EXPRESS SCRIPTS INC
8-K, 1998-03-26
SPECIALTY OUTPATIENT FACILITIES, NEC
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                    FORM 8-K

                                 Current Report


                       Pursuant to Section 13 or 15(d) of
                       The Securities Exchange Act of 1934


Date of Report:   March 16, 1998


                              Express Scripts, Inc.
- -------------------------------------------------------------------------------
             (Exact Name of Registrant as specified in its Charter)



        Delaware                    0-20199                        43-1420563
- -------------------------------------------------------------------------------
(State or other jurisdiction  (Commission File No.)         (I.R.S. Employer 
   of corporation)                                         Identification No.)

14000 Riverport Drive, Maryland Heights, Missouri                  63043
- -------------------------------------------------------------------------------
(Address of Principal Executive Offices)                        (Zip Code)



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


- --------------------------------------- -------------------------------------- 
       (Former name or former address, if changed since last report)


<PAGE>

Item 5.  Other Events

     On March 16, 1998, Express Scripts,  Inc. issued a press release, a copy of
which is attached hereto as Exhibit 99.1, and incorporated herein by reference.

     (c) The following exhibit is filed as part of this report on Form 8-K:

         Exhibit 99.1 Press release, dated March 16, 1998, by Express Scripts, 
         Inc.

<PAGE>

                                    SIGNATURE


     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 hereunto duly authorized.


                                      EXPRESS SCRIPTS, INC.



Date:    March 16, 1998               By:   /s/ Barrett A. Toan
                                          Barrett A. Toan
                                          President and Chief Executive Officer

<PAGE>
                                  EXHIBIT INDEX


  EXHIBIT NO.     DESCRIPTION

      99.1        Press release, dated March 16, 1998, by Express Scripts, Inc.



                                  EXHIBIT 99.1


                       EXPRESS SCRIPTS ANNOUNCES LONG-TERM
                       AGREEMENT WITH NYLCARE HEALTH PLANS

     ST.  LOUIS,  March 16,  1998--Express  Scripts,  Inc.  (NASDAQ:ESRX)  today
announced  that it has reached  agreement  with NYLCare  Health  Plans,  Inc., a
subsidiary  of  New  York  Life  Insurance  Company,  for  an  extension  of its
agreements to provide members of NYLCare's HMO with pharmacy benefit  management
and infusion therapy services.

     As part of the  definitive  agreement  announced by Aetna U.S.  Healthcare,
Inc. and New York Life today,  Express Scripts' pharmacy benefit  management and
infusion  therapy  agreements with NYLCare will be extended until Dec. 31, 2003.
New York  Life's  sale of  NYLCare  to Aetna is  expected  to close in the third
quarter  of this  year.  Under the terms of the  extension  agreements,  Express
Scripts  will serve 1.4  million HMO members  for  pharmacy  benefit  management
services.  Currently,  Express Scripts serves 1.2 million NYLCare HMO lives. The
home infusion contract will also be extended until Dec. 31, 2003;  current terms
will apply until Dec. 31, 2000, with limited price  adjustments  permitted under
certain circumstances thereafter.

     The current  agreements  for  managed  vision  care and  informed  decision
counseling  services will continue  through Dec. 31, 1999.  Express Scripts will
also  continue to provide  pharmacy  benefit  management  services to members of
NYLCare indemnity programs until these members are converted to new policies.

     "We are pleased that Aetna has extended our PBM and home infusion  services
agreements  with NYLCare  effective  when the sale of NYLCare  takes place later
this year,"  said  Barrett A. Toan,  president  and chief  executive  officer of
Express Scripts.  "We have had a successful  relationship  with NYLCare and look
forward to working with Aetna as it becomes an even greater player in the health
care arena."

     The impact on earnings  per share is not expected to be material in 1998 or
1999. The extension of the two main  agreements  will guarantee  Express Scripts
revenue for 1.4 million HMO lives until Dec. 31, 2003.

     Express  Scripts,  Inc. is a leader in health care  management,  delivering
advanced capabilities in several  complementary health care businesses.  Express
Scripts'  pharmacy  benefit  management   business  currently  provides  managed
prescription  drug  services  to more than 12.3  million  members  in the United
States and Canada,  and has  received the highest  ranking for overall  customer
satisfaction  in the last  two  annual  Pharmacy  Benefit  Management  Institute
surveys.   Practice  Patterns  Science,  Inc.  offers  health  care  information
services,  linking  health care data from all points of care. ESI Vision Care is
the company's eyecare management business.  IVTx applies managed care principles
to  infusion   therapy   management.   Health   Management   Services   provides
comprehensive  informed  decision  counseling  and disease  management  services
through  a 24-hour  call  center  staffed  by nurses  and  pharmacists.  Express
Scripts' businesses serve HMOs, third-party administrators, insurance companies,
unions and  self-insured  employers.  Express  Scripts is  headquartered  in St.
Louis, Mo. and recently announced that it has executed a definitive agreement to
purchase ValueRx, a pharmacy benefit manager  headquartered in Plymouth,  Minn.,
for $445 million.

     THIS PRESS RELEASE CONTAINS FORWARD-LOOKING STATEMENTS,  INCLUDING, BUT NOT
LIMITED TO, STATEMENTS RELATED TO THE COMPANY'S PLANS, OBJECTIVES,  EXPECTATIONS
(FINANCIAL AND OTHERWISE),  OR INTENTIONS.  THESE  STATEMENTS  INVOLVE RISKS AND
UNCERTAINTIES   THAT  MAY  CAUSE  THE   COMPANY'S   ACTUAL   RESULTS  TO  DIFFER
SIGNIFICANTLY  FROM THOSE PROJECTED OR SUGGESTED.  FACTORS THAT MAY IMPACT THESE
FORWARD-LOOKING  STATEMENTS  INCLUDE:  RISKS ASSOCIATED WITH THE CONSUMMATION OF
ACQUISITIONS,  INCLUDING THE ABILITY TO SUCCESSFULLY INTEGRATE THE OPERATIONS OF
ACQUIRED BUSINESSES WITH THE EXISTING OPERATIONS OF THE COMPANY, LOSS OF CLIENTS
IN  THE  TRANSITION  PROCESS  AND  RISKS  INHERENT  IN  THE  ACQUIRED  ENTITIES'
OPERATIONS;   LOWER  THAN  EXPECTED   SALES  AND  REVENUE   GROWTH;   HEIGHTENED
COMPETITION;   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 OF  PROPOSAL  PROCESS;
ADVERSE RESULTS IN CERTAIN  LITIGATION AND REGULATORY  MATTERS;  THE ADOPTION OF
ADVERSE LEGISLATION OR A CHANGE IN THE INTERPRETATION OF EXISTING LEGISLATION OR
REGULATIONS;  RISKS  ASSOCIATED WITH THE DEVELOPMENT OF NEW PRODUCTS;  AND OTHER
RISKS  DESCRIBED  FROM TIME TO TIME IN THE  COMPANY'S  PUBLIC  FILINGS  WITH THE
SECURITIES AND EXCHANGE COMMISSION.





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