE"),  a publicly held subsidiary
of Blue Cross and Blue Shield of  Missouri  whereby  the  Company  will  provide
pharmaceutical  benefit  management  services  to  RightCHOICE.  The three  year
agreement became  effective March 17, 1997, and initially  covers  approximately
500,000  members.  The  agreement  also offers the Company  the  opportunity  to
provide service to an additional 1.4 million members enrolled in plans sponsored
or administered by organizations affiliated with RightCHOICE.

     PacifiCare Health Systems, Inc. ("PacifiCare") completed its acquisition of
FHP International,  Inc. ("FHP"). The Company has a contract to provide pharmacy
benefit services to FHP's members (currently about 1.7 million) through December
31,  1997.  While  FHP is the  Company's  largest  single  client  in  terms  of
membership,  its  contribution  to the net  revenues is less than 2% (due to the
fact that the Company  only  records  the fees  related to  administering  FHP's
network  prescriptions  and,  prior to May 1,  1997,  dispensing  mail  pharmacy
prescriptions)  and its contribution to the Company's  earnings is substantially
less than the relationship of FHP membership to total membership. PacifiCare has
indicated  to the Company  that it will not enter into a long-term  extension of
the  agreement  and has reached an agreement  with the Company to phase-out  the
membership  starting in July,  1997 and  continuing  through April,  1998,  with
approximately  10% of the members leaving by December 31, 1997. The Company will
amortize the remaining discount on the Class A Common Stock previously issued to
FHP over the remaining period of service to the applicable members.

     IMPACT  OF  INFLATION.  Changes  in prices  charged  by  manufacturers  and
wholesalers  for  pharmaceuticals  affect the  Company's net revenue and cost of
revenues.  To date the Company has been able to recover price increases from its
clients  under  the  terms  of  its   agreements.   As  a  result,   changes  in
pharmaceutical prices have not adversely affected the Company.

                                       14
<PAGE>

                           PART II. OTHER INFORMATION


Item 4.  SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

         (a)      The annual meeting of stockholders was held on May 28, 1997.

         (b)      The following persons were elected directors of the Company to
                  serve until the next Annual Meeting of Stockholders and until
                  their respective successors are elected and qualified:

                                  Howard Atkins
                              Bernard N. Del Bello
                             Richard M. Kernan, Jr.
                               Richard A. Norling
                              Frederick J. Sievert
                               Stephen N. Steinig
                                Seymour Sternberg
                                 Barrett A. Toan
                                Howard L. Waltman
                                 Norman Zachary

         (c)      The stockholder vote for each director was as follows:

                                                    Votes        Votes
                                                  Cast For     Withheld
                                                ------------   ---------

                     Howard Atkins               83,570,115      71,121
                     Bernard N. Del Bello        83,571,653      69,583
                     Richard M. Kernan, Jr.      83,571,055      70,181
                     Richard A. Norling          83,571,153      70,083
                     Frederick J. Sievert        83,571,055      70,181
                     Stephen N. Steinig          83,571,155      70,081
                     Seymour Sternberg           83,571.653      69,583
                     Barrett A. Toan             83,571,653      69,583
                     Howard L. Waltman           83,571,055      70,181
                     Norman Zachary              83,571.153      70,083


                  The stockholders also voted to:

                  (1)      Ratify the appointment of Price Waterhouse as the
                           Company's independent accountants for the Company's
                           current fiscal year (83,593,732 affirmative votes;
                           6,605 negative votes; 40,899 abstention votes);

                  (2)      Approve the First Amendment to the Company's Amended
                           and Restated 1994 Stock Option Plan for (83,392,611
                           affirmative votes; 166,054 negative votes; 57,314
                           abstention votes).


Item 6.           EXHIBITS AND REPORTS ON FORM 8-K.

                  (a)      EXHIBITS.  See Index to Exhibits on page 17.

                  (b)      REPORTS ON FORM 8-K. On May 1, 1997, the Company
                           filed a Current Report on Form 8-K regarding a press
                           release issued on behalf of the Company.



                                       15

<PAGE>


SIGNATURES


     Pursuant to the  requirements  of the Securities  Exchange Act of 1934, the
Registrant  has duly  caused  this  report  to be  signed  on its  behalf by the
undersigned thereunto duly authorized.

                                  EXPRESS SCRIPTS, INC.
                                  (Registrant)


Date:    August 12, 1997          By:      /S/ BARRETT A. TOAN
                                       ------------------------------
                                       Barrett A. Toan, President and
                                       Chief Executive Officer

Date:    August 12, 1997          By:     /S/ KURT D. BLUMENTHAL
                                       ------------------------------
                                       Kurt D. Blumenthal, Vice
                                       President and Acting Chief
                                       Financial Officer

                                       16
<PAGE>

                                INDEX TO EXHIBITS

Exhibit
Number      Exhibit
- -------     ------- 

3.1         Certificate of Incorporation, incorporated by reference to
            Exhibit No. 3.1 to the Company's Registration Statement on
            Form S-1 filed June 9, 1992 (No. 33-46974) (the
            "Registration Statement").

3.2         Certificate of Amendment of the Certificate of
            Incorporation of the Company, incorporated by reference
            to Exhibit No. 10.6 to the Company's Quarterly Report on
            Form 10-Q for the quarter ending June 30, 1994.

3.3         Second Amended and Restated Bylaws, incorporated by
            reference to Exhibit No. 3.2 to the Company's Annual Report
            on Form 10-K for the year ending 1993.

4.1         Form of Certificate for Class A Common Stock, incorporated
            by reference to Exhibit No. 4.1 to the Registration
            Statement.

10.1*       Fourth Amendment to Revolving Loan Agreement made as of May
            29, 1997, by and between the Company and Mercantile Bank
            National Association, formerly known as Mercantile Bank of
            St. Louis National Association.

10.2**      First Amendment to Express Scripts, Inc. Amended and Restated
            1994 Stock Option Plan incorporated by reference to Exhibit A
            to the Company's Proxy Statement dated April 16, 1997 (File
            No. 0-20199).

27.1*       Financial Data Schedule (provided for the information of
            the U.S. Securities and Exchange Commission only)


*     Filed herein.
**   Management contract or compensatory plan or arrangement.


                                       17




<TABLE> <S> <C>

<ARTICLE> 5
       
<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                          DEC-31-1997
<PERIOD-END>                               JUN-30-1997
<CASH>                                          27,128
<SECURITIES>                                    56,581
<RECEIVABLES>                                  187,169
<ALLOWANCES>                                     2,604
<INVENTORY>                                     26,332
<CURRENT-ASSETS>                               298,105
<PP&E>                                          45,311
<DEPRECIATION>                                  18,594
<TOTAL-ASSETS>                                 337,382
<CURRENT-LIABILITIES>                          156,967
<BONDS>                                              0
                                0
                                          0
<COMMON>                                           165
<OTHER-SE>                                     185,667
<TOTAL-LIABILITY-AND-EQUITY>                   337,382
<SALES>                                        300,515
<TOTAL-REVENUES>                               300,515
<CGS>                                          274,906
<TOTAL-COSTS>                                  274,906
<OTHER-EXPENSES>                                13,733
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                                  18
<INCOME-PRETAX>                                 13,161
<INCOME-TAX>                                     5,030
<INCOME-CONTINUING>                              8,131
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                     8,131
<EPS-PRIMARY>                                      .50
<EPS-DILUTED>                                        0
        

</TABLE>

                                  EXHIBIT 10.1

                  FOURTH AMENDMENT TO REVOLVING LOAN AGREEMENT


     THIS FOURTH  AMENDMENT TO REVOLVING LOAN AGREEMENT  (this  "Amendment")  is
made as of May 29,  1997,  by and  between  EXPRESS  SCRIPTS,  INC.,  a Delaware
corporation  ("Borrower"),  and MERCANTILE BANK NATIONAL  ASSOCIATION,  formerly
known as Mercantile Bank of St. Louis National Association ("Bank").

                              W I T N E S S E T H:

     WHEREAS,  pursuant  to a  certain  Revolving  Loan  Agreement  executed  by
Borrower in favor of Bank on May 21, 1993,  as amended by the certain  Amendment
to Revolving  Loan  Agreement  dated as of May 31, 1994,  by the certain  Second
Amendment  to  Revolving  Loan  Agreement  dated  as of May 30,  1995 and by the
certain Third Amendment to Revolving Loan Agreement dated as of May 29, 1996 (as
amended,  the "Loan  Agreement"),  Borrower  executed a certain  Promissory Note
payable  to Bank  dated  May 29,  1996,  in the  original  principal  amount  of
$25,000,000.00 (the "Note"); and

     WHEREAS,  Borrower desires to further amend the terms of the Loan Agreement
in the manner set forth herein and Bank is willing to agree to said amendment on
the terms and conditions set forth herein;

     NOW,  THEREFORE,  in  consideration  of the  premises,  and other  good and
valuable  consideration,  the  receipt  and  sufficiency  of  which  are  hereby
acknowledged, Borrower and Bank hereby agree as follows:

     1. The  definition  of "Note" in Section  1.1(L) of the Loan  Agreement  is
deleted in its entirety and substituted with the following:

    "(L)     "NOTE":  the Promissory Note dated May 29, 1997, in the principal
    amount of $25,000,000.00, executed and delivered by Borrower to Bank in
    evidence of the Credit (as defined in Section 2.1)."

Borrower shall execute a Promissory Note dated May 29, 1997, which shall have a
maturity date of May 28, 1998, and which shall be subject to the payment terms
described therein.

     2. The  definition  of  "Termination  Date" in  Section  1.1(N) of the Loan
Agreement is deleted in its entirety and substituted with the following:

     "(N)     "TERMINATION DATE":  May 28, 1998, or such later date to which it
     may be extended pursuant to Section 7.12."

     3. The Loan  Agreement  is, and shall  remain,  the binding  obligation  of
Borrower, and all of the provisions, terms, stipulations,  conditions, covenants
and powers  contained  therein  shall stand and remain in full force and effect,
except only as the same are herein and hereby expressly and specifically  varied
or amended,  and the same are hereby  ratified and confirmed,  and Bank reserves
unto itself all rights and privileges granted thereunder.

     4. Borrower hereby reaffirms all representations, warranties, covenants and
agreements recited in the Loan Agreement as of the date hereof, and the same are
hereby  adopted as  representations,  warranties,  covenants  and  agreements of
Borrower  herein.  Borrower  further  represents  and warrants that it is not in
default under any of its  obligations  under the Loan  Agreement and that it has
full power and  authority  to execute and deliver this  Amendment,  and that the
execution and delivery hereof has been duly  authorized,  and that all necessary
and proper acts have been performed or taken.

     5. ORAL  AGREEMENTS  OR  COMMITMENTS  TO LOAN  MONEY,  EXTEND  CREDIT OR TO
FORBEAR FROM ENFORCING REPAYMENT OF A DEBT INCLUDING PROMISES TO EXTEND OR RENEW
SUCH   DEBT  ARE  NOT   ENFORCEABLE.   TO   PROTECT   BORROWER   AND  BANK  FROM
MISUNDERSTANDING  OR  DISAPPOINTMENT,  ANY  AGREEMENTS  BORROWER  AND BANK REACH
COVERING SUCH MATTERS ARE  CONTAINED IN THIS WRITING,  WHICH IS THE COMPLETE AND
EXCLUSIVE  STATEMENT  OF THE  AGREEMENT  BETWEEN  BORROWER  AND BANK,  EXCEPT AS
BORROWER AND BANK MAY LATER AGREE IN WRITING TO MODIFY IT.

     IN WITNESS  WHEREOF,  the parties hereto have executed this Amendment as of
the day and year first above written.

                                    BORROWER:

                                    EXPRESS SCRIPTS, INC.

                                    By: /S/ KURT D. BLUMENTHAL
                                    Title: Vice President of Finance


                                    BANK:

                                    MERCANTILE BANK
                                    NATIONAL ASSOCIATION

                                    By: /S/ MARILYN LEMONDS
                                    Title: Vice President




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